Women’s Hormone & Autoimmune Balance Program

The Women’s Hormone & Autoimmune Balance Program is a specialized medical program for women navigating perimenopause, menopause, hormone changes, autoimmune symptoms, inflammation, joint pain, fatigue, weight changes, and questions about hormone replacement therapy. The program combines menopause-focused care with autoimmune and inflammatory disease expertise to help women understand what is happening in their body and create a personalized care plan.

This program is for women in perimenopause or menopause who have autoimmune disease, suspected autoimmune symptoms, joint pain, fatigue, brain fog, sleep disruption, hot flashes, weight changes, inflammation, or questions about hormone replacement therapy. It may also help women who feel their autoimmune symptoms changed or worsened during hormonal transition.

Unlike generic online menopause clinics, this program is led by board-certified physicians with expertise in menopause, autoimmune disease, internal medicine, obesity medicine, lifestyle medicine, and rheumatology. Patients receive care from physicians, not mid-level providers or rotating telehealth teams.

The program is led by Dr. Mirela Titianu, MD, a menopause expert triple board certified in Internal Medicine, Obesity Medicine, and Lifestyle Medicine, and Dr. Diana Girnita, MD, PhD, FACR, an autoimmune expert board certified in Rheumatology and Internal Medicine.

The program is designed to help women experiencing symptoms such as hot flashes, night sweats, sleep disturbances, mood swings, weight gain, vaginal dryness, painful sex, low libido, fatigue, and symptoms related to menopause, perimenopause, autoimmune disease, and metabolic changes.

Yes. The program includes personalized hormone replacement therapy guidance when appropriate. The page mentions FDA-approved therapies, evidence-based bioidentical hormone replacement therapy, and non-hormonal therapy options, depending on the patient’s needs, medical history, and treatment plan.

The program evaluates hormone replacement therapy in the context of autoimmune health. The care team personalizes treatment for women with conditions such as rheumatoid arthritis, lupus, scleroderma, MCTD, psoriatic arthritis, Hashimoto’s, and other autoimmune diseases, using physician oversight and comprehensive lab review.

Yes. Non-hormonal therapy options are available as part of the program. These may be discussed alongside hormone therapy, lifestyle counseling, educational resources, supplement options, and personalized care recommendations based on the patient’s symptoms and goals.

The Concierge Women’s Hormone Balance Program includes a 90-minute initial consultation, six monthly 45-minute follow-up visits, unlimited secure portal messaging with the physician, one coaching session with Dr. Girnita for autoimmune patients, hormone lab options, discounted autoimmune labs, hormone therapy guidance, non-hormonal therapy options, educational resources, supplement options, and an end-of-program review.

The Advanced HRT Consultation includes a comprehensive 60-minute physician session, review or ordering of an advanced laboratory hormone panel, discounted transparent lab pricing or the option to use insurance, FDA-approved bioidentical hormone therapy prescription when appropriate, non-hormonal therapy options, lifestyle counseling, supplement discussions, and optional follow-up visits.

For concierge members who pay upfront, the first set of hormone labs is included. Discounted lab pricing is also available, and patients may use insurance for labs when possible. Medications are sent to the patient’s pharmacy for insurance coverage, and discounted medication pricing may be available in some program options.

Yes. Patients enrolled in the Concierge Women’s Hormone Balance Program can receive support for both menopause and the OASIS Weight Loss Program at the same monthly price. This may include a physician-led personalized weight loss strategy, GLP-1 medications if appropriate, monthly visits, support, health coaching, and nutrition, lifestyle, sleep, and bone health resources.

The practice provides superbills after prepaid physician visits so patients can submit them to insurance for possible reimbursement. Reimbursement is not guaranteed, and Medicare is excluded. Patients remain responsible for checking their own insurance benefits and reimbursement policies.

The program currently welcomes residents of California, Florida, and Oregon through telemedicine, virtual, and online consultations. Patients outside these states should contact the practice to confirm current availability before booking.