Maia Women's Health Affiliate Provider
Encompass Care is a vetted Maia Women's Health affiliate — a network of providers committed to evidence-based, whole-person women's health care.
Most hormone clinics treat a number. I treat the person around it — looking at your symptoms, history, sleep, stress, thyroid, and metabolism together, so hormone therapy becomes one part of a real plan, not a subscription in the mail. Care here is trauma-informed and LGBTQ+ welcoming.
Telehealth across Colorado & Connecticut · In-person in Denver
Most hormone clinics look only at hormone levels. I look at the systems around them — because how you feel depends on how all of it works together. Two people with the same symptoms can need very different plans.
Perimenopause can start in your late thirties and run for a decade before your last period. Cycles change, sleep goes, mood and memory shift, joints ache, and the lab work frequently looks unremarkable — because in early perimenopause it often is. Hormones fluctuate rather than simply declining, so a single blood draw on a single day can miss what is happening entirely.
That is why I treat this as part of your ongoing primary care rather than as a separate hormone program. What helps is someone who knows your history, tracks the pattern across visits, and can adjust — not a one-time panel and a prescription.
"I don't prescribe hormones based on a number. I prescribe them based on your symptoms, your goals, your history, and how your body responds over time."
— Natalie Ball, MSN, APRN, FNP-BC
Hormone therapy has both benefits and risks that depend on your individual health profile. Eligibility and approach are determined through clinical evaluation.
"I already know hormones are my issue."
"I don't know why my hormones are off."
Your symptoms, history, and goals — unhurried.
A full hormone and whole-system assessment.
Therapy matched to you — route, dose, and all.
Dosing refined as your body responds.
HRT can be genuinely life-changing for the right person — and unnecessary for another. It's worth considering when symptoms are disrupting your life and other contributors have been accounted for.
Disruptive perimenopause or menopause symptoms, clear low testosterone with symptoms, or hormone shifts affecting sleep, mood, energy, libido, and long-term bone and heart health — when the benefits are likely to outweigh the risks for you.
Sometimes symptoms that look hormonal are driven by thyroid, sleep, stress, or metabolic factors. When that's likely, we address those alongside — or before — considering hormones, so you're not treating the wrong thing.
Whether HRT is right for you is always determined through clinical evaluation — we'll talk through your symptoms, history, and goals before anything is prescribed.
For many people, current evidence supports individualized hormone therapy — but the balance of risks and benefits depends on your age, health history, timing, and the type and route of therapy. That’s exactly why it’s evaluated individually rather than prescribed from a template.
I use evidence-based, regulated options and individualized preparations where appropriate. The right choice depends on your symptoms, goals, and clinical picture — not a one-size formula.
There isn’t a single answer — it depends on your symptoms, goals, and risk profile, and it’s reassessed over time. I revisit your plan regularly rather than setting it and forgetting it.
Yes. Baseline labs and periodic follow-up help me tailor and adjust your therapy safely, and confirm it’s working for how you actually feel.
Several routes are available — each with tradeoffs. I match the method to your needs and preferences rather than defaulting to one approach.
Yes — testosterone therapy for men is offered when clinically appropriate, within the same whole-person, monitored approach.
Related reading: What a TSH alone can and can’t tell you · all articles →
Low testosterone is rarely just a testosterone problem — sleep, stress, metabolic health, and nutrition all matter. Testosterone therapy is offered when clinically appropriate, always within the same whole-person, monitored approach.
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Encompass Care is a vetted Maia Women's Health affiliate — a network of providers committed to evidence-based, whole-person women's health care.
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