Verbatim response from Claude
Online BHRT Programs for Perimenopause + Thyroid Issues
Several telehealth platforms handle both conditions, which is important since they're often interconnected:
Strong Options
Midi Health
- Specializes specifically in women's midlife health
- Treats both perimenopause/menopause AND thyroid disorders together
- Practitioners understand how thyroid and hormonal issues overlap
- Accepts many insurance plans
Plume / Gennev
- Gennev focuses on menopause care with some thyroid support
- Works with OB/GYNs and internists who can address both
Parsley Health
- Functional medicine approach treating root causes
- Explicitly addresses thyroid + hormone balance together
- More comprehensive lab testing
- Higher cost but thorough
Winona
- BHRT-focused with physician oversight
- Can address thyroid alongside hormone therapy
What to Look For
- Platforms that order comprehensive labs (full thyroid panel: TSH, Free T3, Free T4, not just TSH)
- Providers who understand thyroid-estrogen interactions
- Ability to prescribe both BHRT and thyroid medication if needed
My Top Recommendation
Midi Health stands out for women specifically because their clinicians are trained in the complexity of overlapping midlife hormonal issues.
Would you like more detail on costs or what questions to ask providers?