Zhanna Tarjeft, FNP-BC, FMCP-M
Personalized hormone and functional medicine care for patients who want more than a quick prescription — but do not want to be buried in endless testing either.
I created Sprouts Health to offer thoughtful, individualized care that connects symptoms with the clinical factors most likely to matter — including hormones, thyroid function, metabolism, nutrients, and digestive health.
I learned early that one diagnosis rarely explains everything.
My own experience with Hashimoto’s and hypothyroidism changed the way I thought about chronic symptoms. Thyroid treatment mattered — but it was not always the entire answer.
That experience led me to look more closely at nutrition, digestion, nutrient status, metabolic health, hormones, and the other factors that can influence how a patient feels and responds to treatment.
Today, I use that same approach with patients: start with the clinical story, identify the most meaningful patterns, and build the plan from there.
Hormones are often part of the picture — but not always the whole picture.
Fatigue, stubborn weight changes, poor sleep, brain fog, low libido, changing cycles, low testosterone, thyroid symptoms, low ferritin, and digestive concerns can overlap.
Rather than assuming every symptom is “just hormones,” I look at the clinical context and focus on the areas most likely to improve your health.
Personalized care without the one-size-fits-all protocol.
Not every patient needs an extensive functional medicine workup. Testing and treatment should be driven by your symptoms, history, goals, and what is likely to change management.
Your care may include:
- Hormone evaluation and treatment
- Thyroid medication review and optimization
- Metabolic and blood sugar assessment
- Ferritin, iron, B12, vitamin D, and nutrient review
- Digestive and gut evaluation when relevant
- Nutrition and targeted supplement recommendations
- Ongoing lab monitoring and treatment adjustments
Your case is personally reviewed.
Sprouts Health is intentionally small. I personally review each patient’s history, laboratory results, treatment response, and plan.
That means your care is not based on a generic protocol or passed between multiple clinicians. You should understand why something is being recommended, what we are watching, and what the next step is.
Clinical care grounded in continuing education.
- Board-certified Family Nurse Practitioner
- Functional Medicine Certified Practitioner training
- Advanced functional medicine education
- Hormone and healthy-aging continuing education
- Training in nutrition, genetics, thyroid, gut health, and metabolic medicine
You do not need to arrive with the diagnosis figured out.
You do not need to know whether your symptoms are caused by hormones, thyroid dysfunction, low ferritin, metabolism, or gut health before you book.
That is what the initial evaluation is for. We start with your story, review what has already been done, and decide what deserves attention first.
If your needs fall outside the scope of Sprouts Health or require a highly specialized evaluation, I will be transparent about that too.
Hormone & Gut Clarity Session
A comprehensive first visit to review your symptoms, history, medications, previous testing, and the clinical priorities that matter most.
If ongoing treatment is recommended, you’ll have the option to continue in the 90-Day Optimization Phase at $175/month.