Menopause is a natural milestone, occurring twelve months after a woman has had her last period, but the years before and following it have an impact that extends well beyond the menstrual cycle. When estrogen and progesterone level down, their effects can be seen in relation to sleep, mood, metabolism, the bones, the heart, and the brain.
hol+ provides support to women going through menopause and the period that follows it using an approach based in functional and integrative medicine. Instead of viewing menopause as a single symptom to be suppressed, our team of physicians takes a holistic view of the entire body, including the hormones, the thyroid, metabolism, gut health, inflammation, and long-term bone and cardiovascular health.
If you're dealing with hot flashes, disturbed sleep, brain fog, changes in weight, joint pain, shifts in mood, or vaginal dryness, or if you're trying to decide whether hormone replacement therapy is suitable for you, hol+ can provide assistance. Our holistic approach to treating menopause focuses on alleviating your symptoms now and protecting your bone, heart, and brain health in the years to come.
What Is Menopause?
Menopause is the point at which the ovaries stop releasing eggs and reproductive hormone production settles at a low, stable level. It is diagnosed retrospectively, after twelve consecutive months without a menstrual period. In the United States, the average age is around 51.
The phase before it is perimenopause, when hormones fluctuate and periods become irregular. The years after menopause are called post-menopause, a stage that lasts for the rest of life and carries its own health considerations.
Unlike perimenopause, which is defined by fluctuation, menopause and postmenopause are defined by consistently lower estrogen and progesterone. That sustained change is why some symptoms, like hot flashes, may ease over time for many women, while others, like bone loss, cardiovascular risk, and vaginal and urinary changes, can develop gradually and benefit from proactive care.
Menopause is not only about the ovaries. How you experience it is shaped by thyroid function, stress physiology and cortisol, metabolic and cardiovascular health, gut health, inflammation, and nutrient status. A functional medicine menopause evaluation considers that whole context.
Who Is Menopause Care For?
Menopause care at hol+ is designed for women in the menopausal transition and postmenopause who want more than symptom suppression, who want to feel well now and protect their long-term health.
Many patients come to hol+ after being offered a single option, or told simply to "wait it out." Others want a thoughtful, individualized conversation about hormone replacement therapy and bioidentical hormones, weighed against their personal history.
You may benefit from working with a menopause-informed physician if you experience:
Mood changes, anxiety, or low mood
Weight gain, especially around the midsection
Vaginal dryness or discomfort with intimacy
More frequent urinary urgency or infections
Hair thinning or skin changes
Joint pain or stiffness
Low libido
Concerns about bone, heart, or brain health
Menopause symptoms overlap with thyroid imbalance, cortisol dysregulation, and metabolic changes. hol+ evaluates the full pattern, so care is not based on one symptom alone.
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How We Help
Root Causes We Address
Menopause itself is a normal life stage, but how you feel during and after it, and how well your long-term health is protected, depends on systems that can be supported. A root-cause approach looks at the deeper patterns behind your symptoms and your future risk.
Root causes and contributors we may evaluate include:
Because the thyroid, adrenals, gut, metabolism, and reproductive hormones all influence one another, menopausal symptoms rarely trace back to a single cause, which is exactly why a whole-systems evaluation matters.
The hol+ Approach Framework
hol+ views menopause as part of a larger biological system. Reproductive hormones interact constantly with the brain, thyroid, adrenals, gut, immune system, bones, heart, and metabolism. Supporting those systems is what helps women feel better in the short term and stay healthy in the long term.
Our framework may include evaluation of:
Reproductive Hormones
We review estrogen and progesterone status, symptoms, and history.
From there we discuss whether hormone therapy or bioidentical hormone support is appropriate for you, guided by testing and your personal risk profile.
Bone Health
Estrogen loss accelerates bone turnover, making menopause a critical window for bone health.
hol+ evaluates bone-relevant nutrients, movement, and risk factors, and coordinates screening when appropriate.
Cardiovascular & Metabolic Health
Cardiovascular risk rises after menopause.
hol+ evaluates blood sugar, lipids, blood pressure, body composition, and inflammation as part of proactive, whole-person care.
Thyroid
Thyroid symptoms overlap almost entirely with menopause symptoms.
Evaluating thyroid function alongside reproductive hormones helps clarify what is truly driving how you feel.
Stress Physiology
Chronic stress and cortisol rhythm affect sleep, mood, blood sugar, and hot flashes.
Supporting the stress response and cortisol rhythm is often part of a menopause plan.
Gut Health
The gut microbiome influences estrogen metabolism, nutrient absorption, inflammation, and mood.
All relevant to how menopause feels and to long-term health. See how hol+ approaches digestive health.
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What we Offer
hol+ Services for Menopause
Menopause and Hormone Therapy
For many women, the central question of menopause is whether to use hormone therapy. hol+ offers an individualized, evidence-informed conversation about hormone replacement therapy and bioidentical hormones, weighing benefits, timing, and your personal history rather than applying a blanket rule, an approach we describe in our guide to personalized hormone therapy for menopause and beyond.
Care may include evaluation of:
- Whether hormone therapy is appropriate for you
- Bioidentical vs. conventional hormone options
- Timing, dosing, and delivery considerations
- Personal and family history and risk factors
- Non-hormonal options when hormones aren't the right fit
Menopause and Bone Health
Bone loss can accelerate quietly after menopause. hol+ takes a proactive approach to protecting bone density during this critical window.
Care may include evaluation of:
- Bone-relevant nutrients (calcium, vitamin D, magnesium, K2)
- Strength training and weight-bearing movement
- Osteoporosis risk factors and screening coordination
- Protein intake and muscle maintenance
- Hormonal contributors to bone turnover
Menopause and Heart & Metabolic Health
Cardiovascular and metabolic risk rises after menopause, often silently. hol+ evaluates and supports heart and metabolic health as a core part of menopause care.
Care may include evaluation of:
- Blood sugar and insulin patterns
- Advanced lipid and cardiovascular markers
- Weight and body composition
- Blood pressure
- Inflammatory markers when appropriate
Menopause and Sleep, Mood & Brain Health
Hot flashes, night sweats, and hormonal change disrupt sleep and mood, and brain fog is a common concern. hol+ addresses the hormonal, metabolic, and inflammatory contributors together.
Care may include evaluation of:
- Sleep quality and night sweats
- Mood, anxiety, and irritability
- Menopause brain fog and memory changes
- Blood sugar stability and the brain
- The stress-sleep-hormone connection
Menopause and Vaginal & Urinary Health
Vaginal dryness, discomfort, and urinary changes (together called genitourinary syndrome of menopause) are common, treatable, and too often unspoken. hol+ addresses them directly and compassionately.
Care may include evaluation of:
- Vaginal dryness and comfort with intimacy
- Recurrent urinary symptoms or infections
- Local and systemic hormone options
- Pelvic and lifestyle support
- The effect of these symptoms on quality of life
Menopause and Thyroid Health
Thyroid disorders are common in midlife and can be mistaken for menopause. Evaluating both together prevents thyroid dysfunction from going unaddressed.
Care may include evaluation of:
- Thyroid symptoms overlapping with menopause
- Full thyroid testing beyond TSH when appropriate
- Autoimmune thyroid patterns
- Energy, weight, and mood changes
- The thyroid-hormone connection
Targeted Interventions
Menopause care at hol+ is not a generic protocol. Your plan is shaped by your symptoms, labs, history, and goals, for both symptom relief and long-term protection.
Targeted interventions may include:
- Comprehensive hormone, metabolic, and cardiovascular testing
- Hormone therapy or bioidentical hormone support when appropriate and medically supervised
- Nutritional optimization for bone, heart, and metabolic health
- Strength training and lifestyle medicine
- Gut health and inflammation support
- Sleep and stress physiology support
- Targeted supplement protocols (vitamin D, calcium, magnesium, omega-3s, and others as indicated)
- Vaginal and urinary health support
- Medication review and coordination
- Ongoing monitoring across postmenopause
Testing is personalized. Depending on your symptoms and history, evaluation may include reproductive hormones, thyroid, cortisol, blood sugar, lipids, bone-relevant markers, nutrient status, and inflammation.
Treatment options
Holistic Health Planned Around You
hol+ offers physician-led holistic menopause treatment that may draw from functional medicine, integrative medicine, nutrition, and lifestyle medicine. Your clinician will help determine which tools make sense for your symptoms and overall health history.
Functional Medicine
Functional medicine menopause care looks for the drivers behind symptoms and long-term risk — hormones, thyroid, metabolism, bone, gut, inflammation, and nutrient status — rather than treating each symptom in isolation.
Nutritional Therapy
Nutrition supports hormone balance, bone and heart health, blood sugar stability, and muscle maintenance. Through nutrition counseling, patients receive guidance tailored to their symptoms and goals.
Lifestyle Medicine
Lifestyle medicine focuses on the daily rhythms that shape menopause and postmenopause — strength training, sleep and circadian health, stress practices, and nutrition timing.
Acupuncture
Acupuncture may be used within an integrative plan to support hot flashes, sleep, stress regulation, and overall balance.
Hormone Support
When appropriate, care may include hormone replacement therapy or bioidentical hormone support, guided by testing, symptoms, and a careful review of your history and risk profile.
Mind-Body Medicine
Mind-body medicine may support women whose menopause symptoms are entangled with stress, anxiety, sleep disruption, or nervous system overload.
Not sure where to start?
Schedule your free 15-minute consultation and we'll help you find the right path.
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Benefits of Treatment
Why holistic treatment matters
Menopause care should be individualized and medically guided.
While results vary, women often seek holistic menopause care to support:
Fewer and less intense hot flashes and night sweats
Healthier weight and metabolism
Better sleep
Stronger bones and long-term cardiovascular health
Steadier mood and focus
Comfort in intimacy and daily life
The goal is not only to relieve symptoms today, but to help you protect the bone, heart, and brain health that shape how you feel and function for decades to come.
Risks and Considerations
Menopause deserves careful, individualized medical evaluation, especially when hormone therapy is being considered.
Important considerations include:
Hormone replacement therapy has meaningful benefits and real considerations; the right choice depends on your age, time since menopause, symptoms, and personal and family history, and should always be guided by a qualified clinician
"Bioidentical" does not automatically mean safer or risk-free; compounded products in particular vary in quality and oversight
Symptoms attributed to menopause can also stem from thyroid, cardiovascular, metabolic, or mental health conditions, which is why evaluation matters
Any bleeding after menopause (after twelve months without a period) should be evaluated promptly
Bone and heart health risks can develop silently and benefit from proactive screening
New or severe symptoms — chest pain, severe mood changes, or thoughts of self-harm — require prompt medical attention
What to Expect as a Patient
The hol+ Patient Journey
Menopause care at hol+ follows a structured process designed to move from deeper evaluation to personalized support.
Holistic and functional medicine operate from a different framework than traditional symptom-driven care. Rather than addressing health concerns in isolation, systems-based medicine evaluates how multiple physiological systems interact.
The human body functions as an integrated network. Hormonal signaling influences metabolism. Gut health affects immune function. Stress physiology alters inflammation, sleep, and metabolic balance. When one system becomes dysregulated, ripple effects can appear across many others.
Functional medicine focuses on identifying the system-level drivers behind symptoms. At hol+, clinicians evaluate health through a lens that distinguishes signal from static. Symptoms are viewed as signals that reflect deeper physiological patterns.
To understand these patterns, the clinical team may assess:
Hormone health and endocrine signaling
Metabolic function and energy regulation
Stress physiology and nervous system balance
Nutrient status and metabolic cofactors
Environmental exposures that influence immune or metabolic function
This framework reflects what hol+ refers to as the human health operating system—the network of biological processes that coordinate energy, immunity, and recovery. When this system operates in balance, the body can maintain resilience. When disruptions accumulate, symptoms may begin to appear.
Through systems-based medicine, a holistic doctor in Atlanta can evaluate these interconnected processes and identify where intervention may support improved function.
The first step involves a comprehensive health evaluation designed to map symptoms and health history.
This assessment may include:
- Detailed medical history review
- Symptom mapping
- Lifestyle and environmental analysis
The goal is to identify patterns that may influence system-level health.
Using our proprietary 5 Body Map framework — Stress Engine, Processing System, Rhythm System, Defense System, and Power System — we map every system contributing to your metabolic challenge and design your personalized PowerRx protocol. Following evaluation and testing, physicians develop a personalized treatment strategy designed to support system-level health.
Care plans may include:
- Targeted nutrition strategies
- Lifestyle interventions
- Supplement protocols
- Integrative therapeutic approaches
Because every individual has unique biological drivers, treatment plans are designed around the patient’s health history and physiology.
Four to eight weeks of targeted interventions — gut healing, hormone optimization, anti-inflammatory protocols — to prepare your body for maximum medication response.
Monthly physician check-ins, quarterly labs, body composition tracking, and protocol adjustments. We monitor lean mass, metabolic rate, nutritional status, and medication response continuously.
Monthly physician check-ins, quarterly labs, body composition tracking, and protocol adjustments. We monitor lean mass, metabolic rate, nutritional status, and medication response continuously.
Not sure where to start?
Schedule your free 15-minute consultation and we'll help you find the right path.
Schedule a 15 Minute Consultation ➞
Why hol+ Is Different
hol+ provides physician-led holistic menopause care grounded in root-cause analysis and whole-person medicine. Our approach combines conventional medical insight with functional medicine, integrative medicine, nutrition, lifestyle medicine, and mind-body support.
Women choose hol+ for menopause care because we offer:
Doctor-led evaluation: Clinicians review your symptoms in the context of your labs, history, medications, and whole-body patterns.
Comprehensive testing: When appropriate, care may include hormone, thyroid, metabolic, cardiovascular, and bone-relevant testing.
Root-cause analysis: hol+ looks beyond symptom suppression to evaluate the systems shaping how you feel and your long-term health.
Individualized hormone conversations: Care includes a thoughtful, evidence-informed discussion of hormone therapy and bioidentical options — not a blanket yes or no.
Longer clinical conversations: Appointments allow time to understand your symptoms, goals, and priorities.
Whole-person support: Menopause is evaluated as part of a larger pattern that shapes how you feel and how well you age.
Instead of treating menopause as a single symptom to suppress, hol+ evaluates the larger system and builds a plan around your body — for today and for the decades ahead.
Take the Next Step
If symptoms are affecting your quality of life, you deserve care that looks deeper. hol+ provides integrative women’s health services designed to uncover root causes and guide long-term well-being.
Schedule a personalized evaluation with a hol+ provider to begin building a care plan for your next stage of life.
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Explore More at hol+
Menopause is easier to navigate with the right tools. These hol+ resources can help you check your own patterns, hear how our physicians think about hormones and healthy aging, and go deeper on what matters most to you.
Take a Quiz
Are my Hormones Balanced?
What’s My Hormone Type?
Why Am I So Tired?
Listen & Watch
Hol+ EP12 – Tamsen Fadal Speaks Out: Why Menopause Research Is Failing Women
370 – WTF, Why Is My Cholesterol High? The Truth About High Cholesterol and its Impact on Hormone Balancing
EP 351 – Unlocking Vitality: Hormone Health and Bioidentical Therapies
Related Care at hol+
Cardiovascular Health: Integrative Care for a Stronger Heart
Hormone Balancing
Nutrition Counseling
Perimenopause
Thyroid Disorders
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