Endocrinology
Hormones, Thyroid Disorders, PCOS & Metabolic Disorders
One Provider
Telehealth in Arizona, Illinois, Florida, W. Virgina, Delaware
It's not all in your head...Midlife comes with
Weight gain, Hot Flashes, Night Sweats,
Thyroid, Joints, Mood & other Metabolic changes.
- These systems are related, your care should be too
Skip going to Multiple Specialist & Waiting Rooms
Primary Care plus
Multiple Speacialties
Only ONE Provider
Integrated Telehealth
​Thats Lunaris Healthcare
Mel Randle AGACNP-BC
Your symptoms may be connected.
Your care should be too!
Skip the multiple specialists,
Book Your Appointment Today!
Restore Mood, Sleep & Energy Naturally
- From the Comfort of your Home
​​Perimenopause doesn’t look the same for every woman
Symptoms may include:​​
Hot Flashes or Night Sweats and Sleep Problems
Sudden heat, flushing, or sweating during the day or night that can disrupt sleep, concentration, and daily functioning.
Weight Gain or Metabolic Changes
Unexplained weight gain—especially abdominal—or difficulty losing weight despite consistent nutrition and exercise.
Brain Fog or Difficulty Focusing
Trouble concentrating,
Forgetfulness
Many patients describe this as not feeling as sharp or productive as they once were.
Mood Changes, Anxiety, or Irritability
Increased anxiety, mood swings, or feeling less resilient to everyday stress.
Joint or Muscle Aches
​ Stiffness, soreness, or joint pain—often in the hips, knees, hands, or shoulders—without a clear injury. Body feels less mobile
Low Libido, Vaginal dryness or frequent UTI
Reduced desire to have have sex, changes in arousal,Vaginal dryness, irritation, or pain with intercourse and frequent UTIs.
The Lunaris
- Integrated Approach
At Lunaris, we treat hormone imbalance at the root cause — not just the symptoms. ​
When symptoms overlap, the answer is not always one hormone, one medication, or one lab result.
Lunaris Health evaluates the bigger clinical picture before recommending next steps.
Comprehensive Lab Testing​
Complete hormone panel and other advanced lab testing with root-cause evaluation including markers related to thyroid function, hormones, blood sugar, insulin resistance, cholesterol, and overall health. etc.​
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Individualized Ongoing Monitoring
Personalized care based on your labs, symptoms, metabolic health, and goals — with ongoing safety check-ins. Treatment may include hormone therapy, thyroid support, weight-loss medication options, lifestyle guidance, follow-up planning, or nutrition counseling.
Nutrition and LifeStyle Coach​
Personalized nutrition education that no one tells you and planning for patients receiving hormone therapy, tailored to each person’s symptoms, lifestyle, metabolic health, goals, and individual needs.
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FDA-approved Bioidentical Hormones BHRT
FDA-approved bioidentical hormone prescription offer more consistent dosing, quality standards, safety oversight, and clearer monitoring — no compounded hormone products.
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Trusted by patients for ADHD, Hormone, Thyroid, Medical Weight Loss, Diabetes and Metabolic Medical Care
Emily R.
“Before finding Mel, I had given up on feeling ‘normal.’ Nothing worked, no matter how many doctors I saw. Now I feel like I’ve been given a second chance at life—finally addressing the hormones & mental health issues no one else would.”
Martha L.
“I was told HRT was too risky after my hysterectomy. Then I found Mel, who knew the safest most updated information on HRT. She guided me through a safe, evidence-based approach. I finally feel heard & it made such a difference in my physical mood, relationships, & work.”
Jason R.
“I thought my symptoms meant I had low testosterone, but I had no idea my thyroid was actually underactive. My labs had always been called ‘normal’ by my primary care doctor, yet no one could explain why I felt tired all the time.”
Does HRT offer benefits compared to not using hormone therapy?
- It's not only about Symptom Managment
​ Hormone Balance Provides
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Symptoms Relief
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Improved Quality of Life
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Starting hormone therapy early may
(before age 60 or within 10 years of menopause)
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Help protect against osteoporosis & fracture
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Lower your risk of heart attacks
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And Death from any cause
Compared to starting later or not at all.
What is Perimenopause, Menopause and Hormone Replacement Therapy
Telehealth Visits & Same Day Prescriptions in AZ, IL, FL, WV, & DE
(TRT IL & AZ only)
What are BHRT or "Natural" Bioidentical Hormones
BHRT stands for bioidentical hormone replacement therapy.​​
Plant-derived hormones that are chemically identical to the ones your body naturally produces.
Bioidentical hormones have the same molecular structure as hormones naturally produced by the body.
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These hormones are used in bioidentical hormone replacement therapy (BHRT) to help restore balance when hormone levels decline or become irregular.
The most commonly used hormones in BHRT include:
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Estrogen
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Progesterone
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Testosterone
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These hormones may be prescribed in several forms ​
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Oral medications
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Topical creams or gels
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Transdermal patches
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Injections
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Vaginal preparations
​Individualized treatments based on symptoms, medical history, and laboratory testing.
Understanding Perimenopause, Menopause & HRT
Definitions​
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Perimenopause:
The hormone transition before menopause. Periods may still happen, but symptoms can begin.
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Menopause:
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12 months without a menstrual period.
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Postmenopause:
The years after menopause.
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HRT:
Hormone replacement therapy used to treat symptoms related to hormone changes. This includes differnt forms of:
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1. Estrogen
2. Progesterone
3. Testosterone (low labido)
Understanding perimenopause, menopause & HRT
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Perimenopause is the transition before menopause.
It can start 10 years before your period stops completely
— often in your 40s, and sometimes earlier.
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During perimenopause, hormone levels do not simply “drop” in a straight line. They can fluctuate up and down. Estrogen and progesterone may shift from month to month, and ovulation may become less predictable. This is one reason symptoms can feel confusing: you may feel fine for a while, then suddenly have a month where sleep, mood, energy, weight, or periods feel very different.
Perimenopause can happen even if you are still having periods. Your cycles may become shorter, longer, heavier, lighter, skipped, closer together, or more unpredictable. Some people notice symptoms before their periods change much at all.
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Common perimenopause symptoms may include hot flashes, night sweats, poor sleep, mood changes, anxiety, irritability, brain fog, fatigue, low libido, vaginal dryness, discomfort with intimacy, urinary symptoms, joint aches, headaches, heavier or irregular periods, weight changes, and feeling less like yourself.
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Menopause is different from perimenopause.
Menopause is reached after 12 months in a row without a menstrual period.
After menopause, estrogen and progesterone levels are generally lower, and symptoms may continue for some people.
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Postmenopause refers to the years after menopause.
Some symptoms, such as hot flashes and night sweats, may improve over time. Other concerns, such as vaginal dryness, urinary symptoms, bone health, sleep, mood, and sexual comfort, may need ongoing discussion and care.
HRT stands for hormone replacement therapy.
It is also called hormone therapy or menopausal hormone therapy. HRT may be used to treat symptoms related to hormone changes, especially hot flashes, night sweats, sleep disruption, and vaginal or urinary symptoms.
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HRT is not one single treatment. It can include estrogen, progesterone, or both. If you still have a uterus, progesterone is commonly used with estrogen to help protect the uterine lining. If you do not have a uterus, estrogen may be used without progesterone when appropriate.
Hormone therapy can come in different forms, including patches, pills, gels, sprays, creams, vaginal tablets, rings, or capsules. The right option depends on your symptoms, health history, risk factors, preferences, and goals.
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Many patients are nervous about HRT because they have heard mixed messages. HRT, but it is also not something you need to fear without a thoughtful discussion. For many healthy symptomatic patients who are younger than 60 or within 10 years of menopause, major menopause experts state that the benefit-risk ratio can be favorable when treatment is individualized.
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A good HRT discussion should include your symptoms, menstrual history, uterus status, personal and family history, breast health history, blood clot or stroke risk, cardiovascular risk, migraines, medications, labs when appropriate, and what you want treatment to help with.
How It Works -
Step 1 — Book Your Appointment
Schedule online in minutes here
Step 2 — Meet your provider via Video Visit
Detailed clinical assessment of symptoms and history. During your visit, Mel will review your concerns, health history, medications, prior labs, symptoms, risks, and what you hope to improve.
Step 3 — Labs & Plan
Get Lab Orders, a Personalized Plan & Fast Treatment
Prescriptions sent the same day when appropriate.​
Step 4 — Ongoing Optimization
Follow-up visits to track results, adjust treatment, and keep your plan working effectively.
Take Control of Your Hormone & Metabolic Health
Schedule Your BHRT Telehealth Consultation
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Please Click on Schedule Online button below and choose a convenient date and time for your telehealth consultation.
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All visits are conducted privately via secure telehealth with a board-certified nurse practitioner specializing in hormone optimization.
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Insurance Reimbursement
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We only accept Aetna Banner - AZ
Otherwise
Lunaris Health is a private-pay practice. After your visit, we provide a detailed receipt (superbill) that you may submit to your insurance provider for possible out-of-network reimbursement. Coverage and reimbursement amounts vary by plan
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Self Pay and Out of Network Insurance
New Patient Special - $99 Follow up visits $149.99.
Once Established visits are every 3-6 months.
No Membership Fees
Superbill included for insurance reimbursement .
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