FAQ

Everything you've been wondering — Answered honestly.

Find answers about becoming a patient, the 12-Week Foundations Program, perimenopause and menopause care, treatment options, laboratory testing, fees, telehealth, and more.

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Starting Care at Triple Health Clinic

Who does Triple Health Clinic treat?

Triple Health Clinic specializes in caring for midlife women experiencing perimenopause, menopause, and related concerns. These may include changes in sleep, mood, cognition, weight and metabolism, sexual health, vaginal or urinary health, thyroid function, and nutrient status.

Care is available in person at our Burlington clinic and through telehealth for women located throughout Iowa. Triple Health Clinic is not a primary care practice, and patients should maintain a primary care provider for routine preventive care, acute illnesses, and conditions outside our scope.

Do I need a referral?

No. You do not need a referral from another healthcare provider to request an appointment at Triple Health Clinic.

How do I request an appointment?

Complete the appointment-request form on our website or call or text us at 319.601.5686. A member of our team will contact you to answer any initial questions, confirm that Triple Health Clinic is an appropriate fit for your needs, and help you schedule your first appointment.

Submitting the form is an appointment request and does not guarantee that an appointment will be scheduled.

Do you offer a free 15-minute consultation?

Yes. If you still have questions about Triple Health Clinic or are unsure whether our approach is right for you, you may request a complimentary 15-minute consultation with Donna before getting started.

The consultation is intended to answer general questions about the practice and determine whether Triple Health Clinic may be a good fit. It is not a medical appointment and does not include diagnosis, individualized treatment recommendations, or prescription management.

What should I expect at my first visit?

Your care begins with a comprehensive 75-minute initial appointment. We review your symptoms, health history, lifestyle, medications, supplements, available laboratory results, concerns, and goals.

We pair this evaluation with a broader, functional medicine–informed laboratory assessment that includes thyroid, metabolic, nutrient, and other relevant markers not routinely included in standard primary care testing. We then use this information to develop your personalized treatment plan.

Before your appointment, complete the required intake and consent forms sent through the OptiMantra Patient Portal and provide an accurate list of your medications and supplements. All required forms must be completed at least 24 hours before your appointment. If they are not completed on time, your appointment may need to be rescheduled.

Please also upload or bring relevant laboratory results and medical records. For an in-person visit, bring your photo ID and insurance card for laboratory billing when applicable.

Why do all new patients begin with the 12-Week Foundations Program?

Midlife symptoms are often interconnected and cannot always be fully evaluated and addressed in a single appointment. The Foundations Program gives us time to understand your health in context, complete the appropriate laboratory evaluation, put your treatment plan into action, assess your response, and make thoughtful adjustments using a functional medicine approach.

This structured starting point allows us to provide comprehensive, personalized care rather than a one-time consultation or isolated treatment recommendation.

What does the Foundations Program cost, and what is included?

The 12-Week Foundations Program costs $1,000 and includes four provider visits valued at $250 each:

  • A comprehensive 75-minute initial appointment
  • Follow-up visits at approximately two, six, and twelve weeks
  • A personalized treatment plan
  • Review and interpretation of relevant laboratory results
  • Secure messaging support between scheduled appointments
  • Two in-clinic laboratory draw fees
  • A $50 Triple Health product credit toward eligible supplements or skincare products

The program fee does not include the laboratory testing itself, prescription medications, specialty testing, or products beyond the included $50 credit. Standard laboratory charges are submitted to your insurance carrier by Labcorp. Prescription medications may be processed through your pharmacy benefits. Coverage, deductibles, copays, and other patient costs depend on your insurance plan.

What happens after I complete the 12-Week Foundations Program?

At your 12-week visit, we review your progress, discuss your ongoing priorities, and establish the next phase of your care.

You will then transition to individual fee-for-service follow-up visits. These visits are typically 30–40 minutes and cost $175 per visit. Follow-ups are generally scheduled every three months while medications are being adjusted or other contributing factors are being addressed. Once your treatment plan is stable, visits may transition to every six months.

Your follow-up schedule will be based on your individual needs, goals, and progress.

Perimenopause & Menopause

What is perimenopause?

Perimenopause is the hormonal transition leading up to menopause, during which estrogen and progesterone fluctuate unpredictably rather than declining steadily. It can begin as early as your late 30s and often lasts several years.

What is menopause?

Menopause is officially defined as 12 consecutive months without a menstrual period. The average age in the U.S. is 51, though every woman’s timeline is different.

How do I know if I am in perimenopause?

Perimenopause is typically identified through a combination of your age, symptoms, and menstrual cycle changes — not a single lab test. Symptoms like irregular periods, sleep disruption, mood changes, and brain fog are common early signs. We’ll walk through your full picture together.

Can I be in perimenopause if I still have regular periods?

Yes. Hormonal fluctuations can begin well before your cycle becomes irregular. Many women experience perimenopausal symptoms for years while still having predictable periods.

Am I too young to be in perimenopause?

If you’re in your late 30s or early 40s, you are not too young. Perimenopause commonly begins earlier than most women expect — often a full decade before the final period.

What symptoms can be caused by menopause?

Menopause and perimenopause can cause a wide range of symptoms, including hot flashes, night sweats, sleep disruption, mood changes, anxiety, brain fog, weight changes, joint pain, low libido, vaginal dryness, and fatigue — among others.

Can menopause cause anxiety?

Yes. Fluctuating estrogen levels directly affect brain chemistry and neurotransmitters tied to mood regulation, which is why new or worsening anxiety is one of the most common — and most under-recognized — symptoms of this transition.

Can menopause cause weight gain?

Yes. Hormonal shifts during this transition can change how and where your body stores fat, slow metabolism, and affect insulin sensitivity — even without changes to diet or exercise.

Can menopause cause joint pain?

Yes. Estrogen plays a role in joint and connective tissue health, and declining levels can contribute to new or worsening joint aches and stiffness during perimenopause and menopause.

Can menopause affect my sleep?

Yes, significantly. Hormonal changes can cause night sweats, increased nighttime waking, and disrupted sleep architecture — even in women who slept well their entire lives.

Can menopause cause brain fog or memory problems?

Yes. Many women notice difficulty with word recall, concentration, and short-term memory during perimenopause and menopause. This is a well-documented effect of fluctuating estrogen on brain function — and it is treatable.

Why do I suddenly feel different even though my labs are "normal"?

Standard hormone labs are often drawn at a single point in time and don’t capture the erratic fluctuations typical of perimenopause. A “normal” result doesn’t mean nothing has changed — it often means standard testing wasn’t designed to catch this particular transition.

Hormone and Nonhormone Treatment

What treatment options does Triple Health Clinic offer?

Treatment is selected according to your symptoms, health history, individual risks, preferences, and goals. Depending on your needs, options may include:

  • Menopausal hormone therapy using systemic estrogen, with progesterone when uterine protection is needed
  • Low-dose vaginal hormone therapy for vaginal and urinary symptoms
  • Testosterone for carefully selected sexual-desire concerns
  • Evidence-based nonhormone prescription medications
  • Vaginal moisturizers and lubricants
  • Nutrition, physical activity, sleep, stress management, and other lifestyle strategies
  • Pelvic floor physical therapy or referral to another specialist when appropriate


Hormone therapy is not required to receive care at Triple Health Clinic. We discuss the potential benefits, limitations, and risks of appropriate hormone and nonhormone options so you can make an informed decision.

Donna is a board-certified nurse practitioner and may prescribe medications when clinically appropriate.

Is hormone therapy safe, and how do I know whether I am a candidate?

Hormone therapy is not appropriate for every woman, but it is not inherently unsafe. It is the most effective treatment for bothersome hot flashes and night sweats. For many healthy women who begin treatment before age 60 or within 10 years of menopause onset and do not have a contraindication, the benefit-risk profile is generally favorable.

Safety depends on the individual. We consider your age, symptoms, time since menopause, uterus status, bleeding history, cardiovascular and blood-clot risk, liver health, personal and family cancer history, medications, and preferences before recommending treatment. Initiating systemic hormone therapy later in life or more than 10 years after menopause requires additional consideration because the risk profile may be different.

A family history of breast cancer does not automatically exclude hormone therapy. A personal history of breast cancer is different and generally requires nonhormone treatment or careful shared decision-making with the appropriate members of your healthcare team.

There is no universal age at which every woman must stop hormone therapy. Continued use should be based on ongoing symptoms, treatment goals, and periodic reassessment of benefits and risks.

Do I need hormone testing before starting treatment?

Not always. For most women over age 45, perimenopause and menopause can usually be identified from age, symptoms, menstrual history, and health history without relying on a single hormone level.

Triple Health Clinic completes a broader laboratory evaluation as part of new patient care to assess thyroid, metabolic, nutrient, and other factors that may contribute to symptoms or affect treatment decisions. Hormone testing is selected when it is likely to provide useful information, but treatment is not based on achieving a predetermined hormone number.

What does “bioidentical hormone therapy” mean?

The term “bioidentical” generally refers to hormones that are chemically identical to hormones produced by the human body. FDA-approved forms of estradiol and micronized progesterone are bioidentical and are available in standardized, regulated doses.

Bioidentical does not automatically mean compounded. When an appropriate FDA-approved product is available, it is generally preferred because it has been evaluated for purity, potency, safety, and effectiveness. Compounded hormones may be considered when a patient has a specific medical need that cannot be met by an available FDA-approved product.

What forms of estradiol therapy are available?

Estradiol may be prescribed as systemic or local therapy, depending on the symptoms being treated.

Systemic estradiol circulates throughout the body and may be used for hot flashes, night sweats, and other appropriate menopause symptoms. Available forms include:

  • Transdermal patches: Applied to the skin and changed once or twice weekly, depending on the product
  • Topical gels or sprays: Applied to the skin, usually once daily
  • Oral tablets: Taken by mouth, usually once daily

Transdermal estradiol avoids first-pass metabolism through the liver and is often preferred for women with certain cardiovascular, metabolic, migraine, or blood-clot risk considerations. The best route still depends on the individual.

Low-dose vaginal estrogen acts primarily on vaginal and urinary tissues. It is available as creams, tablets, inserts, and rings. Low-dose vaginal therapy can treat genitourinary symptoms but does not provide an adequate systemic dose for hot flashes or night sweats.

The route, dose, and formulation are selected according to your symptoms, medical history, preferences, cost, insurance coverage, and individual risk factors.

Do I need progesterone with estrogen?

If you have a uterus and use systemic estrogen, an appropriate dose of progesterone or another progestogen is generally required to protect the uterine lining.

Triple Health Clinic generally uses oral micronized progesterone when it is clinically appropriate. It is chemically identical to the progesterone produced by the body and may have a more favorable side-effect profile than some synthetic progestins. Because it can cause drowsiness, it is usually taken at bedtime.

If you have had a hysterectomy and no longer have a uterus, estrogen can often be used without progesterone. Your surgical history, symptoms, and other clinical considerations may affect that decision.

Low-dose vaginal estrogen generally does not require progesterone for uterine protection because systemic absorption is low.

What nonhormone treatments are available?

Nonhormone treatment is available for women who cannot use hormone therapy, prefer not to use it, or want additional options.

Depending on the symptom being treated, options may include certain antidepressant medications, gabapentin, oxybutynin, or medications that directly target the neurologic pathways involved in hot flashes. Cognitive behavioral therapy and other evidence-based behavioral approaches may also reduce the disruption caused by menopause symptoms.

Vaginal moisturizers, lubricants, pelvic floor physical therapy, sleep treatment, and targeted lifestyle strategies may be helpful for other concerns.

Nonhormone treatments differ in effectiveness, potential side effects, and medical considerations. We select them according to your primary symptoms, health history, current medications, and preferences.

When is testosterone considered for women?

Testosterone may be considered primarily for appropriately assessed postmenopausal women with hypoactive sexual desire disorder—a persistent reduction in sexual desire that causes personal distress and is not better explained by medications, relationship concerns, pain, mood, or another medical condition.

A low testosterone laboratory result alone does not establish a need for treatment. Current evidence does not support prescribing testosterone specifically for fatigue, mood changes, brain fog, weight loss, muscle building, or general well-being.

There is currently no FDA-approved testosterone product formulated specifically for women in the United States, so treatment is prescribed off-label. When used, dosing should remain within the normal physiologic premenopausal female range.

We obtain appropriate baseline laboratory testing and monitor symptoms, testosterone levels, and possible androgenic effects. Acne or increased facial or body hair can occur. Voice deepening, scalp hair loss, or clitoral enlargement are uncommon at physiologic doses but may be irreversible if they occur. Long-term safety data remain limited.

What treatments are available for vaginal and urinary symptoms?

Declining estrogen can affect the vulva, vagina, urethra, and bladder. This collection of symptoms is called genitourinary syndrome of menopause and may include dryness, irritation, burning, pain with intercourse, urinary urgency, and recurrent urinary tract infections.

Treatment depends on your symptoms and history. Options may include:

  • Vaginal moisturizers and lubricants
  • Low-dose vaginal estrogen
  • Vaginal DHEA or other prescription therapies
  • Pelvic floor physical therapy
  • Evaluation for infection, skin conditions, pelvic floor dysfunction, or other causes

Low-dose vaginal estrogen has minimal systemic absorption and is considered appropriate for many women, including some who are not candidates for systemic hormone therapy. It can improve vaginal dryness and pain with intercourse and can reduce recurrent urinary tract infections in hypoestrogenic women.

Women with a history of breast cancer or another estrogen-sensitive cancer require individualized discussion. Nonhormone options are generally considered first, and coordination with the treating oncologist may be appropriate.

Will hormone therapy help me lose weight?

Hormone therapy is not a weight-loss medication and should not be prescribed for that purpose. It also is not generally associated with weight gain.

Hormone therapy may improve symptoms such as hot flashes and sleep disruption, which can make it easier for some women to participate in nutrition, movement, and other health strategies. It may also have modest effects on body composition and abdominal-fat distribution, but meaningful weight management usually requires a broader plan addressing nutrition, strength training, sleep, medications, stress, insulin resistance, and other individual contributors.

Our Approach to Care

What does a functional medicine approach mean at Triple Health Clinic?

A functional medicine approach considers how your symptoms may be influenced by multiple interconnected factors rather than assuming that every concern is hormonal or has one isolated cause.

We evaluate your symptoms within the context of your health history, menstrual and menopause history, lifestyle, medications, supplements, laboratory results, risks, preferences, and goals. Depending on your needs, we may consider contributing factors related to hormones, thyroid function, metabolic health, nutrient status, sleep, stress, digestion, movement, and other aspects of your health.

This broader perspective is combined with evidence-based menopause care. We do not assume that every symptom has a single “root cause,” and we recommend a referral or additional evaluation when a concern falls outside our scope.

Does Triple Health Clinic replace my primary care provider or gynecologist?

No. Triple Health Clinic is not a primary care practice and does not replace your primary care provider.

Your primary care provider should continue to manage routine preventive care, vaccinations, acute illnesses, and medical conditions outside our scope. You may also continue seeing your gynecologist for appropriate gynecologic care, cervical cancer screening, evaluation of abnormal bleeding, or other concerns.

Triple Health Clinic focuses on perimenopause, menopause, and related midlife concerns. With your permission, we can share relevant information and coordinate with your primary care provider, gynecologist, or other members of your healthcare team when appropriate.

Will I need supplements, and do I have to purchase them through Triple Health Clinic?

Not every patient needs supplements. Recommendations are based on your symptoms, health history, dietary intake, medications, and relevant laboratory results. We explain what is being recommended, why it may be helpful, how to take it, and how long it should be used.

You are not required to purchase supplements through Triple Health Clinic. For convenience, we carry commonly recommended products in the clinic—primarily from Thorne—and provide access to additional products through our online Fullscript dispensary.

You may purchase supplements elsewhere, but we recommend matching the exact brand, formulation, ingredients, and dosage whenever possible. Product quality and potency can vary, and a substitute may not be equivalent to the product included in your treatment plan.

Labs and Specialty Testing

Will I need laboratory testing?

Laboratory testing is part of the comprehensive evaluation for new patients. We use a broader, functional medicine–informed laboratory assessment that includes thyroid, metabolic, nutrient, and other relevant markers not routinely included in standard testing. Hormone testing is included when it is likely to provide clinically useful information.

Testing is selected according to your symptoms, health history, medications, available results, and treatment goals. We do not order every available test for every patient.

Can you use my recent laboratory results?

Often, yes. Results obtained within the previous three months may help us avoid unnecessarily repeating testing if they are relevant and sufficiently comprehensive. Older results may still provide useful historical information but may not replace current testing.

Please upload your results to the OptiMantra Patient Portal before your appointment whenever possible. After reviewing them, we will explain which results can be used and whether any additional testing is recommended.

Do I need to fast for my laboratory testing?

Generally, yes. Most laboratory draws are completed in the morning after an overnight fast with water only. We will provide specific instructions regarding the length of your fast and how to prepare for your tests.

We generally ask patients to hold nonessential supplements, including products containing biotin or B vitamins, for three to five days before testing unless instructed otherwise. Biotin is commonly found in B-complex vitamins, multivitamins, and hair, skin, and nail products and can interfere with certain laboratory tests.

Some medications may need to be taken after the blood draw. For example, patients taking thyroid medication may be instructed to take their morning dose after testing.

Do not stop or change any prescription medication or medically necessary supplement unless Triple Health Clinic or the prescribing clinician has specifically instructed you to do so.

Is laboratory testing included in the Foundations Program fee?

The fees for your initial and 12-week in-clinic laboratory draws are included in the Foundations Program. The cost of the laboratory testing itself is separate.

Standard laboratory charges are submitted to your insurance carrier by Labcorp. Coverage, deductibles, copays, and other patient costs depend on your insurance plan. We cannot guarantee that a particular test will be covered.

When indicated, specialty testing is also separate from the Foundations Program fee. Many specialty tests are self-pay and are not submitted to insurance. We will explain the anticipated cost before a specialty test is ordered.

What specialty testing does Triple Health Clinic offer?

When a specific clinical question cannot be adequately addressed through standard laboratory testing, we may recommend specialty testing such as:

  • DUTCH hormone and cortisol testing
  • GI-MAP comprehensive stool testing
  • Hydrogen and methane breath testing for suspected SIBO or intestinal methanogen overgrowth
  • Selected genetic or pharmacogenomic testing
  • Other targeted testing based on a specific symptom, history, or exposure

We may also recommend conventional testing for conditions such as celiac disease, H. pylori, food allergy, or suspected parasitic infection. Referral to an allergist, gastroenterologist, genetic counselor, or another specialist may be recommended when appropriate.

Does every patient need specialty testing?

No. Specialty testing is recommended only when the results are likely to answer a meaningful clinical question or affect your treatment plan.

Before proceeding, we discuss:

  • Why the test is being considered
  • What it can and cannot tell us
  • How the results may affect treatment
  • Whether confirmatory testing could be needed
  • The anticipated cost and possible insurance coverage

Specialty testing is available only to established Triple Health Clinic patients as part of their care for perimenopause, menopause, and related midlife concerns. We do not provide stand-alone test ordering or one-time interpretation of specialty results obtained elsewhere.

Can I request food sensitivity, parasite, mold, or toxin testing?

You are welcome to discuss any symptoms or exposure concerns with us, but requesting a test does not mean it will automatically be ordered. We do not order broad screening panels simply to look for these issues without a specific clinical indication.

When food allergy, parasitic infection, mold-related allergy, heavy-metal exposure, or another environmental exposure is reasonably suspected, we recommend validated, targeted testing or referral to the appropriate specialist.

Insurance, Fees, and Payments

Does Triple Health Clinic accept insurance?

Triple Health Clinic is a self-pay medical practice and does not bill insurance for clinical services. Our clinical fees are disclosed before care is provided.

You may still use your health insurance for many expenses outside the program fee:

  • Standard laboratory charges are submitted to your insurance carrier by Labcorp.
  • Prescription medications may be processed through your pharmacy benefits.
  • Imaging studies may be submitted to your insurance by the imaging facility.

Coverage, deductibles, copays, and other patient costs depend on your insurance plan. Triple Health Clinic cannot guarantee coverage or reimbursement for services billed by another organization.

What are the fees, and how do payments work?

The 12-Week Foundations Program costs $1,000 and includes four provider visits valued at $250 each.

Payment options include:

  • Make four payments of $250, generally collected at the initial, two-week, six-week, and 12-week visits.
  • Pay the full $1,000 program fee in advance.
  • Use CareCredit’s six-month promotional financing option, subject to credit approval and CareCredit’s terms.

After completing the Foundations Program, individual fee-for-service follow-up visits are $175 per visit.

We accept credit cards, debit cards, HSA/FSA cards, CareCredit, and exact cash. Payment is due according to the payment arrangement selected.

Can I use an HSA or FSA card?

Yes. HSA and FSA cards are accepted for eligible healthcare services. Because plan rules vary, patients should confirm eligible expenses with their plan administrator.

Does Triple Health Clinic provide superbills?

Yes. Triple Health Clinic provides a superbill after each completed provider visit, even when the Foundations Program has been paid in full in advance.

A superbill documents the date of service, eligible clinical service, charge, and applicable diagnosis information. Patients with commercial insurance may submit it to their insurance carrier for possible out-of-network reimbursement or application toward their deductible.

Triple Health Clinic does not submit the superbill on your behalf. Coverage varies by insurance plan, and reimbursement or deductible credit is not guaranteed. Contact your insurance carrier directly to understand your out-of-network benefits.

Does Triple Health Clinic offer CareCredit financing?

Yes. Triple Health Clinic offers CareCredit’s six-month promotional financing option for qualifying purchases of $200 or more, subject to credit approval.

No interest is charged if the promotional balance is paid in full within six months. If the balance is not paid in full by the end of the promotional period, interest is charged from the original purchase date. Minimum monthly payments are required and may not pay the full promotional balance before the end of the six-month period.

Patients should review the complete CareCredit terms and disclosures before applying or using promotional financing.

LEARN MORE OR APPLY THROUGH CARECREDIT

Telehealth, Communication, and Policies

Can my appointment be completed through telehealth?

Yes. Initial and follow-up appointments may be completed through telehealth when virtual care is appropriate for your needs.

We prefer to see new patients in person when feasible because it gives us an opportunity to establish the relationship face to face, but an in-person initial appointment is not required.

You must be physically located in Iowa at the time of your appointment. Some concerns, examinations, procedures, or testing may require an in-person visit or referral to a local healthcare provider.

Do I need special software for a telehealth visit?

No. OptiMantra’s telehealth platform works through a web browser, so no special software or application download is required.

You will need:

  • A computer, tablet, or smartphone with a camera and microphone
  • A reliable, secure internet connection
  • Access to the appointment link provided by Triple Health Clinic
  • A private, quiet location where you can speak openly

Join your appointment a few minutes early to allow time to address any connection, camera, or microphone problems.

Are telehealth visits secure?

Yes. Triple Health Clinic conducts telehealth visits through OptiMantra’s HIPAA-compliant, encrypted telehealth platform.

What happens if the connection is lost during my telehealth visit?

If the connection is interrupted, first attempt to rejoin using the original appointment link. Make sure Triple Health Clinic has your current telephone number in case we need to contact you.

If video cannot be restored, we will determine whether the visit can be safely continued by telephone or whether it needs to be rescheduled. Some clinical situations require a functioning video connection or an in-person evaluation.

How should I communicate with Triple Health Clinic between appointments?

Established patients should use secure messaging through the OptiMantra Patient Portal for nonurgent questions related to their treatment plan.

Secure messaging can be used for brief questions, clarification of existing instructions, and appropriate treatment updates. It is not a substitute for an appointment. New symptoms, complex concerns, or requests requiring additional evaluation may require a scheduled visit.

Messages are reviewed during regular business hours and are not continuously monitored. Please allow up to two business days for a response.

What is the cancellation and rescheduling policy?

Please contact Triple Health Clinic at least 24 hours before your scheduled appointment if you need to cancel or reschedule.

Appointments canceled with less than 24 hours’ notice and missed appointments may be subject to the following fees:

  • $100 for a new patient appointment
  • $50 for a follow-up appointment

Exceptions may be considered for emergencies or circumstances outside your control. Repeated late cancellations or missed appointments may affect your ability to schedule future care.

What should I do if I have an urgent or emergency medical concern?

The OptiMantra Patient Portal and Triple Health Clinic’s phone and text lines are not monitored continuously and should not be used for urgent or emergency concerns.

For an urgent concern, contact your primary care provider or seek care at an urgent care clinic. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department.

If you are experiencing a mental health crisis or thoughts of harming yourself or someone else, call or text 988 for the Suicide & Crisis Lifeline or call 911.

Triple Health Club and Other Resources

What is Triple Health Club?

Triple Health Club is an educational membership and supportive community created for women navigating midlife. Members can learn, ask general questions, build healthier habits, and connect with other women experiencing similar changes.

Membership includes educational sessions, live group Q&As, wellness challenges, community conversations, practical resources, recordings, and occasional special events or guest experts. You do not need to be a Triple Health Clinic patient to join.

Visit the Triple Health Club page for current membership availability, benefits, and pricing.

Is Triple Health Club membership the same as receiving medical care?

No. Triple Health Club is an education and community membership—not a medical service. Membership does not establish a patient-provider relationship and does not include medical appointments, diagnosis, laboratory interpretation, individualized treatment recommendations, prescription management, or secure access to a medical provider.

Personal health concerns should be addressed through an appointment with your healthcare provider. Club discussions and messages should not be used for urgent or emergency needs.

Triple Health Clinic patients may join the Club, but membership is separate from clinical care and is not required to become or remain a patient.

What is the Midlife Women’s Institute?

The Midlife Women’s Institute is Triple Health’s educational home for women who want reliable, understandable information about perimenopause, menopause, and whole-person health during midlife.

The Institute offers free resources and more in-depth educational courses that women can explore at their own pace. You do not need to be a Triple Health Clinic patient or Triple Health Club member to use Institute resources.

Institute content is provided for educational purposes and does not replace individualized medical evaluation, diagnosis, or treatment.

Do you offer individual or small-group coaching?

Yes. Aimee Wagenbach, Certified Menopause Coach and Certified Life Coach, offers individual and small-group coaching for women who want practical support, accountability, and help putting their goals into action.

Coaching is separate from Triple Health Club membership and Triple Health Clinic medical care. It does not include diagnosis, medical treatment, laboratory interpretation, prescription management, or mental health therapy. Coaching availability and fees vary by program.

What is Triple Health Skin & Wellness?

Triple Health Skin & Wellness offers aesthetic skincare and wellness services designed to support healthy skin and whole-person well-being during midlife.

Licensed esthetician Carly Bergman provides personalized esthetic care. Available services may include facials, acne-focused care, dermaplaning, microneedling, and other aesthetic treatments.

Professional-grade Epionce skincare products are also available. Epionce was selected for its dermatologist-developed, barrier-supportive approach and its range of products for concerns commonly experienced during midlife, including dryness, sensitivity, uneven tone, and changes in skin texture.

Visit the Triple Health Skin & Wellness page for current services, product information, and scheduling.

Who can use the Triple Health Fullscript dispensary?

Both members of the public and current Triple Health Clinic patients may use Triple Health’s Fullscript dispensary.

Women who are new to Triple Health may browse a curated selection of general wellness products chosen by Triple Health. Public access does not include personalized supplement recommendations or an individualized treatment plan.

Current Triple Health Clinic patients can sign in to view their personalized supplement recommendations, dosing instructions, and previously recommended products.

Supplement needs vary according to your health history, medications, laboratory results, and treatment plan. If you are unsure whether a product is appropriate for you, consult your healthcare provider before purchasing.

Still Have A Question?

If you did not find the answer you were looking for, call or text us at 319.601.5686. If you are ready to explore care at Triple Health Clinic, submit an appointment request and our team will help you determine the appropriate next step.