
There’s a moment a lot of women hit where something just feels… off.
You’re more tired than usual.
Your sleep isn’t the same.
Your mood shifts feel bigger.
Your motivation isn’t where it used to be.
And the frustrating part?
It’s hard to explain and even harder to get clear answers.
At Sage & Vine, we hear this all the time and more often than not, it comes back to one thing: hormones.
Let’s Make It Make Sense:

Your two main ingredients are Estrogen and Progesterone.
These are your foundation. They play a huge role in things like sleep, mood, cycles, and overall balance. When those are off, the whole “cake” feels off.
Then there’s Testosterone
Think of it as the icing on top. It’s not always something your body needs more of, but when it is needed, it can support things like energy, motivation, and drive.
So how do you know what you need?
This is where a lot of people get overwhelmed, because hormone health isn’t one-size-fits-all and it shouldn’t be treated that way.
Amanda Curtis, FNP-BC, approaches HRT in a way that’s completely individualized.
It starts with an in-depth conversation about your health history, symptoms, and lifestyle. From there, a highly customized set of labs is ordered, reviewed, and used to create a custom treatment plan for you.