HORMONE + GUT HEALTH

Root-cause medicine to help high-performing women rebalance hormones, restore energy, and feel like themselves again.

More than symptom management—

Together, we’ll heal your gut, balance your hormones, and restore your vitality.

The way you’re feeling doesn’t have to be your “new normal.” You deserve solutions, not bandaids.

When we get to the root of your hormone and gut issues, we can fix them—for good.

Let me guess...

You're a motivated, high-performing woman who takes care of herself—but something feels off.

Look familiar?

  • Your sleep is disrupted by hot flashes, night sweats, or restless thoughts.

  • Brain fog and memory lapses are making work and life harder to manage.

  • Energy crashes hit out of nowhere and leave you feeling unmotivated or moody.

  • Digestive issues—like bloating, constipation, or IBS—seem to be getting worse with time.

  • Your workouts don’t feel as effective, and your body isn’t bouncing back like it used to.

  • You just DON’T FEEL LIKE YOURSELF.

Your doctor says everything’s “normal,” but you know something isn’t right.

How do I know?

BECAUSE THIS IS EXACTLY HOW MY PERIMENOPAUSAL PATIENTS USED TO FEEL.

(And so did I.) 

I created the perimenopause program because I’ve personally experienced the frustration of feeling “off” while being told everything is fine. And in my practice, I began to see the same patterns again and again—women in their 30s, 40s, and 50s dealing with hormone shifts, worsening gut symptoms, and rising inflammation… and not getting the support they needed.

Hormonal change doesn’t happen in isolation. It impacts your digestion, mood, metabolism, and sleep. When these systems become dysregulated, the effects ripple through every part of your life.

These symptoms are common—but they’re not normal, and they’re not something you just have to accept.

This program goes deeper than conventional care. We use advanced testing to uncover what’s really going on, and then we create a personalized, data-driven plan to help you feel like yourself again.

When we address the true root causes, the results are often life-changing—not just better labs, but better sleep, better energy, better mood, and a deeper sense of ease in your body.

Hormonal Change

Midlife hormonal changes—like fluctuating estrogen and progesterone—can disrupt sleep, mood, metabolism, and cycle regularity. Without support, these shifts can accelerate symptoms like fatigue, anxiety, weight gain, and brain fog.

Gut-Brain Axis

Gut-brain axis

Gut health plays a critical role in hormone regulation and mental well-being. As estrogen fluctuates, it can impact the microbiome—leading to bloating, constipation, or IBS—and disrupt neurotransmitters that affect mood, memory, and focus.

Resilience

Microbe

As hormone levels shift, you may notice longer recovery times, lower stress tolerance, and decreased muscle strength or bone density. Without a targeted approach, this can lead to burnout, injury, or feeling like your body is working against you.

WHAT IF I TOLD YOU...

There is a better way!

You deserve real answers—and a plan that works.

When we address the root of your hormone and gut issues, you can feel like yourself again—clear, energized, and resilient.

Introducing RISE RESET:

Gut + Hormone Health in Perimenopause

A structured, personalized program built just for women in perimenopause. Designed to help you feel better—often within the first month.

Created to support you through every phase of this transition—from confusion and symptoms to clarity, healing, and long-term vitality.

ARE YOU READY TO FEEL LIKE YOURSELF AGAIN?

This is NOT a one-size-fits-all approach.

We design testing and treatment based on your unique symptoms, history, and goals.

Functional medicine offers the kind of personalized, root-cause care that’s essential for navigating the complex, system-wide changes of perimenopause.

When we uncover and address what’s really driving your symptoms, you don’t just survive midlife—you thrive beyond what you thought was possible.

Functional Medicine Testing in Perimenopause

Get answers with advanced labwork available in our structured programs

  • Women in perimenopause often experience increased demand for key nutrients due to hormonal fluctuations, gut dysfunction, and chronic stress. We assess levels of vitamins, minerals, and antioxidants to support energy, hormone balance, cognition, and immune resilience.

  • Bloating, constipation, IBS, and food reactivity are common in perimenopause—and often rooted in microbial imbalances. We use advanced stool testing to evaluate digestion, pathogens, inflammation, and microbiome diversity so we can restore your gut from the inside out.

  • This urine-based test gives insight into mitochondrial function, neurotransmitter balance, detox pathways, and nutrient status. It’s especially helpful for unexplained fatigue, brain fog, and chronic inflammation that don’t show up on standard labs.

  • Perimenopause is a dynamic hormonal transition, not a sudden drop. We evaluate estrogen, progesterone, testosterone, cortisol, and DHEA—often through blood testing—to understand the full picture and support natural balance or HRT when appropriate.

  • Midlife shifts can impact blood sugar, cholesterol, and blood pressure—often before symptoms appear. We assess insulin resistance, advanced lipids, and inflammation to reduce long-term risk and optimize metabolism now through Cleveland HeartLab®.

  • Your DNA can influence how you detoxify hormones, absorb nutrients, manage stress, and respond to inflammation. We use genetic insights to personalize your care plan for more effective, targeted results.

Transform Yourself with Rise

Fatigued, loss of resilience, burned out

Energized, strong, vibrant, resilient

Clarity, resilience, rested, refreshed

Anxiety, insomnia, brain fog, memory loss

Regular, smooth, & effective digestion

Bloated, erratic bowel movements

Strategic & personalized supplement plan

Confused, taking random supplements

who am I, anyway?

Hi! I’m Ashley Shrader, DNP, IFMCP

Many of my clients are just like you—smart, capable women who suddenly feel out of sync with their bodies.

I’m a certified functional medicine practitioner with a deep passion for hormone and gut health. And I get it—because I’ve been there too.

After years of pushing through unexplained fatigue, brain fog, and other autoimmune symptoms, I realized something deeper was going on. It wasn’t until I started digging into root causes that I was finally able to heal—without guesswork, gaslighting, or bandaid fixes.

That’s why I do what I do.

 FAQs

  • Yes. This is one of my specialties. I support women navigating hormonal shifts (whether it’s PMS, perimenopause, or menopause), gut issues, mood changes, fatigue, and more- using a personalized, root-cause approach.

  • Not at all. Many clients work with me proactively to optimize hormones, energy, gut health, and longevity before symptoms begin.

  • I currently accept patients located in Oregon, Washington, Idaho, Florida*, Maryland, Massachusetts, Virginia, Washington, D.C., and Colorado.

    If you do not live in these locations, reach out or check back soon as this list is likely to expand!

    *Learn more about the Florida Telehealth License here.

  • Appointments are conducted virtually via telehealth. There may be opportunities for in-person visits in the future.

  • I will provide you with an order for bloodwork after our first visit, which you can complete at a local Labcorp.

    Other functional tests such as stool tests, saliva, and breath tests can be sent directly to your home and shipped from your home to the lab. We have partnered with Rupa Health and Evexia to streamline this testing process.

  • To offer the very best in care without the shortcuts often required by insurance companies, Rise is out-of-network, direct pay only. Please take the time to understand your insurance benefits and deductibles.

    We can provide a superbill for the medical services included in your program, which you can submit to your insurance provider for potential out-of-network reimbursement.

    However, since our programs are structured as comprehensive, prepaid packages, it’s important to understand how superbills work in this context:

    What’s included on a superbill?

    A superbill is a detailed receipt that includes:

    • Dates of your provider visits

    • CPT (procedure) and ICD-10 (diagnosis) codes

    • The provider’s credentials and NPI number

    • Fees for eligible medical services

    We itemize each billable medical visit (like your initial consult, lab review, or follow-ups), even though you’ve paid for the program as a bundle. These visits are assigned a fair-market rate and submitted individually.

    What’s not included on a superbill?

    Insurance will not reimburse for:

    • Supplements

    • Lab kits or blood draw fees

    • CGMs, wearable devices, or scales

    • Peptides or hormone therapy medications

    • Health coaching, educational materials, or messaging access

    These items are bundled into your program cost for convenience but are not reimbursable through insurance.

  • In many cases, yes—you can often use your Health Savings Account (HSA) or Flexible Spending Account (FSA) to pay for:

    • Medical visits

    • Functional lab tests

    • Supplements (with appropriate documentation)

    • Some devices or prescriptions (depending on your plan)

    Let us know and we’re happy to provide the necessary receipts or letters of medical necessity.

  • Nurse practitioners are ideal functional medicine practitioners due to their dual training in conventional and holistic diagnostic and treatment modalities. Nurse practitioners are trained how to implement a therapeutic encounter through deep understanding of the mental, emotional, and spiritual health of the patient.

  • Yes. As a board-certified Family Nurse Practitioner, I can prescribe medications, including bioidentical hormone replacement therapy (HRT) and peptides, when clinically appropriate.

    I have advanced training in hormone optimization through the North American Menopause Society (NAMS) and have completed specialized education with Dr. Neil Rouzier, a leading expert in evidence-based hormone therapy.

    With years of experience prescribing HRT and peptides for both perimenopausal women and endurance athletes, I ensure that every prescription is personalized based on your labs, symptoms, goals, and overall physiology.

  • I am an Institute for Functional Medicine Certified Practitioner (IFMCP), Doctor of Nursing Practice (DNP), and board-certified Nurse Practitioner through the AANP. I received my doctorate from Frontier Nursing University and my Family Nurse Practitioner degree from George Washington University. I have received extensive training in the biological sciences—including anatomy, physiology, pathophysiology, epidemiology, blood chemistry, and pharmacology—as well as hormone therapy, gender-affirming care, and conventional medical diagnosis and treatment. In addition, I have completed comprehensive training in clinical nutrition and lifestyle counseling. I’ve also completed dedicated continuing education focused on the unique health needs of female athletes, including hormone optimization, energy availability, and performance support. I am also a 200-hour Registered Yoga Teacher with Yoga Alliance.

What Rise Clients are Saying…

  • "Here’s to my “MVP” - aka Most Valuable Practitioner, Ashley Shrader, NP!"

    I had a “team” of providers who I went to for deep tissue massages, chiropractic care, acupuncture treatment, nutrition guidance, training advice, and pre-workout energy supplements. Improving my hormone health through meetings with Ashley was the last piece of the puzzle for this 55 year old former 400-intermediate hurdler turned distance runner. It took me 5 years to qualify for the Boston Marathon, but I made it and ran and danced my way through all 26.2 miles of the course! I didn’t even try to PR…. I just celebrated and soaked up the day. I’ll always be grateful to the team that helped it happen and Ashley’s health advice was a big part of my fitness and ability to qualify and then “party” the day away! Thank you for your invaluable health guidance and support, Ashley! You’re forever a part of my Boston experience!”

    -CT, 127th Boston Marathon Finisher

  • "I cannot recommend this practice more."

    I have dealt with chronic symptoms and I was told by numerous doctors that I was “fine” even though I felt horrible. I’m young, active and generally healthy, and knew I shouldn’t feel this bad everyday.

    I came across Rise and I’m SO glad I did. Not only is Ashley extremely kind, intelligent, compassionate and thorough but she also really genuinely listens to your needs and wants you to feel better. She offers thoughtful treatment suggestions and holistic approach is backed by science. In my short few months of following her treatment plan, I have never felt better. My brain fog has lifted, I feel lighter, happier and like myself again. I’m so grateful to have found Rise and I would HIGHLY recommend anyone who is thinking about making an appointment to do so!

    -VR

  • “She was intuitive in looking deeper in areas I had never considered.”

    I’ve had many women ask me who I use for my ‘women stuff’ and I tell them, Ashley Shrader. She LISTENED intently to concerns I had and was intuitive in looking deeper in areas I never considered. If you are looking for an NP that knows hormones, autoimmune issues, and LISTENS, I highly recommend her!

    -JB

  • “I will never forget your kindness.”

    I will never forget your kindness, thoughtfulness, patience, and personal interest in making my life, journey healthier, in both body and mind. Our paths connecting was life altering for me. I do not have all the words, but can tell you how much I have appreciated all you gave me through this journey, both professionally, and personally!

    -DS

  • "She doesn’t stop at a diagnosis..."

    Ashley is one of the most intelligent providers I’ve ever worked with. She doesn’t stop at a diagnosis but truly wants to find the deeper underlying causes and address those. She’s compassionate, a great listener, works hard for her patients, and has a desire to keep learning as functional medicine continuous to improve. HIGHLY RECOMMEND! She’s one of the good ones!!!

    -RM

  • "She will dive deep into your health..."

    Dr. Shrader is not only incredibly knowledgeable in the field of functional medicine, she is also one of the kindest humans on the planet. She listens, is compassionate, and will dive deep into your health to look for root cause issues. She is one of the best out there— Can’t recommend highly enough.

    -SR