You sat across from your oncologist. You heard the words. You walked out with a plan that came together fast — surgery, radiation, an aromatase inhibitor, ten years of endocrine therapy, maybe more.

What you did not get was a conversation.

Not about what these treatments do to the rest of your body. Not about what your hormones actually are or why your body has been making them your whole life. Not about the trade-offs. Not about what the research shows. Not about what is still unsettled. Not about you — the woman sitting in the chair.

That is what this consult is for.

What this consult is

This is a 1:1 educational conversation about hormones after a breast cancer diagnosis. It is not medical care. I am not your clinician. I will not diagnose, prescribe, or tell you what to do.

I am here as an educator and a sounding board. The focus is hormones — your options, the evidence, and how to think clearly about your own situation so you can walk into your next appointment able to ask better questions and advocate for yourself with confidence.

Hormones are not on/off switches for cancer. They are regulatory signals that help nearly every system in your body grow, repair, and function. When we suppress them or remove them, the whole body feels it. Women deserve to understand what that means before they make a decision they will live with for years.

What we talk about

• What is front and center for you — the symptoms, fears, or questions that brought you to this call.

• What risk-prediction tools do and do not tell you — understanding that"relative risk" is not the same as absolute risk, and that matters when thinking about treatment decisions

• What those prediction tools leave out — the growth pathways, the metabolic and inflammatory drivers, and the difference between the cancer cells and the terrain they grow in.

• The current state of the evidence on hormones after breast cancer — what the research genuinely supports, what is still unsettled, and how to weigh symptom relief against the questions that remain.

• Your competing health risks — because breast cancer recurrence is not the only risk that matters. Cardiovascular disease, bone loss, cognitive decline, and metabolic disease are real, and seeing the whole picture helps you decide what is right for you.

• The questions to bring to your oncology team, your primary care clinician, or your hormone and menopause specialist — so you walk into the next appointment ready.

• Where to find credible resources — on hormones, integrative oncology, repurposed-drug research, and the lifestyle and metabolic levers within your control.

You will leave understanding what your hormones do in your body, what this season of decisions involves, and how to have a better, more confident conversation with your provider.

What this consult is not

I am not acting as your clinician. This consult does not create a nurse–patient or provider–patient relationship. I am serving only as an educator.

Specifically, I will not:

• Recommend that you accept, refuse, delay, or stop any oncology treatment.

• Interpret your imaging, pathology, or lab results clinically.

• Run PREDICT, Oncotype DX, or any other risk-prediction tool for you. (You are welcome to bring your own numbers from your oncology team or the public PREDICT tool, and we can talk through what they mean.)

• Prescribe medications, supplements, or hormone treatment.

• Diagnose any condition or change any diagnosis.

• Give a second opinion on your oncology care.

• Replace the care of your oncologist, surgeon, primary care clinician, or hormone and menopause specialist.

Nothing said during this consult is medical advice. Anything we discuss should be reviewed with your own treating clinicians before you act on it.

This is not anti-oncology. This is pro-woman, pro-physiology, pro-informed consent.

How I share information with you

I am going to share everything I know that might help you — not just the "official" guidelines, but the studies, what I learn from ongoing training and conferences, what is working for other experienced clinicians and their patients, and what I have seen in real life.

Cancer care is evolving, and what I share reflects that evolution. The tumor is only part of the picture. A growing body of research is examining other growth pathways, metabolic signals, and the whole-body environment that enable cancer to take hold and return. Some of what I share is well-established. Some of it is emerging. All of it is in service of a more complete conversation than most women are offered.

I will always tell you which is which. My job is to put the whole picture in front of you so you can weigh it for yourself. Because this is your body and your decision. I am here to inform it, not make it for you.

What it costs

• Initial session — 75 minutes — $275. Paid after the consult. I send an invoice along with a brief written summary of what we covered.

• Follow-up sessions are prorated in 30-minute increments at $125 per 30 minutes.

• Payment flexibility: If you need to split payments or are experiencing financial hardship, I reserve a limited number of reduced or flexible-payment spots. It is not available for every case, but please reach out, and we can talk through your options.

Confidentiality

What you share with me stays private. I may keep brief notes to prepare your follow-up summary. Nothing identifying is ever shared, published, or used in content without your separate written permission. Your information is stored on a HIPAA-compliant platform, and I maintain it to that standard.

A note on availability

Because of my schedule, I only take a handful of these consults each month — and I am not currently running open bookings. If this sounds like the conversation you have been looking for, please reach out. Tell me a little about where you are and what you are hoping to talk through, and I will get back to you about whether a spot is available.