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HRT medication kit
estradiol
progesterone
lifestyle
focus

Hormone Replacement Therapy for Energy

Get prescription HRT (estradiol and progesterone) to lift brain fog, restore sustained energy, and address the hormonal crash behind midlife fatigue, if prescribed.

  • Lift the brain fog that makes you feel like a different person
  • Prescribed by a clinician who specializes in hormonal health
  • Free & unlimited follow-ups

Compounded by trusted, highly rated pharmacies. Not an FDA-approved product. Every prescription is reviewed by a licensed clinician for your specific situation. See full Important Safety Information.

What kind of HRT will I receive?

Your clinician prescribes estradiol and progesterone based on your symptoms and medical history. The specific form (patch, tablet, compound) is determined by your provider.

How quickly will I notice a difference?

Many women report improved mental clarity within 2–4 weeks. Energy levels often improve as sleep stabilizes. Full benefits typically develop over 2–3 months.

Is HRT safe?

HRT is one of the most studied treatments in medicine. Your clinician will review your personal risk factors and only prescribe what's appropriate for you. Not suitable for everyone.

Is this FDA approved?

Our HRT medications are compounded versions of FDA-approved hormones (estradiol and progesterone), prepared by trusted, licensed pharmacies that follow strict quality and safety standards. The active ingredients are identical. Compounding allows for customized dosing tailored to your body. Every prescription is individually reviewed by a licensed clinician based on your medical history.

Energy & focus plans,
personalized to you

Restore what's missing

Replace the estrogen your brain needs for neurotransmitter production and cognitive function.

HRT treatment recommendation

Ongoing support

Chat with your care team at any time for support on your energy and focus journey.

Clinician, certified

Private care. 100% online.

Vetted, licensed providers offer personalized support with every step of your health journey.

Online care platform
Clinical evidence

2–4 wks

for most women to feel
the fog lift with HRT*

Get started

*Individual results may vary. Based on clinical experience with hormone replacement therapy.

Energy and focus results graphic

You're not lazy.
You're depleted.

You forget the word you were about to say. Mid-sentence. In a meeting. You read the same paragraph three times and retain nothing. You used to run circles around everyone. Now you're dragging through 2pm wondering if something is seriously wrong with you. Your doctor says it's stress. It's not stress. It's estrogen.

“I felt like I couldn't do my job, and everybody could tell. It skewered my work confidence.”
-Monash University study participant
“I genuinely feared these cognitive decrements were early signs of Alzheimer's disease.”
-Psychology researcher, Psychology Today
“The fatigue is unlike anything I've ever experienced. It's not tired. It's emptied.”
-Perimenopause community

Estrogen is essential for brain function. It supports neurotransmitter production, blood flow to the brain, and neural connectivity. When it drops, cognition suffers. This isn't early dementia. It's hormonal. And it's treatable.

60%
of menopausal women report cognitive difficulties
85%
experience fatigue not relieved by rest
<20%
of OB-GYNs are trained in menopause care

How Kina works

Step 1Today

Tell us about your health

Answer a few simple questions about your symptoms and medical history. Takes about 5 minutes.

Online intake form
Step 2Within 24 hours

Receive a treatment plan

Your clinician reviews your profile and prescribes the right HRT for your body.

Treatment plan review
Step 3Within 2–3 days

Get your medication

Your prescription ships to your door from a licensed pharmacy in discreet packaging.

Medication delivery
Step 4Ongoing

Ongoing care and support

Your care team monitors progress, adjusts doses, and supports you every step.

Chat with clinician

Guided by
menopause-trained clinicians

  • Comprehensive plans incorporating medication, nutrition, and lifestyle
  • Providers who specialize in menopause and hormonal changes
  • Licensed clinicians trained in HRT prescribing and management
Get started
Clinician portrait

Questions you're probably asking.

"Is this really hormonal, or is something else wrong?"

If you’re in your 40s or 50s and experiencing brain fog, fatigue, and difficulty concentrating — it’s very likely hormonal. 60% of menopausal women report cognitive difficulties. Your clinician will review your full picture.

"I’m worried about HRT and cancer."

The Women’s Health Initiative study from 2002 drove fear around HRT for decades. Updated research paints a very different picture. Your clinician will review your personal risk factors and only prescribe what’s appropriate for you.

"Couldn’t I just ask my regular doctor?"

You could try. Fewer than 20% of OB-GYNs have training in menopause care. Many women spend years being told their symptoms are “just stress” or “normal aging.” Our clinicians specialize in this.

"Is it worth it?"

What is brain fog costing you at work? What is constant exhaustion costing your relationships? HRT is one of the most studied treatments in medicine, and it’s FSA/HSA eligible.

Good to know

Why can't I think straight anymore?

Estrogen plays a critical role in brain function. It supports neurotransmitter production, cerebral blood flow, and neural connectivity. During menopause, declining estrogen disrupts these systems, causing brain fog, difficulty concentrating, and word-finding problems.

Is this early dementia?

Almost certainly not. Menopausal cognitive changes are hormonal, not neurodegenerative. They're temporary and treatable. Research shows that cognitive function typically improves with hormone therapy and stabilizes post-menopause.

How fast will I notice a difference?

Many women report improved mental clarity within 2–4 weeks. Energy levels often improve as sleep stabilizes. Full benefits typically develop over 2–3 months.

What is the important safety information?

Hormone therapy carries risks that vary by individual. HRT is not appropriate for everyone, including those with a history of blood clots or hormone-sensitive cancers. Your clinician will review your full medical history. Services are provided by independently licensed providers affiliated with Arora Health & Aesthetics, LLC.

Who provides my care?

Our clinical providers are Arora Health & Aesthetics, LLC, located at 300 Lenora Street, Seattle, WA 98121. They can be contacted at medicalcompliance@arorahealthgroup.com. Visit arora-health.com for more information.

Is Kina available in my state?

Services are available only in jurisdictions where affiliated medical providers are licensed to practice and where pharmacy partners are authorized to dispense medications. Availability may vary by state and is subject to applicable laws, regulations, and licensure requirements.

You're not losing your mind.
You're losing estrogen.

Replace it, and most women say the same thing: “I can think again.”

Start your visit
No insurance required · FSA/HSA eligible · 100% online