HORMONES & VITALITY
MEET CLAIRE
feeling THE shift OF PERIMENOPAUSE
Claire is 44. VP of Business Development at a mid-size tech company. Two kids. A husband who's equally stretched. A life that runs on calendar blocks and controlled chaos. She's the person everyone leans on — her team, her kids, her husband. The one who holds the whole structure together.
For most of her thirties, that pace worked. She was sharp, energetic, resilient. Then 42 hit and something started to shift.
She noticed it first in her body. Her jeans fit differently — not from anything she'd changed, just a slow redistribution that no amount of clean eating seemed to touch. She'd look in the mirror and notice the signs of aging around her eyes, her jaw, her skin. Irritability she couldn't explain. Fatigue before lunch. Nights where her mind wouldn't stop.
"I just remember thinking, this can't be the new normal."
Her OB ran a standard panel. Everything came back normal. "You might be entering perimenopause. Try to manage your stress."
She went home and got back to work.
7 Years
is the average time from first perimenopause symptoms to diagnosis — because standard panels aren't designed to catch it early.
Performance-Based Biomarker Insights
LIVV ran a comprehensive panel to understand the full picture. Rather than standard lab ranges that show general population ranges, LIVV used functional medicine lab ranges to identify areas outside of her optimal performance levels.
Estradiol and progesterone: declining
→ Early perimenopause — driving mood, sleep, fog
Free testosterone: low
→ Rarely tested in women and critical for energy and drive
Fasting insulin: trending toward resistance
→ Root driver of body composition shift
NAD+ levels: significantly low
→ Cellular fatigue no amount of sleep could fix
Thyroid T3/rT3: suboptimal conversion
→ Fatigue compounded despite normal TSH
The data, alongside a deep review of Claire's lifestyle, health history, and goals with LIVV's physician, provided a clear path forward.
A Personalized & Evolving Health Strategy
LIVV built a targeted protocol to restore hormonal balance, reclaim her energy, and protect the physical and mental sharpness she'd built her career on. The best part was that most of the treatments could be done at home to fit within her busy schedule.
Hormone Optimization
To address the hormonal decline driving her mood swings, sleep disruption, brain fog, and metabolic changes. The testosterone component (rarely offered) was the piece she hadn't known she was missing.
NAD+ IV Infusions
To restore cellular energy at the mitochondrial level, targeting the fatigue that lived beneath the surface and didn't respond to rest.
Peptide Therapy
GHK-Cu to support collagen production and tissue repair, addressing the visible aging she'd noticed along with DSIP to regulate cortisol and promote deep, restorative sleep.
GLP-1 Support
To address the insulin resistance component and support body composition rebalancing, particularly the midsection redistribution that hadn't responded to diet or training.
Claire's medical team was available by text and phone, which made access easy and the weekly touchpoints ensured consistency and momentum.
With quarterly labs, her protocol was continuously refined, adapting in real time to support her body's changing needs.
Her membership also included medical aesthetics and massage, with everything under one roof to support stress relief and confidence.
THE SHIFT: 30 DAYS IN
Claire didn't expect the emotional shift to come first. But within two weeks, she noticed she wasn't snapping anymore. The hair-trigger reactivity had quieted. She slept through the night for the first time in over a year.
By the end of week four, she had energy past 7pm. She described it as getting her evenings back. She started reading again. She cooked dinner without resenting it.
"I'd convinced myself this was just who I was now. A month in and I realized — no. That was my hormones. This is me."
THE SHIFT: 6 MONTHS IN
Down 15 pounds. She saw noticeable differences in her body and skin. She felt strong and confident.
Her brain fog had lifted. She was back to writing proposals in a single sitting and showing up to meetings in command of the room.
At home: emotionally available, not just physically present.
"Perimenopause was trying to quietly take things from me — my sharpness, my body, my skin, my patience with my kids. LIVV gave me the tools to not let it. I'm not fighting aging. I'm just not surrendering to it either."
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To protect member privacy, the journeys depicted on this page are illustrative composites inspired by real member experiences — not individual case studies. Names, identifying details, and specific circumstances are fictional. Individual results depend on individual health status, protocol adherence, and other factors, and are not guaranteed.
These statements have not been evaluated by the Food and Drug Administration. Services and therapies described are not intended to diagnose, treat, cure, or prevent any disease.
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