Hormone & metabolic care · Ontario
Personalized Hormone & Metabolic Care
Evidence-based care for health, performance, and longevity for women and men, built around your symptoms, your labs, and your goals.
Areas of Care
- Perimenopause
- Menopause
- Thyroid Dysfunction
- Low Testosterone
- PCOS
- PMDD
- Low Libido
- Weight & Metabolic
Every plan starts the same way.
A comprehensive intake, individualized lab testing, and a full review of your results together.
Menopause Society Certified (MSCP)
Nurse Practitioner · CNO #07316317
BHRT Training · Worldlink Medical
Fees Published Up Front
What we treat
Explore the Symptoms and Conditions We Treat

Meet your practitioner
Jennifer Kowalyk, NP
Hormone & Metabolic Optimization
With a background in internal medicine, and certification through The Menopause Society (MSCP), I provide advanced, evidence-informed hormone care.
I completed specialized training in bioidentical hormone replacement therapy (BHRT) through Dr. Neal Rouzier MD (Worldlink Medical Academy), with a focus on optimizing physiology, not just managing symptoms.
- Registered Nurse Practitioner, College of Nurses of Ontario · Reg. #07316317
- Menopause Society Certified Practitioner (MSCP)
- Nurse Practitioner, Primary Health Care · McMaster University (2015)
- BHRT Training · Dr. Neal Rouzier MD, Worldlink Medical Academy
Our method
How It Works
1
Comprehensive Intake Form
Health history, symptoms, and goals.
2
Lab Testing
Individualized testing based on your health profile.
3
Virtual Consultation
Review your results and treatment options.
4
Treatment Plan
Custom recommendations and prescriptions.
Nurse-practitioner-led from your first form through every follow-up.
The evidence
The Research Behind the Care
A selection from the reading list: the clinical frameworks and evidence-informed approaches used at Harmony Health & Hormones.
Vascular effects of early versus late postmenopausal treatment with estradiol
Hodis, Mack, Shoupe et al., ELITE trial · New England Journal of Medicine, 2016
Cardiovascular safety of testosterone-replacement therapy
Nissen et al., TRAVERSE trial · New England Journal of Medicine, 2023
Global consensus position statement on the use of testosterone therapy for women
Davis et al. · Journal of Clinical Endocrinology & Metabolism, 2019
Why Harmony
I saw too many people being told their symptoms were simply part of aging, or that their bloodwork was “normal” despite feeling anything but normal.
Fatigue. Brain fog. Poor sleep. Loss of strength. Weight gain. Low libido. Heavy periods. Hot flashes.
These symptoms are common, but they shouldn’t be dismissed as “normal.” I built Harmony after years of working in internal medicine and chronic disease management, to treat the person, not just the lab value.
Jennifer Kowalyk, NP
Pricing
Published Up Front
Every plan begins with an initial consultation. From there, book follow-ups as you need them or step into a structured program for ongoing, closely monitored care.
A La Carte Consultations
Initial Hormone Consultation
$395
The comprehensive starting point for all new clients
- Comprehensive Intake Form
- Personalized lab requisition
- Detailed review of symptoms, history and goals
- Thorough interpretation of your lab results
- Personalized hormone prescription
- Structured follow-up call at 4 weeks
Follow-Up Appointments
$250
Required every 3 months
- Ongoing lab analysis
- Review of symptom changes and progress
- Dose adjustments and prescription renewals
Brief Follow-Up Assessment
$75
15 minutes
- Focused concerns
- Treatment tolerance
- Dose adjustments
- Brief medication review
Ongoing Optimization Programs
Structured, nurse-practitioner-led partnerships for those ready to go beyond a single visit.
Harmony Annual Optimization
$2,400
per year
A full year of nurse-practitioner-led optimization of your health, hormones, and longevity.
- Initial assessment and scheduled follow-ups
- Lab reassessments across the year
- Prescription management and monitoring
Executive Optimization
$4,000
per year
The premium concierge tier: hormones, brain function, performance, and longevity, closely monitored.
- Executive Performance Assessment
- Frequent follow-ups and check-ins
- Custom lab analysis and treatment
The Elevated
From $2,499
12 weeks
Hormone care with Jennifer, paired with fitness, nutrition, and lifestyle coaching from Tasha Star.
- Nurse-practitioner hormone care
- Personalized training and nutrition
- A collaborative 12-week program
Not covered by OHIP. Some extended health insurance plans may reimburse services provided by Nurse Practitioners, and many patients can claim fees under a Health Spending Account (HSA). Questions before getting started?
Common Questions
Before You Book
Do I need bloodwork before starting?
Yes. All clients begin with baseline bloodwork so we can understand your current hormone levels and rule out other causes of symptoms. Follow-up testing is performed as needed to ensure safe, effective treatment.
How soon will I feel better?
This depends on your symptoms. Most people notice improvement within 4 to 8 weeks, with full benefits typically reached by 3 to 6 months. Your treatment is gradually and safely adjusted over time based on symptoms, goals, and labs.
Do you treat men?
Yes. I provide hormone optimization for both men and women, including perimenopause, menopause, and andropause.
Is this covered by OHIP?
No. Some extended health insurance plans may reimburse services provided by Nurse Practitioners, and many patients can claim fees under a Health Spending Account (HSA). Check with your plan provider for details.
How often are follow-up visits?
Once you start therapy, follow-ups occur every 3 months for the first year. After that, most clients transition to every 6 months, depending on your stability, goals, and how you are feeling.
Can I use my own pharmacy?
Certain formulations require a specialized compounding pharmacy to ensure consistency, accuracy, and quality. If you prefer to use your own pharmacy for standard prescriptions, we can discuss what is possible.
Get started
Personalized Hormone Care, Wherever You Are in Ontario
Now accepting new patients. Every appointment is virtual.

