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Menopause Care for California

If you are in California, you can book to see me.

Individualized risk assessment and shared decision making about hormones. 

Unhurried personalized menopause care in California.

Utah! Coming soon! 

About Me

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

As a busy mother of daughters,  my 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 the evidence. There is new research daily about midlife health. As a clinician with over 25 years of experience, I am a life long learner and I 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.

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About

Book an appointment with Sarah

Telehealth appointments for new patients can be booked by

emailing me: sarah@sarahshealy.com

or texting me: 310-695-3224

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Menopause Care Practice Structure

Midlife health is a maze where the next best step is not always clear. Unhurried visits provide you the opportunity to identify priorities, get questions answered, and collaborate to make a care plan.  

Our focus is to save you time and suffering and help you feel better now.  We use the most up to date evidence and expertise to guide you through the maze.

 

You will leave your visits more educated, with clear steps to take to feel better immediately, and longterm goals that will benefit your overall health. Hormonal and non-hormonal treatment therapies are available. 

Menopausal hormone therapy is individualized for each patient. When starting hormones for the first time, most patients require 2 to 3 visits in the first few months.  We work together closely until you are comfortable with the correct dosing and type of hormones that help you feel your best.  Many clients enjoy regular check ins for support around their health goals.

 

All visits are one hour in length and include assessment of your overall health - labs, movement, mindset, nutrition. We used shared decision making so you will easily understand your risk factors, set goals, and make practical achievable steps towards your optimal health.

 

This type of comprehensive compassionate expert care cannot be achieved in a 15 minute visit.

 

HeyElli is a self - pay practice and payment is expected at the time of your visit.

All sessions are $365.

This covers your visit and texting follow up. 

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 communicate 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 it. 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 10 years. For most women 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 there are estrogen receptors throughout the body affecting so 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.  We will spend 40% of our lives post-menopause. The biggest health risks for women post-menopause 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. Women on estrogen have lower rates of these diseases and all cause mortality. 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. 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 a visit like?

My goal is that you leave each visit feeling more informed, having been listened to, 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, you may want to bring your most recent lab work so we can review it together. 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.

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 can prescribe you hormones. Many clients are looking for menopausal hormone therapy when they come to see me after having been denied hormones by their other providers. Many providers are not up to date with the evidence and continue to make it difficult for women to access menopausal hormone therapy. 

Is there anything other than hormones that I can do to feel better? 

YES absolutely. I also work with mid life women who do not want hormones for whatever reason. 

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 have changed and 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.

Can we talk about sex? 

YES we can talk about sex!

Can you give me a second opinion? 

Doctor visits often 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.

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 the 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. Our goal is to make it easy to get the care and follow up with what you need.

Register Here for Postpartum Essentials

Sarah and Dr. Oscar Serrallach teaching a

4 part course on the Essentials for Postpartum 

Book an appointment with Sarah

Telehealth appointments!  To request an appointment,

New patients

please text me: 310-439-9803

OR 

email me: sarah@sarahshealy.com

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