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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
LabCorp (off-site)
Follow-up
Included w/ pellets · $100* refills
What it is

Hormone Therapy for Her is a complete bioidentical hormone replacement pathway for women. It covers 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

Lab work is ordered through LabCorp. You draw at a LabCorp location and results return to MODE. Comprehensive hormone panel. LabCorp bills directly (often submittable to insurance).

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. Follow-ups are included for pellet-therapy patients. For oral/transdermal patients (medication refills), follow-ups are $100, in-person or virtual. Lab recheck annually at minimum.

Your provider

Two providers, one plan.

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.

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Kirstyn Prater, DNP, AGACNP‑BC
Nurse Practitioner · Functional Medicine · Hormone Optimization · Longevity

Doctorate-prepared nurse practitioner with a critical-care background and advanced training in functional medicine, hormone optimization, and longevity through the Institute for Functional Medicine, WorldLink Medical, and Evexias.

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Questions

What patients often ask.

Am I a candidate for HRT?+
If you have symptoms consistent with hormonal change, such as hot flashes, night sweats, sleep disruption, low libido, mood shifts, fatigue, or 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 is right?+
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.