Private Hormone Care That Starts With You
When your energy, mood, sleep, body composition, cycle, strength, or sexual health changes, hormones may be part of the story. They are not always the whole story. We look at the complete picture before deciding what deserves attention.
When You Know Something Feels Different
Changes in energy, sleep, mood, concentration, menstrual cycles, libido, strength, or body composition can affect daily life. These symptoms may involve hormones, but symptoms alone do not establish a diagnosis.
Your visit starts with a detailed conversation and a review of your medical history, current medications, fertility goals, lifestyle, and prior laboratory results. Additional testing is ordered when it can answer a specific clinical question.
Hormone Services
Hormone Care for Women
Personalized care for hormone-related concerns throughout adulthood.
Menopause Care
Support through the hormonal transition and after menopause.
Perimenopause Care
Support through the hormonal transition and after menopause.
Testosterone Therapy for Men
Evaluation for compatible symptoms supported by consistently low testosterone levels.
Testosterone Therapy for Women
Limited use after careful assessment, with treatment goals and monitoring defined before therapy.
Sexual Wellness
Private care for sexual concerns that may involve hormones, medications, health conditions, or relationship factors.
Bioidentical Hormone Therapy, Clearly Explained
A clear review of hormone products, potential benefits, risks, formulation, route, and monitoring.
What Your Evaluation May Include
- Detailed symptom and medical history
- Review of medications, supplements, sleep, nutrition, activity, and stress
- Appropriate laboratory testing
- Clear review of treatment options, alternatives, potential risks, and expected monitoring
A Plan That Can Change With You
Hormone care is not a one-time prescription. Follow-up visits review symptoms, side effects, laboratory results, and whether the original goals still make sense. Treatment may be adjusted, paused, or stopped when the balance of benefit and risk changes.
Provider Identity

Melissa Markel, FNP-C, ABAAHP, FAAMFM
Florida license: APRN11019655
Melissa is a board certified functional medicine nurse practitioner. She specializes in male and female hormone replacement, medical weight optimization, and longevity medicine.
Telehealth Designed Around Your Life in Miami, Florida
Umber Health was designed for adults who value discretion, time, and close attention. Private virtual visits bring that experience to eligible adults in Miami and throughout Florida. Umber Health does not operate a walk-in or patient-facing physical clinic.
Frequently asked questions
Does every patient receive hormone therapy?
No. Treatment depends on your symptoms, history, laboratory findings, goals, potential risks, and whether another option is more appropriate.
Can hormone care be provided by telehealth?
Many parts of the evaluation and follow-up can be completed virtually. Laboratory testing is coordinated locally. Some findings require in-person care.
Will one lab result determine my treatment?
No. Laboratory results are interpreted with symptoms, history, medications, timing, and the limits of each test.
Ready to feel like yourself again?
Medical Disclaimer
Information entered on this page is not secure. Submitting a request on this page does not establish a provider patient relationship. Acceptance is an independent decision and is not made at the time of submission. If this is an emergency, please contact 911.