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Vikram Sharma, M.D.

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(925) 406-3902
RESERVE YOUR SPOT

Awake at 3 a.m. and not yourself.

When sleep, mood, and energy all shift at once, perimenopause or menopause is often why. We treat it with FDA-approved hormone therapy, guided by your labs and a physician who actually listens.
Reserve your spot

Menopause, plainly.

Not sleeping? Not feeling like yourself?
In perimenopause and menopause, estrogen and progesterone shift, and so does how you sleep, think, and feel. It is common, it is real, and it is treatable.

When is it worth treating?

When hot flashes, broken sleep, and mood changes are wearing you down
When brain fog and low energy are quietly costing you your days.
The right next step is an honest conversation and the right labs. That is where we start.

Signs we evaluate

  • Hot flashes and night sweats
  • Sleep that breaks at 3 a.m.
  • Mood swings and irritability
  • Brain fog and low energy
  • Low libido and dryness
  • Fatigue and stubborn weight

The program

FDA-approved

Estrogen and progesterone, managed properly.

Bioidentical estradiol and micronized progesterone when appropriate, adjusted to your symptoms and reviewed at every follow-up

Best for

Women in perimenopause or menopause with symptoms, after a clinical evaluation.

Method

FDA-approved estradiol and micronized progesterone. No compounded pellets.

Follow-up

Baseline lab review, symptom review at each visit, and dose adjustment when needed.

Reserve your spot

For eligible candidates after a clinical evaluation and a full discussion of risks and benefits. Not everyone is a candidate, and individual results vary.

How we decide.

1

A real consultation

History, symptoms, and what you want back.
2

Labs, read by your physician

Reviewed and explained to you.
3

A plan, either way

Treatment if your labs, history, and exam support it.
4

Follow-up and titration

Dosing adjusted to your symptoms and how you respond.
1

A real consultation

History, symptoms, and what you want back.

2

Labs, read by your physician

Reviewed and explained to you.

3

A plan, either way

Treatment if your labs, history, and exam support it.

4

Follow-up and titration

Dosing adjusted to your symptoms and how you respond.

Not everyone is a candidate. If hormones are not the answer, we say so, and you leave with your results explained and a clear recommendation for what comes next.

Your options, compared.

Our program
Typical online menopause clinics
Waiting it out
A physician who reads your labs
âś“
Often an NP, not a physician
–
Seen in person, in a Danville office
âś“
Often app-only
–
Never hormone pellets or compounded blends
âś“
Varies
n/a
A dose we can raise, lower, or stop
âś“
Often protocol-driven
–
Messages answered by Dr. Sharma himself
âś“
Often a care team
–
A plan built around your symptoms
âś“
Sometimes
–
A physician who reads your labs
Our program âś“
Typical clinics Often an NP, not a physician
Waiting it out –
Seen in person, in a Danville office
Our program âś“
Typical clinics Often app-only
Waiting it out –
Never hormone pellets or compounded blends
Our program âś“
Typical clinics Varies
Waiting it out n/a
A dose we can raise, lower, or stop
Our program âś“
Typical clinics Often protocol-driven
Waiting it out –
Messages answered by Dr. Sharma himself
Our program âś“
Typical clinics Often a care team
Waiting it out –
A plan built around your symptoms
Our program âś“
Typical clinics Sometimes
Waiting it out –
Comparison reflects common industry models; individual clinics vary.

What treatment can help with.

For the right candidate, monitored properly, hormone therapy can ease the symptoms that menopause brought on. These are potential benefits, not promises, and results vary.

Fewer hot flashes

Hot flashes and night sweats that ease, so the day and the night stop being an ambush.

Sleep through the night

Falling asleep and staying asleep, instead of staring at the ceiling at 3 a.m.

A steadier mood

Fewer swings and a longer fuse, so you feel more like the person you know.

Clearer thinking

Less brain fog and fewer lost words, so you can hold a thought again.

Intimacy that returns

Support for low libido and vaginal dryness, so closeness feels possible again.

A body that responds

Symptom relief that can make sleep, movement, and weight feel workable again.

Baseline and follow-up lab review with you

  • Baseline and follow-up lab review with you
  • Estradiol and micronized progesterone prescribed and managed when appropriate, FDA-approved, never compounded pellets
  • Dose reviewed at every follow-up and adjusted when needed
  • Direct phone and messaging access to Dr. Sharma during business hours, and follow-up visits by telehealth or in person

Either way You leave knowing where you stand

Either way you leave knowing where you stand

If the evaluation supports hormone therapy.

You can enroll and begin: FDA-approved estradiol and micronized progesterone, with your dose adjusted over time based on your progress and side effects, billed separately at your pharmacy.

If it does not.

We tell you plainly. You leave with your labs explained, other options discussed when appropriate, and a clear recommendation for what comes next.

Questions people ask.

How do I know if I am in perimenopause or menopause?
The symptoms above are a starting point, but they overlap with thyroid, sleep, stress, and other causes. We read your history alongside labs and your cycle pattern, which is exactly how we begin. We will tell you honestly what we find, and whether hormone therapy is the right fit for you.
No. We prescribe FDA-approved bioidentical options only, estradiol and micronized progesterone, with a known dose and a known safety profile. Compounded pellets are not standardized or FDA-approved, and they are not part of our practice.
Some programs emphasize testosterone pellets for women. There is currently no FDA-approved testosterone product for women in the United States. When the evidence supports considering testosterone for specific symptoms, we discuss what is known and what is not, honestly, and FDA-approved options come first.
For the right candidate, monitored properly, it can be. We evaluate you first, review the benefits and the risks for your situation, and follow your labs on a schedule. Not everyone is a candidate, and we say so when hormone therapy is not the right choice for you.
Often, yes. If you still have your uterus, estrogen is usually paired with micronized progesterone to protect the uterine lining. We walk through what applies to you during your evaluation, and nothing is prescribed before that conversation.
Hormone therapy is not a weight-loss drug, but easing sleep, mood, and symptoms can make weight feel workable again. If weight is a primary goal, that is handled through the Weight Management membership, and we can discuss which is the better starting point for you.
The Menopause and Hormone Care Membership is $199 a month at the founding rate for the first 10 members, and and the rate increases after the founding cohort. Your membership covers ongoing medical management: visits, lab review, dose titration, and messages answered personally by Dr. Sharma during office hours. Medication is billed separately at your pharmacy. See real cost ranges.
Messages are answered during business hours. For urgent concerns outside business hours, please contact your primary care physician or an urgent care center. In an emergency, call 911.

Want one physician for everything?

Concierge makes Dr. Sharma your complete personal physician, with your primary care, weight, and hormones handled together.
See the Concierge Membership
Menopausal hormone therapy is offered to eligible candidates after a clinical evaluation and a full discussion of the risks and benefits. This is physician-supervised care, and not everyone is a candidate. Individual results vary, and benefits are not guaranteed. We prescribe FDA-approved bioidentical formulations, including estradiol and micronized progesterone, and we do not offer compounded hormone pellets. Medication is billed separately through your pharmacy or insurance; the membership covers medical management, not the medication.

NOW ACCEPTING FOUNDING MEMBERS

Founding rates, for the first members.

Concierge

$499 / month

First 10 members

  • Founding spot reserved with an introductory conversation.

Menopause and Hormone Care

$199 / month

First 10 members

Weight Management

$199 / month

First 10 members

  • Locked while your membership stays continuously active
  • No initiation fee
  • Month-to-month, no long-term contract
  • Rates increase after the founding cohorts
Choose your membership

Keep exploring:

Our full scope of care
Medical weight loss
Membership and pricing
Menopause care, East Bay