
Personalized bioidentical hormone therapy and functional hormone care for women ready to feel like themselves again.

You can be told that everything looks “normal” and still know something is off. Fatigue, brain fog, disrupted sleep, mood changes, stubborn weight shifts, low libido, vaginal changes, and feeling disconnected from yourself can be meaningful clues—not character flaws.
Perimenopause, menopause, surgical menopause, thyroid changes, and chronic stress can affect the way you think, sleep, recover, and move through your day. Your plan should reflect your body, your health history, your priorities, and your comfort—not a one-size-fits-all protocol.
When clinically appropriate, hormone optimization may support steadier energy, clearer thinking, better sleep, a more stable mood, improved sexual wellness, and a stronger sense of being at home in your body. Results vary, and your care is monitored and adjusted over time.
Estrogen, progesterone, testosterone, thyroid, DHEA, and cortisol do not operate in isolation. Optimal You evaluates the whole picture—because treating one number while ignoring the rest is not personalized care.
Your path begins with a consultation, comprehensive health history, targeted laboratory evaluation, and a clear explanation of your options. When treatment is appropriate, your plan is followed with ongoing monitoring and thoughtful adjustments. Care is available through telehealth and in person in Newport, Vermont.
Hormone care should feel informed, collaborative, and specific to you. Here are the questions women ask most often before getting started.
Common signs of a hormone imbalance include low energy, mood swings, brain fog, difficulty sleeping, and weight changes. If you’re noticing these symptoms and don’t feel like yourself, a consultation at Optimal You LLC can help assess whether hormone therapy is right for you.
Hormone therapy can benefit a wide range of individuals, from those experiencing age-related symptoms to athletes looking to optimize physical and mental performance. It’s designed to help anyone seeking better energy, mood, and overall well-being.
Every body responds differently. Some people notice changes within weeks, while others need more time and careful adjustments. Your response, symptoms, and follow-up data guide the pace of care.
Mia Hartman, FNP-C, is the founder of Optimal You, a Vermont-based practice helping women make sense of complex symptoms through evidence-informed, whole-person care. Her approach combines clinical expertise, honest conversation, detailed evaluation, and treatment plans designed around the individual—not the template. You are not reduced to a lab value or handed a generic protocol; you receive clear education and thoughtful guidance grounded in the full picture.