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
＋
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 ＋ 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 ＋ Add treatment
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
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 ＋ Upload DEXA
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
Rythm 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
Fasting glucose
optimal 75–90 mg/dL
99High
ApoB
optimal < 80 mg/dL
95High
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 by 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