Menopause & perimenopause · New York & South Carolina
Being told it’s “just menopause” isn’t an answer. Your symptoms often have more than one cause.
If this sounds familiar, you’re in the right place.
- Lying awake half the night
- Weight that won’t shift
- Snapping over little things
- Forgetting words and names
- Low libido
- Irregular or heavy periods
Common, yes. But when it hits this hard, there’s usually more going on.

Hormones are rarely the whole story.
Estrogen gets most of the attention, so what’s working alongside it can get missed.
- 01
Hormones
Falling estrogen and progesterone set off hot flashes, night sweats and mood swings. They explain a lot, but rarely everything you feel.
- 02
Stress
Long-term stress can make menopause feel much harder. Many women tell us they feel wired at night and drained by day.
- 03
Liver
Your liver helps clear hormones your body has finished with. If that isn’t working well, it may be one reason symptoms drag on.
- 04
Thyroid
Tired, heavier, foggy and cold? A slow thyroid can look a lot like menopause, and the two often overlap, so one can hide the other.
- 05
Nutrients
Your bones, mood and sleep all rely on the right nutrients, and what your body needs shifts at this stage. Running short can show up in all three.
You’ve probably tried some of these.
Tap a card to see why it didn’t stick.
You weren’t overreacting. You were only ever offered one piece of the answer.
Your symptoms are pointing at more than estrogen.
It’s natural to treat each symptom as it comes: a fan for the flashes, something for sleep, something for your mood. But when menopause hits this hard, it’s usually because other parts of your body are under strain too.
Estrogen and progesterone affect your sleep, mood and weight. So do stress, your thyroid, your liver and your nutrient levels. When several are off at once, each one makes the others worse, and the symptoms pile up.
- What you feelHot flashes, night sweats and a short fuse
- What’s driving itBroken sleep and stress hormones running high
- Where it startsFalling estrogen on top of years of pressure
So we look at your hormones and everything around them.
Find out why menopause is hitting this hard. Then take it on.
- 01
Test properly.
Your hormones, thyroid, stress hormones, liver, key nutrients and blood sugar, all read side by side.
- 02
Find the pattern.
You see what may be behind the hot flashes, the weight and the mood, and how each one feeds the others.
- 03
Build your plan.
Four months of custom supplements, a curriculum and 1:1 coaching, built to sit alongside your physician’s care.

Meet Dr. Anthony Alphonso and the Back to Wellness team.
We’re a functional medicine practice for people who’ve been told they’re fine but still don’t feel it. Anthony has been in practice since 2007.
It started with his son, whose eczema and gut trouble weren’t getting better with the usual treatment. Anthony went looking further than he’d been trained to, finished his functional medicine training in 2009, and watched his son’s health turn around. He’s been doing the same for patients ever since.
- Since 2007in clinical practice
- NY, SC & FLlicensed in all three
- 5.027 Google reviews
What makes us different.
Managing symptoms
- Looking at hormones on their own
- One thyroid number, if any
- Each symptom handled on its own
- Just coping, month after month
Finding the root cause
- Hormones, thyroid, stress and nutrients
- How each one affects the others
- Supplements chosen for your results
- Working toward feeling like you again
If you saw yourself in that list, start with a call.
It’s free, it takes 15 minutes, and it’s the quickest way to find out whether we can help. Here’s how it goes:
- You tell us what’s been going on, and what you’ve tried.
- We tell you honestly whether we can help.
- You leave knowing your next step, either way.
No cost and no obligation.
From women who were in the thick of it.
“I had significant improvement in my… energy, sex drive, chronic pain, hot flashes and overall well-being.”
“Today I sleep 7 hours a night, my energy level is awesome.”
“I have balanced gut health, sleep well, have regular and easy digestion, regular periods, etc.”
“By putting myself first my total mindset has changed, and I’ve learned how to take care for me.”
“I’ve learned that I was in a Sick-care system, not a Health-care system.”
“It’s worth it to feel healthy again.”
If any of this sounds like you, we’d love to hear your story. It starts with a free 15-minute call.
Book your free call
“Dr Alphonso not only helped me experience positive results while I was going through my change in life…”
“After 3 years staying with his amazing program, I feel better and have more energy than ever before.”
Amelia started in her early 50s and has stayed with the program for three years since.
Patient stories are individual experiences. Results vary from person to person.
The questions everyone asks.
But isn’t this just menopause?
Menopause is real, and hormones cause a lot of it. But it rarely explains everything you’re feeling, and the parts it doesn’t explain are worth looking into.
But what if I’m on HRT, or don’t want it?
Either way, you’re welcome here. Some of our patients use HRT and some don’t. That decision stays between you and your physician. We look at everything else feeding into your symptoms.
But I don’t have time for this.
Fifteen minutes by phone or video to start. Coaching then fits around work, family and everything else, all from home.
But will insurance cover it?
No. Our patients invest in the program directly, and we’ll explain everything on your free call so there are no surprises.
But what if it’s something serious?
See your physician for bleeding after your periods have stopped, very heavy bleeding or a new breast lump. Call 911 for chest pain. For very low mood or thoughts of harming yourself, call or text 988.
Ready when you are.
Book your free 15-minute call5.0 stars from 27 Google reviews.
“By putting myself first my total mindset has changed, and I’ve learned how to take care for me.”
“I’ve learned that I was in a Sick-care system, not a Health-care system.”
“It’s worth it to feel healthy again.”
“…I seemed more calm and not as overwhelmed as I used to be.”
“I’m in better health than I was in my 30’s…”
“…I’ve seen better sleep, more stamina and energy and better emotional health.”
“I had digestive issues and I was always tired. I generally just ‘didn’t feel good’ all the time.”
“I was tired all the time, body aches, heart palpitations and overall felt unwell.”
“I continue to go see him and he has uncovered a lot of underlying issues… My overall health has significantly improved after going to see him and taking his advice.”
“I have lost weight, and I am eating healthier. I am feeling good my overall health is improving.”
“For years I have struggled with eating right and feeling sick and tired all the time. Aches and pains for no reason.”
“I had resigned myself to thinking this was just something I would just have to bear in life… Given time… my neck and back pain disappeared completely.”
“I have been a patient of Dr. Alphonso’s for over 13 years and he has helped me tremendously with all of my health concerns.”
“My husband and I get out on the disc golf field and do 18 holes, we are hiking, doing yoga.”
Patient stories are individual experiences. Results vary from person to person.