MOST EFFECTIVE
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4.9

|

12,000+ Patients Served

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My experience with Healthspan has been pivotal because everyone listens and wants to help…and being on HRT has changed my life.

Kimberly O

Bi-Est 50/50 Cream

Topical cream combining two bio-identical estrogens, Estradiol and Estriol, delivered through the skin. It relieves common peri- and menopause symptoms. Prescriptions require a hormone lab review and clinician consultation through our membership program.

Relief & Balance

Replenishes estrogen levels to help reduce hot flashes, night sweats, and dryness while improving tissue elasticity.

Better Mood & Sleep

Balances neurotransmitters and cortisol to ease anxiety, sharpen focus, and improve sleep quality.

Longevity Support

Helps prevent bone loss while supporting cardiovascular health through improved circulation and reduced inflammation.

Modify or cancel anytime
Labs + visit determine eligibility
Ongoing hormone tracking
Coaching support for symptoms

Doctor prescribed. Dispensed by a LegitScript-certified pharmacy. Customized for you.

Starting at

99

$

/mo

4.9

|

12,000+ Patients Served

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HSA/FSA Eligible

Comprehensive Care

Start your care journey with our membership program

Your membership includes regular hormone labs, clinician consultations, personalized protocols, and lifestyle coaching, all supported by advanced data tracking and continuous optimization. Enjoy comprehensive care, medication access, and expert guidance starting at $179 per month.
Your care begins with an intake and advanced hormone labs, giving your clinician a deeper understanding of your health. Using your history, symptoms, and goals, we determine what treatment is right for you and if you are eligible for Bi-Est 50/50 Cream.
Your clinician designs a comprehensive plan around your biology and goals, combining medication, supplements, nutrition, exercise, stress management, and sleep strategies. Dose, timing, and cycle pattern are adjusted over time to keep your therapy aligned with your body.
Your PhD-level coach helps you understand the science behind your care and ensures your symptoms continue improving. They keep you accountable, interpret data from wearables and health apps that track sleep, activity, and cycles, and guide ongoing lifestyle adjustments.
Total Care
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Healthspan Care Philosophy

As a Healthspan member, your care extends beyond a prescription. Clinicians use hormone labs, health data, and symptom trends to uncover root causes and create personalized protocols. Your coach helps you interpret results, apply insights, and make lifestyle changes that relieve symptoms and support long-term health. The process continues as your health needs change.

Bi-Est 50/50 Cream

Your body begins to respond within weeks and benefits build over time

Functional Benefits

Behind every symptom you feel is a biological process we help rebalance

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(01)
Regulate mood and temperatureEstrogen stabilizes serotonin and hypothalamic signaling to balance mood, reduce stress reactivity, and normalize temperature control, helping ease hot flashes and night sweats.
(02)
Rebuild tissue resilienceReplenishes estrogen in skin and vaginal tissues to restore hydration, elasticity, and circulation, key to maintaining comfort, collagen integrity, and overall physical wellbeing.
(03)
Support metabolic and cardiovascular healthSustained estrogen balance promotes healthy lipid metabolism, vascular tone, and circulation—supporting energy, longevity, and heart health over time.

Patient Spotlight

Real women. Real stories.

Hear how Kimberly finally got relief from hot flashes and night sweats, and why she says our coaching support is priceless.

Your health is personal, and so is our approach. We use the latest science and data-driven insights to design care built around you.

1

st

digital longevity clinic

We pioneered modern longevity care, making it accessible to all.

4.9

patient satisfaction

Effective treatments and excellent service earns us loyal support.

70

K

biomarkers analyzed

We use insights from labs to personalize care and track progress.

150

+

published works

Our team actively drives progress in aging research.

134+ member reviews

Hear from our patients

I feel more myself

I feel more grounded, more productive, and more myself. It’s truly been life-changing, and I’m beyond thankful for both the product and the service that made it possible.

Mayra

What I have been missing

I am a 49-year-old, post menopausal woman. I was very close to giving up hope. I know now what I have been missing! Thank you Healthspan.

Heather

In a word, excellent

Go for the consultation if you have any doubts, bc you won't after! Informative, professional, supportive...in a word, excellent.

Leslie

Impressed with this company

Impressed with this company. I like that they provide education and research articles in addition to the treatments themselves.

Ellen

Very knowledgeable

Very knowledgable, studied my history in order to give me the best advice.

Sylvia

Frequently asked questions

What is Bi-Est 50/50 topical cream?

Bi-Est 50/50 is a bio-identical estrogen cream containing a balanced blend of estradiol (E2) and estriol (E3). It’s designed to relieve menopause-related symptoms such as hot flashes, night sweats, mood changes, and vaginal dryness while supporting overall hormonal balance.

How does Bi-Est 50/50 work?

This compounded cream delivers estrogen directly through the skin, allowing for steady absorption and symptom relief. Estradiol provides stronger estrogenic activity, while estriol offers gentler support for vaginal and skin tissue health, making the blend both effective and well-tolerated.

How do I use Bi-Est 50/50 cream?

Apply the cream once daily to clean, dry skin on the inner thigh, forearm, or abdomen. Rotate application sites and avoid skin-to-skin contact until fully absorbed. If your uterus is intact, your clinician will recommend pairing Bi-Est with progesterone for balance and safety.

How soon will I notice results?

Many women begin to feel improvements in hot flashes, sleep, or mood within one to two weeks after using Bi-Est 50/50 cream. Full benefits—including more consistent symptom relief and improved skin or vaginal tissue health—often develop over three months of consistent use

What are the common side effects?

Mild breast tenderness or spotting may occur as hormone levels adjust. Less common effects include headaches or nausea. To prevent estrogen dominance symptoms, therapy should remain balanced with progesterone and monitored by your clinician.

Is estrogen therapy safe for women?

When prescribed and monitored by licensed clinicians, bioidentical estrogen therapy is considered safe and effective for symptom relief in midlife. Healthspan includes lab testing, follow-up care, and personalized dosing to minimize risks and ensure optimal results.

What is the Women’s Health Program?

The Women’s Health Program includes hormone lab testing, a clinician consultation, lifestyle coaching, and a personalized care plan. If hormone therapy is recommended, medication is billed separately at cost—so you only pay for what you need.

What is Bi-Est 50/50 topical cream?

Bi-Est 50/50 is a bio-identical estrogen cream containing a balanced blend of estradiol (E2) and estriol (E3). It’s designed to relieve menopause-related symptoms such as hot flashes, night sweats, mood changes, and vaginal dryness while supporting overall hormonal balance.

How does Bi-Est 50/50 work?

This compounded cream delivers estrogen directly through the skin, allowing for steady absorption and symptom relief. Estradiol provides stronger estrogenic activity, while estriol offers gentler support for vaginal and skin tissue health, making the blend both effective and well-tolerated.

How do I use Bi-Est 50/50 cream?

Apply the cream once daily to clean, dry skin on the inner thigh, forearm, or abdomen. Rotate application sites and avoid skin-to-skin contact until fully absorbed. If your uterus is intact, your clinician will recommend pairing Bi-Est with progesterone for balance and safety.

How soon will I notice results?

Many women begin to feel improvements in hot flashes, sleep, or mood within one to two weeks after using Bi-Est 50/50 cream. Full benefits—including more consistent symptom relief and improved skin or vaginal tissue health—often develop over three months of consistent use

What are the common side effects?

Mild breast tenderness or spotting may occur as hormone levels adjust. Less common effects include headaches or nausea. To prevent estrogen dominance symptoms, therapy should remain balanced with progesterone and monitored by your clinician.

Is estrogen therapy safe for women?

When prescribed and monitored by licensed clinicians, bioidentical estrogen therapy is considered safe and effective for symptom relief in midlife. Healthspan includes lab testing, follow-up care, and personalized dosing to minimize risks and ensure optimal results.

What is the Women’s Health Program?

The Women’s Health Program includes hormone lab testing, a clinician consultation, lifestyle coaching, and a personalized care plan. If hormone therapy is recommended, medication is billed separately at cost—so you only pay for what you need.

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Bi-Est 50/50 Cream
Bioidentical estrogen cream that restores balance, relieves menopause symptoms, and promotes lasting vitality.Starting at $99/month
No hidden fees
Personalized Protocols
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Doctor & Clinical Team