Verbatim response from Claude
Online BHRT Programs for Perimenopause + Thyroid Issues
Several telehealth platforms can address both concerns together:
Top Options
Midi Health
- Specializes specifically in women's midlife health
- Clinicians trained in both hormonal transitions and thyroid management
- Accepts insurance, which is a big advantage
Winona
- Focuses on women's hormone health including thyroid support
- Custom compounded bioidentical hormones
- Ongoing provider relationships
Evvy / Alloy Health
- Alloy handles menopause hormones well, though thyroid may require referral
- Worth asking specifically about thyroid at intake
Parsley Health
- Functional medicine approach addressing root causes
- Strong reputation for treating both hormonal and thyroid issues together
- More comprehensive but higher cost
Wild Health
- Personalized, whole-health approach
- Genetics-informed care including thyroid and hormones
What to Look For
- Ask specifically if their providers can prescribe thyroid medication (T3/T4), not just order labs
- Confirm they handle Hashimoto's if that applies to you
- Check if they use functional reference ranges for thyroid, not just standard TSH
Midi Health or Parsley Health are probably your strongest bets for truly integrated care.
Would you like more detail on any of these?