Home/Treatments
Midlife & hormone careCare organized around what you’re feeling.
Perimenopause, menopause and hormones are the centre of this practice. Metabolic health, energy and sleep are treated alongside them, because in real patients they move together.

The condition she trained in.
Symptoms often start in your late thirties or forties, years before cycles change in an obvious way. Care here comes from a board-certified OB/GYN who is also a Menopause Society Certified Practitioner, and who treats the whole picture rather than one symptom at a time.

Tested properly, then treated.
Thyroid, iron, vitamin D and sex hormones produce overlapping symptoms, which is why guessing rarely works. Full panels first, then a plan built on what they show.

Weight changes for a reason.
Metabolism, hormones, sleep and stress drive it together, which is why willpower-based plans fail in midlife. We look for the mechanism, then treat it — medically supervised throughout.
The symptoms that get waved away.
Exhaustion, broken sleep and mental fog are the three complaints most often dismissed as stress or age. They are also measurable.
We will tell you when the evidence isn’t there.
Peptides, hormones and compounded medications are marketed hard and studied unevenly. Some are FDA-approved with real trial data behind them. Many are not approved for the uses they are sold for.
Dr. Khoudary will tell you which category anything she recommends falls into, what is known, what is not, and when she thinks a popular treatment is the wrong answer for you. Nothing is prescribed because it was requested.
- Testing comes first
Bloodwork, hormone panels and imaging where warranted — before a prescription, not after.
- Honest about the limits
Where a treatment is off-label, compounded, or thinly studied, you will be told plainly.
- Declined when it isn’t right
If a therapy isn’t appropriate for you, she will say so and explain what she would do instead.
We test before we treat.
Labs are drawn near you, imaging is referred locally, and results are reviewed with you in plain language. Testing and imaging are billed separately and can often go through your own insurance.
- Bloodwork
- Metabolic, thyroid, lipid and inflammatory markers
- Hormones
- Full panels, including DUTCH testing
- Imaging
- MRI and advanced imaging where warranted
- Monitoring
- Repeat testing to confirm it’s working

Also available for men.
Testosterone, energy, body composition and metabolic health, under the same evidence-first approach. Tested first, treated second.
Tell us what’s going on.
Start with the new-patient questionnaire. Dr. Khoudary reviews it before your first visit.
New patients register in our secure portal · Existing patients sign in