Root-cause medicine to help high-performing women rebalance hormones, restore energy, and feel like themselves again.
perimenopausal support
You're a motivated, high-performing woman who takes care of herself—but something feels off.
let me guess...
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?
I created this 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.
We use advanced testing to uncover what’s really going on, and then we create a personalized, data-driven plan that has the structure and accountability necessary 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.
BECAUSE THIS IS EXACTLY HOW MY PERIMENOPAUSAL PATIENTS USED TO FEEL.
(And so did I.)
how hormone shifts impact your physiology
Resilience
You receive ongoing guidance, education, and accountability to help you implement changes with confidence and clarity. The goal is not just improvement, but resilience—helping you maintain progress and understand how to support your health long-term.
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.
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.
Hormonal Change
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.
We design testing and treatment based on your unique symptoms, history, and goals.
This is NOT a one-size-fits-all approach.
When we address the root of your hormone and gut issues, you can feel like yourself again—clear, energized, and resilient.
What if I told you there is a better way?
Transform Yourself with Rise
Clarity, resilience, rested, refreshed
Anxiety, insomnia, brain fog, memory loss
Energized, strong, vibrant, resilient
Fatigued, loss of resilience, burned out
Regular, smooth, & effective digestion
Bloated, erratic bowel movements
Strategic & personalized supplement plan
Confused, taking random supplements
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.
10: What type of training did you receive?
9: Can you prescribe medications or HRT?
8: What are the benefits of working with a nurse practitioner?
7: Can I use my HSA or FSA?
6: Can I use my health insurance? How much reimbursement should I expect?
5: How does testing work?
4: Can I see you in-person? How are appointments conducted?
3: Where do you see patients?
A
Q
Not at all. Many clients work with me proactively to optimize hormones, energy, gut health, and longevity before symptoms begin.
A
Q
10: What type of training did you receive?
9: Can you prescribe medications or HRT?
8: What are the benefits of working with a nurse practitioner?
7: Can I use my HSA or FSA?
6: Can I use my health insurance? How much reimbursement should I expect?
5: How does testing work?
4: Can I see you in-person? How are appointments conducted?
3: Where do you see patients?
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.
A
Q
10: What type of training did you receive?
9: Can you prescribe medications or HRT?
8: What are the benefits of working with a nurse practitioner?
7: Can I use my HSA or FSA?
6: Can I use my health insurance? How much reimbursement should I expect?
5: How does testing work?
4: Can I see you in-person? How are appointments conducted?
3: Where do you see patients?
Appointments are conducted virtually via telehealth. There may be opportunities for in-person visits in the future.
A
Q
10: What type of training did you receive?
9: Can you prescribe medications or HRT?
8: What are the benefits of working with a nurse practitioner?
7: Can I use my HSA or FSA?
6: Can I use my health insurance? How much reimbursement should I expect?
5: How does testing work?
4: Can I see you in-person? How are appointments conducted?
3: Where do you see patients?
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.
A
Q
10: What type of training did you receive?
9: Can you prescribe medications or HRT?
8: What are the benefits of working with a nurse practitioner?
7: Can I use my HSA or FSA?
6: Can I use my health insurance? How much reimbursement should I expect?
5: How does testing work?
4: Can I see you in-person? How are appointments conducted?
3: Where do you see patients?
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.
A
Q
10: What type of training did you receive?
9: Can you prescribe medications or HRT?
8: What are the benefits of working with a nurse practitioner?
7: Can I use my HSA or FSA?
6: Can I use my health insurance? How much reimbursement should I expect?
5: How does testing work?
4: Can I see you in-person? How are appointments conducted?
3: Where do you see patients?
- 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.
A
Q
10: What type of training did you receive?
9: Can you prescribe medications or HRT?
8: What are the benefits of working with a nurse practitioner?
7: Can I use my HSA or FSA?
6: Can I use my health insurance? How much reimbursement should I expect?
5: How does testing work?
4: Can I see you in-person? How are appointments conducted?
3: Where do you see patients?
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.
A
Q
10: What type of training did you receive?
9: Can you prescribe medications or HRT?
8: What are the benefits of working with a nurse practitioner?
7: Can I use my HSA or FSA?
6: Can I use my health insurance? How much reimbursement should I expect?
5: How does testing work?
4: Can I see you in-person? How are appointments conducted?
3: Where do you see patients?
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.
A
Q
10: What type of training did you receive?
9: Can you prescribe medications or HRT?
8: What are the benefits of working with a nurse practitioner?
7: Can I use my HSA or FSA?
6: Can I use my health insurance? How much reimbursement should I expect?
5: How does testing work?
4: Can I see you in-person? How are appointments conducted?
3: Where do you see patients?
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.
A
Q
10: What type of training did you receive?
9: Can you prescribe medications or HRT?
8: What are the benefits of working with a nurse practitioner?
7: Can I use my HSA or FSA?
6: Can I use my health insurance? How much reimbursement should I expect?
5: How does testing work?
4: Can I see you in-person? How are appointments conducted?
3: Where do you see patients?
Many of my clients are just like you—smart, capable women who suddenly feel out of sync with their bodies.
who am I, anyway?
Hi! I’m DR. Ashley Shrader, DNP, IFMCP
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.
Personalized Program Recommendation
Wellness Evaluation
A comprehensive review of your history, symptoms, goals, and labs to uncover key patterns and root causes.
Guided Implementation & Integration
Based on your evaluation, we outline the right level of care and map a strategic plan built around your physiology, goals, and lifestyle — sequenced intentionally for lasting results.
Inside your program, you receive ongoing clinical oversight, education, and accountability. You’re guided step by step — building resilience, not just short-term improvement.
A data-driven process that uncovers root causes, defines your strategy, and supports you every step of the way.
A Clear, Structured Path Forward
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