Menopause & Perimenopause

Feeling lost in Menopause? Perimenopause? You're not alone.

You're Meant to Be Vibrant, Not Just Get By.

We hear so many women say, ‘Well, this is just what happens when you get older.’

But we know you deserve to feel vibrant, like yourself, for years to come. It’s about truly living, not just surviving. We can help you rediscover that vitality.

You have much life to enjoy; stop waiting, and start living fully.

Book a free consultation

Are You Experiencing These Changes?

It’s true, 6000 women enter menopause in the U.S. every day. But even before that, if you’re 45 or older, you might be experiencing perimenopause. And with it, a whole host of changes that can leave you feeling unlike yourself:

Fatigue

Persistent tiredness that just won't lift, making it hard to get through the day. Does menopause make you tired? Yes, it can, and we understand how draining it feels.

Anxiety

Sudden anxiety or mood swings that feel overwhelming, leaving you wondering what to take for menopause anxiety. We can help you find natural ways to ease these feelings.

Dizziness

Unexplained dizziness or feeling unwell, like menopause feeling sick and dizzy, can be unsettling. We'll work to uncover the cause.

Hot Flashes and Dizziness

Night sweats and sudden hot flashes, sometimes accompanied by hot flashes and dizziness, can disrupt your sleep and daily life.

Headaches

Frequent headaches that seem to coincide with hot flashes and headaches, adding to the discomfort.

Sleep Disruptions

Waking between 2 and 4 am, making it hard to get a restful night's sleep.

Irregular Periods and Pronounced PMS

Changes in your menstrual cycle, with more intense PMS symptoms.

Brain Fog

Difficulty concentrating and remembering things, making you feel mentally foggy.

Weight Gain

Changes in your body, including weight gain, can affect your confidence.

These changes are not just ‘in your head.’ They’re real, and they can really throw you for a loop.  But we’re here to help you understand what’s happening and find ways to feel like yourself again.

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You're Meant to Thrive, Not Just Survive.

We understand that these changes can be unsettling. You might feel like “this is just what happens when you get older.” But at Five Journeys, we believe you’re meant to be vital, vibrant, healthy, and alive—able and interested in intimacy until you’re at least 100.

A Functional Medicine Approach to Hormonal Balance.

We don’t just treat symptoms. We look at the root causes of your hormonal changes, addressing:

  • Adrenal health
  • Gut health
  • Liver function

Through personalized care and a holistic approach, we help you find balance and reclaim your energy.

What We Offer

We understand that every woman’s journey through perimenopause and menopause is unique.

That’s why we provide a range of personalized solutions to help you feel your best:

Treatment plans designed specifically for your individual needs.

Therapies using natural and bio-identical hormones.

Guidance on diet and nutrition to support your body’s changes.

Techniques to reduce stress and alleviate anxiety.

Strategies to improve sleep quality and duration.

Recommendations for natural remedies and approaches.

Stop Waiting, Start Living.

You’ve got a lot of living to do. Don’t let menopause or perimenopause hold you back.

Our Providers

During menopause and perimenopause, personalized support is key. Our team of women’s health specialists offers comprehensive care, providing expert guidance tailored to your specific symptoms and needs, empowering you to find balance and thrive.

Wendie Trubow, MD, MBA

Erin Jankauskas, the Physician assistant at Five Journeys.

Erin Jankauskas, PA

Why we do, What we do…

Stories of Reclaimed Vitality

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WHY DO WE DO THIS TEST?

This is a comprehensive test that uses blood and urine to evaluate over 125 biomarkers. It provides recommendations for vitamins, minerals, amino acids, fatty acids, and digestive support. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Blood and Urine

COST

$179 – $439

INSURANCE

Depending on insurance coverage.

INSTRUCTIONS

WHY DO WE DO THIS TEST?

This is a comprehensive stool test that relies on quantitative polymerase chain
reaction (qPCR) technology to detect parasites, bacteria, H. pylori, fungi, and more by targeting the specific DNA of the organisms tested. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Stool

COST

$399

INSURANCE

Depending on insurance coverage.

INSTRUCTIONS

WHY DO WE DO THIS TEST?

This test is a key tool for assessing the impact of long-term exposure to environmental chemicals. By quantitatively measuring 14 select metabolites, this test helps determine an individual’s toxic burden, offering essential data to guide targeted nutritional and detoxification interventions for improved health outcomes. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Urine

COST

$129

INSURANCE

Depending on insurance coverage.

3 x 4 Genetics DNA Test

WHY DO WE DO THIS TEST?

This DNA test analyzes a person’s genetic markers to provide insights into their health and wellness price. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Swab

COST

$299

INSURANCE

Depending on insurance coverage.

WHY DO WE DO THIS TEST?

Galleri® is a multi-cancer early detection test, a blood test that screens for many of the deadliest cancers before they become symptomatic,1,2,3 including those with no recommended screening tests today. Click here for more information.

LOCATION PERFORMED

At home or in lab.

SPECIMEN TYPE

Blood

COST

$999

INSURANCE

Depending on insurance coverage.

WHY DO WE DO THIS TEST?

This test is comprehensive testing for Lyme disease and other tick-borne illnesses, helping clinicians accurately diagnose and treat these complex infections. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Blood, Urine, or Ticks

COST

may have a $200 copay

INSURANCE

Covered by most insurance.

WHY DO WE DO THIS TEST?

This is a dried urine test for comprehensive hormones to help providers solve complex patient cases. DUTCH is a group of validated tests that provide a complete evaluation of sex and adrenal hormones, including metabolites. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Urine

COST

$300

INSURANCE

Depending on insurance coverage.

INSTRUCTIONS

WHY DO WE DO THIS TEST?

The Hormone and Urinary Metabolites Assessment Profile (HuMapTM) provides a comprehensive overview of steroid hormones, their metabolites, and the efficiency of the enzymes that metabolize these hormones. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Urine

COST

$199

INSURANCE

Depending on insurance coverage.

INSTRUCTIONS

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Nordic-Labratories

WHY DO WE DO THIS TEST?

This test evaluates the genetic profile for multiple health indicators. Click here for more information.

LOCATION PERFORMED

At home

SPECIMEN TYPE

Blood Spot

COST

$319

INSURANCE

No insurance accepted

COLLECTION INSTRUCTIONS

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RealTime

WHY DO WE DO THIS TEST?

This test evaluates the presence of harmful mycotoxins (toxins produced by molds).

LOCATION PERFORMED

At Home

SPECIMEN TYPE

Urine

COLLECTION INSTRUCTIONS

SPECIAL INSTRUCTIONS

Glutathione for 1 week, then bath or sauna.

COST

$699

INSURANCE

Fully covered by Medicare. Repeat test prices $249

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Genova logo

WHY DO WE DO THIS TEST?

Genova’s SIBO Profiles are non-invasive breath tests which capture exhaled hydrogen (H2) and methane (CH4) gases following patient ingestion of a lactulose solution to evaluate bacterial overgrowth of the small intestine

LOCATION PERFORMED

At home

SPECIMEN TYPE

Breath

COLLECTION INSTRUCTIONS

COST

$85-$225 depending on insurance coverage. 

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Great-Plains

WHY DO WE DO THIS TEST?

Glyphosate (“Round Up”) is a pesticide that is widely used and this test indicates the body’s levels.

LOCATION PERFORMED

At home

BLOOD FLUID

Urine

SPECIAL INSTRUCTIONS

Glutathione for 1 week, then bath or sauna.

COST

$99 ($69 if performed with mycotoxins or environmental toxins).

INSURANCE

No insurance accepted $30 discount given if done with mycotoxins or GPL Tox.
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IGX

WHY DO WE DO THIS TEST?

This company can test for lyme, babesia, bartonella and additional tick-borne illnesses. Click here for more information.

LOCATION PERFORMED

In office

SPECIMEN TYPE

Blood

COST

around $1600 (depends on panel selected)

INSURANCE

Fully covered by Medicare. May be reimbursed with PPO plans.
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Alletess

WHY DO WE DO THIS TEST?

This test is designed to look at food sensitivities (IgG immune responses). It is available in both a 99 or 184 panel. Click here for more information.

LOCATION PERFORMED

In office

SPECIMEN TYPE

Blood

COST

$129-238

INSURANCE

No insurance accepted
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DiagnosTechs

WHY DO WE DO THIS TEST?

This test measures saliva cortisol testing throughout the course of one day and informs us where there might be an adrenal imbalance.

LOCATION PERFORMED

At home

BLOOD FLUID

Saliva

COST

$80

INSURANCE

No insurance coverage

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Galaxy

WHY DO WE DO THIS TEST?

This test is specifically for a tick-borne illness called “Bartonella”.

LOCATION PERFORMED

In office

BLOOD FLUID

Blood

COST

$260

INSURANCE

No insurance accepted
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Genova logo

WHY DO WE DO THIS TEST?

This test evaluates the full menstrual cycle, female hormones, and adrenal profile.

LOCATION PERFORMED

At home

BLOOD FLUID

Urine

COST

$160-$329

INSURANCE

Depending on insurance coverage. Fully covered by Medicare.

NOTES

Must be off hormones in order to do the testing.
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Genova logo

WHY DO WE DO THIS TEST?

This test evaluates the gut function and indicates microbiome balance, overgrowth, infection, inflammation, parasites and digestive efficacy. Click here for more information.

LOCATION PERFORMED

At home

SPECIMEN TYPE

Stool

COST

$179-$439 depending on insurance coverage.

INSURANCE

Depending on insurance coverage. Fully covered by Medicare.

SPECIAL INSTRUCTIONS

No probiotics for one week.

VIDEO INSTRUCTIONS

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Genova logo

WHY DO WE DO THIS TEST?

This test evaluates many measures including micronutrients, antioxidants, minerals, detox, overview of gut function, omegas and toxic exposure. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Urine

COST

$150 – $329

INSURANCE

Depending on insurance coverage. Fully covered by Medicare.

INSTRUCTIONS

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Quest

WHY DO WE DO THIS TEST?

Blood work for blood count, urinalysis and vitamin levels.

LOCATION PERFORMED

BLOOD FLUID

Blood

NOTES

You often have to fast for these tests-please check your providers notes.

COST

Depending on the test, deductible or copay may apply.

INSURANCE

Depends on insurance coverage, deductible or copay may apply.
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Alletess

WHY DO WE DO THIS TEST?

This test evaluates a wide range of environmental toxins that may be leading to harmful health effects.

LOCATION PERFORMED

At home

BLOOD FLUID

Urine

SPECIAL INSTRUCTIONS

Glutathione for 1 week, then bath or sauna.

COST

$199

INSURANCE

No insurance accepted $30 discount given if done with mycotoxins.
fivejourneys logo
Great-Plains

WHY DO WE DO THIS TEST?

This test evaluates the presence of harmful mycotoxins (toxins produced by molds).

LOCATION PERFORMED

At home

BLOOD FLUID

Urine

SPECIAL INSTRUCTIONS

Glutathione for 1 week, then bath or sauna.

COST

$310

INSURANCE

No insurance accepted