Back to You: Perimenopause Protocol — Hormone Optimization for Women
This isn't just aging. And you're not imagining it.
A 6-month hormone optimization program for women navigating perimenopause who feel unlike themselves — and want a clear, clinical plan to feel like themselves again.
IS THIS YOU?
Something shifted. And no one seems to be taking it seriously.
The sleep started going first. Then the mood. Then the brain fog settled in and the weight began collecting somewhere it never used to. Your libido changed. Your patience thinned. Your skin changed. Your hair changed. You still show up for everyone and everything — but behind the scenes you feel like a version of yourself you do not quite recognize and cannot fully explain to the people around you.
You've been to the appointments. You've had the labs done. You've been told your hormones are within range, that this is normal for your age, that this is just what this stage of life looks like.
But you remember what you felt like before. And you know this is not just aging.
Normal does not mean inevitable. Common does not mean untreatable. And there is a meaningful clinical difference between what is happening in your body and what you have been told there is nothing to do about it.
You deserve a plan — not just a diagnosis.
Symptom-led. Data-informed. Built to restore balance that lasts.
The Back to You protocol is a 6-month program that addresses the hormonal patterns driving how you feel — using advanced lab interpretation, a personalized supplement and nutrition protocol, and hormone therapy when clinically appropriate. This is not a one-size-fits-all hormone prescription. It is a structured, monitored, and continually adjusted plan built around your symptoms, your labs, and your life.
Your protocol includes:
A personalized supplement plan with practitioner-curated Fullscript access, built directly from your lab findings
An anti-inflammatory nutrition plan designed to support the estrobolome — the gut-hormone connection that directly influences how your body metabolizes and clears estrogen
A Comprehensive Perimenopause Educational Guide covering hormone literacy, nutrition, exercise, sleep, stress resilience, sexual wellness, cardiovascular health, and bone health
Scheduled follow-up visits with symptom tracking throughout the 6 months, so your plan adjusts as your body responds
Where your clinical picture warrants it, your protocol will also include personalized hormone therapy — estradiol, progesterone, and/or testosterone in the form, route, and dose appropriate for your specific hormonal presentation. Initiated when your labs and symptoms support it, monitored at clinically appropriate intervals, and adjusted based on your response. ShaNeé will walk you through her full recommendation at the close of your Clarity Consult.
Investment is reviewed at the close of your Clarity Consult with full transparency on what your recommended level of support includes.
THIS PROGRAM IS RIGHT FOR YOU IF
You are experiencing symptoms you recognize as perimenopausal — sleep disruption, mood instability, brain fog, weight changes, low libido, hot flashes, or night sweats — and want clinical support that goes beyond being told this is normal.
Your labs have come back within range but your symptoms tell a different story and you want a practitioner who interprets the full hormonal picture, not just individual values against a reference range.
You have been prescribed hormone therapy elsewhere but without the clinical context, monitoring, or symptom-led adjustments that make it effective long term.
You want to understand what is happening in your body during this transition — not just manage symptoms in the dark.
You are concerned about long-term health in the context of perimenopause — bone density, cardiovascular protection, cognitive longevity — and want a practitioner who addresses those dimensions as part of your care, not as an afterthought.
You are ready for a clinical relationship that treats this transition as the significant physiological event it is.
Frequently Asked Questions
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Perimenopause typically begins in the late 30s to mid-40s, though it can start earlier, and it lasts an average of four to eight years before menopause itself. The transition is driven by fluctuating — not just declining — hormones, which is why symptoms can come and go, and why the experience varies so much from woman to woman.
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Yes. Perimenopause is the transition toward menopause, not the end of it. You can be in perimenopause for years while still menstruating — sometimes with periods that arrive predictably, sometimes with cycles that shorten, lengthen, or skip. Hormone shifts begin well before periods stop, which is why symptoms often start years before menopause is officially diagnosed.
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For most women, yes — when prescribed and monitored properly. Bioidentical hormones are the same molecules your body makes, and substantial research supports their safety and benefits when used appropriately. Risk and fit depend on your individual health, current labs, and ongoing monitoring — which is exactly what your protocol provides. Therapy isn't right for everyone, and ShaNeé will tell you honestly if it isn't right for you.
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No. The Core tier of Back to You is a full clinical program without prescription medication — built around supplement, nutrition, and lifestyle support backed by lab data and ongoing clinical oversight. Personalized hormone therapy is part of the Enhanced and Concierge tiers, and only recommended when your labs and symptoms clearly support it.
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Probably yes. Standard hormone panels look at single values against population reference ranges — they aren't designed to capture the fluctuation that defines perimenopause. A normal lab on the day of your draw doesn't rule out the hormonal shifts driving your symptoms. ShaNeé interprets the full picture — patterns, ratios, symptom timing, and the long-term trajectory — not just whether one number landed in range.
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There's no fixed timeline. Hormone therapy is initiated when your labs and symptoms support it, monitored at clinically appropriate intervals, and adjusted based on how your body responds. Some women stay on therapy through menopause and beyond; others step down or off when their picture changes. It's not a prescription you start and stop tracking — it's a clinical relationship that evolves with you.
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Yes — significantly. Shifting estrogen, progesterone, and testosterone change how your body stores fat, manages insulin, and regulates appetite, which is why weight that used to respond to diet and exercise suddenly doesn't. It's not a willpower problem; it's a hormonal one. Addressing the underlying hormone picture often unlocks weight changes that no amount of restriction was going to deliver on its own.
You don't have to keep pushing through this transition alone.
The version of yourself you remember is not gone. She has been operating under a hormonal and metabolic burden that no amount of willpower, clean eating, or pushing harder was going to resolve — because the driver is clinical, not behavioral.
This program is available following your Clarity Consult — the appointment where ShaNeé reviews your full hormonal picture and walks you through her recommendation for the protocol and level of support that fits your specific presentation. There is no obligation to continue beyond the consult. But most women leave ready to.
What becomes possible when your hormones are treated rather than normalized: sleep that actually restores you. A mood that feels like yours again — steady, proportionate, recognizable. The weight that settled somewhere around your midsection beginning to shift, because the hormonal patterns driving it are finally being addressed at the root. A version of yourself that you recognize — clear-headed, emotionally grounded, and no longer quietly managing a body that feels unfamiliar.