Hormone Care That Looks Beyond One Lab Number
You’re not feeling like yourself. Your energy, sleep, mood, libido, or body composition has changed—and you’re ready to understand why.
I’m Zhanna Tarjeft, FNP-BC, FMCP-M. At Sprouts Health, I provide personalized hormone care for women navigating perimenopause and menopause, and for men experiencing symptoms of testosterone deficiency.
My approach combines your symptoms, medical history, appropriate laboratory evaluation, and ongoing monitoring to develop a treatment plan that fits you.
Book Your Clarity Session →Personalized care • Evidence-informed treatment • Telemedicine throughout Arizona
Hormone Care for Women & Men
Hormone changes look different for everyone. Whether you’re navigating menopause or concerned about testosterone deficiency, care begins with understanding your individual needs.
Perimenopause & Menopause Care
For women experiencing hormonal changes that affect how they feel and function in everyday life.
- Hot flashes and night sweats
- Poor sleep and brain fog
- Changes in mood and energy
- Low libido and sexual-health concerns
- Changing cycles and body composition
Treatment may include estradiol, progesterone, testosterone when indicated, and other individualized options.
Explore Women’s Hormone Care →Testosterone & Hormone Care
For men experiencing symptoms that may be related to testosterone deficiency or other contributing health factors.
- Low libido or sexual-health changes
- Persistent fatigue
- Reduced muscle mass or strength
- Changes in body composition
- Changes in mood or motivation
Care includes appropriate hormone evaluation, testosterone treatment when indicated, and ongoing monitoring.
Explore Men’s Testosterone Care →Hormone symptoms can overlap with thyroid, metabolic, and nutrient concerns. When relevant, I consider these factors without automatically recommending extensive testing. Learn about Gut + Thyroid Health →
Personalized Care, Step by Step
You deserve a clear plan—not a generic hormone protocol or unnecessary testing. Here’s what working together looks like.
Clarity Session
We discuss your symptoms, history, previous testing, concerns, and goals.
Focused Evaluation
I review the clinical picture and recommend additional testing only when appropriate.
Personalized Treatment
When indicated, we develop a plan based on your needs, preferences, and individual risks.
Ongoing Support
We monitor your response, review relevant labs, and adjust treatment when clinically appropriate.
Know What to Expect Before You Start
Begin with an initial evaluation. Continue with ongoing hormone care when it’s appropriate for your needs.
Hormone & Gut Clarity Session
An initial visit to review your symptoms, health history, medications, previous testing, and treatment priorities.
No ongoing membership commitment is required before your initial visit.
Optimization & Maintenance
Ongoing hormone management, follow-up care, treatment monitoring, laboratory review, and adjustments when clinically appropriate.
Laboratory testing, medications, and supplements are billed separately.
Sprouts Health is a cash-pay practice. Insurance is not billed and superbills are not provided. HSA/FSA eligibility depends on your plan.
Frequently Asked Questions
Do I need to be in menopause to receive hormone care?
No. Hormonal symptoms can occur during perimenopause, menopause, or other life stages. Care is based on your individual symptoms, medical history, and clinical needs.
What if my hormone labs are normal?
Laboratory results are only one part of an evaluation. I consider your symptoms, history, medications, life stage, and relevant health factors. Normal results do not automatically mean hormone treatment is appropriate, but your symptoms still deserve attention.
Do you prescribe bioidentical hormones and testosterone?
Yes, when clinically appropriate. Treatment may include estradiol, progesterone, or testosterone based on your individual needs, relevant findings, and potential benefits and risks.
Are laboratory tests and medications included?
No. Laboratory testing, prescription medications, and supplements are separate from the initial visit and monthly membership fees.
Do you accept insurance or HSA/FSA?
Sprouts Health is a cash-pay practice and does not bill insurance or provide superbills. HSA/FSA funds may be usable depending on your plan’s eligibility requirements.
Let’s Find the Right Next Step for Your Hormone Health
Whether you’re navigating perimenopause, menopause, or symptoms of testosterone deficiency, you deserve care that considers the whole clinical picture.
Start with a Clarity Session to discuss your concerns and determine whether Sprouts Health is the right fit.
Book Your Clarity Session →
Zhanna Tarjeft, FNP-BC, FMCP-M
Personalized Hormone Care | Arizona Telemedicine