Optimized
Hormone
Health
You don't have to
accept feeling "off" as
the new normal
If you're dealing with hot flashes, poor sleep, brain fog, low energy, mood changes, weight changes, or loss of libido, you don't simply have to chalk it up to aging
Personalized hormone care for women navigating perimenopause and menopase with time to listen, investigate, and build a treatment plan around you
Arizona telehealth
Board-Certified
Nurse Practitioner
$175 initial visit
$75 follow-ups
No memberships
YOU KNOW SOMETHING HAS CHANGED. You just don't feel like yourself anymore
Maybe you're exhausted after a full night's sleep.
Maybe you're waking up at 3 am and can't get back to sleep.
Maybe your weight has changed despite doing the things that used to work.
Maybe you're struggling with brain fog, anxiety, irritability, hot flashes, low libido, or changes in your periods.
Or maybe you simply don't feel like you anymore.
And when you ask for help, you're told:
"it's just aging."
"It's normal."
"Your labs are normal."
But "normal" doesn't necessarily mean you have to feel terrible.
YOUR SYMPTOMS ARE INFORMATION
Perimenopause and menopause affect far more than your menstrual cycle.
We look at the whole picture, including symptoms such as:
• Fatigue
• Brain fog and difficulty concentrating
• Sleep problems
• Hot flashes and night sweats
• Mood changes, anxiety, or irritability
• Changes in libido
• Vaginal dryness or discomfort
• Weight and body-composition changes
• Joint and muscle aches
• Changes in your menstrual cycle
ONE-ON-ONE CARE
You work directly with Christine, your nurse practitioner, not a rotating cast of providers
TIME TO ACTUALLY TALK
Your symptoms, history, concerns, goals, and questions deserve more than a rushed appointment
PERSONALIZED TREATMENT
There is not a one hormone protocol tha works for every woman. Your plan is based on your individual situation
NO MEMBERSHIP FEEES
No monthly subscription and no expensive package you have to commit to
ARIZONA TELEHEALTH
Meet with your provider from wherever you are in Arizona
ONGOING PARTNERSHIP
Hormone care isn't "set it and forget it." Your treatment can be reassesed and adjusted as your needs change
Meet Christine
Christine Zagarella FNP-BC
Board certified nurse practitioner Arizona
A Little About Me
I am a board-certified nurse practitioner with a background in family practice. For years I kept seeing the same pattern. A woman comes in exhausted, foggy, not sleeping, not feeling like herself, unexplained joint pain, and she's told it's stress. Or aging. Or just how it is now. I never accepted that answer, and I got tired of watching women to be told to accept it too.
That's what pulled me toward hormone health specifically. Symptoms aren't something to explain away. They're information. When something's off, I want to know why, and I want you to understand why too, never leave with a prescription and a shrug.
Today I focus exclusively on women's health: how hormones shape sleep, mood, energy, and your basic sense of self, along with related conditions like PCOS and thyroid disorders. I built this practice around the way I actually think care should work. Real time, real answers, no guessing games, no rushed appointments. Your labs, your history, your actual life all factor in, because you're not a number on a chart.
My approach is straighforward:
Listen first. Understand teh whole picture. Then make a plan together.
I dont believe in treating a lab result in isolation or putting every woman through the same protocol.
Your care should be individualized to you.
You matter. Your symptoms are real. And you deserve a provider who is actually paying attention.
CARE FOR THE CHANGES YOU'RE ACTUALLY EXPERIENCING
Perimenopause
Navigate the physical and emotional changes that can begin years before menopause
Menopause
Understand your options and find an approach to to managing symptoms that fits your health and goals
Hormone Therapy
When appropriate, personalized hormone therapy may help address symptoms associated with hormonal changes
Women's Health
Care that considers the bigger picture and not just one symptom or one lab result
Thyroid & Metabolic Health
Thyroid function, energy, weight changes, and other factors can overlap with symptoms commonly attributed to menopause
Sexual Health
Open, judgement-free conversations about libido, vaginal symptoms, sexual function, and intimacy.
HOW IT WORKS
i. TALK
Schedule a complimentary 15-minute consultation.
Let's talk about whats been going on, ask questions, and find out whether Optimized Hormone Health is the right fit for you.
ii. UNDERSTAND
We'll take the time to understand your symptoms, medical history, medications, goals, and concerns.
iii. EVALUATE
When appropriate, we'll use laboratory testing and other clinical information to help inform your care.
iv. CREATE YOUR PLAN
If treatment is appropriate, we'll build a plan together based on your individual needs.
v. REASSESS & ADJUST
We'll monitor your progress, review relevant labs when needed, talk about what's working and make adjustments when appropriate.
Why Optimized?
MORE TIME
You're not trying to explain years of symptoms in a rushed appointment
PERSONALIZED CARE
Your treatment plan is based on your individual history, symptoms, goals, and clinical picture
TRANSPARENT PRICING
You know what your care costs before you start
CONVENIENT TELEHEALTH
Get care from the comfort and privacy of home, without sitting in a waiting room
A PROVIDER WHO LISTENS
You deserve to feel heard
FREQUENTLY ASKED QUESTIONS
Do I need to already be in menopause to make an appointment?
No. Perimenopause can begin years before your final menstrual period, and symptoms can appear during this transition. We'll look at your individual symptoms and history to determine the appropriate next steps.
Do I need lab work before my first appointment?
Not necessarily. Whether testing is appropriate depends on your symptoms, history, medications, and individual circumstances.
Is hormone therapy right for everyone?
No. Hormone therapy isn't appropriate for everyone, and the potential benefits and risks need to be considered individually. We'll discuss whether it's appropriate for you based on your health history and goals.
How does telehealth work?
Appointments take place virtually, allowing you to receive care from home. Specific requirements for telehealth and prescribing depend on your location and circumstances.
Do you accept insurance?
No. Visits are cash pay only. Insurance can be used to cover the cost of labs and for medications but this depends on your specific insurance coverage and plan.
How much does treatment cost?
The comprehensive initial visit is $175 and follow up visits are $75. Your complimentary 15-minute consultation is free.
How often will I need follow up visits?
That depends on your treatment plan and individual needs. We'll recommend an appropriate follow up schedule and adjust it over time.
Can I still make an appointment if I am not sure hormone therapy is right for me?
Absolutely. You don't need to arrive with a diagnosis or treatment plan. The first step is simply understanding what's happening and discussing your options.
Is telehealth hormone therapy legitimate?
Yes. I'm a licensed, board-certified nurse practitioner in Arizona, and telehealth visits for hormone therapy are fully legal. Labs are still draen in person at a local facility, so your care is backed by real diagnostic data, not guesswork over video.
Do I need to be in Arizona for every appointment?
Yes. State licensing requires that you're physically located in Arizona at the time of each visit, including follow ups.
What platform do you use for visits?
Visits are conducted through Doxy.me, a secure, HIPAA-compliant video platform built specifically for telehealth. You don't need to download anything or create an account. I will send you a private link before your appointment, and you simply click to join from your phone, tablet, or computer.
How do labs work?
You'll get an order to a local draw site near you.
How do I get my medication?
Prescriptions are sent to the pharmacy of your choice.