Perimenopause reshapes skin, muscle, metabolism and mood — context for your hormone reads.
Regular cycles
Perimenopause
Post-menopause
On hormone therapy (HRT)?
Yes
Not yet
Considering
Testosterone and IGF-1 decline gradually after 40 — context for your hormone, energy and recovery reads.
Feeling optimized
Noticing decline
Not sure
On testosterone therapy (TRT)?
Yes
Not yet
Considering
Lifestyle · optional
A few quick taps
Optional — these sharpen your longevity score and energy targets. Skip and we'll ask later.
Activity level
Sedentary
Light
Moderate
Very active
Athlete
Alcohol
None
Social
Weekly
Daily
Nicotine
None
Vape
Smoke
Former
Typical sleep
<6h
6–7h
7–8h
8h+
Connect & upload
Bring your data in
Every item is optional and you can add more later. The more you connect, the sharper your synthesis.
🩸
Upload lab panel
PDF, photo or screenshot
Add
🦴
Upload DEXA scan
Body comp + bone
Add
🧬
Upload microbiome report
Viome or similar
Add
✦
Add skin photos
Front, left, right
Add
⌚
Connect wearables
Apple Health · Oura · Whoop
Connect
✦ Chat
ASTARTE
PERSONAL HEALTH OS
AM
Good morning, AlexandraMarcus
Dashboard
Monthly Report · June 2026
Your June synthesis is ready
4 connected threads · contraindications checked · 2 items to take to your provider.
The NexusContraindicationsPriority actions
Your full cross-domain read
Open report →
This Month's LeverStrong
Raise iron
Iron with vitamin C, kept 2h clear of magnesium, calcium, coffee & tea.
recheck Ferritin · 90d · target 75–150 · one cause across 3 domains
Today HRV 25 ms — down vs your 7-day baseline. Protect tonight's sleep: no training after 6pm.
This Month's LeverStrong
Cut visceral fat
Zone-2 cardio 3×/wk, protein-forward, alcohol down. Visceral fat is aromatizing your testosterone into estradiol and dragging recovery.
recheck DEXA · 90d · target <1.5 lb · one cause across 4 domains
Today HRV 38 ms — down vs your 7-day baseline. Protect tonight's sleep: no training after 6pm.
This morning
Deep sleep
40 min
Low
HRV
25 ms
Low
Resting HR
72 bpm
High
Blood pressure
90/60
Low
Deep sleep
48 min
Watch
HRV
38 ms
Watch
Resting HR
58 bpm
Optimal
Blood pressure
128/82
High
Priority flags
Hormone binding
Free testosterone 2.08 pg/mL · 1 domain
Provider
Regional bone gap
Whole-body Z +1.7 hides a rib/trunk gap
Low free testosterone
Free-T 8.1 pg/mL · SHBG & estradiol high
Provider
Metabolic drift
Fasting glucose 99 · ApoB 95 — creeping
The Nexus ›
See how every root input — iron, sleep, training, stress — ripples across all 10 systems.
→
Today's protocol
CJC-1295 / Ipamorelin
Peptide · 300/300 mcg
Iron + Vitamin C
Supplement · AM, away from coffee
NAD+
Peptide · 100 mg
Testosterone cypionate
Prescription · 100 mg / wk
Tadalafil
Prescription · 5 mg daily
Creatine
Supplement · 5 g
Longitudinal skin intelligence
Skin
Log a treatment — whichever is easiest:
💬 Chat
🎙 Voice
Skin Score
7378 / 100
Good condition
▲ +4 vs last month
Skin age
4548
2 yrs older
Eye age
2842
−15 yrs−4 yrs
Tone · ITA°
39°
Medium
150+ skin biomarkers via Haut.ai · tap any metric for the face map & recommendation
Monthly photos · 1 / month＋ Add photo
☷
Mar
☷
Apr
☷
May
＋
Capture
The Nexus · Skin × Body
Iron is a cofactor for collagen cross-linking. While ferritin sits at 46.8 (below band), expect your microneedling and KLOW results to under-deliver — this month's Lever (raise iron) is the highest-leverage move for your skin, too.
The Nexus · Skin × Hormones
Low free testosterone (8.1) and short deep sleep blunt collagen synthesis and recovery — expect your microneedling and topical results to under-deliver while hormones lag. Cutting visceral fat (this month's Lever) lifts free testosterone, which helps your skin too.
Areas for improvement
Translucency ›30Needs attention
Sagging ›52Moderate
Uniformness ›55Moderate
Redness ›60Good
Strengths
Hydration ›87
Pores ›96
Acne ›97
Pigmentation ›85
Lines & wrinkles ›72
Active complication
⚠ PRF complication · activeTier 1 · avoid
Persistent malar edema from Nov 2025 BBL + Moxi + PRF (Amadi) — structural, not inflammatory (hs-CRP <0.5).
Malar zone off-limits — no needling, RF or heat until resolved & cleared by your provider.
Treatments
RF Microneedling · Clinic
May 2026 · Clinic A · texture
30d +0.260d +0.490d · in 14d
IPL PhotofacialBotox (glabella)· Clinic
Mar 2026 · Clinic B
30d −0.6 redness30d +0.3 lines60d ✓90d ✓
LED mask · Home
Ongoing · nightly
4-wk +0.18-wk · tracking
Composition & longevity levers
Body
Add a metric or scan — whichever is easiest:
💬 Chat
⬆ Upload DEXA
🦴
DEXA whole-body · BodySpec · May 16, 2026
Compared to 56,000 women, ages 39–45 · tap a region for detail
Body fat
17.9%
Lean
Visceral
0.3 lb
26th
Bone density
1.26
Strong
Muscle mass — your longevity lever
Lean mass index
13.8
11th pct · low
ALMI · limbs
6.40
Low
You're lean but under-muscled. Body fat 17.9% looks optimized — but skeletal muscle sits at the 11th percentile, and muscle is one of the two strongest longevity signals there is. Building it — not losing fat — is your highest-leverage move.
The Nexus · Body × Labs × Hormones
Your low muscle is downstream of low free testosterone (2.08) and low ferritin (46.8) — both cap muscle protein synthesis and training capacity. Raising iron (this month's Lever) and lifting hormones unlocks the muscle you're working to build.
Regional lean · proportionality
Arms8.8 lb20th
Trunk41.2 lb51st
Legs32.0 lb63rd
Arms are the weak link — upper-body resistance work is the specific gap.
Fat distribution
Trunk fat
android / visceral region
6.7 lb5th
Leg fat
gynoid region
10.0 lb90th
Favorable pear pattern — fat sits on the legs, not the trunk. Metabolically protective, and it matches your low visceral fat.
Left / right symmetry
Arms L 5.6 · R 6.1 lb8.5% R>L
Legs L 21.6 · R 22.5 lb4.1% R>L
Total mass 114.3 lb · lean 88.2 · fat 20.5 · bone 2,516 g
Body fat
21.4%
High
Visceral
2.4 lb
High
Whole-body Z
+0.4
Solid
Visceral fat is the root of this month's Lever — it raises aromatase, converting testosterone to estradiol, and tracks your glucose and ApoB drift.
Regional bone density
Trunk BMD1.14 g/cm²
Leg BMD1.41 g/cm²
Longevity levers
VO₂max and skeletal-muscle strength are the two strongest longevity signals. Add a recent VO₂max test and grip/SMI to activate trend tracking.
VO₂max — connectStrength — connect
Measured against your baseline
Labs
Add labs — whichever is easiest:
💬 Chat
🎙 Voice
⬆ Upload
Latest panel · Rythm · May 16, 2026 · bands are Rythm Performance Ranges. We always show your latest result; each value keeps its source, and older or clinical-portal panels stay in your medical record.
Iron & blood
Ferritin
optimal 75–150 ng/mL
46.8Low
Hemoglobin
performance 12.5–15 g/dL
12.3Low
Hematocrit
performance 38–44 %
36.3Low
Ferritin
performance 75–200 ng/mL
142Optimal
Hemoglobin
optimal 14–17 g/dL
15.1Optimal
Hormones
Estrogen
performance 60–180 pg/mL
63.7Optimal
Progesterone
performance 10–15 ng/mL
24.7High
Total testosterone
performance 40–70 ng/dL
19.7Low
Free testosterone
performance 4–6 pg/mL
2.08Low
SHBG
performance 40–100 nmol/L
68.4Optimal
Total testosterone
optimal 600–900 ng/dL
410Low
Free testosterone
optimal 15–25 pg/mL
8.1Low
Estradiol
optimal 20–30 pg/mL
38High
SHBG
optimal 20–45 nmol/L
52High
Cardiometabolic
ApoB
performance 50–80 mg/dL
52.4Optimal
hs-CRP
performance 0–1 mg/L
<0.5Optimal
HDL
performance 60–100 mg/dL
79.7Optimal
Triglycerides
performance 35–90 mg/dL
75.3Optimal
Total / HDL ratio
performance 0–3
2.1Optimal
Fructosamine
performance 210–260 µmol/L
280High
ApoB
performance 50–80 mg/dL
95High
hs-CRP
performance 0–1 mg/L
1.8High
HDL
performance 50–80 mg/dL
44Low
Triglycerides
performance 50–90 mg/dL
148High
Total / HDL ratio
performance 0–3.5
4.2High
Metabolic ＋ Update glucose
Fasting glucose · monthly
optimal 75–90 mg/dL · updated Jun 1
88Optimal
HbA1c
optimal < 5.4 %
5.1Optimal
Fasting glucose · monthly
optimal 75–90 mg/dL · updated Jun 1
99High
HbA1c
optimal < 5.4 %
5.6High
Glucose syncs from a CGM, or update monthly via Chat / fingerstick — it's the one biomarker we track between full panels.
⚠ Critical values (e.g. very low glucose, high potassium) trigger an immediate “see a provider now” alert — none active this month.
Microbiome ＋ Upload report
Viome · May 2026
Diversity (Shannon)
optimal ≥ 7.0 / 10
5.8Watch
Inflammatory activity
optimal: low
ElevatedHigh
Butyrate (SCFA) producers
optimal: abundant
LowLow
The Nexus · Microbiome × Blood
Low diversity and gut inflammation impair iron absorption — a hidden brake on this month's iron Lever. Feeding butyrate producers (fiber, polyphenols) supports both.
The Nexus · Microbiome × Metabolic
Low diversity and gut inflammation track your glucose and ApoB drift and visceral fat — improving the gut supports the same lever.
Your active stack
Protocol
Add a protocol item — whichever is easiest:
💬 Chat
🎙 Voice
Peptides
CJC-1295 / Ipamorelin
300/300 mcg · 5 nights/wk
Active
NAD+
100 mg · 2×/wk
Active
KLOW Blend
BPC-157 / TB-500 / GHK-Cu · nightly · skin repair
Active
⚠
Contains TB-500 (tissue repair) — not a malar contraindication, but track the malar zone so changes are attributed correctly.
Tier 3›
Prescription
Bupropion
150 mg · AM
Active
Trazodone
25 mg · bedtime · sleep
Active
⚠
Lowers blood pressure — yours runs 90/60. Take at bedtime, rise slowly from bed.
Tier 2›
Supplements
Iron + Vitamin C
Added from this month's Lever
Active
⚠
Keep 2h clear of magnesium, calcium, coffee, tea & thyroid meds — they block absorption. This is what makes the Lever work.
Tier 2›
Vitamin D3 / K2
2000 IU · daily
Active
Prescription
Testosterone cypionate
Under provider supervision · 100 mg/wk
Active
⚠
Can raise hematocrit — keep provider-ordered CBC checks on schedule and stay hydrated.
Tier 3›
Tadalafil
5 mg · daily · vascular & libido
Active
⚠
Vasodilator — never combine with nitrates; rise slowly. Flag any new BP medication to your prescriber.
Tier 2›
Peptides
CJC-1295 / Ipamorelin
300/300 mcg · 5 nights/wk · recovery
Active
NAD+
100 mg · 2×/wk
Active
Supplements
Creatine
Added from this month's Lever
Active
Omega-3 · Vitamin D3 / K2
daily
Active
June Report
✕
Monthly synthesis · June 2026
Executive read
This month the engine ranks 4 cross-domain threads. Your single highest-leverage move is raise iron — it touches 3 domains from one root, and it's also the cap on your aesthetic results. 7 markers are optimal. Two items route to a provider.
This month the engine ranks 4 cross-domain threads. Your single highest-leverage move is cut visceral fat — from one root it touches 4 domains: it aromatizes testosterone to estradiol, drags recovery, and pushes glucose and ApoB. Two items route to a provider.
The Nexus — IronVisceral fat
Ferritin 46.8 ng/mL is the root. Downstream it explains HRV 25 ms, resting HR 72 bpm, blood pressure 90/60, and deep sleep 40 min. Also: collagen cross-linking is iron-gated — skin and aesthetic results under-deliver. One cause, 6 effects across 3 domains.
Visceral fat 2.4 lb is the root. It raises aromatase → free testosterone 8.1 (low) and estradiol 38 (high); downstream, fasting glucose 99 and ApoB 95 drift up and deep sleep / HRV lag. One cause, effects across 4 domains.
Priority actions
Raise ironCut visceral fat
Iron + vitamin C, away from coffee/calciumZone-2 3×/wk · protein-forward · alcohol down
Act
Review hormonesReview testosterone
Free-T low · SHBG high · progesterone highTotal/free-T low · estradiol high · SHBG high
Discuss
Contraindications — by severity
Tier 1 · True contraindications
• No needling, RF or heat over the malar zone. Post-PRF fibrin is still resorbing — controlled injury can re-trigger fibroblast activity.
• No BBL / Moxi on sun-exposed skin. Light on tanned skin risks burns + post-inflammatory pigmentation. Defer past summer.
Tier 2 · Timing & sequencing
• Microneedling vs Botox — wait ~4 wks after glabella so needling doesn't disperse the toxin.
• Microneedling vs fresh filler — avoid aggressive work over recent chin filler ~2 wks.
• Iron vs magnesium / calcium / coffee — separate ~2 h; pair iron with vitamin C.