Vanessa Armenise

Vanessa Armenise runs Balance Hormone and Wellness as a telehealth practice for women in perimenopause and menopause, and patients must be physically located in Tennessee at the time of every appointment. Armenise spent nearly two decades in oncology and advanced practice roles, including Memorial Sloan Kettering Cancer Center, and writes that survivorship and careful symptom management shaped the way they work. Care begins with a 60 minute video consultation that reviews symptoms, menstrual and medical history, prior hormone use, risk factors and goals before any treatment is recommended. Compounded testosterone is prescribed through a licensed compounding pharmacy, and the practice tells readers plainly that compounded medicines are not FDA approved and that calling a hormone bioidentical does not make it safer. The practice also says a conversation about menopause care does not commit anyone to hormone therapy, and that nonhormonal options will be considered for women who cannot or do not want to take hormones. Armenise started the practice after their own midlife symptoms showed how hard that care was to find.

NP, MSCP