Menopause Care for
California and Utah
Book an Appointment Now

If you are anywhere in California or Utah, you can book a menopause appointment with me.

All visits are telehealth.

Individualized risk assessment and shared decision making about hormones.

Unhurried personalized menopause care in California and Utah.

Telehealth appointments for new patients can be booked by

click below to request an appointment or

email me: sarah@sarahshealy.com or

text me: 310-695-3224

REQUEST an Appointment with Sarah HERE

Menopause Care Practice Structure

Welcome to HeyElli Midlife Health

Midlife health can feel like a maze—full of twists, turns, and unclear next steps. You don’t have to navigate it alone. As a Menopause Society Certified Provider, with a long history as a Board Certified Nurse Midwife, I specializing in filling the critical care gap for women experiencing postnatal depletion, perimenopause, and menopause, offering expert, individualized support during these often-overlooked transitions.

Are you ready to sleep better, feel more grounded, and rediscover joy in your day-to-day life? At HeyElli, you’ll receive the thoughtful support you deserve, with menopause care that’s personalized, compassionate, and rooted in the latest medical evidence.

Whether you're in Utah or California, HeyElli offers expert guidance through the physical and emotional changes of midlife.

Individualized Care, Without the Rush

You deserve time. That’s why all appointments are one full hour.

These unhurried visits give us space to:

Explore your symptoms and concerns
Identify your health priorities
Create a care plan together that makes sense for you

Our work is rooted in evidence based menopause care, combining medical expertise with a whole-person view of your health—including mindset, movement, and nutrition.

Hormones First. Whole Health Always.

Starting Menopausal Hormone Therapy for the First Time?

Let’s take this step together.

Over 2–3 visits in the first few months, we will work together to find the right type, dose, and delivery method that truly works for their body. We move at your pace, and once your foundation is set, we build from there—with food, movement, supplement, and mindset support that restores your energy, sleep, libido, and confidence.

Already on Hormones, But Something’s Not Right?

Let’s reevaluate your plan.

If you're already using menopause hormone therapy but still not feeling your best, it may be time for a second opinion. We’ll review your symptoms, current regimen, and any lab results to find a better fit. Together, we can make thoughtful adjustments that bring lasting relief.

Need Ongoing Menopause or Midlife Health Support?

Stay connected to your health goals.

Many clients choose regular visits to check in on their hormonal health, fine-tune their care plan, and stay accountable to their wellness goals. Whether you're in perimenopause, menopause, or beyond, you’ll receive evidence based, individualized menopause care at every stage.

Still Feeling Off After Having a Baby?

You're not imagining it—and you're not alone.

Many women I work with describe feeling deeply tired, mentally foggy, emotionally drained, or just not quite themselves—sometimes even years after having a baby. This experience has a name: postnatal depletion. And it deserves real attention.

I’ve had the privilege of learning from and being mentored by Dr. Oscar Serrallach, the leading expert in postnatal depletion. His work helped me recognize just how many women have been quietly suffering without the care they need and deserve.

Whether you're freshly postpartum or navigating the long tail of motherhood, I’m here to support your full recovery—physically, hormonally, nutritionally, and emotionally. Together, we’ll create a care plan that meets you where you are and helps you feel like yourself again.

Healing doesn’t follow a six-week schedule. And your well-being is worth the time and care it takes to restore.

What Is Shared Decision-Making?

A partnership—where your voice matters.

Shared decision-making means we make choices together. I bring my clinical expertise and the latest evidence-based research; you bring your lived experience, values, and preferences.

We take the time to talk through your options—whether it’s about hormone therapy, supplements, lifestyle changes, or lab testing—so you understand the risks, benefits, and what feels right for you.

There’s no one-size-fits-all plan here. You’ll leave each visit with clarity, confidence, and a care plan that aligns with your body, your goals, and your life.

Because the best health decisions are the ones we make together.

What to Expect

All visits include a comprehensive assessment of your overall health: labs, movement, mindset, and nutrition. Using shared decision-making, we’ll clearly review your risks and options so you can move forward with confidence.

Serving clients in Utah and California

Menopause care from a Menopause Society Certified Provider

Rooted in science. Centered on you.

Transparent Pricing

HeyElli is a self-pay practice, which allows me to provide the high-quality, personalized care that insurance-based models simply don’t allow.

All sessions are Telehealth
No membership or concierge fees
Initial New client appointments are 75 minutes with fee $485
Next 2-3 follow up sessions are 60 minutes with fee $390
Once clinically stable, 30 minute session are offered with fee $210
A $150 deposit is required to book a new patient appointment
Fees reflect care involved in each visit, including preparation, clinical decision-making, coordination, and follow-through.

I do NOT bill insurance. I will provide a detailed superbill upon request.

If you need to reschedule, I kindly ask for as much notice as possible—this allows others waiting for care to be seen sooner.

Ready to feel better?

Let’s work together to reclaim your vitality and joy in midlife.

HeyElli Midlife Health Services

Expert Personalized Menopause Care - Consultation Based Practice

HeyElli is a consultation based practice. We do not replace your primary care provider. We offer specialized expert knowledge about perimenopause, menopause, and postnatal depletion. We offer prescription hormones and medications, lifestyle advice, and support for women navigating midlife and beyond. You may bring your most recent labs or we can order labs for you. A shared decision making approach means together we evaluate your individual situation, history, and risk factors, educate you about your options, and support you to choose therapies that make sense for your individual situation. We can collaborate with your primary care provider to ensure coordination. Mid-life is a journey. Your body will continue to change for years as you go through perimenopause. Once you are post menopause, the storm will settle and many people will feel better. We will partner with you to navigate lifestyle changes, titrate medications, and tweak your approach to keep you feeling your best. Expert personalized modern midlife care.

Perimenopause Evaluation and Treatment

It's more than just hot flashes! Perimenopause can last anywhere from 2 to 14 years. For most people, this is a time of dramatic hormonal fluctuations that can make you feel that your body has betrayed you and you are losing your mind. All of a sudden, many of the things you do to take care of yourself don't work anymore. Many people don't realize that estrogen receptors are throughout the body and affect many body systems. Disruption in sleep, mood, sex, brain function, and temperature regulation are the most common complaints. Hormonal and other therapies can help smooth this transition. Come visit. Let's talk about your options.

Postmenopause Care

Menopause is that moment when it's been 12 months without bleeding. If we are fortunate to live long enough, we may spend 40% of our lives post-menopause. The biggest health risks for post-menopausal people are cardiovascular disease (the #1 killer of women), fragile bones and fractures, (50% of people do not recover from hip fractures), diabetes, and Alzheimers (women are ⅔ of all Alzheimer’s patients). What do these diseases have in common? They are all made worse by a lack of estrogen. Menopausal people on estrogen have lower rates of these diseases and all cause mortality. Sometimes clients wonder if they are too late to start hormonal therapies. This is a conversation we can have. Come visit. Let’s talk about how to support your overall health.

Postnatal Depletion Care

When we have babies in our late 30s and 40s, we often enter pregnancy and postpartum already stressed and depleted. Pregnancy, birth, and postpartum demand so much from our bodies. It is not unusual for depleted mothers to experience the overlap of postpartum and peri-menopause. Postnatal depletion can happen and can feel like never fully recovering after having babies - this can be years later. There are remedies for restoring your vitality and health and smoothing the way to peri-menopause. Come visit. Let’s talk about it.

FAQs

What is an initial visit like?

The goal is to have you leave each visit having been listened to, feeling more informed, and with a clear plan of the next steps you are working on to feel better.

Before our first visit, you will fill out a comprehensive questionnaire about your health history, current symptoms, and goals for your well being. This lays the foundation for our first visit together.

When we meet, lab work is not required before meeting. If you want to bring your most recent lab work we can review it together or I can order lab work for you. I will support you to understand your individual risks and options. Together we will come up with a practical step by step plan that makes sense for you.

If you choose hormone therapy, I will order what you need from the pharmacy.

Depending where you are starting when we begin working together, you will return for follow up as needed. If you are just getting started on menopausal hormone therapy, we will need to see each other 2 or 3 times in the first few months to make sure you have the dose and blend that works for you. Menopausal hormone therapy is Estrogen, Progesterone, and Testosterone. Each of us will have a "just right" dose for each hormone depending on our individual stage of menopause.

This midlife journey can be complicated and each person faces their own personal set of challenges. In reality it may take 3 to 9 months to figure out what particular blend of hormones, nutrition, movement, and mindset will really work for you to feel all the way back to yourself and thriving. For some people it may take longer.

How Is Care Structured at HeyElli?

Care at HeyElli is designed to evolve over time—offering more support early on, and becoming simpler and more streamlined once things are stable.

This structure reflects both clinical best practice and a shared decision-making model that respects your agency, your time, and your capacity to know yourself.

What is a Consultative Model of Care

Many people come to HeyElli looking for an expert consultant—someone to help talk through options, weigh risks and benefits, and make thoughtful, evidence-based decisions together.

That is how I love to practice. Care here is collaborative and relational. You bring lived experience and self-knowledge; clinical expertise and evidence guide the process. Over time, the goal is not just symptom relief, but confidence, clarity, and stability.

Entry Into Care: Why the First Visits Matter

Initial treatment plans—especially hormone therapy—are based on thorough history-taking, clinical assessment, and careful titration. This work takes time to do well.

For that reason, entry into care at HeyElli is intentionally front-loaded:

Visit 1 is always 75 minutes
This visit allows for comprehensive assessment, deep listening, and thoughtful foundation-setting.
Visits 2–3 (and sometimes 4) are full-length visits, typically 60 minutes
These visits are used to refine treatment, respond to how your body is actually responding, and adjust care responsibly.

Most clients need three to four full-length visits to establish and fine-tune treatment. This investment on the front end supports safer decisions and a smoother first 6–12 months of care. This is not about doing more care than necessary—it’s about doing the right amount of care early so things can become simpler over time.

Moving Toward Stability

My goal is always for clients to reach clinical stability within the first six months of working together. This timeline is individual—some stabilize sooner, while those with more complex needs may take longer.

Stability is also supported by the work you’re doing outside of visits, including nutrition, strength building, sleep, stress management, and other lifestyle shifts.

We adjust together.

What does Maintenance & Long-Term Care look like?

Many postmenopausal clients ultimately require only annual check-ins once hormone therapy protocols are well established and symptoms are stable.

What are typical visit lengths?

75-minute visits
Used for all initial visits and available anytime deeper exploration or additional space is needed.
60-minute visits
Standard full-length visits during active phases of care and for most follow-ups.
30-minute visits
Available once care is clinically stable and appropriate for focused, single-issue needs.

Visit length is always guided by clinical need and shared decision-making.

I'm not in menopause yet but I know it's coming! Can I see you just to learn more?

Yes - absolutely! I have many clients who come to me before they need hormonal support so they can understand how to best set themselves up for their future health. I wish I had had that knowledge myself...

Do you prescribe hormone therapy?

Yes I prescribe all types of menopause hormone therapy including standard protocols and more advanced precision and rhythmic or cyclic protocols. Many clients are looking for hormone therapy when they come to see me after having been denied access to hormones by other providers.

Do you prescribe Testosterone Therapy?

Yes, with a thorough assessment and shared decision making conversation, testosterone therapy can be a nice addition to a hormone therapy protocol. All decisions are clinically individualized.

I'm not sure I want to use hormones. Is there anything other than hormones that I can do to feel better?

YES absolutely. I work with midlife women who do not want to use hormones. There are plenty of other remedies that can help you with symptoms. Lifestyle adjustments are some of the most important interventions for life long health.

I'm on pellets but I want to transition off of them. Can you help me do that?

Yes, for most, pellets can be a solution that works for a while but are not a great solution for long term - they are too hard to titrate and often result in overdosing of hormones which can lead to other issues. Transitioning off pellets requires a close relationship with a provider who understands the process. I have helped many transition off pellets onto menopause hormone therapy with great results. There are many ways to get your menopause hormone therapy. If one method doesn't work for you, come see me and we can figure out the best way for your individual situation.

I have a countertop full of supplements and don't know what I should be taking to feel better. Can you help?

Yes, absolutely. There are some supplements that can really help how we feel during midlife and I will assist you to understand what the options are and what makes sense for your personal situation. Often we are so eager to feel better that we will buy something that promises something that we want, more energy, better sleep, more libido... Before you know it there's a supplement store worth of bottles on your countertop. With my clients, we will go through one by one and help you decide what to keep using and what to let go of. I am a big fan of food first in all health interventions and then supplement with just a few things that we are not likely to be able to get completely with food. Our bodies are changing in midlife. We need to adjust the way we care for ourselves in order to feel well.

Can you help me understand my labs?

Yes, we can look at your labs together so you can understand your risk profile for your lifelong health. If additional labs are needed I can order them for you.

Can you help me understand what other health practices I can be doing to feel better for this time of life and beyond?

Yes, I can help you understand the optimal ways to eat, move, and think about menopause.

Do you offer hormone therapy for trans individuals?

Not at this time but I respect and love you.

Can we talk about sex?

YES we can talk about sex! Sexual changes in midlife can be complex. Being able to have an open conversation about what is coming up for you and what is most important to you is the first step to finding solutions and learning the new ways our bodies need to be cared for in midlife to maintain our sensuality and pleasure.

Should I divorce my husband?

I don't know! I do know you should certainly get your hormones figured out before making any major life decisions.

Can you give me a second opinion?

Often doctor visits don’t provide adequate time for all of your questions to be addressed. I provide unbiased evidence-based information to support your decision making around your perimenopause, menopause, and postnatal depletion recovery care.

Is It Too Late for Hormone Therapy?

If you’re postmenopausal and wondering if hormone therapy can still help—you’re not alone. And the answer might surprise you.

Many people are told that once they’re a few years past menopause, hormone therapy is no longer an option. But that’s not the full story.

The truth is: it's not always too late. The decision to start hormone therapy after menopause is highly individualized, and depends on your health history, symptoms, and personal goals. For some, hormone therapy can still offer powerful benefits—especially for bone health, vaginal comfort, mood, sleep, and overall quality of life.

As a Menopause Society Certified Provider, I’m here to walk you through the latest evidence and help you understand your options. There are also non-hormonal therapies that can be part of an effective care plan if hormones aren’t the right fit.

Is HeyElli the Right Fit for You?

HeyElli is a clinical practice for people who want to think deeply about their health—and are willing to do the work.

Care here is consultative, longitudinal, and grounded in clinical reasoning. The best outcomes happen inside a serious therapeutic relationship—one that values expertise, curiosity, and shared responsibility.

A typical HeyElli client is informed, motivated, and engaged. They are not looking for a quick fix or a passive experience. They want optimal results, nuanced guidance, and a clinician who can act as a strategic thought partner in complex decision-making.

HeyElli is a strong fit if you:

Want to understand the why, not just the recommendation
Are comfortable weighing risks, and benefits
Desire a shared decision making approach
Value evidence, physiology, and clinical nuance
Take responsibility for your part of the work—nutrition, strength, sleep, stress management, and lifestyle change
See health as something you build over time

Some patients come specifically for a second opinion—to review labs, reassess hormone therapy, or pressure-test an existing plan. That is welcome here. An initial visit can be used for exactly that. Some continue the relationship; others leave with clarity and confidence. Both are appropriate outcomes.

HeyElli offers the full spectrum of hormone therapy, including standard, physiologic, and advanced precision compounded approaches, when clinically appropriate. This work sits at the leading edge of longevity-focused medicine, grounded in evidence, safety, and individualized care.

Everything here is intentionally holistic and integrative—designed to help you feel better now while building strength, resilience, and vitality for the next 30–50 years.

HeyElli is likely not the right fit if you’re looking for:

Fast prescriptions without discussion
Someone else to take full responsibility for your health
Episodic, transactional care

If you’re intellectually curious, invested in your health, and ready for a collaborative, high-engagement approach—HeyElli may be exactly the right fit.

Who is Elli?

Elli is the Norse goddess of old age. She vanquished her enemy with her unexpected strength when she wrestled Thor and won. HeyElli is a call to your inner Elli and a reminder to women to find their strength. It's been there all along.

Technology

At HeyElli we love technology. HeyElli leverages the most updated technology to make your experience as smooth as possible. All of our intake forms can be easily completed on your phone, no need to download and upload just to submit your paperwork. Telehealth is done seamlessly on either your computer or your phone. Our goal is to make it easy to get the care and follow up with what you need.

About Me

About

I am a Menopause Society Certified Practitioner, a Nurse-Midwife, Lactation Consultant, Professor of Nursing, and mother to amazing daughters. I am passionate about translating research evidence into practice. I provide practical support for postpartum, perimenopausal, and menopausal people in mid-life and beyond.

My own perimenopause health challenges led me to a deep dive into the evidence. Taking the Menopause Society certification exam was the obvious next step and HeyElli, a modern menopause practice was born.

As a Yale graduate, I am obsessed with reading evidence. As a clinician with almost 30 years of experience, I am a lifelong learner and enjoy bringing both the art and the science of modern menopause care to my clients.

My clients want to live vibrant active lives and appreciate a personalized approach. I practice what I preach and love to share and inspire my clients to greater love and care for themselves.

"Midwifing menopause" means providing education about options, hormone balance insights, and holistic guidance around nutrition, movement, mindset, sexuality, and sleep. Shared decision making means supporting my clients to find solutions that fit for their individual situations.

Book an appointment with Sarah