Female Hormone Replacement Therapy in Warren, OH (BHRT for Perimenopause & Menopause)

Hormone shifts during perimenopause and menopause can affect sleep, mood, weight, energy, and overall quality of life. Female BHRT uses a clinical evaluation and lab testing to determine whether hormone replacement therapy is appropriate—then monitors symptoms and biomarkers over time to support safe, personalized care at Fuel by Design.

In-person: Warren, OH • Serving Youngstown, Boardman, Poland, Canfield • Telehealth: available across Ohio

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Perimenopause & Menopause Symptoms (What Women Notice Most)

If you’ve been feeling “off” lately—tired, wired, moody, or stuck despite consistent habits—you’re not alone. Symptoms can overlap with stress, thyroid issues, and metabolic changes, which is why we start with a clinical consult and labs to understand what’s really going on.

    • Hot flashes or night sweats

    • Sleep disruption (waking up often, early waking, unrefreshing sleep)

    • Mood changes (irritability, anxiety, low mood)

    • Brain fog, reduced focus, or lower motivation

    • Weight gain (often midsection) despite diet and exercise

    • Low libido, vaginal dryness, or discomfort with intimacy

    • Fatigue, reduced recovery, lower resilience to stress

    • Cycle changes in perimenopause (heavier, shorter, longer, irregular)

Symptoms aren’t a diagnosis—testing helps confirm what’s driving them.

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Led by Alexis Valentino, NP

Founder, Clinical Director & Nurse Practitioner

Alexis Valentino, NP, is passionate about helping high-performing adults achieve balanced hormones, better metabolic health, and optimized long-term performance.

Clinical Focus Areas

  • Male Testosterone Optimization
  • Female Hormone Optimization (Perimenopause & Menopause)
  • Weight Loss + Metabolic Performance
  • Longevity / Semi-Invasive Therapies
Meet Alexis
Alexis Valentino

What Is Hormone Replacement Therapy?

Hormone replacement therapy (HRT) supports women whose symptoms may be connected to shifting estrogen and progesterone during perimenopause and menopause. The goal isn’t “more hormones”—it’s the right approach for your symptoms, health history, labs, and goals.

    • Sleep & recovery: supports more stable sleep patterns and resilience

    • Temperature regulation: may reduce hot flashes and night sweats

    • Mood & clarity: may support emotional steadiness and cognitive clarity

    • Metabolic support: can complement nutrition and training strategies

    • Intimacy & comfort: may help with vaginal dryness and related symptoms

That’s why we pair symptoms and labs—to build a plan that’s safe and personalized.

How to Support Hormones Naturally

      • Prioritize 7–9 hours of consistent sleep and a stable schedule

      • Focus on strength training + recovery (avoid chronic overtraining)

      • Eat protein-forward meals and steady blood sugar with fiber-rich foods

      • Manage stress load (daily walks, breathwork, boundaries, recovery days)

      • Reduce alcohol and ultra-processed foods that worsen sleep and cravings

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Bioidentical Hormone Replacement Therapy: What It Means (and What It Doesn’t)

“Bioidentical” typically refers to hormones that are chemically identical to those produced by the human body. It doesn’t automatically mean safer, stronger, or right for everyone. What matters most is clinical fit, appropriate dosing, and ongoing monitoring based on your response and health history.

What Are the Signs That You Need Hormone Replacement Therapy?

A better framing is: what symptoms and patterns make hormone therapy worth discussing with a clinician?

  • Persistent sleep disruption that’s hard to correct with routine changes

  • Hot flashes or night sweats that affect daily life

  • Mood shifts, anxiety, irritability, or low motivation that feels “new”

  • Brain fog or reduced focus impacting performance

  • Low libido or intimacy discomfort

  • Midsection weight gain despite consistent habits

  • Fatigue, lower resilience to stress, slower recovery

  • Perimenopause cycle changes (irregularity, heavier/lighter patterns)

We confirm fit through consult + labs—not symptoms alone.

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Frequently Asked Questions.

Bioidentical generally refers to hormones that are chemically identical to those produced by the body. Whether it’s appropriate depends on symptoms, labs, medical history, and goals.

Common signs include persistent sleep disruption, hot flashes/night sweats, mood changes, brain fog, libido changes, and stubborn weight shifts—especially when habits are consistent. Fit is confirmed through consult + labs.

Safety depends on personal history, risk factors, and the approach considered. We assess fit through evaluation, labs, education, and monitoring over time.

Many women explore menopause hormone therapy for hot flashes, sleep disruption, mood shifts, and libido changes. Whether it’s right for you depends on evaluation and shared decision-making.

Often, yes. Labs reduce guesswork and help personalize recommendations. We’ll explain what’s needed based on your case.

Timelines vary. Some changes may appear within weeks, while other improvements take longer and may require adjustments.

Not always. Some clients start with foundational lifestyle and metabolic support. If therapy is considered, it’s based on clinical fit.

Yes—telehealth is available across Ohio when clinically appropriate and compliant with state requirements. In-person support is available in Warren, OH.

Educational only. This information is not medical advice or a diagnosis. Treatment decisions require a clinical evaluation and appropriate lab testing. Results vary

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