Do I need to know I'm in menopause to come in?

No. Most women start with a symptom: weight gain, fatigue, changing periods, a borderline lab. If you're 40 or older, book the visit and we'll work out where you are together.

Will you test my hormones?

Not automatically. Hormone levels swing during perimenopause and a single reading rarely changes the plan. We start with a symptom scale, your cycle history, and the labs that do change the plan. Dr. Manessis adds hormone testing when it would answer a specific question.

Is this hormone replacement therapy?

This is a nutrition, exercise and medical program. Hormonal and non-hormonal treatment options are part of the medical track when they fit, and that conversation happens with the endocrinologist.

Is it covered by insurance?

Endocrinology visits and lab work are billed through insurance the way any specialist visit is. Nutrition visits, testing and fitness sessions vary by plan. Call 718-704-5376 and we will check your plan before your visit.

Perimenopause and menopause care in NYC

Menopause specialist care built for you

Hot flashes are one symptom of many. Sleep, weight, mood, energy, muscle and bone all shift in the transition, and you deserve a plan that helps you manage your symptoms. We build a plan integrating nutrition, fitness, and medical expertise to give you a strong foundation over the course of 12 months.

Book a menopause visit Call 718-704-5376

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Month one

Data first. Then a plan.

What the first month looks like.

First weeks

Understand your numbers

Four tests/measurements in the first few weeks.

Symptom scoreTwo validated questionnaires, plus sleep and energy, so your symptoms have a number we track from visit to visit.

Bone densityYour provider orders a DEXA scan and goes over the result with you. Bone loss tends to speed up after menopause, up to 20% in the five to seven years that follow (Endocrine Society).

Body composition and metabolismA body composition analysis shows what your weight is made of, and a metabolic rate test shows what you burn at rest.

Blood workBlood sugar and insulin, lipids, thyroid, vitamin D and iron. A hormone panel only when it would change the plan.

A dietitian's desk seen from above, with a weekly meal plan on a clipboard and a bowl of fruit

First visits

Review your results and build your plan

You meet with your medical provider to go over yours results. Some people wear a glucose sensor for a month at this stage, either way your plan will be fully personalized to you based on your own numbers.

From there you start with a medical fitness trainer, or with ONERO® if your bone density calls for it.

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Every month

Check in and adjust

Each month you see the dietitian and your symptoms get scored again. If the numbers have moved, your plan adjusts with them. Fitness or ONERO® sessions run on the schedule your plan sets.

From here it runs on three tracks at once.

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One plan, three tracks

Nutrition

Monthly dietitian visits. Food, protein and calorie targets set from your metabolic rate and adjusted as your numbers move.

How menopause nutrition works

Exercise

Strength and body composition work with our medical fitness team, or ONERO® when your bone density calls for it.

Endocrinology

Your medical provider manages symptoms, abnormal findings and treatment options, and repeats labs around month six.

The program

Twelve months of comprehensive care and guidance.

What a year looks like

Month 1: Symptom scores, lifestyle and health-history, bone density, body composition, metabolic rate test and labs. First visits with your provider, and the plan gets written from your results.
Every month: Dietitian follow-up, plus medical fitness or ONERO® sessions scheduled as part of your individualized plan
About month 6: Labs repeated, body composition re-measured, progress reviewed and the plan updated
Month 12: Full reassessment against your month-one baseline, and a conversation about what comes next

Plan pricing and what's included are reviewed with you at your first visit.

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Your team

A Registered Dietitian, an Endocrinologist, and a Medical Fitness Trainer

Sasha Bayat, RDN

Director of neXendo Wellness and the clinician who built our menopause protocol. Every menopause patient is scheduled with Sasha for the nutrition side of the program.

Dr. Anastasios Manessis, endocrinologist

Reads your labs, rules out the conditions that mimic menopause, and manages symptom treatment when it's the right call.

Medical fitness team

Strength and bone-loading work programmed by medical fitness trainers from your DEXA and body composition results, including ONERO®.

Meet the full team

Book

Ask about the menopause program

Tell us what changed. We'll schedule you with Sasha, send the symptom questionnaire ahead of time, and set up your baseline testing.

Request an appointment Call 718-704-5376

Manhattan, 235 E 38th Street · Long Island City, 36-36 33rd Street, Suite 311 · 718-704-5376

Five business days to a call back. No medical details needed here.

Questions

Before you book

Do I need to know I'm in menopause to come in?: No. Most women start with a symptom: weight gain, fatigue, changing periods, a borderline lab. If you're 40 or older, book the visit and we'll work out where you are together.
Will you test my hormones?: Not automatically. Hormone levels swing during perimenopause and a single reading rarely changes the plan. We start with a symptom scale, your cycle history, and the labs that do change the plan. Dr. Manessis adds hormone testing when it would answer a specific question.
Is this hormone replacement therapy?: This is a nutrition, exercise and medical program. Hormonal and non-hormonal treatment options are part of the medical track when they fit, and that conversation happens with the endocrinologist.
Is it covered by insurance?: Endocrinology visits and lab work are billed through insurance the way any specialist visit is. Nutrition visits, testing and fitness sessions vary by plan. Call 718-704-5376 and we will check your plan before your visit.