If you’ve been told your labs are “normal” but you still feel exhausted, foggy, or not yourself, Algery starts by testing and reading the full picture, then rules out what else could be driving it before building a perimenopause or menopause protocol around what she finds.
Her background is in interventional pain management, so she screens carefully and will tell you plainly if a treatment isn’t the right answer for you.
You feel exhausted no matter how much sleep you get. Hormonal imbalances including low estrogen, progesterone, or testosterone are one of the most common and most overlooked causes of persistent fatigue in adults over 40.
You’re experiencing brain fog, mood swings, or irritability that feel out of character. These aren’t just emotional, they’re often direct symptoms of hormonal fluctuation that respond well to targeted optimization.
Vaginal dryness and painful intercourse are among the most common and most undertreated symptoms of perimenopause and menopause. Declining estrogen causes thinning and dryness of vaginal tissue, making intimacy uncomfortable or impossible. Hormonal interventions can support your body’s own recovery process, reduce pain, and significantly improve quality of life.
You’re navigating perimenopause or menopause and feel lost in symptoms no one is taking seriously. Hot flashes, weight shifts, sleep disruption, and mood changes are real and there are effective, personalized treatment options.
You fall asleep fine, then wake at 3am and cannot get back down. Falling progesterone and shifting estrogen in perimenopause disrupt the systems that keep you asleep, and it responds well to a tested, one-variable-at-a-time approach.
A reduced sex drive is one of the most common and least discussed symptoms of perimenopause and menopause. Addressing the underlying hormonal cause can restore intimacy, confidence, and quality of life.
Hormone shifts touch everything, energy, mood, weight, sleep, intimacy. Algery uses advanced testing to see what is moving, rules out other causes, and builds a protocol around your results, one change at a time so you know what is working.
How care works at Aura Wellness.
This isn’t a prescription and a goodbye. You’ll have regular check-ins with our provider who monitors your progress personally and adjusts your plan as your body responds.
Based on your assessment, you’ll receive a customized treatment protocol that may include prescription medications, peptide therapies, supplements, and lifestyle guidance.
This isn’t a prescription and a goodbye. You’ll have regular check-ins with our provider who monitors your progress personally and adjusts your plan as your body responds.
The most common signs include persistent fatigue that sleep doesn’t fix, unexplained weight gain particularly in the midsection, brain fog or difficulty concentrating, mood changes, low libido, disrupted sleep, and feeling off in a way your primary care doctor hasn’t been able to explain. Many patients who come to Aura Wellness have already been told their labs are within normal range, but normal range is a population average, not a standard for how you should feel. Algery Al Hafi, FNP-C evaluates your symptoms alongside your labs to identify what is actually driving them.
Most patients notice initial improvements in energy, sleep quality, and mood within 2 to 4 weeks of starting hormone optimization. Full stabilization, where your levels are dialed in and symptoms have resolved, typically takes 2 to 3 months, with ongoing fine-tuning as your body responds. At Aura Wellness, every patient has regular follow-up appointments built into their protocol so dosing is adjusted precisely to your response, not a generic timeline.
Bioidentical hormones are structurally identical to the hormones your body naturally produces, estrogen, progesterone, and testosterone, typically derived from plant-based sources. Synthetic hormones used in conventional HRT have a different molecular structure and may carry a different risk and benefit profile. At Aura Wellness, Algery uses bioidentical hormone therapy tailored to your lab results and symptom picture. The goal is to restore your hormones to levels that make you feel well, not to simply push numbers into a reference range.
Yes. Aura Wellness is a fully licensed Florida telehealth clinic offering hormone optimization and HRT to patients statewide online, including Tampa, Miami, Orlando, and Jacksonville. After a comprehensive lab review and consultation with Algery Al Hafi, FNP-C, your hormone protocol is designed specifically for your results and shipped directly to your address. You never need to visit a clinic in person. Florida residents can book a consultation and begin the process entirely from home.
For most healthy women, hormone therapy is not only safe but clinically supported as the most effective treatment for perimenopause and menopause symptoms. Decades of fear around hormone therapy stemmed largely from a single 2002 study that has since been substantially reanalyzed, the original concerns applied to synthetic progestins in older postmenopausal women, not bioidentical hormones in women actively navigating perimenopause. At Aura Wellness, Algery conducts a full health history and lab review before prescribing anything, and only recommends treatment that is clinically appropriate for your specific situation.
Both. Many of our patients are in their 40s and still cycling. Waiting for your final period is not a requirement for getting help. Perimenopause is characterized by hormonal variability, so a functional approach looks at the full pattern of your symptoms, cycle changes, and history, not a single lab draw.
Serving all of Florida via telehealth.
Aura Wellness is a telehealth medical practice. We do not compound medications. All compounded medications are prepared and dispensed by independent, state-licensed compounding pharmacies.
Compounded Medication Disclosure: Compounded medications are not FDA-approved as finished drug products. They are prepared by state-licensed 503A pharmacies or FDA-registered 503B outsourcing facilities pursuant to an individualized prescription. Compounded preparations have not undergone the same FDA review for safety, efficacy, or quality as commercially manufactured drugs.
Updated August 2026
