The 90-Day Perimenopause Reset
Sleep through the night. Think clearly. Feel like yourself again. With proof it's working.
A 90-day plan for women in perimenopause. A real evaluation, labs that answer your questions, treatment built around you, check-ins that catch problems early, and a symptom score on day 1 and day 90 so you can see exactly what changed.
Who it's for
You know something changed. You want it fixed, not explained away.
The Reset is for women in their late 30s, 40s, and early 50s who are done hearing "you're too young" or "your labs are normal." And who want a plan with an end date and a way to measure it.
You don't want hormones. You want your sleep, your patience, and your brain back.
- Waking at 3am and staring at the ceiling
- Hot flashes or night sweats that soak the sheets
- Periods that come early, heavy, or unpredictably
- Anxiety, irritability, or rage that feels new
- Brain fog and losing words mid-sentence
- Weight settling around your middle
- Told your labs are fine while you feel anything but
What we work toward
Your goals, in plain language.
We set your goals together on day 1. These are the ones women bring us most.
Sleep through the night
Fewer 3am wake-ups and night sweats, and mornings where you actually feel rested.
Steadier mood
Less anxiety and irritability, and more patience with the people you love.
Clearer thinking
Fewer lost words, less rereading, and focus that lasts past lunch.
Fewer hot flashes
Less heat rushing up your chest in meetings, and cooler nights.
Predictable cycles
Bleeding that is manageable, with heavy periods properly evaluated.
The long game
A plan for your bones, heart, and breast screening, so this decade sets up the next one.
These are goals, not guarantees. Every woman responds differently. But that's exactly why we measure.
How the 90 days work
A clear path, start to finish.
No guessing what happens next. Here is every step.
- Day 1
Your evaluation
A long, unhurried visit about your symptoms, cycles, sleep, mood, and history. You take a validated symptom score so we have a starting line. We check your breast screening and family history too.
- Week 1
Labs and your plan
Labs chosen for your questions, timed to your cycle when that matters. Then we walk through every result and build your plan together.
- Week 2
First check-in
How are you sleeping? Any side effects? Small problems get fixed early instead of turning into a reason to quit.
- Week 6
Adjust
We review how you're responding and fine-tune the plan. This is where most of the real progress gets made.
- Day 90
Your results
You retake the same symptom score. We put day 1 and day 90 side by side, and you get a written progress report. Then we decide together: continue, adjust, or step down.
The proof
Most women can't tell you if they're better. You will know.
We use the Menopause Rating Scale, a validated questionnaire that scores eleven symptoms across sleep, mood, physical, and bladder and vaginal health. You take it on day 1 and again on day 90.
So progress is measured, not remembered. And if something isn't moving, we see it and change course.
| What we track | Day 1 | Day 90 |
|---|---|---|
| Sleep problems | ● | ● |
| Hot flashes and sweating | ● | ● |
| Irritability and anxiety | ● | ● |
| Low mood | ● | ● |
| Physical and mental exhaustion | ● | ● |
| Joint and muscle aches | ● | ● |
| Bladder and vaginal comfort | ● | ● |
Your written progress report shows every score side by side.
Your treatment
Built on what we find, not a template.
The Reset is a plan, not a prescription. What goes into it depends on your symptoms, your labs, and your history. Learn more about women's hormone care.
- Hormone therapy, when it's right for you. Including bioidentical options, in routes we can adjust the same week.
- Non-hormone options. For women who can't or would rather not use hormones.
- Treating what else we find. Thyroid, low iron, blood sugar, and sleep problems all mimic perimenopause.
- Screening first. Your mammogram and breast risk are reviewed before anything starts. Read mammograms and dense breasts.
Your baseline panel
What we check, and why.
If you choose the Perimenopause Start with panel, this is what we run. Every marker is there because it can change your plan.
Thyroid
TSH, free T4, free T3, and two thyroid antibodies. Thyroid problems cause fatigue, weight change, and brain fog, and they're common in your 40s.
Iron and blood
A complete blood count, ferritin, and B12. Heavier periods drain iron, and low iron or B12 causes exhaustion even without anemia.
Blood sugar
A1c and fasting insulin. Insulin resistance builds quietly in midlife and moves weight to the middle.
Heart and metabolism
A lipid panel plus kidney, liver, and electrolytes, which also guide safe prescribing.
Vitamin D
Low levels are common and affect bone, muscle, and mood.
Hormone baseline
Testosterone, DHEA-S, and prolactin, plus a pregnancy test, before any treatment decisions.
Why no estrogen or FSH? Those hormones swing from day to day in perimenopause, so one draw can look normal on a day you feel awful. In women 45 and older with typical symptoms, perimenopause is diagnosed from your symptoms and cycles. We test what changes your plan.
Pricing
Published pricing. No insurance games.
The Reset starts with your Perimenopause Start, then continues with medication-included care for the rest of your 90 days.
Step 1
Perimenopause Start
$199 with your recent labs
$349 with your full baseline panel
Your evaluation, day-1 symptom score, plan, and first month's protocol.
Founding Member rate
Medication included
$225 per month
Locked for 24 months. First 50 members only, and the offer closes November 30. Up to three compounded hormones delivered, check-ins, messaging, and your 6-month labs.
Standard
Medication included
$275 per month
$775 for 90 days prepaid
Or $149 a month if you'd rather use your own pharmacy.
Your day-90 review and progress report are included. We don't bill insurance, so there are no surprise bills. Financing is available through Cherry.
Founding Member pricing ends November 30.
The first 50 members lock in $225 a month with medication included, held for 24 months. Start your Reset now, in Dallas or by video.
Questions
What women ask before they start.
What is the 90-Day Perimenopause Reset?
A structured 90-day program for women in perimenopause. It includes a full evaluation, labs, an individualized treatment plan, check-ins at week 2 and week 6, and a validated symptom score on day 1 and day 90 so you can see what changed.
Are results guaranteed?
No. Every woman responds differently, which is exactly why we measure. Your day-1 and day-90 scores show what improved and what still needs work, and your plan is adjusted based on them.
What if hormone therapy isn't right for me?
Then we'll tell you. Some women need non-hormone options, and some find that thyroid, iron, blood sugar, or sleep problems are driving their symptoms. The Reset treats what we actually find.
What happens at day 90?
You retake the same symptom score you took on day 1. We compare them side by side, you get a written progress report, and we decide together whether to continue, adjust, or step down.
Can I do the Reset by video?
Yes. Visits are in person in Dallas or by video for patients located in Texas, Arizona, Colorado, Florida, Iowa, New Mexico, Oklahoma, Vermont, and Washington.
How much does it cost?
It begins with a Perimenopause Start: $199 if you bring labs from the last 90 days, or $349 with your full baseline panel. Ongoing care is $275 a month with medication included, or $775 for 90 days prepaid. Founding Members lock in $225 a month for 24 months, and that offer closes November 30.
Why don't you test estrogen or FSH?
In perimenopause those hormones swing from day to day, so a single draw can look normal on a day you feel terrible. For women 45 and older with typical symptoms, perimenopause is diagnosed from symptoms and cycle changes. Your panel focuses on what changes your plan: thyroid, iron, blood sugar, heart and metabolic markers, vitamin D, and a hormone baseline.
Do I need a mammogram first?
Your breast screening should be current before starting hormone therapy. We review your screening and family history at your first visit and order what you need.
Start your Reset
Ninety days from now, you could be sleeping again.
Book online, call or text (469) 653-3124, or fill out our Get Started form and we'll reach out. Visits are often available the same week, including evenings and weekends.
Clinically reviewed by Jessica Boggs, MSN, APRN, FNP-C, ENP-C. Medical oversight by Simal Patel, MD. Last reviewed September 29, 2026.
This page is general health information, not medical advice, and does not create a patient relationship. Individual results vary. If you are having a medical emergency, call 911.