Elizabeth Buisker is a family medicine physician in Bozeman who has also worked as a health system executive. She built this practice after her own perimenopause took her nearly two years to work out, despite being a physician herself. The first visit is a long history review with no prescribing attached, and from there patients can move into a six month program that covers lab review, prescriptions and messaging between visits. After that people come back annually or as needed to adjust the plan and refill medication. She prescribes hormone therapy but writes that it works best alongside strength training, sleep and nutrition, calling hormones the floor and lifestyle the ceiling. She is blunt about the wellness industry and says it filled the gap with endless supplements and specialty labs that feel real but often lack the science.
Dr. Lemley is a naturopathic physician who has practiced in Bozeman since 1999 and says about three quarters of his patients are women seeking hormone care. He has held the Menopause Society's certification since the mid 2000s. New patients get a first visit of 1.5 to 2 hours covering full history, lab orders and questions. He prescribes only bioidentical hormones, including estradiol, estriol, progesterone, DHEA and testosterone, and often starts with diet, herbs and supplements when symptoms are milder. He also manages premature and early menopause and treats men for andropause at the same clinic.
