Verbatim response from Claude
Online BHRT Programs for Perimenopause + Thyroid Issues
Several telehealth platforms treat both conditions together, which is ideal since they're closely connected:
Top Options
Midi Health
- Specializes in women's midlife health
- Explicitly treats both perimenopause/menopause AND thyroid conditions
- Uses practitioners trained in women's hormonal health
- Accepts many insurance plans
Winona
- Focuses on bioidentical hormones for menopause symptoms
- Can address thyroid concerns through their medical team
- All-online, flat-fee model
Hers
- Broader telehealth platform covering hormonal health and thyroid
- More affordable entry point
- Good for straightforward cases
Plume/Alloy (worth checking)
- Alloy focuses on menopause but has expanded services
What to Look For
- Practitioners who order full thyroid panels (TSH, Free T3, Free T4, antibodies) not just TSH
- Willingness to prescribe T3/T4 combination if needed
- Experience with both estrogen/progesterone AND thyroid optimization
My Top Recommendation
Midi Health is probably the strongest choice because their clinicians are specifically trained in the overlap between perimenopause and thyroid dysfunction, which is genuinely common.
Would you like more detail on any of these?