Bioidentical Hormone Replacement Therapy
At Uptown Integrative Health, our Nurse Practitioner prescribes evidence-informed bioidentical hormone therapy with a personalized, integrative approach to supporting women through perimenopause and menopause.
Ann Nzeruem NP’s Approach to BHRT
Ann Nzeruem, NP, takes a thoughtful, evidence-informed, and highly individualized approach to bioidentical hormone therapy (BHRT). She begins with a comprehensive assessment of symptoms, medical history, and laboratory findings, ensuring that each treatment plan is tailored to the patient’s unique hormonal patterns and health goals. Ann focuses on using the lowest effective dose, regularly monitoring progress, and integrating lifestyle, nutrition, and preventive strategies to support safe, balanced, and sustainable relief through perimenopause and postmenopause. Her care emphasizes education, shared decision-making, and empowering patients to feel confident and supported throughout their transition.
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How It Works
Here’s what to expect on your BHRT journey with us — from your first consultation to ongoing care designed to support your long-term wellness.
SCHEDULE YOUR VIRTUAL INITIAL APPOINTMENT WITH ANN THROUGH OUR WEBSITE OR BY CALLING RECEPTION
Your initial 60-minute appointment with Ann is an opportunity to discuss your symptoms in depth, review your health history, and clarify your personal health goals. During this visit, Ann will also determine whether laboratory testing is needed and can requisition appropriate labs through Manitoba Health to help create a safe, evidence-informed, and personalized treatment plan tailored to your needs.
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Ongoing Care
Ongoing care with Ann includes regular follow-up appointments to assess your progress, adjust dosing as needed, and ensure your treatment remains effective and safe. She may recommend periodic lab testing to monitor hormone levels and overall health markers, allowing for evidence-based adjustments over time. This consistent monitoring helps optimize your results while prioritizing your long-term safety and wellbeing.
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Your Personalized Plan
After reviewing your lab results with you, Ann will recommend the BHRT approach that is safest and most effective for your needs. Treatment options may include oral, transdermal, or vaginal hormone therapies, depending on your symptoms and goals.
Meet Our Nurse Practitioner