Second Peak is a physician-led telemedicine practice specializing in hormone replacement therapy (HRT) and personalized hormone care for women navigating perimenopause and menopause and men's hormone health. 

Led by board-certified physician Dr. Nicole Klimt, Second Peak combines evidence-based medicine with a concierge approach to care — offering comprehensive lab testing, individualized treatment plans, and ongoing physician support designed around each patient’s unique physiology, symptoms, and goals.

We believe hormone care should feel personal, transparent, and collaborative. Our approach is grounded in modern medicine, not one-size-fits-all protocols or wellness trends.

Second Peak currently provides online hormone therapy services for patients in Oregon and Maryland, including support for perimenopause, menopause, low progesterone, estrogen imbalance, and men’s hormone health.

Services include:
• Bioidentical hormone replacement therapy (BHRT)
• Online hormone replacement therapy
• Perimenopause and menopause support
• Testosterone therapy for men
• Comprehensive hormone lab analysis
• Concierge telemedicine care

Second Peak

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Second Peak

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