Our Services

Real medical care, built around what your body needs.

You already know how you feel. This is what we do about it. New Leaf is a physician-led medical practice for women in perimenopause and menopause, and every plan is real medical treatment, prescribed and managed by providers who do only this. Not a med spa menu. Here is what we treat, and how we help you feel like yourself again.

Hormone Replacement Therapy

When your estrogen, progesterone, and testosterone decline, the effects reach nearly every part of how you feel. Restoring them is the foundation of most of what we do, and for many women it is what finally turns things around.

What it helps

  • Sleep, night sweats, and hot flashes
  • Energy, weight, and stubborn body changes
  • Brain fog, mood, and anxiety
  • Hair, skin, libido, and confidence

How we help

We test thoroughly, then prescribe and manage hormone therapy tailored to you, adjusting as your body responds. We do not do pellets. We do real medical care, followed closely by your provider.

A note on NAD+

Not a hormone, but worth mentioning here. NAD+ is what your cells run on for energy, and your body makes about half as much by your 40s and 50s. For women fighting fatigue and afternoon fog, it is one more tool we use to help you feel like yourself.

Hormones rarely work alone. When your thyroid is off or your weight will not move, we treat those together, and the results build on each other.

Medical Weight Loss

The weight that will not move in perimenopause is not a willpower problem, it is a medical one. And treating it does far more than change the number on the scale.

What it helps

  • Weight that resists every diet you have tried
  • Insulin resistance, and the path toward diabetes

  • PCOS/PMOS

  • Strain on your joints, heart, and liver
  • Sleep apnea, and the exhaustion and stress that come with it

How we help

Modern medications like GLP-1 and GIP do more than curb appetite. They ease insulin resistance, take strain off your joints and heart, and can even reverse sleep apnea, which lowers cortisol and makes further progress easier. For many women, it means letting go of other medications along the way. This is medical care, not a program off a website.

This is more than a GLP-1 prescription. Paired with body recomposition, you do not just lose weight, you rebuild.

Body Recomposition

Losing weight is only half of it. Body recomposition is how you rebuild what is underneath, so you are not just smaller, you are stronger.

What it helps

  • Muscle, strength, and stamina
  • How you move, and what your body can do
  • Making weight loss last, instead of bouncing back

How we help

This is physician-led, and it is what sets us apart from the GLP-1 you can order anywhere. Alongside medication, you get a real plan: personalized nutrition, exercise built for where you are right now, and a certified trainer who meets you there. We may also use Sermorelin, an FDA-approved peptide that supports muscle growth and recovery.

Rebuilding muscle works best when your hormones and thyroid are handled too. We look at the whole picture.

Thyroid Optimization

Your thyroid is your body’s gas pedal. When it runs low, everything slows down, and no other treatment works the way it should until it is addressed.

What it helps

  • Weight gain and sluggish metabolism
  • Fatigue, low mood, and low motivation
  • Hair thinning, dry skin, and constipation

How we help

Most doctors test only TSH, which is a screening tool, not a full answer. We run the complete panel, T3, T4, reverse T3, and TPO antibodies, so we see what your tissues are actually getting, and catch early warning signs before your numbers drop. Then we treat what we find.

Untreated thyroid quietly undoes your other care. It is like premium fuel in the tank while you drag a two-ton weight behind you. Handle it, and everything else works better.

Sexual Health

When estrogen and testosterone decline, intimacy changes, in ways that are physical, emotional, and real. It is common, and it is treatable.

What it helps

  • Low libido and loss of interest
  • Dryness, discomfort, and pain
  • Lost confidence and connection

How we help

Because this is so often driven by your hormones, treating them is where it starts. Alongside that, we offer prescription treatments made for this, to restore comfort, sensitivity, and closeness. Available to our patients as part of their care.

Sexual health is tied to your hormones, your weight, and your thyroid. We treat the cause, not just the symptom.

Skin Care

The changes you see in the mirror are part of the same hormonal shift, and they respond to real medical treatment, not just another cream off the shelf.

What it helps

  • Fine lines, and loose or crepey skin
  • Skin changes after weight loss
  • Hormone-related hair thinning

How we help

We use prescription-strength treatments built around what your skin is actually going through, hormones, vitamin C, hyaluronic acid, and targeted products for firmness and for hair. This matters most after weight loss, when skin can lose its tone.

As you lose weight and rebuild, your skin is part of the story. We care for it as part of the whole.

Your next step

You do not have to choose. We build the plan for you.

These are not packages to pick from. Your provider draws on whatever your body needs, and only what it needs, and the pieces work better together than any one alone.