Brain fog. 3am wake-ups. Tired.
Your hormones need help.Your year of care.
A complete picture — diagnostic, hormonal, metabolic — for one transparent annual rate.
The Foundation
- 60-minute physician consult
- Executive Lab Panel
- GlycanAge biological-age testing
- Quarterly visits with the physician
- Direct text access between visits
The Imaging
- Home sleep study with interpretation
- DEXA bone density scan
- Styku 3D body scan
- Mammogram prescription
- All scans included annually
The Care
- Hormone therapy when clinically appropriate
- Therapeutic protocols when clinically appropriate
- Pelvic floor therapy referral
- Hair restoration referral
- Coordinated by the physician
For our first 25 patients. The rate you enroll at is yours, locked in permanently. When the 25 are filled, the rate closes.
The ongoing rate. Year 1 ≈ $4,599. Year 2 onward ≈ $2,600. Step out at any time.
GLP-1 medications and select advanced therapies are billed separately at the time of service.
Hormones don't decline.
They swing — wildly — for years before they fall. This is the single most important fact most women aren't told.
Most of us were taught a tidy story: estrogen goes down, periods stop, hot flashes, done. The reality is far less linear. Hormonal chaos in midlife is the rule, not the exception — and it explains far more than most physicians acknowledge.
The chaos.
Estrogen does not taper. It spikes and crashes — sometimes within a single cycle. One week higher than at 25; the next, at the floor.
The first to leave.
Progesterone is the body's natural calming hormone — and the first to fall. That's why insomnia and anxiety arrive years before the word perimenopause does.
The quiet decline.
Yes, women have it. Yes, you need it. Testosterone has been declining since your thirties. The drop in energy and the muscle that won't return — part of that story.
The conversation most women never had.
For more than two decades, modern hormone therapy has been the most misunderstood tool in women's medicine. A generation of women aged into broken sleep, hot flashes, fractured hips, and elevated dementia risk — with nothing offered.
The science has moved. The fear has not yet caught up.
At The Nafsi Institute, hormone therapy is prescribed and managed by a Menopause Certified Practitioner — every protocol built on your labs, your history, your symptoms, and your individual risk picture.
Body-identical. Transdermal.
Patches, creams, gels — not pills. Bypasses the liver. The modern standard.
Begun in midlife.
Starting in your 40s or 50s carries a fundamentally different risk profile than starting later.
Adjusted on data.
Re-tested and adjusted at every quarterly visit. The protocol evolves with you.
Made together.
Your individual risk picture reviewed before any prescription. Informed. Yours.
What the headlines didn't say.
The Women's Health Initiative used a single oral combination in women whose average age was 63. The absolute risk increase was small. We now know that when hormone therapy is started, and how it's delivered, profoundly changes the outcome.
GlycanAge.
How old is your body, really?
A simple blood test that measures how your body is actually aging beneath the surface. You can be 47 on paper and 38 on the inside — or 47 and 58. The number tells us where to focus the work.
Re-tested annually, so you can watch the number move with treatment. Included in The Program.
A curated library of targeted protocols.
Beyond hormones, we maintain a library of therapeutic protocols developed in partnership with licensed compounding pharmacies — used selectively, in the right patient, for specific clinical purposes. Available as add-on therapies when clinically appropriate.
Longevity
Immunity
Recovery
Sleep & Energy
Some therapies are prescribed off-label, based on clinical evidence and individual evaluation. Compounded medications are sourced exclusively from licensed 503A and 503B pharmacies. All prescriptions follow full informed-consent protocols. Specific protocols are discussed in consultation.
What we treat.
Every protocol follows published clinical guidelines — NAMS, Endocrine Society, USPSTF, AAD, AUA.
Hot flashes & night sweats
FDA-approved transdermal estradiol first-line. Avoids clot risk of oral.
NAMS 2022Vaginal health & UTI
Vaginal estrogen first-line for GSM. Reduces recurrent UTIs ~50%.
AUA / CUA 2022Bone health
DEXA screening, FRAX, estrogen therapy, vitamin D, bisphosphonates.
USPSTF 2025Hair loss & thinning
Investigate cause first. Oral minoxidil and spironolactone where appropriate.
AAD ProtocolsSkin & collagen
~30% collagen loss in first 5 years post-menopause. Tretinoin, estriol.
Evidence-BasedFatigue & energy
Sleep apnea screening, thyroid, iron, insulin resistance — root cause first.
Sleep ExpertiseWeight & metabolic
GLP-1 therapy, metabolic optimization, Styku body composition tracking.
AACE / ACE 2023Sleep & respiratory
Home sleep test included. Managed by Dr. Nafsi. No referral needed.
Both ProgramsSexual health & desire
Compounded transdermal testosterone at physiologic dosing. No pellets.
Global Consensus 2019Thyroid optimization
Free T4, Free T3, antibodies. Affects 1 in 8 women.
ATA / AACEGLP-1 management
Semaglutide and tirzepatide for qualifying patients. Titration managed.
AACE 2023Pelvic & hair referrals
Curated specialist network for pelvic floor therapy and hair restoration.
Coordinated CareThe only program in Rockford that does this.
Sleep medicine built in
Board-certified physician. Home sleep study included and managed personally.
Styku 3D body composition
Visceral fat, lean mass, circumferences — three times yearly. Real changes, not scale numbers.
Strictly evidence-based
Published guidelines. Evidence-based therapies. Licensed pharmacies. No pellets.
Direct text access
Direct access to Dr. Nafsi between visits. Not a call center. Not a portal.
Full transparency
Cash-pay. Costs known upfront. Pricing published. No surprises.
The whole picture
Hormones, sleep, metabolism — one system, one physician trained in all three.
Why we do not use them.
Pellets are not FDA-approved for women. They produce levels two to ten times above normal range, with no ability to adjust once implanted. The 2019 Global Consensus recommends against pellets.
We use compounded transdermal cream — titratable, reversible, and consistent with current guidelines.
Source: Global Consensus Position Statement on Testosterone Therapy for Women, 2019
Dr. Tabassum Nafsi.
MD, FCCP
Triple board-certified in Internal Medicine, Pulmonary Medicine, and Critical Care. Certified Menopause Practitioner. Twenty years of clinical experience. The only physician in Rockford combining sleep medicine and metabolic expertise with hormonal care for women.
She founded The Nafsi Institute to treat sleep, hormones, and metabolism as the single integrated system they are. She sees a small, deliberate panel of patients each year — by design.
Before you arrive.
What's actually included in The Program?
Everything in the three-column list: 60-minute consult, Executive Lab Panel, GlycanAge biological age testing, quarterly visits, direct text access, home sleep study, DEXA scan, Styku 3D scan, mammogram prescription, hormone therapy when clinically appropriate, therapeutic protocols when clinically appropriate, and pelvic floor and hair restoration referrals — all included in the annual rate. GLP-1 medications and a few advanced therapies are billed separately at the time of service.
Founding Member vs. Standard Enrollment?
The Founding Member rate is reserved for our first 25 patients. The rate you enroll at is yours, locked in permanently — meaning if you join now, you keep that rate every year. Once the 25 are filled, that rate closes and Standard Enrollment becomes the ongoing rate. Both receive identical clinical care.
Do you accept insurance?
This is a cash-pay program — 60–90 minute visits instead of 15. Labs and scans are included in The Program. Prescriptions go through standard pharmacies and may be billed to your insurance.
Is hormone replacement therapy safe?
For healthy women under 60, the benefits outweigh the risks per the Menopause Society. We use FDA-approved transdermal estradiol, which avoids the clot risk of oral estrogen. Your individual risk picture is reviewed before any prescription is written.
What is GlycanAge?
A simple blood test that measures your biological age — how your body is actually functioning — versus the age on your driver's license. The two can be 10–15 years apart in either direction. The number responds to treatment, so we re-test annually to track progress.
What about peptide therapy?
We maintain a library of targeted therapeutic protocols compounded by licensed 503A and 503B pharmacies, used selectively for longevity, immunity, recovery, and sleep support. Some are off-label. All are prescribed individually under full informed consent. Specific protocols are discussed in consultation.
Can I start GLP-1 medication here?
Yes. Semaglutide and tirzepatide are available for qualifying patients, billed separately. Dr. Nafsi manages titration and tracks body composition with Styku.
Do I have to commit to a full year?
No long-term contracts. Enrollment is structured quarterly. Most patients stay because they see real change — but you can step out at any time.
Ready to feel like yourself again?
One visit. A complete picture. A real plan, built around you.
We accept a limited number of new patients each season. The conversation begins with a call.
6078 Palo Verde Drive, Suite 4 · Rockford, Illinois 61114
