Hormone Replacement Therapy (HRT)

We provide evidence-based Medical Weight Management.

Personalized hormone therapy for women navigating perimenopause and menopause, focused on symptom relief, vitality, and overall health.
Common symptoms of hormone imbalance include:

  • Fatigue or low energy
  • Weight gain or sluggish metabolism
  • Brain fog or decreased focus
  • Hot flashes or night sweats
  • Low libido or vaginal dryness
  • Mood swings or irritability
  • Difficulty sleeping
  • Joint pain

Hormone Replacement Therapy also referred as Hormone Optimization Therapy, helps restore your natural hormone balance using safe, effective, and bioidentical formulations that match your body’s chemistry.  At Lumen Aesthetics And Wellness, our nurse practitioners have the ability to offer advanced laboratory testing to offer you more detailed options to better understand your unique hormonal profile.  We create a personalized plan that supports how you feel, function, and age.

Posted on Google Google
13 days ago
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Michelle is excellent! She listens to every concern and takes time to answer all questions! She spent a good amount of time with me making me feel comfortable and at ease! I highly recommend Michelle!!
Posted on Google Google
72 days ago
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I had lost hope in finding someone to hear me and know I wasn’t crazy with my symptoms. I am in healthcare and have some insight into what a provider should be and Michelle hits it out of the park! She is knowledgeable, patient, caring and is helping me feel like a normal person again ! She listens , hears and has personal insight into what a menopausal woman is going through!! She is my guardian angel 👼!
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J F
140 days ago
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Let me count the many ways Lumen Aesthetics and wellness changed my life for the better. I started my perimenopause recovery journey with Michelle as my guide. She has been amazing with every step. She responses quickly to questions and concerns. She always listens and cheers for you. Every dollar spent has been 100 percent worth it. She helped me get myself back. I am beyond grateful for her guidance. I wish all women my age endeavored in this aspect of health recovery. Cheers to HRT!!
Posted on Google Google
142 days ago
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I had such a great experience at Lumen Aesthetics & Wellness! I saw Cinthya for a consultation and she was incredibly knowledgeable, thorough, and kind. She took the time to explain everything in a way that made me feel comfortable and informed. I had the please of meeting Michelle as well  who is just as wonderful and welcoming. Highly recommend if you’re considering starting your wellness journey!
Posted on Google Google
149 days ago
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This was my first visit for a consultation with Cynthia, and it exceeded all my expectations. In my 40 years, this is the first time a medical professional has spent more than 15 minutes truly listening to me. I never felt rushed, instead, I felt genuinely cared for and treated like a person, not just a number. I’m really looking forward to starting my weight loss journey with this team.
Posted on Google Google
159 days ago
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I can’t remember the last time I felt this good. I started seeing Dr. Michelle at Lumen Aesthetics and Wellness in February, and in just three months my perimenopause symptoms are gone, I’ve lost weight, and I have a completely new outlook on life. After being dismissed by other doctors, Dr. Michelle truly listened. She’s knowledgeable, relatable, responsive, and genuinely cares. The difference has been life‑changing — even my relationships with my family are better because I feel better. I can’t recommend her enough. I’ve already referred two friends and will continue to do so. If you’re on the fence, make the appointment — it’s 100% worth it.
Posted on Google Google
227 days ago
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Finally! Someone that heard me, understood me, and wants to help! I couldn't be happier - they listened to my concerns, evaluated the best approach to my care and are implementing the suggestions they made. They've even sent messages to check-in. Medical care for women is subpar to say the least, but Lumen is setting the new standard - only the best for their clients. Thank you, thank you, thank you!
Posted on Google Google
249 days ago
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I absolutely love it here!! Michelle and Cynthia are absolutely fantastic and always make me feel listened to and go above and beyond for me every time! I recommend all my family, friends and clients to them🤍
Posted on Google Google
254 days ago
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5 stars isn’t enough to give! Michelle has been fabulous and I wish I had visited sooner. She has listened to all of my concerns without judgement, helped form an actionable treatment plan and is a wealth of knowledge. Her passion for women’s health is evident and I will be a client for life.
Posted on Google Google
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I had such a wonderful experience at Lumen Aesthetics and Wellness in Lederach. From the moment you walk through the doors, the space feels calm, welcoming, and inviting. Cinthya is incredibly attentive and takes the time to explain everything thoroughly, which immediately put me at ease. She makes you feel comfortable, heard, and genuinely cared for throughout the entire visit. You can tell she truly loves what she does, and it shows in every detail of the experience. Highly recommend!
From Fear to Facts - Michelle Keating-Sibel Menopause Practitioner with The North American Menopause Society now known as The Menopause Society. FDA changes black box regulations for HRT
member of the Obesity Medicine Association (OMA) .
Michelle Keating-Sibel is a member of The Menopause Society

Have a question?

Feel free to contact us about any of your wellness needs or concerns.

More information about
Hormone Replacement Therapy (HRT) options and
Hormone Optimization Therapy (HOT).

We can help with pharmacy shortages or delays

To our HRT patients: Some pharmacies across the country are currently experiencing intermittent shortages or delays involving certain estradiol patches and progesterone products. If you are having difficulty filling your medication, please do not abruptly [...]

Perimenopause and Menopause Symptoms

Common Perimenopause and Menopause Symptom Patterns Symptoms often cluster in ways that reflect how hormones affect different systems in the body.  Some women also experience decreased libido, vaginal dryness, bladder urgency, dry skin, hair changes, or brittle nails. [...]

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