- Hormone Therapy: Estradiol and progesterone.
- Topical Testosterone: When appropriate.
- Sexual Health: Desire, dryness, pain, and urinary symptoms.
- Lifestyle: Useful alone or with treatment.
Expert care for
From a menopause expert who actually listens.
Talk through the whole pattern. Leave with a clear next-step plan—treatment, testing, or answers without medication.
Dr. Zuleikha Tyebjee, MDBoard-certified physician · Menopause & Hormone Care Expert
Book with Dr. Ty — $250
5.0 on TebraEvery visit by video
Is Dr. Ty licensed in my state?
Yes, if you are in Alabama, California, Florida, Georgia, Illinois, Indiana, Mississippi, Missouri, New Jersey, New York, Oklahoma, South Carolina, Tennessee, Texas, and Washington. Every visit is by video.
One menopause conversation. The whole picture.
- Perimenopause & Menopause: Symptoms, history, and treatment options.
- Sexual & Urinary Health: Desire, dryness, pain, and urinary changes.
- Optional Weight Care: Add it to an HRT visit for $50, or book it alone for $150.
- One-on-one physician care
- No required membership
- Paid after your visit
- Medication & labs separate
Medically reviewed by Dr. Zuleikha Tyebjee, MD · Reviewed September 2026
Evidence-based practices.
Compassionate care for the whole you.
Perimenopause and menopause
Does this sound
like you?
Symptoms can affect sleep, work, mood, weight, and intimacy—even when periods are regular or labs look normal.
- Hot flashes and night sweats
- Fatigue
- Brain fog
- Sleep disturbances
- Weight changes
- Low sex drive
Dr. Ty looks at the whole pattern—not one symptom or one lab result. Read more about perimenopause and menopause care →
Why Dr. Ty
Your physician.
Every visit.
Dr. Zuleikha Tyebjee, MD · “Dr. Ty”
Dr. Ty is board-certified in Family Medicine. She brings hormonal, metabolic, sexual-health, and whole-health concerns into one conversation.
“HRT is not one size fits all.”
- Board-certified in Family Medicine
- Menopause and weight care
- Every visit by video
- Licensed in 15 states
- NPI 1104351493 · federal registry
In her own words
Ninety seconds with Dr. Ty.
What patients say
“I am so pleased with the help Dr. Tyebjee is providing. She listens to my needs and makes sure to find the best course of action to address them.”
“I am so grateful to have found Dr Ty. She made me feel comfortable and made the process so simple. She made me feel safe enough to be honest and she addressed all my concerns.”
Visits and pricing
Clear care.
Clear costs.
A simple monthly view of visit fees, with pharmacy and laboratory costs shown separately.
Monthly budget at a glance
What should I plan for?
- Starting care$250per visit
Your first visit, then usually one follow-up each month until stable—often for about three months if medication starts.
- Once stable$250about every 3 monthsThat averages to about$83/monthin visit fees
No required membership. You pay after each visit. If medication does not start, the monthly schedule may not apply.
HRT costs outside the visit
Medication and tests.
These charges come from the pharmacy or laboratory and are not included in the visit fees.
- HRT prescriptions
- Price variesWe try insurance first when it may apply.
- Testosterone cream
- About $50/monthUsually cash-pay through the pharmacy.
- Testosterone blood test
- $30 when orderedOther laboratory prices vary.
Outside prices can change. Compounded testosterone is not FDA-approved. A prescription is not guaranteed.
You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost
Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.
- You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
- If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.
To ask Mindful Medical for your Good Faith Estimate, call or text (832) 479-1629.
Book with Dr. Ty — $250
Questions? You're covered.
Jeff, RN, works alongside Dr. Ty as her nurse backup. Call (832) 479-1629 or text Jeff whenever a question comes up. If it needs Dr. Ty's medical judgment, he brings her in.
Your first visit
What happens first.
You do not need new labs to book. Bring recent results if you have them.
Tell Your Story
Share your symptoms, goals, history, and what has or hasn't worked.
Understand Your Options
Hear the evidence, benefits, and risks in plain language.
Leave With a Plan
Your next step may be treatment, testing, or answers without medication.
What care may include.
Your plan is chosen after evaluation and only when appropriate for you.
- Weight Care: An optional medical evaluation.
- Medication: GLP-1 or GLP-1/GIP when appropriate.
- Daily Support: Tailored nutrition and exercise.
Who you'll talk to
Dr. Ty leads your care.
Jeff helps keep you covered.
Dr. Ty sees every patient and makes every medical decision. Her husband, Jeff, RN, works alongside her as a nurse backup, so you always have someone to contact when a question comes up.
- Dr. Ty: Your physician at every visit and the person who makes your medical decisions.
- Jeff, RN: Available for questions about your care, scheduling, or costs within his nursing role.
- Together: If your question needs a diagnosis, prescription, or treatment change, Jeff brings Dr. Ty in.
Questions before booking.
Can I have perimenopause if my periods are regular?
Yes. It can start while your periods are still regular, and Dr. Ty sees it in women in their mid-to-late 30s.
Do I need hormone labs to be diagnosed?
No. It's diagnosed from your symptoms and history, not one lab value, because hormone levels rise and fall2.
Is hormone therapy safe for me?
That depends on your history, and it's what your first visit is for. Dr. Ty goes through the benefits and risks for your situation3,4.
Are visits in person or by video?
Every visit is by video. The calendar's “In-person” choice is a software label the practice can't change, and either choice books the same video visit.
Not ready to book?
Start another way.
Watch Dr. Ty.
Her free 27-minute masterclass explains symptoms, labs, and why care is individual.
Watch the free masterclass →Talk with Jeff, RN.
Ask about scheduling, costs, or how the practice works. Medical questions stay with Dr. Ty.
Request a call from Jeff, RN →Or call (832) 479-1629
Find answers to the questions no one else is listening to.
“My patients are my teammates.”
- $250 per HRT visit
- No required membership
- No new labs just to book
- (832) 479-1629
Medical sources.
- ACOG: “The Menopause Years,” FAQ047, reviewed December 2025.
- Columbia University: “Everything you need to know about perimenopause,” 2022.
- The Menopause Society: 2022 Hormone Therapy Position Statement.
- Mayo Clinic: “Menopause hormone therapy: Is it right for you?”, 2025.