Waking up between 2 and 4 a.m. is often due to hormone shifts, blood sugar crashes, cortisol spikes, or stress—especially in midlife. It’s not random, and it can be fixed with targeted sleep, nutrition, and nervous system support.

Men may benefit from hormone replacement therapy (HRT), including testosterone support, if they experience symptoms like low energy, decreased libido, poor sleep, muscle loss, brain fog, or unexplained weight gain—especially in midlife.

Hormone treatment through telehealth is convenient, safe, and personalized. At RVA Telecare, we order your labs, review your symptoms, create a tailored plan, and prescribe medications—all without an in-person visit.

Hormone replacement therapy (HRT) is safe and effective for many women when started at the right time and dose. Treatment varies between perimenopause (when cycles are still irregular) and menopause (when you’ve gone 12 months without a period).

Perimenopause is the transitional phase before menopause when hormone levels begin to fluctuate. Common signs include irregular periods, sleep disturbances, mood swings, hot flashes, and new symptoms like anxiety, brain fog, or weight gain—often starting in your 40s.

GLP-1 medications like semaglutide (Ozempic/Wegovy) help with weight loss by mimicking a natural hormone that reduces appetite, slows digestion, and improves insulin sensitivity—especially useful during midlife when metabolism and hormone levels shift.

Yes—medical cannabis can be a safe, effective option for managing anxiety and sleep in adults over 50 when used responsibly and under medical guidance. Choosing the right strain, dose, and format is key to safety and success.

Waking up between 2 and 4 a.m. is often due to hormone shifts, blood sugar crashes, cortisol spikes, or stress—especially in midlife. It’s not random, and it can be fixed with targeted sleep, nutrition, and nervous system support.

Low-dose naltrexone (LDN) is a compounded prescription medication that helps regulate the immune system by temporarily blocking opioid receptors, stimulating endorphin production, and reducing inflammation.

Choosing RVA Telecare means you’re investing in unhurried, expert care that puts your needs first. Our out-of-pocket model allows us to spend more time with you, offer holistic options, and avoid the limitations of rushed, insurance-driven medicine.

Yes—different types of medical cannabis can have very different effects depending on their cannabinoid content (THC, CBD, etc.), terpene profile, strain type (indica, sativa, hybrid), and delivery method.

Oil vape cartridges and dry herb vaporizers both deliver cannabis via inhalation, but they differ in safety, potency, purity, and effect. Dry herb vaporizers heat whole cannabis flower, while oil cartridges use concentrated extracts—which may include additives.

You can reduce inflammation naturally by focusing on anti-inflammatory foods, managing stress, improving sleep, supporting gut health, and incorporating targeted supplements like omega-3s, curcumin, and vitamin D—all without relying on medications.