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.
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

Up to 80%
Women experience hot flashes or night sweats during the menopause transition.
Source: The Menopause SocietyAs many as 62%
Women report memory or focus changes during the menopause transition.
Source: PMC – Menopause & Cognitive ImpairmentUp to 55%
Women report low sexual desire as menopause progresses.
Source: PMC – Sexual Health in MenopauseMenopause symptoms are common. Getting clear, provider-led guidance should be too.
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.

Dr. Ana Lisa Carr, MD — Supervising Physician
Hormonal shifts during perimenopause and menopause often affect weight, energy, and metabolism. Josie offers dedicated care paths for each.
A licensed provider reviews your intake to determine whether GLP-1 care may be appropriate for weight management.
Explore Weight ManagementSome women in perimenopause and menopause pursue both GLP-1 and hormone replacement therapy. A licensed provider reviews your intake for each care path.
Start Your IntakeMedications only issued when clinically appropriate after provider evaluation. Compounded medications are not FDA approved.
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.