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Why You Have Multiple Symptoms That Don't Make Sense

The Gut-Hormone Connection

The Gut-Hormone Feed-Forward Cycle












Gut Barrier Breakdown

Intestinal permeability (aka “leaky gut”) allows substances to enter the bloodstream and that can contribute to inflammation.

Nutrients like B12, vitamin D, zinc, magnesium, and amino acids may not be adequately absorbed or delivered to cells, leading to downstream effects on energy, mood, and hormone balance.

Hormone Synthesis & Receptor Loss

Your body can’t make or use hormones properly. The “docking stations” (receptors) for hormones become less responsive, and the production of key hormones like estrogen, testosterone, and insulin slows down.

Systemic Hormone Imbalance

Symptoms start stacking up: hot flashes, brain fog, stubborn weight gain, restless nights, and low libido.

Gut Motility & Microbiome Shift

Hormone changes disrupt the gut. They can slow digestion, reduce stomach acid, and trigger imbalances in gut bacteria—creating a cycle of ongoing symptoms.

Nutrient Malabsorption

Why Nothing Has Worked So Far






You've tried everything. Probiotics for your gut. Hormone supplements. Sleep aids. Stress management. But the symptoms keep coming back— or new ones appear.

Here's why: You're treating each symptom as a separate problem. 

But your symptoms aren't separate. They're part of a cycle—
and when you treat them in isolation, the cycle continues.

Here's what's actually happening:

Functional Medicine Testing

Get answers with advanced labwork available in our structured programs


Micronutrients +
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.
Microbiome and gut health +
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.
Organic acids testing +
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.
Hormones and adrenals +
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.
Cardiometabolic health +
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®.
Genetic testing +
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.

Test, don’t guess. All of our programs include access to advanced lab testing so you can understand exactly what’s driving your symptoms.


We use a targeted, whole-body approach to treatment:

Intensive coaching and mentorship


Nutrition planning, nutrient repletion, relearning how to eat for optimal nutrient absorption


Lifestyle and stress regulation strategies to support motility


Digestive support  and gut healing nutrients  



Targeted microbiome support (antimicrobials, prebiotics, postbiotics, probiotics)


Hormone therapy (estrogen, progesterone, testosterone)


By restoring gut integrity, reducing inflammation, and ensuring optimal nutrient absorption, we lay the groundwork for balanced hormones, steady energy, healthy metabolism, and a resilient nervous system.


A Healthy Gut is the Foundation for Hormone Optimization

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This is what we do at Rise. Let’s get started with your Wellness Evaluation today.

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.

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A data-driven process that uncovers root causes, defines your strategy, and supports you every step of the way.

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A Clear, Structured Path Forward

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