Perimenopause & menopause care
Something changed. Let’s figure out what.
Changes in energy, sleep, body composition, mood, libido and your cycle can happen during this stage of life. Hormones are only part of the picture. Elixium starts with comprehensive testing and a dedicated provider before deciding what treatment makes sense.
$149/month membership · No contract · HSA/FSA accepted · Check availability in your state
Your baseline · CoreCheck+
- Estradiol48 pg/mL
- TSH2.4 mIU/L
- Ferritin22 ng/mLLow
- Fasting insulin11 µIU/mL
Reviewed with Alyssa, your provider
Where most women start
Is this hormones, or something else?
- 01Energy changed
- 02Sleep changed
- 03Weight or body composition changed
- 04Periods became different
- 05Libido changed
- 06Mood feels different
- 07Recovery isn’t what it used to be
Those symptoms can overlap with thyroid function, insulin resistance, nutrient deficiencies, stress, changing sex hormones, and other factors. That’s why we test before deciding what you need.
CoreCheck+ annual panel
Hormones are part of the picture. Not the whole picture.
84+markers, read together by your provider
Sex hormones
- Estrogen / estradiol
- Progesterone
- Testosterone
Metabolism & thyroid
- Thyroid
- Insulin / glucose
- Cardiovascular markers
Nutrients & organ health
- Iron / ferritin
- Vitamin D / B12
- Liver / kidney function
- Blood health
Our goal isn’t selling treatments. It’s getting to the root of how you feel. Comprehensive testing reveals the real cause behind your symptoms so your care plan actually fits your body.
Start with the full picture.
If hormone therapy fits your needs, your provider has you covered. If it doesn’t, we won’t pretend it’s a magic bullet.
What your provider weighs
- Your labs
- Your medical history
- Your symptoms
- Your goals
- Contraindications
Then
Provider evaluation
A real appointment with the provider who reviewed your panel.
Your plan may include
- Hormone therapy, where appropriate
- Non-hormonal options
- Nutrition, sleep and training changes
- Treatment for what the panel found
- Further testing
Medications, if your provider prescribes them
Prescribed through your membership with no markup on medications. Our business is built around your care, not making the prescription the profit center.
| Progesterone Capsules (30 days) | $24.50 per 30 days |
|---|---|
| Estrogen Tablets (30 days) | $26.00 per 30 days |
| Testosterone Cream (30mL) | $35.00 per 30 ml |
| NP Thyroid 30mg (30 days) | $35.00 per 30 days |
| Estrogen FASTSL (30 days) | $56.00 per 30 days |
| Estriol/Estradiol Cream (30mL) | $60.50 per 30 ml |
Certain medications may be compounded. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality before marketing. Prescription medications are provided only when clinically appropriate following evaluation by a licensed healthcare provider.
What $149 actually buys
Testing, care, follow-up and treatment. Connected.
$149/monthNo contract · HSA/FSA accepted
- 01
84+ marker annual CoreCheck+
Your full baseline, once a year.
- 02
Unlimited provider appointments
As often as you need. No per-visit charge.
- 03
Quarterly labs
Built around what is being treated or retested.
- 04
Provider messaging
Your provider typically responds within 24 hours on business days.
- 05
Prescription management
Started, adjusted and reviewed by your provider.
- 06
No markup on medications
You pay the pharmacy price. Priced separately from your membership.
Certain medications may be compounded. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality before marketing. Prescription medications are provided only when clinically appropriate following evaluation by a licensed healthcare provider.
Your provider
Your care shouldn’t reset every appointment.
You have a dedicated provider who learns your history and stays involved over time.
- Learns your historyYour cycle, your symptoms, what you’ve tried.
- Reviews how you’re respondingWhat changed since the last conversation.
- Adjusts the planDose, approach, or direction, when you need it.
- Orders follow-up testingSo decisions rest on your numbers, not guesses.
Alyssa Grebe, FNP‑BCNurse Practitioner · Women’s health, gut health, men’s health
Daniel Willis, PA‑CPhysician Assistant · Men’s health, women’s health, cardiovascular prevention
Clinical care is delivered by Elixium Medical Physicians P.A.
Not labs, a prescription, then silence.
Perimenopause moves. Your plan should move with it. Every quarter, your labs and your provider check what’s working and what needs to change.
Baseline
84+ markers and your history.
Flight Plan
Your provider’s plan, built from the panel.
Treatment
Only what your results and goals support.
Quarterly labs
Retesting what’s being treated.
Adjust
The plan changes as you do.
Continue
Same provider, next quarter.
Quarterly labs, adjust, continue. The loop repeats for as long as you’re a member.
The Hollow patient portal
Proof the care keeps going.
Your results, your Flight Plan, your follow-up testing and your provider’s messages live in one place, and each one updates the others.
Results over time
Ferritin
- EstradiolReviewed
- TSHIn range
- Vitamin DRising
Flight Plan · updated after Q2 labs
- TreatmentContinue current plan, dose reviewed
- Nutrition & lifestyleStrength training twice a week, protein at breakfast
- SupplementIron, for a measured deficiency
- Next labsFerritin, estradiol, TSH in 12 weeks
Messages
Sleeping through most nights now. Afternoons still dip.
That’s useful. Your ferritin is climbing, which may help energy. Let’s see what next quarter’s labs show before changing anything.
Your provider typically responds within 24 hours on business days.
Representative views. Not a real member’s records.
Ready for care that keeps up with you?
Three ways women get care for this.
Each model does something useful. They are built for different things.
Comprehensive baseline testing
Often limited to hormones
Broad panels to buy
84+ marker CoreCheck+
Dedicated provider
Varies by service
Not usually included
One provider who knows your history
Unlimited appointments
Often per plan or per visit
Not included
Unlimited, no per-visit charge
Quarterly labs
Varies
Purchased as another test
Included
Ongoing plan adjustments
Usually at refill
Not offered
As your labs and goals change
Prescription management
Focused on hormone therapy
Not typically offered
Managed by your provider
Medication pricing
Often bundled into the plan
Not applicable
No markup, priced separately
Broader health evaluation
Varies
Results, without a clinician
Thyroid, metabolic, nutrients, organ health
Safety
The risk conversation, not avoided.
You have read the headlines. Here is how it is actually handled. Treatment decisions depend on you: your history, your labs, your symptoms, your risks, your goals and your provider’s judgment.
It depends on the specifics
Risk is not one number. It varies with the type of hormone, the dose, how it is taken, your age, how long since menopause began, and your own history.
It is not right for everyone
A history of breast cancer, blood clots, stroke, liver disease or unexplained bleeding changes the conversation. Your provider reviews that before anything is prescribed.
It gets revisited
This is not a prescription you are left alone with. Your labs, symptoms and plan are reviewed on an ongoing basis, and the plan changes when you do.
If hormone therapy is not appropriate for you, your membership still covers your panel, your provider and your plan.
“From the moment I walked in, the staff was warm, welcoming, and incredibly knowledgeable. Elixium specializes in hormone health, and their expertise shines through in every aspect of the experience. They took the time to listen to my concerns, explain complex hormonal processes in a way that was easy to understand, and develop a tailored treatment plan just for me. I haven’t looked or felt this good in years!”
“I’m glad I met Alyssa. She is empowering me on my journey to feel better by aligning my hormones and losing weight. Her extensive knowledge of women’s health is amazing. She stays updated on the latest evidence based research and current medical treatments.”
“…The personalized and effective care dedicated to each client is absolutely outstanding. …They have truly helped me achieve some of my biggest goals, especially postpartum. Since working with them, my hormones have been very balanced, and my energy has been incredible!”
“The staff at Elixium are great. They take time to listen to my needs and tailor treatment to my goals. Alyssa is great, very knowledgeable and always learning so she has the most up to date information.”
Reviews are individual members’ own words as published on Google. Individual experiences and results vary; a review is not a promise of any particular outcome.
Join the members already getting answers.
Find care in your state
Telehealth membership is available in four states.
Available for telehealth
- Florida
- Illinois
- Montana
- Texas
Pennsylvania: waitlist only. No availability timeline.
Colorado: in-person care at our Arvada clinic, and telehealth for other areas of Colorado. Explore Colorado care options
Membership is available in Florida.
Continue to explore telehealth membership, or schedule a call with our team.
Membership is available in Illinois.
Continue to explore telehealth membership, or schedule a call with our team.
Membership is available in Montana.
Continue to explore telehealth membership, or schedule a call with our team.
Membership is available in Texas.
Continue to explore telehealth membership, or schedule a call with our team.
Pennsylvania is waitlist only.
Telehealth membership is not available in Pennsylvania. There is no availability timeline.
Online waitlist signup is unavailable. Schedule a Clarity Call to ask about the Pennsylvania waitlist. There is no availability timeline.
Colorado has its own care options.
In-person care is available at our Arvada clinic, and telehealth is available for people in other areas of Colorado.
Explore Colorado care optionsTelehealth is not available here.
Telehealth membership is available in Florida, Illinois, Montana and Texas.
View served statesQuestions, answered.
What are the first signs of perimenopause?
Changes in sleep, cycle, mood, energy, temperature and weight. Often years before periods stop.
Can I get hormone therapy online?
Where your provider judges it appropriate after reviewing your testing.
Do you test before prescribing?
Always. Testing comes first.
What is bioidentical hormone therapy?
Hormones structurally identical to the ones your body makes. Whether it suits you is a clinical decision.
Do you take insurance?
No. Flat $149 a month.
How soon might I feel different?
That varies by person and by plan. Your provider will tell you what to expect for you.
Compounded Medication Disclaimer
Some medications discussed or prescribed through Elixium may be compounded medications. Compounded medications are not FDA-approved. The FDA does not review compounded medications for safety, effectiveness, or quality before they are marketed.
Compounded medications may be prescribed when a licensed healthcare provider determines that a compounded preparation is appropriate for an individual patient's medical needs. The availability and appropriateness of any medication, including compounded medications, are determined by the treating provider and may vary based on the patient's medical history, clinical needs, and applicable state and federal requirements.
Information provided on this website is for general informational purposes and does not constitute medical advice or a guarantee that any particular medication will be prescribed. Prescription medications are prescribed only when clinically appropriate following evaluation by a licensed healthcare provider.
You don’t have to know whether it’s your hormones. That’s what the workup is for.
Start with comprehensive testing and a provider who can help you understand what changed, and what to do next.
$149/month