Columbia, MD · Howard County
Perimenopause treatment that finally makes sense.
Perimenopause is the transition before menopause — the years when your hormones start to shift and symptoms often begin, sometimes in your late 30s or 40s, long before your periods stop. At Jett Wellness in Columbia, MD, Tammy Jett-Parmer, PA-C helps you figure out what's actually going on and build a personalized plan to feel steady again — even when standard labs come back "normal."
Signs you may be in perimenopause
Irregular or unpredictable periods
Hot flashes & night sweats
Trouble sleeping
Anxiety, irritability, mood swings
Brain fog & forgetfulness
Weight gain or a slower metabolism
Low libido
Fatigue that rest doesn't fix
Perimenopause rarely shows up on a standard blood panel — which is why so many women are told everything looks "fine" while they feel anything but. Normal isn't always optimal.
Tammy combines functional medicine with evidence-based care: a full look at your hormones, thyroid, metabolism, and stress, deeper testing when it's needed, and a plan built around you — bioidentical hormone therapy, nutrition and lifestyle support, and wellness coaching woven through. You're not just handed a prescription and sent home.
“After years of being told everything was ‘normal,’ Tammy connected the dots no one else could. I finally have answers.”
Common questions
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It varies, but many women begin noticing changes in their late 30s or 40s — often years before their periods actually stop. Early symptoms are easy to miss or dismiss, which is why an evaluation can be worth it even if menopause feels far off.
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Absolutely. Tammy works with women at every stage of hormonal change, from the earliest signs of imbalance through menopause and beyond. Many women have symptoms long before their cycles stop.
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Yes. Patients need to reside in Maryland to receive care, including in-person visits, virtual appointments, and house calls.
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Jett Wellness is a self-pay practice, which allows more time together and access to hormone and functional testing that insurance-based clinics often can't offer. You can submit a superbill to your insurer for possible partial reimbursement. HSA/FSA cards are accepted.
Not sure if it's perimenopause? Let's find out.
Book a free consultation to share what you've been experiencing and explore whether this approach fits — no pressure, no obligation.