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Hormone · Women

Hormone Therapy for Her

Bioidentical HRT designed around your symptoms, lab work, and life — not a single-protocol algorithm.

Intake
$450
Appointment
60 min intake
Lab draw
+$45 in-office
Follow-up
$100
What it is

Hormone Therapy for Her is a complete bioidentical hormone replacement pathway for women — intake, comprehensive lab work, clinical assessment, and ongoing care. Led by Marisa Dulin, MSN, FNP-C.

We treat perimenopause, menopause, and hormonal imbalance patterns using bioidentical estradiol, progesterone, and supporting hormones. Delivery route (oral, transdermal, pellet) is chosen based on your symptoms, lifestyle, and lab pattern — not a one-size-fits-all protocol.

  • Conditions treatedMenopause, perimenopause, hormonal imbalance, low libido, mood shifts
  • Delivery routesOral, transdermal, pellet — chosen based on your biology
  • ProviderMarisa Dulin, MSN, FNP-C
  • MonitoringInitial 6-8 week followup, then quarterly, annual lab recheck
  • Related/bioidentical-hormone-pellets/ for pellet-specific info
The protocol

A deliberate sequence — not a one-time visit.

01

New patient intake

60-minute appointment. Full symptom history, medical history review, lab order, and preliminary clinical conversation. $450.

02

Lab draw

In-office lab draw available (+$45) or external lab with results sent to MODE. Comprehensive hormone panel.

03

Treatment plan

Follow-up to review labs and design your HRT protocol. Route discussion: oral, transdermal (cream/gel/patch), or pellet.

04

Ongoing care

Follow-ups at 6-8 weeks initially, then quarterly as stable. $100 per follow-up (in person or virtual). Lab recheck annually at minimum.

Your provider

Led by Marisa Dulin.

Marisa Dulin, MSN, FNP-C
Co-Owner · Nurse Practitioner · Lead Injector

Aesthetic nurse practitioner with a restraint-first injector philosophy. Leads MODE’s injectable and biostimulator practice and the hormone-wellness track.

Read full bio →
Questions

What patients often ask.

Am I a candidate for HRT?+
If you have symptoms consistent with hormonal change — hot flashes, night sweats, sleep disruption, low libido, mood shifts, fatigue, brain fog — and your labs show hormonal decline, HRT is likely appropriate. Contraindications exist (active breast cancer, certain clotting conditions); we screen during intake.
Bioidentical vs synthetic?+
Bioidentical hormones are structurally identical to human hormones (estradiol, progesterone). Synthetic HRT (Premarin, Provera) is structurally different. Bioidentical is our standard; research supports both safety and efficacy.
Is HRT safe?+
With appropriate candidate selection, monitoring, and dose adjustments, yes — the Women’s Health Initiative concerns from 2002 have been largely walked back for bioidentical HRT started close to menopause onset. We have detailed risk-benefit conversations during intake.
Oral vs transdermal vs pellet — which?+
Oral is cheapest, highest liver pass, best for some clotting risk factors. Transdermal (cream/gel/patch) bypasses liver, steadier levels. Pellet is sustained-release (3-4 months per insertion), best set-and-forget option. We discuss based on your life and labs.
How long does it take to feel better?+
Most patients feel symptom improvement within 2-6 weeks. Full hormonal steadiness takes 3-6 months. Dose adjustments along the way are normal — HRT is rarely dialed right on first prescription.
Will insurance cover it?+
We don’t bill insurance directly. Some plans reimburse out-of-network for lab work and visits — we provide documentation. Bioidentical hormones are sometimes compounded; coverage varies.
Who leads HRT at MODE?+
Marisa Dulin, MSN, FNP-C — a board-certified Family Nurse Practitioner registered with NPPES as a nurse practitioner.
Quick contact

Quick question about Hormone Therapy?

We respond within two business days. No appointment required to ask.
Next step

Start with a consult.

Plans are built in the room. No two look the same.