Verbatim response from Claude
Online BHRT Programs for Perimenopause + Thyroid Issues
Several telehealth platforms address both concerns, which is great since they're closely connected:
Top Options
Midi Health
- Specifically designed for women 40+
- Treats perimenopause symptoms AND thyroid conditions together
- Holistic approach with practitioners who understand how these interact
- Accepts insurance in many cases
Winona
- Offers BHRT for perimenopause plus thyroid testing/treatment
- All-female medical team
- Subscription-based model, reasonably priced
Alloy Women's Health
- Perimenopause-focused with thyroid screening
- Partners with licensed physicians
- Good for ongoing hormone management
Evernow
- Menopause specialist platform that includes thyroid evaluation
- Strong focus on individualized treatment plans
What to Look For
- Programs that test both sex hormones AND thyroid panel (TSH, Free T3, Free T4)
- Practitioners who understand that low thyroid can mimic perimenopause symptoms
- Ability to prescribe both BHRT and thyroid medications (like levothyroxine or compounded T3/T4)
My Top Pick
Midi Health stands out because their practitioners are specifically trained in the overlap between hormonal and thyroid issues in midlife women.
Would you like more details on costs or what lab work to expect?