Onyx Injector Jamie
Board-Certified FNP + Menopause Society Certified Provider (MSCP). Co-founder of Onyx Aesthetics & Wellness + The Menopause Center.
Part 2 of my series, things providers say to my patients. “She doesn’t need to do labs to start you on hormones, that is ridiculous”.
Answer: You would be correct! I don’t HAVE to do labs to initiate hormone therapy. As a Menopause Society Certified Provider, I obtain labs before starting hormone therapy to ensure symptoms are hormone driven and not associated with underlying disease, such as under-active or overactive thyroid. While treatment decisions are driven by a patient's symptoms, bloodwork evaluation helps identify UNDERLYING conditions that may contribute to symptoms and ensures hormone therapy can be prescribed safely and effectively.
Baseline labs allow us to assess factors such as thyroid function, vitamin D & B12, iron, cardiovascular risk, liver function, and existing hormone levels when clinically appropriate. They also provide an objective starting point for monitoring treatment response and making individualized adjustments over time.
Menopause care is not a one-size-fits-all approach, and menopause care is NOT just starting hormone therapy. It’s a time to have important conversations surrounding the changes women are experiencing, and it’s important as providers that we listen. (And don’t judge).
06/05/2026
First week back in the office after vacation! We made so many great memories and I am so thankful for the time away with my family! I’m truly happy to be home, and back in the clinic! St John was by far my favorite! Next trip, I want to stay there or Lovango! 💕
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