baseline labs and individualized risk assessment Assess hormones, metabolic profile, and bone health risk

tailored hormonal and non-hormonal options Treat vasomotor, genitourinary, sleep and mood symptoms

bone density, cardiovascular risk, cancer screening DEXA, lipid profile, breast and cervical screening as indicated

bone preservation, heart health, lifestyle plans Exercise, calcium/vitamin D, smoking cessation, weight control

individualized plan, informed consent, follow up Discuss risks, benefits, and review response periodically