Same-day appointments often available · Silverthorne, CO · 970.364.2228
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Irregular cycles, weight that won't budge, acne, unwanted hair changes, relentless cravings — PMOS is one of the most common and most underdiagnosed hormonal conditions in women. It's also one of the most treatable when you address the root cause instead of masking the symptoms.
It was called PCOS — polycystic ovary syndrome — for decades. The trouble with that name is that it points at the ovaries and at "cysts," when the condition is really a whole-body hormonal and metabolic one. Many women with it don't have cysts at all.
To reflect that, the condition was renamed PMOS — polyendocrine metabolic ovarian syndrome. You'll still see both names for a while, and they refer to the same thing. What matters clinically is the shift in understanding: PMOS is about hormones and metabolism working together, not a problem confined to the ovaries.
PMOS shows up differently in every woman. If several of these started in your reproductive years, it's worth evaluating.
For many women, PMOS sits underneath the surface as a metabolic and hormonal pattern — often involving how the body handles insulin, along with shifts in androgens and inflammation. Those drivers influence cycles, weight, skin, hair, mood, and fertility all at once, which is exactly why it can be confusing and easy to dismiss.
Too often, the only thing offered is a prescription for the birth control pill to "regulate" cycles, without ever looking at the metabolic picture underneath. That can mask symptoms, but it doesn't address what's actually driving them. We start by measuring — then build a plan around what your labs and your body are actually telling us.
No one-size protocol. We treat the metabolic and hormonal system together, and we tailor everything to you.
A full hormone, thyroid, and metabolic lab panel — including markers of how your body handles insulin — plus a body composition scan and an in-depth consultation. We map the whole picture, not just one number.
For many women with PMOS, supporting metabolic and insulin health is the lever most plans miss. Addressing it can ease cycles, cravings, energy, skin, and weight-loss resistance at the same time.
Depending on your goals and labs, your plan may include hormone support, medical and metabolic therapies, and nutrition and recovery guidance — matched to you, with the real benefits and risks explained in plain language.
We monitor, retest, and adjust as your body responds. PMOS care is a guided process, not a one-time fix — and your plan evolves with you.
Peak HRT is led by Rebecca Miskew, MS, APRN, A-GNP-C — a board-certified nurse practitioner with 16+ years of clinical experience, certified in hormone replacement therapy, and a woman who has navigated her own hormone journey.
“Too many women with PMOS are handed a pill and sent on their way. You deserve to understand what's actually driving your symptoms — and a real plan built around it.”
Meet Rebecca and the teamPMOS is a measure-first condition. Everything starts with understanding your individual picture:
Yes. PMOS (polyendocrine metabolic ovarian syndrome) is the updated name for what was long called PCOS. The new name reflects that it's a whole-body hormonal and metabolic condition rather than just an ovarian one. You'll see both names in use; they refer to the same condition.
Not at all. PMOS affects cycles, weight, skin, hair, energy, and mood whether or not fertility is a goal right now. We help with the symptoms you're living with today, and we're glad to support fertility goals if and when they're part of the picture.
For many women, yes — though it depends on your individual case and goals. The pill can help manage certain symptoms, but it isn't the only option, and it doesn't address the metabolic drivers underneath. We'll walk through the realistic options for you, including their benefits and trade-offs.
Weight-loss resistance is one of the most common and most frustrating parts of PMOS, and it's not a willpower problem — it's metabolic. When the underlying metabolic and hormonal drivers are addressed, many women find their bodies respond differently. We focus on metabolic health and how you feel, not just a number on the scale.
No referral needed — you can book directly with us. Peak HRT is a cash-based practice, which lets us offer comprehensive labs and longer, unrushed appointments without insurance restrictions. We accept HSA and FSA and provide itemized receipts.
If several of the signs above sound familiar — especially irregular cycles plus metabolic symptoms — it's worth evaluating. If you're still cycling, certain labs are most accurate on specific cycle days; call us and we'll help you time it.
A free 10-minute call. We'll talk through what you're experiencing and whether we're the right fit. No pressure, no commitment.
Peak HRT provides PMOS (formerly PCOS) treatment, women's hormone therapy, and medical weight loss to patients throughout Silverthorne, Dillon, Frisco, Breckenridge, Keystone, Vail, and the surrounding Summit County mountain communities.
