Conditions · Perimenopause & Menopause

Perimenopause & menopause care that listens

Hot flashes, broken sleep, weight that won’t move, mood swings, brain fog, low libido — and a system that shrugs and calls it “normal.” In Fredericksburg, VA, we test thoroughly and optimize with bioidentical hormones. Start with an initial appointment.

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This transition deserves more than “you’re fine”

Perimenopause can begin years before your last period, as shifting estrogen and progesterone quietly drive sleep, mood, metabolism, and libido changes. Too many women are told it’s just age and sent on their way.

At True You, Dr. Hoff takes a root-cause approach: comprehensive hormone testing and a personalized, physician-guided plan — often bioidentical hormone therapy — to help you feel steady, clear, and like yourself again.

Why “it’s just age” isn’t an answer

Why you feel awful while being told it’s “normal”

The difference is what gets tested — and whether your symptoms are taken seriously.

The conventional menopause visit

“You’re just getting older”
An antidepressant for the mood changes
One estrogen dose for everyone
Thyroid rarely checked
A rushed visit

The True You approach

Your symptoms are taken seriously and fully worked up
Treat the hormone shift driving mood, sleep, and libido
Bioidentical estrogen, progesterone, and testosterone, dosed to your labs
Full panel — estradiol, progesterone, testosterone, thyroid
Unhurried time with a physician who monitors over time

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Hormones that read “normal for your age” can still leave you feeling awful — an age-based range isn’t the same as optimal.

Do these sound familiar?

Hot flashes & night sweats

Temperature swings that wreck your sleep and your day.

Sleep that won’t hold

Waking at 3am, unrefreshed even after a full night.

Mood, anxiety & fog

Irritability, low mood, and cloudy thinking that isn’t you.

Weight & low libido

Midsection weight that resists effort, and lost desire.

Our approach

Bioidentical Hormone Therapy

Precisely dosed BHRT to restore estrogen, progesterone, and testosterone balance.

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Functional Medicine

The full root-cause picture — thyroid, metabolism, and stress that shape the transition.

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Perimenopause & menopause — common questions

I’m still getting periods — is it too early for help?

No. Perimenopause symptoms often start years before your final period. Testing and a tailored plan can help well before menopause is “official.”

Is bioidentical hormone therapy right for me?

It depends on your labs, symptoms, and history. We evaluate all three, explain the options, and only recommend BHRT when it’s a good fit — then monitor closely.

Do you take insurance?

True You is a cash-based practice, so your care isn’t limited by insurance rules on testing or time. We’re transparent about costs during your consultation.

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