Physician-guided menopause care. No memberships, no hidden fees. Get started →
Kina
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  Physician-guided care  No membership fees  $25 consult fee covered  Free shipping  FSA / HSA eligible  Cancel anytime  Physician-guided care  No membership fees  $25 consult fee covered  Free shipping  FSA / HSA eligible  Cancel anytime

Energy care that finally takes menopause seriously.

Doctor-prescribed HRT that targets the hormonal drivers of midlife brain fog and fatigue. 100% online, shipped to your door.

  • Targets the hormonal drivers of brain fog and fatigue.
  • Menopause-trained clinicians. Not a generic telehealth mill.
  • No membership fees. Unlimited follow-ups included.
  • FSA/HSA eligible. No insurance required. Free shipping.
  • Nothing habit-forming. Real hormone therapy, if prescribed.

Requires physician consultation and prescription. Not everyone will qualify.

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HRT for Energy & Focus

Estradiol + progesterone · physician-guided
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Woman in her 50s laughing with hands in hair
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Licensed clinicians·Hormonal health specialists·No membership fees·FSA / HSA eligible·Free shipping·Cancel anytime

Your HRT options, one simple visit.

Estradiol and progesterone, personalized to your symptoms. A licensed clinician determines the form and dose that fit your health profile.

HRT medication for energy and focus
Personalized pricing

Estradiol Therapy

Estrogen support for cognitive function and daytime energy.

Common pairing
Woman feeling energized
Personalized pricing

Progesterone Support

Hormone therapy tailored to your symptoms and history.

Personalized treatment plan
Personalized pricing

Personalized HRT Plan

Patch, tablet, or compound — chosen for your body.

Not sure which is right? Complete one intake and a licensed clinician recommends the option that fits your health profile.

Kina connects you with independent licensed medical providers who determine whether treatment is appropriate. Compounded medications are personalized preparations made by licensed U.S. pharmacies. Compounded medications are not FDA-approved. Eligibility is determined by a licensed provider and is not guaranteed. Individual results vary. See full Important Safety Information.

How Kina works.

Start your visit
Woman completing an online health intake on her laptop
Step 1 · Today

Medical questionnaire

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

Licensed clinician in a white coat
Step 2 · Within 24 hours

Clinician review

A licensed clinician reviews your intake and prescribes HRT if appropriate.

Discreet cream package on a doorstep
Step 3 · Within 2–3 days

Delivered to your door

Medication ships from a licensed U.S. pharmacy in discreet packaging.

Then ongoing 1:1 care: dose adjustments, check-ins, and unlimited messaging with your care team. All included.

Why women choose Kina.

Most energy programs treat the symptoms. Kina addresses the hormonal changes behind midlife brain fog and fatigue.

Licensed clinician in a white coat
Your clinician
Menopause-trained

Menopause-trained clinicians

Providers who specialize in hormonal health and midlife cognition, not a rushed 7-minute visit.

60%

It's hormonal

Of menopausal women report cognitive difficulties tied to estrogen decline, not aging.

Medication being packed into a discreet shipping box
Pharmacy
Licensed

Licensed U.S. pharmacies

Prepared by trusted, highly rated pharmacies. Shipped discreetly.

Ongoing 1:1 care

Dose adjustments, symptom check-ins, and unlimited messaging with your care team. All included.

Care team
Unlimited messaging

One 5-minute visit. A clinician handles the rest.

Get started

No membership fees · FSA/HSA eligible

Doctor-guided care, personalized to you.

Estrogen supports neurotransmitter production, cerebral blood flow, and neural connectivity. When it declines in menopause, cognition and energy often decline with it.

That's why HRT, when appropriate, is care that addresses the cause, not just the symptoms.

Licensed clinician team Menopause-focused 1:1 ongoing care
Dr. Shannon Arora
Clinical Lead, Arora Health & Aesthetics
Dr. Shannon Arora, PharmD

Not lazy. Depleted.

Start your visit

I felt like I couldn’t do my job, and everybody could tell. It skewered my work confidence.

Women navigating menopause

I genuinely feared these cognitive decrements were early signs of Alzheimer’s disease.

Women navigating menopause

The fatigue is unlike anything I’ve ever experienced. It’s not tired. It’s emptied.

Women navigating menopause

Quotes reflect common experiences reported in research and communities. Individual results vary.

Frequently asked questions.

Straight answers about brain fog, HRT safety, and how clinician-guided hormone therapy works.

01Why 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.

02Is this early dementia?

Almost certainly not. Menopausal cognitive changes are hormonal, not neurodegenerative. Research suggests these symptoms often ease as hormone levels stabilize. Your clinician can discuss what to expect for your situation.

03What 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.

04How quickly will I notice a difference?

Response times vary from person to person. Some women report changes within the first several weeks, and benefits often continue to develop over the first few months. Your clinician will set realistic expectations with you.

05Is HRT safe?

HRT is among 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.

06Is this FDA approved?

Our HRT medications may be compounded, meaning a licensed U.S. pharmacy prepares a personalized preparation for you based on your prescription. Compounded medications are not FDA-approved. Compounding allows for customized dosing tailored to your body, and every prescription is individually reviewed by a licensed clinician based on your medical history.

07What 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.

08Who 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.

09Is 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.

Not crazy. Not aging.
Hormonal.

Many women who start HRT say the same thing: “I feel like I can think again.”

Get started

No membership fees · No insurance required · FSA/HSA eligible

HRT for energy & focusPhysician-guided · No hidden fees
Get started