Feel Like Yourself Again
Tired. Gaining Weight. Not Sleeping. Low Libido. Brain Fog.
And you've been told your labs are "normal"?
Your hormones may be part of the reason you don't feel like yourself anymore.
At The Skin Clinic, we take a comprehensive approach to hormone optimization—looking at your symptoms, labs, thyroid, metabolism, lifestyle and overall health to understand what's actually happening.
SAVE $300 ON YOUR HORMONE OPTIMIZATION CONSULTATION
✓ Comprehensive Lab Evaluation
✓ One-on-One Provider Consultation
✓ Personalized Hormone + Wellness Plan
✓ Ongoing Monitoring & Optimization
✓ Designed for Perimenopause + Menopause
ONLY 12 NEW PATIENT SPOTS AVAILABLE THIS MONTH
Something feels off…. But Everyone Keeps Telling You Everything Is "Normal."
You're doing the same things you've always done—but suddenly your body isn't responding the same way.
Maybe you're:
✓ Exhausted even after sleeping
✓ Gaining weight, especially around your midsection
✓ Waking up in the middle of the night
✓ Experiencing hot flashes or night sweats
✓ Struggling with brain fog
✓ More irritable, anxious or emotional
✓ Losing interest in sex
✓ Experiencing vaginal dryness or discomfort
✓ Losing muscle or feeling weaker
✓ Not motivated like you used to be
✓ Noticing changes in your hair or skin
Or maybe the hardest symptom to explain is simply:
"I just don't feel like myself anymore."
You've gone to your doctor.
You've had bloodwork.
You've been told everything looks "normal."
But you know your body—and you know something has changed.
That's where we start.
WE DON'T JUST ASK, "ARE YOUR LABS NORMAL?"
We Ask Whether Your Symptoms, Health History and Lab Results Tell a Bigger Story.
Hormones don't work independently.
Changes in estrogen, progesterone, testosterone and thyroid function can occur during perimenopause and menopause—and symptoms can overlap with other health and lifestyle factors.
That's why your evaluation at The Skin Clinic looks beyond a single number.
We bring together:
YOUR SYMPTOMS
How you're actually feeling matters.
YOUR LABS
We evaluate relevant biomarkers to better understand what's happening.
YOUR THYROID
Because thyroid function can contribute to symptoms that overlap with hormonal changes.
YOUR METABOLIC HEALTH
Weight, body composition and metabolic health are part of the bigger picture.
YOUR LIFESTYLE
Sleep, nutrition, stress and activity all matter.
YOUR GOALS
Because your treatment plan should be built around what you want to improve.
Your lab results are one piece of the puzzle—not the entire picture.
WHAT COULD HORMONE OPTIMIZATION HELP WITH?
When medically appropriate, personalized hormone therapy may help address symptoms associated with perimenopause, menopause and hormone deficiency.
ENERGY
Feeling drained all day shouldn't automatically become your new normal.
SLEEP
Hormonal changes can affect your ability to fall asleep, stay asleep and wake feeling rested.
BRAIN FOG
Trouble concentrating, forgetfulness and feeling mentally "off" are common concerns during the menopause transition.
HOT FLASHES + NIGHT SWEATS
Hormone therapy can be an effective treatment for bothersome menopausal vasomotor symptoms.
SEXUAL WELLNESS
Hormonal changes may contribute to changes in libido, vaginal dryness and sexual comfort.
MOOD
Hormonal changes can overlap with irritability and mood changes during the menopause transition.
BODY COMPOSITION
Hormonal changes can coincide with changes in body composition, muscle and where your body stores fat.
OVERALL QUALITY OF LIFE
Sometimes the goal is simple:
To feel more like YOU again.
THIS ISN'T ONE-SIZE-FITS-ALL HRT.
Your Hormone Plan Is Built Around You.
We don't believe every woman needs the exact same treatment.
Your personalized plan begins with your symptoms, health history, labs and goals.
When appropriate, recommendations may include:
BIOIDENTICAL HORMONE THERAPY
Your provider may recommend estrogen, progesterone and/or testosterone based on your individual needs, medical history and candidacy.
HORMONE PELLET THERAPY
For appropriate candidates, pellet therapy offers a convenient hormone-delivery option without remembering a daily dose. We also offer other forms of HRT, we will help you determine which is best for you.
THYROID EVALUATION + MANAGEMENT
If your evaluation indicates that thyroid function may be contributing to your symptoms, we'll discuss appropriate next steps.
METABOLIC + WEIGHT SUPPORT
For women struggling with weight and metabolic changes, we can evaluate whether additional medical weight-management or wellness support is appropriate.
NUTRITION + SUPPLEMENT SUPPORT
Your provider may recommend targeted nutritional or supplement support based on your individual needs.
INTIMATE WELLNESS
We can also address concerns such as vaginal dryness, discomfort, urinary symptoms and changes in sexual wellness.
We look at the whole woman, not just one hormone.
WHAT MAKES THE SKIN CLINIC DIFFERENT?
You Deserve More Than a Prescription and "See You Next Year."
Hormone optimization isn't simply about starting treatment.
It's about evaluating, treating, monitoring and adjusting.
Your care may include:
✓ Comprehensive consultation
✓ Advanced lab testing
✓ Personalized treatment recommendations
✓ Hormone optimization
✓ Thyroid evaluation when appropriate
✓ Metabolic and weight support
✓ Body-composition tracking
✓ Nutrition and supplement guidance
✓ Ongoing symptom monitoring
✓ Follow-up labs
✓ Treatment adjustments
✓ Continued provider support
Because your body changes—and your plan should be able to change with it.
HERE'S HOW IT WORKS
1. TELL US WHAT'S CHANGED
We start with a detailed conversation about your symptoms, medical history, lifestyle and goals.
Not just: "What's your estrogen level?" But: "How do you actually feel?"
2. GET THE DATA
We'll order comprehensive lab testing based on your individual evaluation.
This helps us look for potential factors contributing to how you're feeling.
3. MEET WITH YOUR PROVIDER
Your provider reviews your symptoms, medical history and results with you.
We'll explain what we're seeing in language that actually makes sense.
You'll leave understanding your body better than when you walked in.
4. BUILD YOUR PERSONALIZED PLAN
If you're a candidate for hormone therapy, we'll discuss your options, benefits, risks and alternatives and build a treatment plan around your individual needs.
5. MONITOR + OPTIMIZE
We don't disappear after you start treatment.
Your symptoms and appropriate lab work are monitored so your provider can make adjustments when necessary.
HRT shouldn't be "set it and forget it."
IS HORMONE OPTIMIZATION RIGHT FOR YOU?
It may be worth having a conversation if you're experiencing:
✓ Perimenopause symptoms
✓ Menopause symptoms
✓ Persistent fatigue
✓ Hot flashes or night sweats
✓ Sleep disruption
✓ Brain fog
✓ Low libido
✓ Vaginal dryness
✓ Changes in mood
✓ Unexplained changes in weight or body composition
✓ Loss of strength or muscle
✓ Or simply feeling different than you used to
You don't need to know whether hormones are causing your symptoms before you come in.
That's what the evaluation is for.
Meet Heidi Hermel, CNP
CEO, Founder of the Skin Clinic
Heidi Hermel is a Certified Family Nurse Practitioner who has spent the past 4+ years extensively studying hormone optimization and women's health and has helped more than 1,000 women navigate hormonal changes and feel more like themselves again.
Her philosophy is simple:
Your symptoms matter—even when you've been told your labs are “normal.”
Heidi understands how frustrating it can be to know something has changed in your body but not have answers. That's why she looks beyond a single lab value—taking the time to understand your symptoms, health history, hormones, thyroid, metabolism, lifestyle and goals.
At The Skin Clinic, hormone care isn't one-size-fits-all. It's about listening, looking at the bigger picture, and creating an individualized plan that evolves with you.
4+ Years Focused on Hormone Optimization
1,000+ Women Helped
One Personalized Approach: You
Because you deserve more than being told, “Everything looks normal.”
HORMONE OPTIMIZATION THERAPY
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THE SKIN CLINIC
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HORMONE OPTIMIZATION THERAPY ○ THE SKIN CLINIC ○
Real Patients, Real Results
I absolutely love this place! Why? Because when I first came in I thought they would work on one problem I was having..but instead they explained the causes of my issues and put together a plan and made me feel like I would finally get the answers I had been looking for. As a woman that can sometimes be a struggle to find. Since I started over three weeks ago, a lot has happened and when I tell you my life and health if finally getting taken care of and I finally feel like I can start living again! Thank you so much Mankato Skin Clinic!
– stephanie
Heidi is great and very knowledgeable! I have been struggling with weight gain and the inability to lose weight for a few years now. I had a hunch that there was something else going on in my body and I have seen my primary doctor multiple times and have had blood work done multiple times and each time I’ve been told everything is normal, just keep trying. Heidi FINALLY saw that there was something going on with my thyroid function and put me on medication. I am feeling SO much better! Thank YOU Heidi for caring!!
– erin
Female Hormone Replacement Therapy FAQs
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Hormone replacement therapy, commonly called HRT, involves using hormone medication to address certain symptoms or hormone deficiencies.
For women, treatment may involve estrogen, progesterone, testosterone, or a combination depending on the individual's symptoms, health history, stage of life, and clinical needs.
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Bioidentical hormones have the same chemical structure as hormones produced naturally by the human body.
The term can refer to both FDA-approved hormone medications and compounded hormone preparations.
Your provider will discuss appropriate treatment options based on your individual circumstances.
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Perimenopause is the transition leading up to menopause. During this time, menstrual cycles and hormone levels can change and symptoms may develop.
Menopause is reached after 12 consecutive months without a menstrual period when another cause isn't responsible.
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Symptoms can include changes in menstrual cycles, hot flashes, night sweats, sleep disruption, mood changes, brain fog, vaginal symptoms, changes in libido, and other physical or emotional changes.
Symptoms and severity vary significantly between women.
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Hormone pellet therapy pricing includes your initial comprehensive consultation and lab work, pellet insertion procedure, follow-up appointments and monitoring, and ongoing support throughout your treatment. We offer flexible financing options to make this life-changing treatment accessible. You can use your HSA or FSA funds for payment. We'll provide transparent pricing during your consultation, including the cost of initial treatment and maintenance visits, with no hidden fees.
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YES! Some women may be candidates for hormone therapy during perimenopause.
Treatment depends on your symptoms, menstrual history, medical history, risk factors, and individual needs. Your provider can help determine which options may be appropriate.
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Your evaluation may include laboratory testing, but laboratory values are only one part of the picture.
Your symptoms, medical history, menstrual status, medications, risk factors, and other health information are also important when determining whether hormone therapy is appropriate.
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Yes. BioTe® hormone pellet therapy is one of the hormone treatment options available at The Skin Clinic for appropriate candidates.
Pellets are placed beneath the skin during a brief in-office procedure and gradually release hormone over time.
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Treatment schedules vary. Many women receiving pellet therapy return approximately every 3–4 months, but your individual treatment schedule will depend on your symptoms, laboratory findings, response to treatment, and provider recommendations.
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Response varies by person, treatment, and symptom.
Some women notice changes within the first several weeks, while other symptoms may take longer to improve. Your provider will monitor your response rather than promising a specific timeline.
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Hormone replacement therapy is not a weight-loss treatment.
Hormonal changes can affect body composition, sleep, energy, muscle, and other factors that influence metabolic health. When appropriate, hormone optimization can be incorporated into a broader plan addressing nutrition, exercise, sleep, muscle health, and weight management.
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Hormone therapy has potential benefits and risks, and whether it is appropriate depends on the individual.
Your medical history, age, symptoms, type and route of hormone therapy, timing of treatment, and other health factors should all be considered.
We review potential benefits, risks, alternatives, and monitoring recommendations before developing your treatment plan.
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There isn't a universal length of time that every woman should remain on hormone therapy.
Your provider will periodically reassess your symptoms, health history, goals, potential benefits, and potential risks to determine whether continuing treatment remains appropriate.
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The Skin Clinic provides personalized hormone replacement therapy for women at our North Mankato location.
We serve women throughout Mankato, North Mankato, St. Peter, New Ulm, Waseca, and surrounding Southern Minnesota communities.
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No.
The decision to continue hormone therapy is individualized and can change over time. We regularly evaluate your treatment plan with you rather than automatically assuming therapy should continue indefinitely.
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That's okay. Hormone pellets are not your only option.
At The Skin Clinic, hormone therapy is personalized to you. While some women prefer the convenience of BioTe® hormone pellets, others may prefer different forms of hormone therapy.
Depending on your symptoms, medical history, laboratory findings, stage of perimenopause or menopause, and personal preferences, your treatment plan may include options such as transdermal estrogen patches, oral progesterone, vaginal hormone therapy, or other appropriate hormone formulations.
During your consultation, we'll discuss the benefits, potential risks, convenience, and differences between your options so you can make an informed decision about what feels right for you.
Our goal isn't to put every woman on pellets. It's to find the hormone treatment plan that best fits you.
YOU DON'T HAVE TO KEEP WONDERING WHY YOU DON'T FEEL LIKE YOURSELF.
Get Answers. Understand Your Options. Build a Plan.
Your first step isn't committing to hormone therapy.
Your first step is finding out what's going on.
SAVE $300 ON YOUR HORMONE OPTIMIZATION CONSULTATION
✓ Comprehensive Evaluation
✓ Advanced Lab Testing
✓ Personalized Provider Consultation
✓ Individualized Treatment Recommendations
✓ Ongoing Support Available
ONLY 12 NEW PATIENT SPOTS AVAILABLE THIS MONTH
CLAIM MY $300 HRT SAVINGS
The Skin Clinic Aesthetics + Wellness
North Mankato, Minnesota