Bioidentical hormone replacement therapy (BHRT) for women in Springfield, MO
Hormone therapy for women who were told their labs were fine.
Hot flashes at 2 a.m. Weight that will not move no matter how carefully you eat. A short fuse with people you love. Most women hearing this are somewhere in perimenopause or menopause — and most have already been told their bloodwork looks normal. Standard panels are simply too shallow to catch it.
This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
Topaz_FineArts · Google
Rated 5 out of 5 stars
Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
Bird Fox · Google
Rated 5 out of 5 stars
I can’t express how grateful I am to Teresa and her staff. It is so wonderful to finally be heard and understood.
Autumn M · Google
Rated 5 out of 5 stars
If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
Shawn Yancey · Google
Rated 5 out of 5 stars
Teresa is very knowledgable and will shoot you straight. She doesn’t mess around with fluffy talk; she will tell you what she can help you with and she will be honest about where you are at…
Cara Erickson · Google
Rated 5 out of 5 stars
Very thorough. Teresa tailors each regimen to very specific needs of each patient. No cookie-cutter approach.
Jimmy Wolfe · Google
Rated 5 out of 5 stars
Teresa gave me the missing piece of the puzzle to manage my auto-immune symptoms. I’ve been searching for 3 years and several Doctors…
Katy Yates · Google
Rated 5 out of 5 stars
I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
Mel C · Google
Rated 5 out of 5 stars
Teresa was helpful, informative, and specific to me. So knowledgeable. The ladies up front are kind, helpful, courteous, and seem like old friends. It’s great having the lab on site.
BELINDA Gilmore · Google
Rated 5 out of 5 stars
Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
Pam Sawyers · Google
Rated 5 out of 5 stars
We love Teresa! She has helped us so much. I feel stronger than ever at age 61!!
Kim Bateman · Google
Rated 5 out of 5 stars
This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
Topaz_FineArts · Google
Rated 5 out of 5 stars
Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
Bird Fox · Google
Rated 5 out of 5 stars
I can’t express how grateful I am to Teresa and her staff. It is so wonderful to finally be heard and understood.
Autumn M · Google
Rated 5 out of 5 stars
If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
Shawn Yancey · Google
Rated 5 out of 5 stars
Teresa is very knowledgable and will shoot you straight. She doesn’t mess around with fluffy talk; she will tell you what she can help you with and she will be honest about where you are at…
Cara Erickson · Google
Rated 5 out of 5 stars
Very thorough. Teresa tailors each regimen to very specific needs of each patient. No cookie-cutter approach.
Jimmy Wolfe · Google
Rated 5 out of 5 stars
Teresa gave me the missing piece of the puzzle to manage my auto-immune symptoms. I’ve been searching for 3 years and several Doctors…
Katy Yates · Google
Rated 5 out of 5 stars
I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
Mel C · Google
Rated 5 out of 5 stars
Teresa was helpful, informative, and specific to me. So knowledgeable. The ladies up front are kind, helpful, courteous, and seem like old friends. It’s great having the lab on site.
BELINDA Gilmore · Google
Rated 5 out of 5 stars
Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
Pam Sawyers · Google
Rated 5 out of 5 stars
We love Teresa! She has helped us so much. I feel stronger than ever at age 61!!
Kim Bateman · Google
Start here
What hormone therapy for women actually replaces.
The plain version, before the emotional part: menopausal hormone therapy brings the hormones your body has stopped making enough of back toward the levels you feel well at — using bioidentical hormones, dosed to your own labs. Three hormones do most of the work, and estrogen almost never acts alone.
Estradiol
The main estrogen
The estrogen that falls in perimenopause and menopause. Replaced as a bioidentical — the same molecule your ovaries made — rather than a synthetic stand-in.
Progesterone
Estrogen’s partner
Paired with estrogen when you still have a uterus, for protection and often for sleep and mood. It is why hormone therapy is rarely estrogen on its own.
Testosterone
Yes, for women too
Women make testosterone and lose it with age. It is the piece an estrogen-only plan skips, and often the one behind flat mood, drive, and libido.
In their own words
What women tell us on the first visit
“I wake up at 3 a.m. and cannot fall back asleep.”
“I am doing everything right and still gaining weight.”
“I snap at people and I do not feel like myself.”
“The hot flashes and night sweats are constant.”
“My sex drive is just gone.”
“My hair is thinning and my skin changed.”
“I feel anxious for no reason at all.”
“I am exhausted from the moment I wake up.”
“My periods went unpredictable before they went away.”
“Brain fog — I lose the word I was about to say.”
Every one of these is measurable. None of them is something you have to live with because someone called it normal.
Too young for this?
You’re not too young for this.
Perimenopause can begin years before your periods stop, and often while a standard panel still reads as normal for your age. Both of those things are true at once, and together they are why so many women spend years being told to wait.
Here is the mechanism, plainly: in perimenopause your hormones swing rather than decline steadily, so a single draw on a single day catches one point on a moving line. An in-range result that day does not mean nothing is happening — it means one number was taken at one moment.
Being told you’re fine is not the same as being well. Bring us the labs someone called normal.
The stages
You’re somewhere in this, and it has a name.
The stages of menopause are perimenopause, menopause, and postmenopause — and how long perimenopause lasts varies enormously, from a couple of years to a decade. Knowing which stage you are in is the difference between being told to wait it out and having something specific to treat.
Perimenopause
Most often your 40s — sometimes earlier
The years before periods stop for good. Hormones swing week to week rather than declining in a straight line, which is why symptoms can be loud here while a single blood draw still reads as normal.
Menopause
Twelve months with no period
The point that marks the end of the transition, named after the fact — most women reach it somewhere in their early fifties. It is a date on a calendar, not the day symptoms stop.
Postmenopause
Every year after that
Hormone levels settle at a new, lower baseline. Hot flashes often ease with time, while the changes that track with low estrogen — sleep, bone, mood, energy, libido — can continue long after.
Drawn at our in-office lab · Walk-in lab draws Mon–Thu 7:30–2, no appointment needed
What we measure
We measure your hormones instead of guessing at them
A single hormone reading taken on the wrong day tells you almost nothing. We draw a full hormone and metabolic panel at our in-office lab, then read the results as a pattern — because estrogen, progesterone, testosterone, thyroid, and insulin all pull on each other. That is how we find what a basic panel misses.
Estradiol
Progesterone
Total & free testosterone
FSH & LH
Full thyroid panel
Fasting insulin
Vitamin D
Cortisol
The full panel — including testosterone for women.
Estradiol, progesterone, FSH and thyroid, plus the testosterone an estrogen-only workup leaves out. It is routinely the marker that explains the symptom you came in for.
Perimenopause rarely shows up as an abnormal lab.
Hormones swing week to week, so a single in-range draw proves very little. Your symptom pattern is the more reliable signal, and we treat it as one.
How it works
Three steps to hormones dosed to you.
Your plan is built with you, not handed to you. You see every number, you hear what it means in plain English, and you decide together what to treat.
Step 01
Get the full picture
Your labs are drawn in our office at your Total Health Assessment — no separate trip to an outside lab.
Drawn in our office
Step 02
Sit down and understand it
About ten days later you get a full hour with Teresa, going through every number in plain English until it makes sense.
One full hour
Step 03
Start therapy dosed to you
If bioidentical estradiol, progesterone, or testosterone fits, we start there and adjust from your follow-up labs — never a fixed dose forever.
What kind of doctor prescribes hormone therapy for menopause?
Most women assume their OB-GYN handles this, and sometimes they do. But menopausal hormone therapy is its own focus, and providers differ in how deep they go. The honest landscape.
OB-GYN
Expert in reproductive health; menopause is one part of a broad practice.
Menopause focus
One area among many
Panel depth
Varies widely by provider
Dose adjustment
Often a standard regimen
Primary care (PCP)
Where many women first raise symptoms and get a quick lab check.
Menopause focus
Rarely the emphasis
Panel depth
Usually a basic draw
Dose adjustment
Seldom revisited
Med spa
Often leads with pellets on a fixed package rather than a workup.
Menopause focus
Product-first
Panel depth
Minimal, if any
Dose adjustment
Tied to the package
Dedicated hormone clinic
Where you are
A practice built entirely around hormone and metabolic health.
Menopause focus
The whole practice
Panel depth
Full hormone + metabolic
Dose adjustment
Re-read and re-dosed over time
A great OB-GYN who takes menopause seriously is a fine place to be treated — the specialty isn’t the point. What matters is a full panel, a plan dosed to your labs rather than a package, and someone who adjusts it as you change. No referral is needed to be seen here.
Who qualifies
Are you a candidate for hormone therapy?
Age doesn’t decide this and neither does a single lab. Candidacy comes from your history, your symptoms, and your bloodwork read together — but here is the honest shape of who it tends to fit.
Likely a fit if
You’re in perimenopause or menopause and the symptoms are disrupting sleep, mood, or daily life.
You were told your labs were “normal” but you don’t feel like yourself.
You started estrogen elsewhere and something still feels missing.
You want a plan built on a full panel and adjusted over time, not a fixed package.
Not the right starting point if
You have a personal history of breast cancer, a blood clot, or unexplained bleeding — that needs a direct conversation about risks and alternatives first.
You’re pregnant or might be — this isn’t the right time to start.
You want pellets on demand without testing; that isn’t how anything is dosed here.
You’re not yet sure it’s hormonal — the panel comes first, and sometimes it points elsewhere.
Hormone therapy has real benefits and real risks, and the right answer is personal. The assessment is where your history and your labs decide it together — no pressure to start.
Who you'll actually see
Teresa Mealy, APN
There is no rotating staff here. Teresa is the founder and the only clinical provider, which means the person who reads your labs is the same person who builds your hormone therapy for women plan and the same person you see at every follow-up.
“I am only a consultant. YOU are the leader.”
APN — Advanced Practice Nurse
Licensed in Missouri and Florida
Medically supervised with a board-certified physician
Perimenopause and menopause care is personal, so we would rather let patients describe it than describe it for them. These are public reviews, quoted exactly.
Rated 5 out of 5 stars
Teresa is Fantastic!! So glad I was able to get in with her. She genuinely cares and is there to help with suggestions and a ton of knowledge. Ladies, get those levels checked correctly, because I’m certain our Commercial doctors are not going that far!!!
Savannah Jones · Google review · May 2024
Rated 5 out of 5 stars
I just started working with Teresa and her team and I love them! Teresa is very knowledgeable and talks REAL talk. Providing you a collaborative and safe space for your health care! Midlife menopause care is a journey and I’m glad I’m taking it with Teresa and the THW team.
Cheryl Kelly · Google · April 2024
Rated 5 out of 5 stars
I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
Mel C · Google · July 2023
Rated 5 out of 5 stars
Very knowledgeable. Listened to every issue I had patiently and responded in a way that made me feel like my opinion mattered! Extremely pleased with everyone in her office and can’t wait to get these hormone issues figured out with her leading the way. I have hope and a plan and I’m super grateful for Teresa!
Dayna Rogers · Google · February 2023
Rated 5 out of 5 stars
I finally made an appointment with her due to major hormonal issues (PCOS, hot flashes, mood swings, weight gain, hair loss, etc.). Her assessment and supplement recommendations have changed my life. My hot flashes are subsiding, I’m sleeping better, I’m starting to feel like a fully functioning adult again that doesn’t need caffeine to keep me going throughout the day…
Erin Hardy · Google · October 2022
Rated 5 out of 5 stars
I am grateful to have been referred to Teresa Mealy for help in balancing my hormones. She is very thorough in testing, which I appreciate. She is knowledgeable, yet she made understanding my results easy. The staff are all pleasant and helpful as well.
Deborah Chateauvert · Google · August 2022
Rated 5 out of 5 stars
Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
Pam Sawyers · Google · December 2019
Quoted word for word, trimmed only at sentence breaks. 4.9 out of 5 across 126 Google reviews as of July 2026. Read them on Google.
Individual results vary. These are personal experiences, not a promise of any particular outcome.
After your assessment
Care that keeps adjusting.
Hormones and metabolism aren't set once and left alone — the dose that's right in month one usually isn't right in month six. Total Health Optimization is how that keeps getting tuned: unlimited visits, labs re-read as they change, and your provider reachable between them.
Total Health Optimization
$499 to start, then $275/qtr
Optimization members unlock better pricing on nearly everything else. If you already spend on supplements and treatments, the savings offset much of the quarterly fee.
Wholesale pricing on our own supplement line
Members-only peptide pricing
Discounted compounded prescriptions
A supplement starter pack included
A free InBody body-composition scan
A direct provider line, Monday–Thursday
No insurance, no contracts, cancel anytime.
Start with the $299 Total Health Assessment — credited in full toward any program you start.
Common questions
Questions women ask before starting hormone therapy.
Is bioidentical hormone therapy safe?
Hormone therapy is prescription medical care, so it belongs with a provider who tests you first, doses to your own labs, and rechecks over time — which is exactly how we run it. Teresa reviews your history and your bloodwork before anything is prescribed, and care here is medically supervised in partnership with a board-certified physician. She will walk you through the tradeoffs for your specific situation during your results visit.
How do I know if I am in perimenopause?
Perimenopause can start years before your periods stop, and symptoms often appear while standard labs still read as normal. Irregular cycles, night sweats, new anxiety, and 3 a.m. waking are the usual early pattern. Because hormones swing week to week at this stage, one in-range blood draw does not rule it out — which is why we run a deeper panel and read it alongside your symptoms.
How long does menopause last?
Perimenopause varies widely — a couple of years for some women, closer to a decade for others. Menopause itself is the single point marking twelve months without a period, most often reached in the early fifties. Symptoms do not stop on that date: hot flashes often ease over time, while the changes that track with low estrogen can continue well into postmenopause.
Do I have to be in menopause to be treated here?
No. Most of the women we see are somewhere in perimenopause, still having periods, and were told to come back when things got worse. You do not have to wait for a milestone to have your hormones measured and explained.
Do I need insurance for hormone therapy here?
No. We are a direct, cash-pay clinic — no insurance, no copays, no contracts, and no surprise bill later. You know the price before anything happens.
Have a question that is not here? Call (417) 771-5277 and talk to a real person.
Often connected to
One system, not separate problems.
These rarely show up alone. Teresa treats them together, in one plan, rather than as separate departments.
It all starts with the $299 Total Health Assessment — a full lab panel, a one-hour results review, and a plan built around you. The fee credits fully toward any program you start.
