Hormone Therapy That Finally Makes Sense

Expert telehealth treatment for perimenopause and menopause, combining personalized hormone therapy and metabolic support so you can feel like yourself again.

Mia Scott, FNP-BC

You’re Not Alone — And You’re Not Imagining This

Menopause and perimenopause affect every major system in your body. When hormones shift, symptoms can appear quickly and feel unrelated — but they aren’t.

Common Symptoms

Physical Symptoms

    • Hot flashes and night sweats
    • Weight gain or stubborn midsection fat
    • Joint aches or muscle stiffness
    • Low libido or vaginal dryness
    • Unrefreshing sleep or early morning awakening
    • sleep disturbances such as difficulty falling or staying asleep
    • itchy ears

Cognitive & Emotional Symptoms

  • Brain fog or forgetfulness
  • Mood swings, irritability, or anxiety
  • Feeling “tired but wired”
  • Loss of motivation or drive

Why Traditional Care Doesn’t Solve Menopause Symptoms

Many women are told their labs look “normal,” that symptoms are simply aging, or that they should wait it out. Most traditional care doesn’t address the deeper metabolic and hormonal changes driving menopause symptoms.

What We Commonly Hear

  • “My provider told me to just wait it out.”
  • “I was offered antidepressants instead of answers.”
  • “The hormones I tried before didn’t work.”
  • “No one explained what was actually happening.”
  • “My provider told me since i’m not having symptoms, HRT wont benefit me.”

The Rixa Menopause Method

Rixa Health uses a comprehensive, evidence-based approach that supports the entire hormonal ecosystem.

Your Care Addresses

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Estrogen, progesterone, and testosterone balance (pending your state)
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Thyroid function and metabolism

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Insulin resistance and blood sugar regulation
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Chronic inflammation
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Gut and liver hormone pathways
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Mitochondrial (cellular energy) health
This is whole-body menopause care.

What Your Personalized Plan Includes

Your treatment plan is customized to your body, your symptoms, and your goals.

  • Bioidentical hormone therapy
  • Metabolic optimization strategy
  • Nutrition guidance
  • Supplement recommendations where appropriate
  • Lifestyle support for sleep, stress, and energy
  • Unlimited secure messaging with your provider
  • Routine lab monitoring
woman in her 50s cooking a healthy colorful meal in a bright kitchen, natural light, warm tones

How Treatment Works

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Step 1: Online Assessment

Tell us about your symptoms, history, and goals.
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Step 2: Telehealth Consultation

Meet with your provider for a 30–45 minute visit to review labs and design your plan.
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Step 3: Personalized Treatment Delivered

Either appropriate prescriptions sent to your local compounding pharmacy, medications shipped directly to your door or a combination of both – all depending on the plan most appropriate for you.
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Step 4: Ongoing Support & Optimization

We monitor your progress, adjust dosing, and support you through your journey.

What to Expect

Weeks 1–2

  • Better sleep
  • Fewer night sweats
  • Subtle energy improvements

Weeks 3–6

  • Follow up appointment
  • Clearer thinking
  • More stable mood
  • Less anxiety
  • More predictable days

Months 2–3

  • Improved metabolism
  • Better body composition
  • Return of libido
  • Reduced inflammation and joint discomfort
  • Increased overall vitality
Most women feel a noticeable difference within the first month.
happy couple taking selfie on trail

Why Women Choose Rixa Health

  • Root-cause functional and hormonal approach
  • Personalized bioidentical hormone therapy
  • Metabolic support included
  • Longer provider visits
  • Unlimited secure messaging
  • Transparent, direct-pay pricing
  • Providers trained in emergency and functional medicine

Transparent Pricing

Initial Consultation

$125 : 30–45 minute telehealth visit with full treatment planning.

Monthly Hormone Therapy

We try to prescribe this in a way it will be covered by your insurance and if it’s not we can work with your local compounding pharmacy or one of our partners to get you the highest quality product at the most affordable pricing.

Follow-Up Visits

$75: For complex adjustments or additional support.

HSA/FSA eligible • Medications may be covered by insurance • No long-term commitments

Meet Your Providers

Timothy Scott, D.O.

Dr. Tim Scott, DO, FACEP

Board-certified Emergency Medicine physician with functional medicine certification. Specializes in hormone optimization and metabolic health.
Mia Scott, FNP-BC

Mia Scott, FNP-C

Family Nurse Practitioner with advanced training in women’s hormone care, metabolic support, and functional nutrition.

What Women Are Saying

“Within a month, I finally felt like myself again. Within three months, I felt better than I did in my 30s.”

— Jennifer M.
47

“Rixa didn’t just prescribe hormones — they taught me what was happening in my body. I finally understand how to fix it.”

— Sarah K.
52

“I’ve never felt so heard by a provider. The difference is night and day.”

— Michelle R.
44

Frequently Asked Questions

Is hormone replacement therapy safe?

Yes. When prescribed correctly and monitored, bioidentical HRT is safe and effective. However, any prescribed medication comes with risks and benefits and one must always make sure their own benefits outweigh any risks, even when they are small.

How is Rixa Health different?

We combine hormone therapy, metabolic support, nutrition, and lifestyle optimization to treat root causes.

Do I need lab work?

Yes, Baseline and follow up labs ensure safety, optimization and therapeutic dosing.

Can you help if I’m still having periods?

Absolutely. Perimenopause often requires support well before periods stop.

What if I’ve tried hormones before?

Your previous dosing, protocol, or timing may not have been optimized. Many women do much better on a personalized plan.

How soon will I see results?

Most women feel improvements in 2–4 weeks. But keep in mind hormones are complex and take a few months to feel truly optimized. Consistency is key.

Will this help with weight gain?

Yes. We address hormonal and metabolic changes that cause midlife weight resistance.

Ready to Feel Like Yourself Again?

You don’t have to push through symptoms or guess what’s happening.
Start your journey with experts who understand menopause.

Mia Scott
FNP-BC

Mia is an ANCC board certified nurse practitioner with 7 years experience. Originally an emergency medicine nurse, Mia found herself dissatisfied with traditional western medicine and the practice of fixing health issues rather than preventing them. She is currently training in integrative medicine and certified in peptide therapy. Mia finds great joy in helping patients identify optimal behavioral, lifestyle, dietary and medical choices to prevent illness and revive health thus empowering her patients to live life to the fullest.

Timothy Scott
D.O.

Tim is a board-certified physician and graduate of DCOM with 10 years practice experience. He has a particular focus on preventive medicine with the intent to help his patients increase the amount of time spent active and healthy to live and love life to the fullest. He is a certified peptide specialist and has recently focused his practice on weight management, anti-aging, brain health, gut health and vitality for men and women.

Shawn Stansbery
D.O.

Shawn is a board-certified physician and graduate of LECOM with over 14 years of practice experience. He has a passion for health and wellness, and a deep understanding of both traditional and alternative therapies. He is a certified peptide specialist with a fervent dedication to providing personalized patient care and treatment plans through tailored, evidence-based approach to each patient.

Daniel Neumeyer
D.O.

Dan is a board-certified physician and graduate of LECOM. He has been practicing medicine for over 11 years. He believes in treating the whole patient rather than just their symptoms and feels strongly that preventative treatments are every bit as critical as a cure. He is a certified peptide specialist that values health and wellness in both his professional and personal life and feels passionate about helping others achieve their wellness goals. He enjoys staying active, particularly in outdoor sports with his wife and children.