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You have symptoms and want a proper basis for decisions
Hot flashes, sleep disturbances, brain fog, mood swings, or joint pain. You get a full picture and a treatment decision grounded in your lab values and your history.
Health through menopause. Assessment, treatment decision, and three months of follow-up.
For women who need help regaining balance and feeling as well as possible in the years before and after menopause. The years around menopause change bone mass, body composition, blood lipids, sleep, and insulin sensitivity, often before periods have stopped. The assessment targets both the symptoms now and the long-term risk of osteoporosis, cardiovascular disease, and cognitive decline, and is followed up over three months.
What it is
The symptoms now, and the risks over time.
Menopause care is often about relieving the symptoms here and now. That matters, and it is included. But the loss of estrogen affects the skeleton, heart, blood vessels, and brain over decades, often without being felt, and that is where the right decision has the greatest long-term effect. My approach starts from long-term health: preserving bone mass, muscle, blood vessels, and cognition while they can still be influenced.
The foundation is the Health Assessment: over 50 blood markers with hormone tests, thyroid, blood lipids including ApoB and Lp(a), insulin, and blood sugar, analyzed from a functional medicine perspective. Added to that is your story: symptoms, sleep, history, and family history. You measure your blood pressure at home. You measure your body composition yourself, following my instructions, at a gym or clinic near you with an InBody scale (often free of charge or around 200 SEK), because many gain weight around the abdomen in this period, and fat around the internal organs increases the risk of insulin resistance, lipid abnormalities, and cardiovascular disease.
Then we go through everything together for 60 minutes and make a decision. Sometimes the plan is about exercise, diet, and sleep. Sometimes menopausal hormone therapy is warranted, and then I manage initiation and follow-up remotely. Often it is both. You receive the plan in writing. After four to six weeks we check in by phone, and after three months we meet again on video to evaluate and adjust. Abnormal values are re-tested after four to six weeks if needed, otherwise after twelve. All of this is included in the price.
Your path
Your history decides what we add.
Based on your symptoms, your values, and your family history, we choose the add-on investigation that is warranted. Anything added is booked at the add-on price and reviewed at the follow-up that is included. I send the referral so that you only need to choose a time.
| If you have | Then we add | Price |
|---|---|---|
| Osteoporosis in the family or risk factors | Bone density measurement with DXA. After menopause, bone mass can decline rapidly in the first years, and roughly one in two women in Sweden suffers an osteoporotic fracture in her lifetime (Kanis 2000; Compston 2019). When bone density is measured early, bone loss can be slowed with exercise, diet, and, where needed, treatment. | 2,900 SEK |
| Weight that has crept up, inflammation, blood sugar imbalance, or high blood lipids | AMRA, an MRI-based measurement of fat around the internal organs, liver fat, and muscle volume, and a decision on medical weight treatment. See Metabolic health. | 5,500 SEK |
| Alzheimer’s in the family | Targeted risk assessment of brain health as needed and in consultation with you: for example continuous glucose monitoring or APOE genotyping, beyond the blood lipids, blood sugar, and insulin in the panel. | from 3,900 SEK |
| Digestive problems | In-depth functional medicine assessment of the stomach and gut. | price on request |
| Thyroid problems | Targeted hormone assessment and optimization, with supplementary tests as needed. | included |
| Breast cancer in your history | An adapted plan: alcohol, physical activity, diet and supplements, and screening beyond mammography. Hormone therapy is weighed with particular care. | included |
Who it’s for
When is the assessment right for you?
For women in, or approaching, menopause and want a medical basis for decisions on treatment and preventive measures.
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Your body is changing despite the same habits
Weight shifts toward the abdomen, fitness and strength decline, blood lipids creep upward. It is often hormonal and metabolic at the same time, and both parts can be measured and influenced.
03
You want to prevent osteoporosis, cardiovascular disease, and dementia
Osteoporosis, cardiovascular disease, or dementia in the family, or simply the wish to know where you stand. What is measured now becomes a baseline to compare against.
For many years I had felt lost about my hormonal problems and felt that no one had really taken a comprehensive approach to my health. When I came to Nathalie, I felt for the first time that someone saw the whole picture. She took the time to listen, was thorough in her investigation and testing, looked at my health as a whole instead of individual symptoms, and made me feel safe throughout the process. I have felt seen, understood, and involved in my treatment. Her knowledge, commitment, and holistic view have made a great difference to both my health and my well-being.
Malin
What’s included
In the price.
Everything in the Health Assessment is included- Blood draw · Over 50 blood markers at Synlab, including hormone tests, thyroid, ApoB, Lp(a), insulin, and HbA1c. If you have a menstrual cycle, FSH and estradiol are preferably drawn on day 3 to 5 of the cycle.
- Health questionnaires · Two questionnaires on symptoms, history, family history, and goals
- Home blood pressure · Measured at home according to instructions, included in the basis for decisions
- Body composition · You do this yourself, following my instructions, at a gym or clinic near you with an InBody scale (often free of charge or around 200 SEK). A baseline to follow over time
- Video visit · 60 minutes with me: the values, your history, your family history, and the decision on the way forward
- Treatment when warranted · A decision on menopausal hormone therapy is included, with initiation and prescription management remotely. An up-to-date mammography through the national screening program is a prerequisite, and on hormone therapy I recommend a gynecological check-up every year.
- Written plan · A personalized plan for exercise, diet, sleep, and any treatment, via secure link after the visit
- Follow-up for three months · A 20-minute phone check-in after four to six weeks, and a 30-minute video visit after three months for evaluation and adjustment. Re-testing of abnormal values is included. If we have added an add-on investigation, we go through it at the follow-up.
On menopausal hormone therapy
When hormone therapy is warranted.
Hormone therapy is a well-founded choice for many women, and not for others. My task is to assess which applies to you. I prescribe when the benefit for you specifically outweighs the risks, with modern preparations and follow-up according to guidelines, and I advise against it when the evidence points against it. The decision is made in the review, on your values and your history, not in advance.
The plan does not rest on treatment alone. Bone density, muscle mass, blood lipids, and sleep are affected by exercise, diet, and habits either way, and the lifestyle part of the health plan is always central. If we choose treatment, it is followed properly: a phone check-in after four to six weeks, an evaluation on video at three months, and thereafter continued follow-up with prescriptions, tests as needed, and an annual renewed assessment within the Long-term health membership. Ongoing treatment requires follow-up, which is why it is not offered as a one-off purchase.
Practical
How it works.
- You book and receive confirmation, health questionnaires, and instructions for home blood pressure.
- Blood draw at Synlab on a drop-in basis, fasting in the morning. Time it to your menstrual cycle if you have one.
- I analyze lab results, blood pressure, body composition, and questionnaires before we meet.
- Video visit, 60 minutes, with a treatment decision and the choice of any add-on investigation.
- The health plan arrives in writing, and any treatment is started.
- Add-on investigation if needed: I send the referral, you choose a time.
- Phone check-in after four to six weeks, 20 minutes. Re-testing if anything needs to be repeated.
- Follow-up on video after three months, 30 minutes: evaluation, adjustment, and a decision on what comes next.
Video visits take place wherever in Sweden you live.
Frequently asked questions.
Why not just relieve the symptoms?
Relief matters, and it is included. But the loss of estrogen affects the skeleton, heart, blood vessels, and brain over decades, often without being felt. That is where the right decision has the greatest long-term effect, and that is why the assessment looks at bone mass, body composition, blood lipids, and blood sugar, not just the hot flashes.
Do I have to do a bone density measurement?
No. Bone density is measured when it adds something: osteoporosis in the family, early menopause, low weight, cortisone treatment, or other risk factors. Your history and your symptom picture decide which path we take, and we only add what contributes to the assessment.
Do I have to want menopausal hormone therapy to book?
No. The assessment is a basis for decisions. Hormone therapy is prescribed only when it is warranted, and you decide for yourself whether you want it. A large part of the plan is about exercise, diet, and sleep regardless of what we decide about hormones.
Can everything be done remotely?
Yes, as a rule. You have the blood draw and any add-on investigations done at the nearest location that offers them, you measure your blood pressure at home, mammography and cervical screening take place through the national screening programs, and the visits are by video. If you are on hormone therapy, I recommend a gynecological check-up once a year, with your own gynecologist or via referral. Should anything require a physical examination or other investigation, I will say so, and we arrange it through the right clinic.
I don’t know if I’m in menopause yet. Is it too early?
Perimenopause often begins several years before periods stop, and that is often when the symptoms and changes are at their greatest. The hormone tests and the symptom picture together provide the basis for the assessment, and a baseline now is valuable either way.
What happens after the three-month follow-up?
I recommend that most people continue in the Long-term health membership, whether or not treatment has been started: a check-in every three months, prescriptions, tests when needed, and an annual check-up with the full panel. If you are on hormone therapy, that is where the follow-up takes place. Without treatment, you choose for yourself: many continue to follow their values, others return when needed. You keep the plan either way.
What is not included?
Gynecological examination, mammography, and cervical screening are done with your gynecologist and through the screening programs respectively. I make sure they are up to date and bring the results into the assessment. I do not offer cognitive screening. Brain health is assessed through what can be influenced: blood lipids, blood sugar, blood pressure, sleep, and fitness.
The way forward
Everyone starts with a Health Assessment.
Phone consultation1,500 SEKAdvice without lab work. Credited if you go on to a Health Assessment within 30 days.Health Assessment7,500 SEKOver 50 blood markers, a 60-minute video visit, and a written health plan. The foundation everything else builds on.
Deeper assessmentsfrom 12,900 SEKMenopause, metabolic health, physical health, or whole-body MRI assessment. All include the Health Assessment.You are here
Other deeper assessments
Next step
Ready to book the assessment?
Book directly online. You receive instructions for the blood draw, home blood pressure, and health questionnaires by email.