Tell the whole story
Share your goals, symptoms, health history, prior treatment, and what has or has not worked.
Virtual, one-on-one care for midlife health
Specialized treatment for perimenopause and menopause with a physician who actually listens.
Hormone replacement therapy—including care for sexual health—and medical weight management designed for women in midlife.
- HRT visits · $250
- Weight-management visits · $150
- No required membership
- 100% virtual
For women in their mid-30s and older, you should not have to guess what your body is saying. Dr. Ty uses evidence-based practices and compassionate care to treat the whole you.
Dr. Zuleikha TyebjeeBoard-certified family physician
Your symptoms are connected
Perimenopause and menopause can present in many ways.
Your complex picture of symptoms does have an answer.
- Hot flashes & night sweats
- Fatigue
- Brain fog
- Sleep disturbances
- Weight changes
- Low sex drive
These concerns can have different causes. Your physician evaluates what is going on and which options are appropriate.
How it works
Clarity before commitment.
Hear from the specialist
Dr. Ty uses up-to-date evidence and guidelines, along with compassionate care, to put together the big picture—connecting hormonal changes, metabolic shifts, and biological factors.
Choose the next step
Dr. Ty may recommend hormone treatment, weight-loss medications, or lifestyle changes. Your treatment is always individualized.
Follow-up that actually matters
No arbitrary memberships or pre-planned rules. You and Dr. Ty schedule follow-ups that are meaningful to you and your care.
Private virtual visits
Choose the care you want to explore.
Each path starts with your questions, goals, and health history.
Hormone replacement therapy
$250
HRT visit
- Discuss hormonal changes and perimenopause or menopause concerns
- Review symptoms, goals, and health history
- Understand treatment options and which may be appropriate for you
Medication and laboratory costs are not included. Dr. Ty's current total-and-free testosterone test is $30 when that testing is ordered. Treatment requires an individual evaluation; a prescription is not guaranteed.
Medical weight management
$150
Weight-management visit
- Discuss metabolic concerns, weight changes, appetite, and food noise
- Review medications, goals, and health history
- Understand treatment options and which may be appropriate for you
Medication and laboratory costs are not included. Treatment requires an individual evaluation; a prescription is not guaranteed.
Individual care
Health care and treatment plans.
Your treatment plan is based on your individual evaluation and may change as you and Dr. Ty learn what works for you.
HRT
Perimenopause and menopause treatment may include
- Estradiol and progesterone
- Topical testosterone
- A comprehensive overview of your symptoms, the evidence, and what makes sense for you and your lifestyle
When medically appropriate.
Metabolic and weight management
Medical treatment may include
- Medication options such as GLP-1 and GLP-1/GIP medicines
- Individually tailored dietary and exercise programs
- A teamwork approach to treatment that is individualized to you
When medically appropriate.
Meet your physician
A doctor who listens and treats every patient as an individual and teammate in their healthcare.
Dr. Zuleikha Tyebjee is a board-certified Family Medicine physician who specializes in perimenopause, menopause, and medical weight loss. She has years of experience in her field and stays up to date on the evidence, studies, and professional guidelines relevant to your health. She truly cares about each patient, and that is reflected in her care.
Board-certified physician in Family MedicineSpecialist in perimenopause, menopause, and medical weight loss100% virtual care available in 15 states
Free physician-led masterclass
Watch Dr. Ty’s modern menopause masterclass.
Learn directly from Dr. Ty before deciding whether you want a private visit.
Modern Menopause Management, Evidence and TreatmentRegistration is required before watching
What Dr. Ty covers
Dr. Ty explains why symptoms can reach far beyond hot flashes, what hormone testing can and cannot tell us, and why the right care plan depends on the individual.
- How sleep, focus, mood, sexual health, and daily life can change
- Why a normal lab result may not settle every question
- How estradiol, progesterone, and topical testosterone may differ
- Why your response to treatment belongs in the ongoing conversation
Educational information only. The masterclass does not diagnose, prescribe, or replace an individual physician visit.
A real person follows up
Your nurse call will be with Jeff Burger, RN.
Jeff helps you understand the practice, visit cost, and scheduling process. He does not diagnose, recommend treatment, or replace your visit with Dr. Ty.
Expected call window: the next business day, 5:00–6:00 PM Central.
If you book or reply first, tell the team so Jeff can update your follow-up. After booking, Tebra sends your appointment information and secure intake instructions.
Common questions
Before you begin.
Do I need new lab work before booking?
You can book before arranging new tests. Bring any recent results you have. Dr. Ty decides which tests are useful and when they are needed, including tests required before a particular treatment. When she orders labs, the practice sends an order. Confirm your chosen laboratory accepts it and check your expected cost.
Can I use my pharmacy and insurance?
Discuss your preferred pharmacy with the practice. The team can help with prescription coverage requests when appropriate, but insurance approval, pharmacy availability, and out-of-pocket costs vary. The physician visit, medication, and laboratory charges are separate.
What if HRT is not appropriate for me?
A prescription is not guaranteed. Dr. Ty will explain the options and next steps she recommends after evaluating your individual situation.
What happens after I book?
Tebra, our secure patient system, sends your appointment information and clinical intake instructions. Complete your medical forms there. Jeff can help with the practice process and scheduling; your medical history belongs in the secure patient system.
How often will I need another visit?
You and Dr. Ty decide on meaningful follow-up based on your care. There is no required membership or automatic visit schedule. Ask about the expected plan and costs during your appointment.
Do I need to know if HRT is right for me?
No. As Dr. Ty says, “HRT is not one size fits all.” Your physician visit is where you discuss symptoms, medical history, benefits, risks, and appropriate options. The nurse introduction explains the practice and scheduling.
What if my hormone labs have been normal?
Bring those results and your concerns to your physician visit. Dr. Ty discusses why symptoms and history matter alongside any testing. Normal hormone results do not answer every question about perimenopause, and your physician may evaluate other causes of symptoms.
What if I have not done well with HRT before?
Tell Dr. Ty what you tried and how it affected you. In her masterclass, she emphasizes that responses vary and understanding the different options matters. A different plan may or may not be appropriate after an individual evaluation.
Do I have to watch the masterclass first?
No. The masterclass and nurse call are optional. You can book directly with Dr. Ty.
What does care cost?
The nurse introduction is free. HRT physician visits are $250, and separate weight-care visits are $150. Medication, pharmacy, and laboratory costs are separate.
Is weight care required?
No. Weight care is a separate, optional service. Hormone care is the focus of this practice introduction.
Are visits available in my state?
Care depends on physician licensure and where you are located at the time of your appointment. Ask the nurse to confirm availability before scheduling.
Come with your questions
Find answers to the questions no one else is listening to.
Come with your questions and engage in an open conversation with Dr. Ty. You deserve answers, and you deserve not to have your symptoms dismissed. We will work together to find the right treatment plan and adjust it along the way if needed.
Watch the free masterclassNurse calls do not diagnose or prescribe. Clinical intake and medical information are handled through Tebra after booking.