Hormone Replacement Therapy
Weight Management
Weight Maintenance
5,000+ members
Provider-led care
Care personalized to perimenopause and menopause
Josie
Hormone Replacement & Menopause Care

Hot flashes.
Brain fog.
Low libido.

Provider-led hormone replacement therapy for women in perimenopause and menopause. A licensed provider reviews your intake before any care is prescribed.

As low as $89/mo

Woman feeling confident after provider-led HRT care

Up to 80%

Women experience hot flashes or night sweats during the menopause transition.

Source: The Menopause Society

As many as 62%

Women report memory or focus changes during the menopause transition.

Source: PMC – Menopause & Cognitive Impairment

Up to 55%

Women report low sexual desire as menopause progresses.

Source: PMC – Sexual Health in Menopause

Menopause symptoms are common. Getting clear, provider-led guidance should be too.

Provider-Led Hormone Care for Perimenopause and Menopause

Josie HRT programs connect women in perimenopause and menopause with licensed providers who review your intake and discuss hormone care options when clinically appropriate.

Every HRT patient case at Josie is supervised by Dr. Ana Lisa Carr, MD — a board-certified physician who oversees our provider team to ensure your care is reviewed with the clinical rigor it deserves. Lab work may be recommended when clinically appropriate.

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Dr. Ana Lisa Carr, MD — supervising physician for Josie HRT programs

Dr. Ana Lisa Carr, MD — Supervising Physician

I had been dealing with hot flashes for two years before I found Josie. Dr. Carr reviewed my intake and put together a plan that actually made sense for my health history. I feel like myself again for the first time in a long time.

Sarah M.Verified client

The night sweats were destroying my sleep and I was exhausted every single day. I tried Josie because I could do everything from home. Dr. Carr reviewed my history and recommended an HRT plan. I have been sleeping through the night again.

Jennifer T.Verified client

My moods were all over the place and I did not realize how much of it was hormonal. Josie made it easy to get a real provider review without sitting in a waiting room. Dr. Carr explained my options clearly and I feel so much more even now.

Michelle R.Verified client

Brain fog was honestly the worst part. I could not focus at work and felt off all day. Starting HRT through Josie made a noticeable difference. The process was simple and Dr. Carr was thorough in reviewing everything before recommending a plan.

Karen L.Verified client

I had no energy and assumed it was just part of getting older. A friend recommended Josie and I had nothing to lose. The intake was fast, Dr. Carr reviewed everything carefully, and my energy has genuinely improved since starting my plan.

Diane W.Verified client

I was nervous about HRT because of everything I had read online. Josie made the process feel thoughtful rather than rushed. Dr. Carr took time to review my full health history before recommending anything. I am really glad I went through with it.

Lisa P.Verified client

Weight gain around my midsection came out of nowhere once I hit perimenopause. I did not realize how much hormones were affecting my body. Since starting HRT through Josie I have felt more balanced overall and the changes have been really positive.

Amanda K.Verified client

I was having hot flashes every few hours and my patience was basically gone. My regular doctor was not much help. Josie connected me with Dr. Carr who actually listened and reviewed my full history before recommending a plan. It has genuinely improved my quality of life.

Patricia N.Verified client

I had been dealing with hot flashes for two years before I found Josie. Dr. Carr reviewed my intake and put together a plan that actually made sense for my health history. I feel like myself again for the first time in a long time.

Sarah M.Verified client

The night sweats were destroying my sleep and I was exhausted every single day. I tried Josie because I could do everything from home. Dr. Carr reviewed my history and recommended an HRT plan. I have been sleeping through the night again.

Jennifer T.Verified client

My moods were all over the place and I did not realize how much of it was hormonal. Josie made it easy to get a real provider review without sitting in a waiting room. Dr. Carr explained my options clearly and I feel so much more even now.

Michelle R.Verified client

Brain fog was honestly the worst part. I could not focus at work and felt off all day. Starting HRT through Josie made a noticeable difference. The process was simple and Dr. Carr was thorough in reviewing everything before recommending a plan.

Karen L.Verified client

I had no energy and assumed it was just part of getting older. A friend recommended Josie and I had nothing to lose. The intake was fast, Dr. Carr reviewed everything carefully, and my energy has genuinely improved since starting my plan.

Diane W.Verified client

I was nervous about HRT because of everything I had read online. Josie made the process feel thoughtful rather than rushed. Dr. Carr took time to review my full health history before recommending anything. I am really glad I went through with it.

Lisa P.Verified client

Weight gain around my midsection came out of nowhere once I hit perimenopause. I did not realize how much hormones were affecting my body. Since starting HRT through Josie I have felt more balanced overall and the changes have been really positive.

Amanda K.Verified client

I was having hot flashes every few hours and my patience was basically gone. My regular doctor was not much help. Josie connected me with Dr. Carr who actually listened and reviewed my full history before recommending a plan. It has genuinely improved my quality of life.

Patricia N.Verified client

I had been dealing with hot flashes for two years before I found Josie. Dr. Carr reviewed my intake and put together a plan that actually made sense for my health history. I feel like myself again for the first time in a long time.

Sarah M.Verified client

The night sweats were destroying my sleep and I was exhausted every single day. I tried Josie because I could do everything from home. Dr. Carr reviewed my history and recommended an HRT plan. I have been sleeping through the night again.

Jennifer T.Verified client

My moods were all over the place and I did not realize how much of it was hormonal. Josie made it easy to get a real provider review without sitting in a waiting room. Dr. Carr explained my options clearly and I feel so much more even now.

Michelle R.Verified client

Brain fog was honestly the worst part. I could not focus at work and felt off all day. Starting HRT through Josie made a noticeable difference. The process was simple and Dr. Carr was thorough in reviewing everything before recommending a plan.

Karen L.Verified client

I had no energy and assumed it was just part of getting older. A friend recommended Josie and I had nothing to lose. The intake was fast, Dr. Carr reviewed everything carefully, and my energy has genuinely improved since starting my plan.

Diane W.Verified client

I was nervous about HRT because of everything I had read online. Josie made the process feel thoughtful rather than rushed. Dr. Carr took time to review my full health history before recommending anything. I am really glad I went through with it.

Lisa P.Verified client

Weight gain around my midsection came out of nowhere once I hit perimenopause. I did not realize how much hormones were affecting my body. Since starting HRT through Josie I have felt more balanced overall and the changes have been really positive.

Amanda K.Verified client

I was having hot flashes every few hours and my patience was basically gone. My regular doctor was not much help. Josie connected me with Dr. Carr who actually listened and reviewed my full history before recommending a plan. It has genuinely improved my quality of life.

Patricia N.Verified client

Weight & Hormones. Josie Covers Both.

Hormonal shifts during perimenopause and menopause often affect weight, energy, and metabolism. Josie offers dedicated care paths for each.

Weight Management

Provider-Reviewed GLP-1 Care

A licensed provider reviews your intake to determine whether GLP-1 care may be appropriate for weight management.

Explore Weight Management
GLP-1 + HRT

Weight Management & Hormone Care Together

Some women in perimenopause and menopause pursue both GLP-1 and hormone replacement therapy. A licensed provider reviews your intake for each care path.

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Medications only issued when clinically appropriate after provider evaluation. Compounded medications are not FDA approved.

Frequently Asked Questions

Common questions about HRT and how Josie works.

Hormone replacement therapy (HRT) is a treatment that may help address symptoms associated with perimenopause and menopause by supplementing hormones that naturally decline over time. Through Josie, a licensed provider reviews your intake to determine whether HRT options — such as estradiol cream, progesterone, or combination therapies — may be appropriate for your specific health profile. Prescriptions, when issued, are fulfilled by a licensed pharmacy or compounding pharmacy.

Lab work may be recommended depending on your health history and what the provider determines is appropriate during their review. Josie's intake is designed to give your provider the information needed to evaluate your care options. Your provider will advise whether additional testing is recommended before any care is prescribed.

Individual responses to HRT vary. Some women report noticing changes within a few weeks, while others may take longer to see results. A licensed provider will discuss realistic expectations during your consultation based on your specific care plan. Results cannot be guaranteed, and outcomes depend on individual health factors.

Josie is a telehealth platform that connects women with licensed providers who can review your intake and discuss care options remotely. It is not a replacement for your primary care physician or specialist. If your provider determines that in-person evaluation or additional testing is needed, they will advise you accordingly.

Complete your intake online at joinjosie.com. The intake takes a few minutes and covers your symptoms, health history, and goals. A licensed Josie provider will review your submission and reach out about next steps. No commitment is required to complete the intake.

The safety and appropriateness of HRT depends on many individual factors, including your health history, age, and the type of therapy being considered. A licensed Josie provider will review your intake and health history before any care is recommended or prescribed. As with any medical treatment, HRT carries potential risks and benefits that your provider will discuss with you as part of the consultation process.

Josie's care pathways are designed specifically for women in perimenopause and menopause. If you're experiencing symptoms such as hot flashes, mood changes, sleep disruption, or brain fog, you can complete an intake for a licensed provider to review. The provider will assess whether HRT or another care option may be appropriate based on your individual health profile.

Weight changes during perimenopause and menopause are common and can be influenced by hormonal shifts. Some women using HRT report improvements in energy and overall well-being over time. However, HRT is not a weight-loss treatment, and individual outcomes vary. A licensed Josie provider can help you understand which care options may be appropriate for your overall health goals.

Josie currently operates outside of traditional insurance. Pricing for care programs is transparent and displayed on the platform. Some patients use HSA or FSA accounts — please check with your account provider to confirm eligibility for telehealth and hormone care services.

What to Expect at Josie

  • Complete your intake online, from anywhere
  • Provider review by Josie's licensed clinicians, supervised by Dr. Ana Lisa Carr, MD
  • Transparent program pricing
  • Medication shipped from a licensed pharmacy or compounding pharmacy when prescribed