Perimenopause reshapes skin, muscle, metabolism and mood — context for your hormone reads.
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Testosterone and IGF-1 decline gradually after 40 — context for your hormone, energy and recovery reads.
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On testosterone therapy (TRT)?
Yes
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Lifestyle · optional
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Optional — these sharpen your longevity score and energy targets. Skip and we'll ask later.
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ASTARTE
PERSONAL HEALTH OS
AM
Good morning, AlexandraMarcus
Dashboard
Your June report is ready
Monthly synthesis · 4 threads · 2 to discuss with a provider
›
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
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
Skin Quality Score
6.06.4 / 10
+0.3 vs last month
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.
Metric breakdown
Texture6.2
Fine lines5.4
Redness5.8
Under-eye5.2
Treatments
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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
💬 Chat
⬆ Upload DEXA
Body fat
17.9%
Optimal
Visceral
0.29 lb
Optimal
Whole-body Z
+1.7
Strong
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
Rib BMD0.761.02 g/cm²
Trunk BMD0.9671.14 g/cm²
Leg BMD1.2581.41 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
Latest panel · May 16, 2026
＋ Upload panel
Iron & blood
Ferritin
optimal 75–150 ng/mL
46.8Low
Hemoglobin
optimal 12.5–15 g/dL
12.3Low
Ferritin
optimal 75–200 ng/mL
142Optimal
Hemoglobin
optimal 14–17 g/dL
15.1Optimal
Hormones
Estradiol
optimal 60–180 pg/mL
63.7Optimal
Progesterone
optimal 5.2–18.5 ng/mL
24.7High
Free testosterone
optimal 4–8 pg/mL
2.08Low
SHBG
optimal 20–60 nmol/L
68.4High
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
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
ApoB
optimal < 80 mg/dL
95High
Glucose syncs from a CGM, or update monthly via Chat / fingerstick — it's the one biomarker we track between full panels.
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
Topical · nightly · skin repair
Active
Prescription
Bupropion
150 mg · AM
Active
Trazodone
⚠ Caution with low BP (90/60)
Active
Supplements
Iron + Vitamin C
Added from this month's Lever
Active
Vitamin D3 / K2
2000 IU · daily
Active
Prescription
Testosterone cypionate
Under provider supervision · 100 mg/wk
Active
Tadalafil
5 mg · daily · vascular & libido
Active
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.