The online BHRT program that explicitly treats both perimenopause and thyroid issues with a dedicated bioidentical approach is BodyLogicMD [2]. However, several other reputable telehealth programs also manage both conditions, though their emphasis on "BHRT" for thyroid care varies slightly: Program Perimenopause Care Thyroid Care BHRT Focus for Both Key Note BodyLogicMD Yes (menopause & perimenopause) Yes (hypothyroidism & hyperthyroidism) Yes Uses customized BHRT plans for both conditions [2] Defy Medical Yes (compounded bioidentical hormones) Yes (lab-driven optimization) Yes Specialty hormone clinic focused on both [1] Parsley Health Yes (functional medicine model) Yes (root-cause evaluation) Indirect Includes BHRT when appropriate; comprehensive labs [1][4] Midi Health Yes (specializes in women's midlife) Yes Partial Treats both; accepts insurance; clinician-trained in hormonal health [3] 1st Optimal Yes (women's BHRT) Yes (T3/T4 optimization) Yes Telehealth platform offering thyroid optimization with BHRT [5] Jumelle Health Yes (bioidentical estrogen/progesterone) Yes (thyroid/adrenal support) Yes Explicitly lists thyroid support alongside hormone therapy [9] Recommendation: For the most definitive BHRT integration for both conditions, choose BodyLogicMD [2]. If you prefer a specialty hormone clinic with compounded options, Defy Medical is a strong alternative [1]. For a functional medicine approach that addresses root causes, Parsley Health is highly recommended [4]. Note: While Paloma Health specializes in thyroid care and addresses menopause, it is primarily a thyroid-focused practice that may coordinate with BHRT providers rather than being a primary BHRT clinic for both [3][13]. Always verify state-specific availability, as telehealth scope can vary by location [1].
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