A thorough review of menopausal symptoms and laboratory review. A complete medical history is attained and based on serology and symptoms a plan is formulated for treatment. This requisition can be forwarded to a medical practitioner for review and approval. Regular follow ups can be scheduled ($35, 1/2 hour) to adjust dosing and address new or emerging symptoms. Treatment is highly effective and response is overwhelmingly positive. Recommendations can be made for pre manufactured or compounded products based on patient preference, cost, tailored dosing and shared decision making processes.