Menopause is about more than hormones.
Your care should be, too.
Integrative perimenopause and menopause care from a Naturopathic Doctor and a Women’s Health Nurse Practitioner.
Whether hormone therapy is right for you is a nuanced decision, and we’ll guide you through it. But we don’t stop at hormones. We’ll help you lose weight if you need it, and address the cortisol and inflammation that can make symptoms worse.
Dr. April Graham, N.D., MSCP, and Kyrie Anderson, WHNP-BC, MSCP
Clear guidance on hormones, real support for weight loss, and a personalized strategy to address the cortisol and inflammation that can make perimenopause and menopause harder.
Many HRT clinics start with a prescription. We start with you. Along with targeted labs, our in-person visits include two quick, noninvasive measurements: BIA (bioelectrical impedance analysis), which shows your muscle, fat and hydration, and HRV (heart rate variability), which shows how well your nervous system handles stress. Together they give us a clear picture of your body composition and how you're coping with stress, so your plan, including whether MHT makes sense, is built around you. No guesswork. No generic advice. Just real answers—and results you actually notice.
Biology, Optimized.
Working with us starts with an initial visit: $450 for 75 minutes in person in Longmont, including BIA and HRV testing, or $400 for 55 minutes virtually. Labs and optional genetic testing are priced separately.
We're a fee-for-service practice and don't bill insurance. We provide a superbill you can submit for out-of-network reimbursement.
Curious if hormones are right for you? Try our HRT decision guide
NOW ACCEPTING NEW PATIENTS · VIRTUAL VISITS IN COLORADO, ARIZONA AND WASHINGTON · IN-PERSON IN LONGMONT
The Meaning Behind Avra
Avra (pronounced AY-vrah) is rooted in the language of life.
While not a direct translation, it draws from ancient Hebrew origins connected to living, life, and vitality — a reflection of something deeper than just physical health. It speaks to the idea that life is not only sustained, but expressed — through energy, clarity, resilience, and purpose.
At Avra Health, this meaning guides everything we do.
Learn about the Hidden Challenges of Weight Loss
And what it really takes to succeed after 40
Struggling to lose weight despite doing everything “right”? You’re not alone — and you’re not to blame. In this eye-opening article, Dr. April breaks down the genetic and hormonal roadblocks that make weight loss harder with age. Discover how hormones, metabolism and even your genes affect everything from your weight to your stress response, and how a personalized approach can finally move the needle.
What Our Patients are Saying
"Dr. April has played a huge part in me being able to 'take my body back' from the clutches of perimenopause. Her knowledgeable assessment of the GeneRx reports have provided insight I would have never been able to pinpoint on my own and this information regarding the balance of macros based on my genetic profile has been a game changer . . . "
- Stefanie P.
What Our Patients are Saying
"Dr. April is absolutely the best. She integrates many facets of expertise and knowledge into her practice, and truly listens and takes her time, something I have found to be pretty rare in "traditional western medicine." The fascial manipulation work is fascinating and amazingly effective too. Don't think twice, see Dr. April!"
Kaylinn B.
What Our Patients are Saying
I’ve always considered myself a generally healthy person. I understand the basics of nutrition—calories in vs. calories out—and have prioritized movement in my daily life through strength training, running, or cycling. But like many of us, I struggled with weight gain during COVID and had a hard time shedding it, despite my best efforts . . .
Chrysti H.
Frequently Asked Questions
Do you prescribe hormone therapy (MHT/HRT)?
Yes. Kyrie Anderson, WHNP-BC, MSCP, prescribes in Colorado, and Dr. April Graham prescribes in Arizona and Washington. Whether hormone therapy is right for you is a decision we make together. We start by looking for root causes (labs, body composition, stress physiology, sleep and nutrition), then talk through all your options: lifestyle changes, naturopathic and herbal support, hormone therapy, or a combination.
What is your approach to hormone therapy?
We prescribe hormone therapy the way current menopause guidelines recommend: for symptoms it's proven to help, at a dose matched to your symptoms and health history, with monitoring along the way. That includes estrogen and progesterone for symptoms like hot flashes, night sweats, sleep disruption and vaginal dryness, and testosterone for low libido after menopause.
We don't use menopausal hormone therapy (estrogen, progesterone or testosterone) as an anti-aging, weight-loss or energy treatment on its own, or at doses higher than your symptoms call for. That's to keep your risks as low as possible. With hormones, a lack of good research isn't the same as proof that something is safe. We want you to know that up front.
Hormones are only part of the picture. As estrogen shifts, so do sleep, stress response, blood sugar, inflammation and muscle. So alongside treating your symptoms, we work with your body's changing needs to help you feel steady through this transition.
Do I need genetic testing?
No, it's optional. Some women find it adds useful detail, such as how their body processes estrogen. You can get excellent care without it.
What are BIA and HRV?
Two quick, painless measurements we take at in-person visits. BIA (bioelectrical impedance analysis) shows your muscle, fat and hydration. HRV (heart rate variability) shows how well your nervous system handles stress. Tracking them over time shows whether what we're doing is working. If you're seen virtually, we'll try to refer you to a practitioner near you for BIA and HRV testing; that practitioner charges their own fee.
Do you take insurance?
We're a fee-for-service practice and don't bill insurance. We give you a superbill you can submit for possible out-of-network reimbursement. Most patients can pay with an HSA or FSA card, but plans vary, so check with yours.
Can I be seen virtually?
Yes. We offer virtual visits in Colorado, Arizona and Washington, and in-person visits in Longmont.
What does the first visit cost, and how do I book?
The initial visit is $450 for 75 minutes in person in Longmont, including BIA and HRV testing, or $400 for 55 minutes virtually. Labs and optional genetic testing are priced separately. Book online or call (720) 617-0177. Not sure yet? Start with a free 15-minute intro call.
Want the full picture? See what to expect at your first visit.