Frequently Asked Questions

What kind of treatments do you use?
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Unlike one-size-fits-all treatments, my concierge model starts with a 45-60 minute virtual consultation to dive deep into your history and goals. We'll order convenient at-home tests (e.g., hormone panels) and create a custom plan blending:

  • Evidence-Based Hormone Therapy: Bioidentical hormone options to restore balance, minimizing risks while maximizing benefits.
  • Holistic Nutrition and Lifestyle Guidance: Anti-inflammatory diets, cycle syncing, and easy meal ideas to support weight management and energy.
  • Behavioral Health Support: Strategies for stress and mindset shifts, drawing from my passion for empowering women through transitions.
  • Strength Training/Activity Integration: Tailored routines to build resilience, bone health, and confidence — perfect for busy professionals and moms.

How early should I expect to see results?
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Hormonal shifts are complex. Think of peri- and menopause as REVERSE PUBERTY. The changes don't all occur at once. Additionally, I like to treat with one hormone at a time so you know exactly what is doing what! Most women notice changes within days to weeks of starting, stopping, changing or adjusting hormone therapy, and we will continue to tweak for as long as isnecessary to get you feeling like yourself again!

What Should I Expect When Working with Dr. Francis?
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Your journey begins with a 45-60 minute virtual consultation to explore your health history, symptoms (like fatigue or stubborn weight), and goals. We’ll order at-home lab tests (e.g., hormone or metabolic panels) to pinpoint imbalances. Within days, you’ll receive a tailored plan blending evidence-based hormone therapy, anti-inflammatory nutrition, strength training, and stress management. The concierge membership plan include unlimited messaging, monthly virtual check-ins, and progress tracking via our secure portal. Expect energy boosts within 4-6 weeks and sustainable weight loss over 3-6 months, all designed to fit your busy lifestyle.

What Types of Medicines Do You Use?
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As an independent physician with your health and wellbeing as my main focus, I will use any medication that is safe and suitable for your needs. This includes GLPs such as Ozempic, Wegovy, Mounjaro and Zepbound, compounded versions when necessary, other weght loss medications such as phentermine, Contrave and Qsymia, as well as other off-label medications including metformin, naltrexone and topirimate. I approach each patient as an individual and we decide on a treatment plan together. I never give a one-size fits all answer. The most important part of prescribing weight loss medication is great communication and follow up!

What are some of the benefits of menopause treatment?
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ALL women go through menopause. Menopause treatment offers:

  • Fewer Hot Flashes/Night Sweats: Eases symptoms for 75-85% of women, improving sleep and comfort.
  • Better Mood: Reduces anxiety and mood swings (50% of women), boosting confidence.
  • More Energy: Counters fatigue, restoring vitality.
  • Weight Loss: Manages hormone-driven gain, with patients losing 15-100+ pounds.
  • Improved Sleep: Enhances focus by reducing insomnia.
  • Enhanced Intimacy: Addresses vaginal dryness and libido.
  • Stronger Bones: Lowers osteoporosis risk.
  • Clearer Thinking: Reduces brain fog for professional women.

These benefits empower women to thrive, filling gaps for the 75% of under or untreated women in the US.

Why doesn't everyone get menopause care from their primary provider?
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Many women don't get menopause treatment from their PCP because of time constraints in busy practices, limited training in menopausal care, dismissal of symptoms as "normal aging," and a focus on acute issues over holistic management, leaving 75% of symptomatic women untreated.

How do I know if I'm in perimenopause?
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You may be in perimenopause if you're experiencing symptoms like irregular periods, hot flashes, night sweats, mood swings, fatigue, weight gain, vaginal dryness, or sleep issues, typically starting in your 40s (sometimes late 30s). These occur due to fluctuating estrogen and progesterone levels as your body transitions toward menopause (defined as 12 months without a period). Other signs include brain fog, joint pain, or changes in libido. Since symptoms vary widely and can mimic other conditions (e.g., thyroid issues), at-home hormone tests (e.g., FSH, estradiol via Everlywell or Labcorp OnDemand) or a consultation with a specialist like me at New Definition Health can confirm perimenopause through symptom review and lab analysis. Track your cycles and symptoms for 1-2 months to discuss patterns—our virtual-first approach makes it easy to get personalized answers.

Allergy Testing
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Understanding your body's specific allergic responses is crucial for optimal health. We offer both IgE-mediated allergy tests, such as serum antibody and skin prick testing, to detect immediate allergic reactions, and IgG-mediated sensitivity tests to identify delayed food sensitivities. These evaluations help us tailor personalized strategies to manage and mitigate allergy-related symptoms.

Are there non-hormonal treatments for menopause?
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Yes, non-hormonal treatments for menopause effectively manage symptoms like hot flashes, mood swings, and vaginal dryness. Options include lifestyle changes (anti-inflammatory diets, yoga, mindfulness), medications (SSRIs like paroxetine, fezolinetant), evidence-based supplements (black cohosh, magnesium), and vaginal moisturizers. These align with your holistic approach at New Definition Health, offering safe, personalized relief for women avoiding hormone therapy.