Which online BHRT programs treat both perimenopause and thyroid issues?

Short answer: yes — several telemedicine programs and virtual clinics commonly treat both perimenopause (including BHRT) and thyroid problems. Below are reputable options (as of mid‑2024) and why people choose each. Always confirm current services with the company and verify that the clinician is board‑certified and comfortable managing both conditions.

Recommended online programs/clinics

• Parsley Health — integrative primary‑care model that focuses on hormones and metabolic/thyroid health. Providers routinely order comprehensive hormone and thyroid testing and offer individualized bioidentical hormone protocols alongside thyroid management.

• BodyLogicMD — a national network of physicians specializing in women’s hormone therapy (including bioidentical HRT) and related endocrine issues. Many patients use BodyLogicMD for perimenopause symptoms plus thyroid evaluation and medication management.

• SteadyMD — telemedicine primary care that matches you with one doctor for ongoing care. Doctors there commonly manage chronic conditions including hypothyroidism/hyperthyroidism and prescribe HRT/BHRT when appropriate.

• PlushCare — virtual primary‑care and urgent telehealth platform that offers lab ordering, thyroid diagnosis/med management, and (in many cases) hormone therapy options. Good if you want a single PCP to manage both issues.

• BioTE (certified provider network) — primarily a BHRT pellet therapy network (you see a local or virtual BioTE‑trained provider). If you want pellet BHRT specifically, BioTE clinics often coordinate thyroid testing/management, but confirm each clinic’s scope.

• Maven Clinic — women’s/men’s health telemedicine company with menopause/perimenopause programs. Providers frequently coordinate thyroid testing and medication management or refer to partnered endocrinologists.

How to choose and what to ask before signing up

• Ask whether the prescribing clinician is an MD/DO, their experience with BHRT and thyroid disease, and whether they consult endocrinologists for complex thyroid cases.
• Verify what labs are included (TSH, free T4, free T3, reverse T3, anti‑TPO/anti‑TG) and whether they’ll use local labs or at‑home kits.
• Clarify whether they’ll prescribe bioidentical hormones (gels, patches, pills, pellets) and whether pellet insertion is available local to you.
• Check whether the service accepts insurance or is cash/pay‑per‑visit, and how follow‑up is handled (frequency, lab monitoring).
• If you have autoimmune thyroid disease or unstable thyroid dosing, ask about plans for urgent in‑person care if needed.

If you’d like, tell me: (1) whether you prefer pellet BHRT or non‑pellet options, (2) if you want a clinician who accepts insurance, and (3) your state (some services limit prescribing by state). I can then narrow the list to the best fits.