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Evaluation
We help identify the factors contributing to your symptoms and build a plan that fits your life.
Skip to content One thing that has always bothered us about postpartum care is how quickly the focus shifts almost entirely to the baby — while mom is expected to recover, adjust, and hold everything together. Postpartum is not a small transition. You are healing physically, running on very little sleep, navigating feeding, adjusting to a completely new rhythm, and moving through major hormonal and emotional changes all at once. You deserve more than one rushed check-in and a “you’re cleared” at six weeks. At Alpenaura Holistic Health in Bend, Oregon, our postpartum support is designed to look at the whole picture — your mood, sleep, nutrition, nutrient depletion, pelvic floor and core recovery, hormone shifts, and the symptoms that so easily get brushed off as “just postpartum.” Taking care of yourself is not separate from taking care of your baby. We proudly serve patients in Bend, Redmond, Sisters, Sunriver, and throughout Central Oregon. We also offer telehealth services for Oregon, Washington, Alaska, and California clients.
Mood changes after birth exist on a spectrum, and they are common enough that screening should be
routine rather than exceptional. We evaluate mood alongside the physiological factors that influence it — thyroid function, iron, sleep, and hormone shifts — because postpartum depression and anxiety are
frequently intertwined with treatable medical contributors.
Physical recovery does not conclude at six weeks. Bladder leakage, pelvic pressure, abdominal
separation, pain with intimacy, and scar discomfort are common — and none of them are things you
simply live with because you had a baby.
Pregnancy and breastfeeding place real demands on nutrient stores, and depletion is a common and
correctable cause of the exhaustion, hair loss, and brain fog that get attributed to new parenthood
alone.
Whether you are thinking about spacing, preventing pregnancy, or planning for another, postpartum is
the right time to make those decisions deliberately — including how they interact with breastfeeding.
From the Nurse Practitioner
We help identify the factors contributing to your symptoms and build a plan that fits your life.
We offer individualized support around nutrition, movement, sleep, stress, blood sugar balance, and lifestyle habits without shame, crash dieting, or unrealistic expectations.
Hormonal shifts, thyroid dysfunction, PCOS, insulin resistance, perimenopause, menopause, medications, poor sleep, chronic stress, and under-fueling can all affect metabolism.
While GLP-1s can be an effective tool for some patients, we also explore lifestyle foundations, hormone and thyroid optimization, supplements, and other pharmaceutical interventions depending on the patient's history, goals, risks, and clinical needs.
Every woman’s health journey is unique. Here are answers to some of the most common questions about our approach to women’s health, hormone care, treatment options, and personalized care at Alpenaura.
Sooner and more often than the traditional single six-week visit. We recommend early check-ins and continued follow-up through the first year, particularly for mood, thyroid, nutrient status, and pelvic floor recovery.
Yes, and many of our postpartum patients come to us exactly that way — cleared at six weeks but still not feeling well. It is never too late in the first year, or beyond, to have symptoms properly evaluated.
Common, but not something to accept without evaluation. Persistent exhaustion often traces to iron deficiency, thyroid dysfunction including postpartum thyroiditis, sleep debt, or mood changes — all of which are testable and treatable.
Yes. We take lactation compatibility into account in every treatment decision, including medications, supplements, contraception, and hormone options.
Explore simple medication support or a more guided membership with monthly check-ins, provider visits, supplies, and included labs on select tiers.
Best for patients who want medication access and pharmacy coordination with visits/labs handled separately.
Best for patients who want structure, accountability, supplies, labs on select tiers, and follow-up built in.
| Pathway | Semaglutide | Tirzepatide | Best Fit |
|---|---|---|---|
| Basic GLP Support | $225-$325/mo | $275-$499/mo | Lower-touch support; visits and labs handled separately. |
| Comprehensive Reset | $325-$475/mo | $375-$625/mo | More structure: supplies, monthly MA check-ins, quarterly provider visits, labs on Standard/Advanced tiers. |
Comprehensive Standard and Advanced Reset memberships include an Expanded Metabolic Panel at initiation and a Basic Weight Loss Safety Panel at 6 months; both annually thereafter. Microdose Reset and Basic GLP Support patients may choose cash-pay labs a la carte, if they opt out of billing through insurance.
Medication is prescribed only when clinically appropriate.
Titration is based on tolerability, goals, and response.
Standard/Advanced Reset tiers include baseline and 6-month labs.
Monthly check-ins help you stay supported between visits.
| Start-Up | Commitment | Good To Know |
|---|---|---|
| $149 one-time enrollment/setup fee | 3-month initial commitment for medication-inclusive plans | Medication is not guaranteed. Eligibility, medication choice, and dose are determined after clinical review. |
Symptoms rarely have a single cause. Explore the other areas of Jade’s practice — hormone therapy, women’s health, medical weight loss, and comprehensive evaluation.
"Comprehensive women’s health care for every stage of life, from preventive care to hormone and cycle support."
"Bioidentical hormone therapy for perimenopause, menopause, and the symptoms you've been told to live with."
"An ongoing partnership in your health: comprehensive testing, personalized protocols, and a provider who knows your story."
YOUR CARE STARTS HERE
Stop guessing about your symptoms. Comprehensive testing, honest answers, and a plan built around
you — with Jade Carboy, NP
