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The Tide

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Perimenopause & menopause care

Hormone therapy with a provider that actually listens.

Hot flashes. Night sweats. Nights you can’t sleep through. You deserve more than a quick visit and “that’s just your age.”

Provider-led · In person in Houston or by video across Texas

Let’s talk about what’s changed
A woman in a calm conversation with her provider

Hormone Replacement Program

Hormone replacement, built around how you feel.

$149/month

Your hormone therapy and monthly provider visits, in one monthly price. Self-pay. We do not bill insurance.

  • Included
  • Estradiol
  • Progesterone
  • Consultations
First one-on-one consult$49 to start

HSA/FSA eligible: many women pay with their HSA or FSA account.

Start with being heard.

Tell us a little about yourself. Our team will help with next steps. For women in Texas.

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A consultation about fit. Not an online checkout.

A different kind of hormone visit

Self-pay by design. More room for your care.

Paying directly lets us build care around a provider relationship, not insurance approvals. No prior authorizations. No checkout cart.

What mattersInsurance-based visitThe Tide
Provider timeVisit length and follow-up varyMonthly, one-on-one provider visits
Being heardExperience varies by providerYour symptoms guide the conversation
Your dosingApproach and oversight varyBased on your history, symptoms, and follow-up
Monthly costCopays, deductibles, and therapy costs vary$149/month. Therapy and monthly visits included.

Insurance-based care looks different from clinic to clinic. This is how The Tide is built.

Does this sound familiar?

It’s not “just your age.” It’s worth a real conversation.

  • “Hot flashes out of nowhere.”
  • “Night sweats wreck my sleep.”
  • “My periods are all over the place.”
  • “I’m anxious or on edge.”
  • “My brain feels foggy.”
  • “I just don’t feel like me.”

These are common in perimenopause and menopause, and they can have more than one cause. You don’t need the right words to start the conversation.

A woman sitting by a window, deep in thought

What to expect

A clear next step. Not a one-size-fits-all plan.

  1. 01

    Tell your story.

    Start with a $49 consult about what’s changed and what matters to you.

  2. 02

    Understand your options.

    Review your history, symptoms, and any testing that may help.

  3. 03

    Decide together.

    If hormone therapy is a fit, build an individual plan with your provider.

  4. 04

    Stay connected.

    Monthly visits to review how you’re feeling and adjust care when needed.

Care may include bioidentical hormone options, when appropriate. Every plan is individual.

Words from our patients

“For the first time, I felt really heard.”

Google review excerpts · Individual results vary

★★★★★
“For the first time, I felt really heard about my concerns. I left there after my consultation knowing that my health is as much of a priority for them as it is for me.”
S.T.
★★★★★
“I felt truly helped, educated and properly prepared for my future health journey.”
S.M. · excerpt
★★★★★
“Everyone there is knowledgeable and genuinely guides you in the right direction based on what your body actually needs — it’s not one-size-fits-all, it’s catered to you.”
J.S.

Before you decide

Good questions. Clear answers.

What does $149/month include?
Your hormone therapy and a monthly one-on-one visit with your provider, in person or by video, with your plan adjusted as you go. Your $49 first consult and testosterone (an add-on that requires labs) are separate. Your provider walks you through exactly what your plan includes before you start.
Do you take insurance?
No. The Tide is self-pay and does not bill insurance. That’s what lets us build care around time with your provider instead of insurance approvals. Many women use HSA/FSA funds.
Isn’t HRT supposed to be risky?
Like any treatment, hormone therapy has benefits and risks, and they depend on your age, health history, timing, and the type of therapy. Your provider reviews your personal risk picture with you before recommending anything, and keeps monitoring at your monthly visits.
Can I start if I’m still cycling?
Yes. Many women start in perimenopause, while they’re still having periods. Your provider looks at your symptoms and history to decide whether the program is a fit.
Which hormones are included?
The program most often includes estradiol and progesterone. Your provider recommends a plan based on your symptoms and history, and reviews the options, benefits, and risks with you. Testosterone is not part of the $149 program: when it’s appropriate, it’s an add-on that requires lab work first, and your provider will go over the cost with you.

Your next step

You deserve care that actually listens.

In person in Houston or by video across Texas.

Request a $49 consult 832-460-2818
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