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, dosed to your labs 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 labs, dose titration, and symptom review at each visit.

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

Drawn, 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 labs and how you feel.
1

A real consultation

History, symptoms, and what you want back.

2

Labs, read by your physician

Drawn, 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 labs and how you feel.

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

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.

What your $199 a month covers.

  • Baseline and follow-up labs, coordinated and reviewed with you
  • GLP-1 medication (Wegovy, Zepbound) prescribed and managed, FDA-approved, never compounded
  • Dose titrated slowly to keep side effects manageable
  • Direct messaging with Dr. Sharma, 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 a GLP-1.

You can enroll and begin: FDA-approved Wegovy or Zepbound, dosed to your labs and adjusted over time, billed separately at your pharmacy. Enroll, and the $149 evaluation is credited toward your first month.

If it does not.

We tell you plainly. You leave with your metabolic labs explained, other FDA-approved medications discussed when appropriate, and the habits that tend to move weight.

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, GLP-1 medical weight loss lives in the same membership, and we can manage both together. See medical weight loss.
The Metabolic & Hormone Membership is $199 a month at the founding rate for the first 10 members, and the rate increases after the founding cohort. Your membership covers ongoing medical management: visits, labs coordination, dose titration, and messages answered personally by Dr. Sharma during office hours. Medication is billed separately at your pharmacy. See real cost ranges.
Routine messages are answered by Dr. Sharma the same business day. Members receive an after-hours protocol for urgent medication concerns. For anything outside the program, your own primary care physician remains your first call, and in an emergency call 911 first.

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.

Reserve your founding spot.

Concierge

$499 / month

First 10 members

  • Founding spot reserved with anintroductory conversation.

Metabolic & Hormone

$199 / month

First 10 members

  • Initial evaluation $149, credited toward your first month.
Reserve your spot
Questions? Call the office at (925) 406-3902

Keep exploring:

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