Personalized care for women navigating perimenopause, menopause, hormonal changes, and the symptoms that can come with them—from fatigue and brain fog to changes in sleep, mood, libido, body composition, and overall well-being.
There is no single hormone protocol that is right for every woman. Your treatment plan is based on your symptoms, medical history, goals, examination when appropriate, and laboratory findings.
Evaluated or used when clinically appropriate:
Estradiol (Estrogen)
Progesterone
Testosterone
Thyroid Health
Metabolic Health
Nutrition/Supplementation
Body Composition and Lifestyle Optimization
Depending on the individual, treatment could potentially involve a range of hormonal, nonhormonal and supportive options, including local or vaginal therapy, nonhormonal approaches, lifestyle interventions, and supplements or other appropriate options.
Hormonal changes may be one of several possible contributors to these symptoms. An evaluation can help determine what is happening.
03 / Safety
Safe, Individualized Hormone Care
HRT is not appropriate for every patient. Treatment decisions are based on an individualized evaluation of your history, symptoms, goals, and risk factors.
Age and stage of perimenopause or menopause
Medical history
Family history
Cardiovascular risk
Blood clot history
Breast/gynecologic history
Whether you have a uterus
Medications
Symptoms and goals
Appropriate labs
Other individual risk factors
04 / Individualized Planning
Your Consultation & Care Plan
Consultation & Goals → Medical Evaluation & Labs → Personalized Treatment Plan → Follow-Up, Monitoring & Adjustments.
01
Consultation & Goals
02
Medical Evaluation & Labs
03
Personalized Treatment Plan
04
Follow-Up, Monitoring & Adjustments
Ongoing follow-up helps assess symptoms, response, side effects, safety, labs when appropriate, and whether the plan needs to be adjusted.
Level Up HER
Hormone Memberships. Ongoing Care.
Personalized women's hormone replacement therapy with ongoing medical guidance, medication management, and individualized monitoring. Our membership approach is designed to provide continuity of care through perimenopause, menopause, and beyond.
Individualized treatment, medication management, and long-term relationships.
Individualized hormone treatment planning
Prescribed medications covered by the applicable membership formulary, such as estradiol patches or creams and progesterone
Testosterone management when medically appropriate, subject to treatment and formulary requirements
Ongoing consultations and medication management
Symptom assessment and clinical follow-up
Laboratory result reviews and treatment adjustments
Continued support as hormonal needs change
Laboratory Pricing
Testing that informs your care.
Follow-up laboratory monitoring is generally preferred approximately every two months when appropriate for your treatment plan, particularly during adjustments.
Laboratory testing is separate from the $229/month membership. The $289/month membership includes routine laboratory monitoring.
Level Up HER
Why Women Choose Level Up
01 / LEVEL UP HER
Comprehensive Evaluation
We consider your symptoms, health history, goals, relevant laboratory findings, metabolic health, medications, and individual risk factors—not simply one hormone level.
02 / LEVEL UP HER
Individualized Treatment
There is no universal hormone protocol. Recommendations are tailored to your clinical needs, goals, response to therapy, and safety considerations.
03 / LEVEL UP HER
Ongoing Optimization & Monitoring
Your care continues after treatment begins, with symptom review, appropriate laboratory monitoring, follow-up, and adjustments when clinically indicated.
Hear From Your Provider
A Personalized Approach to Women’s Hormone Health
John Mrachina, FNP-C, PMHNP-BC, explains how Level Up approaches women’s hormone care, evaluation, treatment, and ongoing monitoring.
Today's video is about the real signs of hormone imbalance. The full list most women never realize is connected. Hot flashes, weight that won't budge, low libido, new anxiety, hair thinning, joint pain. Most women chalk each one up to stress getting older or bad luck and push through them one at a time.
But the truth is, even if a few of these sound familiar, that's not just aging. That’s your hormones talking, and you don't have to piece it together alone. Add in night sweats that disrupt your sleep, even when everything else is fine, and the picture gets even clearer. Most women don't realize how wide this hormone imbalance list really goes.
So they push through symptom after symptom alone, treating each one as its separate problem. But you don't have to piece this together by yourself. A simple hormone panel can tell you exactly what's going on, and connect the dots between everything you've been feeling. If you're in Michigan, Detroit Metro area, and ready for some real answers, instead of guessing symptom by symptom, call us 586-229-1014, and learn how we can help you. Let's level up.
Level Up Health & Wellness
Meet Your Provider
Nurse Practitioner
John Mrachina, MSN, APRN, FNP-C, PMHNP-BC
John Mrachina is a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with extensive experience in critical care, outpatient medicine, hormone optimization, metabolic health, weight management, and mental health.
At Level Up Health & Wellness, John takes an individualized approach to women’s hormone care. Evaluation may include symptoms, medical history, laboratory findings, thyroid and metabolic health, body composition, lifestyle, and each patient’s individual goals.
His approach extends beyond simply looking at hormone levels. John focuses on understanding the whole clinical picture and developing evidence-informed treatment plans with appropriate follow-up, laboratory monitoring, and adjustments over time.
As a father of two daughters and a Captain in the United States Army Reserve, John places a strong emphasis on communication, education, trust, and treating every patient as an individual.
You can discuss symptoms such as hot flashes, night sweats, sleep disruption, changes in energy or mood, sexual health concerns, and changes in body composition. Your symptoms and goals help guide the evaluation.
Is hormone replacement therapy appropriate for everyone?
No. HRT is not appropriate for every patient. Treatment decisions are based on an individualized evaluation of your medical and family history, symptoms, goals, medications, and risk factors.
What does the planning process include?
Consultation & Goals → Medical Evaluation & Labs → Personalized Treatment Plan → Follow-Up, Monitoring & Adjustments.
Will I need labs?
Appropriate labs are considered as part of your individualized evaluation. Your clinician determines which testing, if any, is appropriate for you.
What happens after my plan is developed?
The care process includes follow-up and monitoring, with adjustments as needed.
Should I include my medical history in this form?
Please do not submit medical information through this form. Medical history will be reviewed during your clinical evaluation.
What does the Level Up HER membership include?
Membership benefits include individualized hormone treatment planning, medications covered by the applicable formulary, ongoing consultations and medication management, symptom assessment, laboratory result reviews, treatment adjustments, and continued support. Testosterone management is considered when medically appropriate and is subject to treatment and formulary requirements.
What do the memberships and laboratory panels cost?
The Level Up HER Hormone Membership is $229/month, with laboratory testing billed separately. The $289/month women's membership includes routine laboratory monitoring. Women's Initial Hormone Baseline testing is $169 and the Women's Routine Follow-Up Panel is $119.
How often will I need follow-up laboratory monitoring?
Follow-up laboratory monitoring is generally preferred approximately every two months when appropriate for your treatment plan, particularly during adjustments. Monitoring is individualized by your provider.
Women's Hormone Therapy · Clinton Township, Michigan
Ready to Feel More Like Yourself?
If changes in energy, sleep, mood, libido, weight, body composition, or other symptoms are affecting how you feel, we can help you determine whether hormones or other health factors may be contributing.
Tell us the best way to reach you. We'll contact you to discuss scheduling and next steps. Please do not submit medical information through this form. Medical history will be reviewed during your clinical evaluation.
HER
