Two women celebrating with arms raised beside the water
Women's hormone & functional wellness · Spokane, WA

She can.
And she will.

Personalized hormone therapy and functional medicine for perimenopause, menopause, and the years that follow. Healing from head to toe — built around your life.

Yale-trained PA-C Practicing since 2009 Direct care · no referrals
2009Practicing as a PA-C
YalePhysician Associate Program
A4MAnti-aging medicine member
3 waysIn person · Telehealth · Phone
No referralsDirect-care model
Conditions we treat

If your body's been telling you something, we're listening.

From the first signs of perimenopause through menopause and beyond — the symptoms conventional care too often overlooks.

Sleep disruption Hot flashes Brain fog Fatigue Perimenopause Menopause PMS & PMDD Low testosterone Osteoporosis prevention HPA-axis disorders Chronic stress Pre-pregnancy & postpartum Long Covid recovery Weight management
Treatments we offer

Care that's individualized, complete, and yours.

Comprehensive lab work backs every plan. Our team stays easy to reach when you have questions.

Hormone therapy
01

Hormone replacement therapy

Bioidentical, carefully dosed therapy to restore balance, energy, and clarity through every stage of transition.

Functional medicine
02

Functional & longevity medicine

Root-cause care that pairs conventional and alternative tools to optimize your health and lifespan.

Weight support
03

Weight & metabolic support

Weight-loss medication alongside nutritional and lifestyle plans designed to fit your schedule.

Tamara Brining, PA-C
Meet your provider

Tamara Brining, PA-C

Tamara has worked in Spokane medicine since 2000, with training from Spokane Falls Community College, the University of Washington, and the Yale Physician Associate Program. She has practiced since 2009 across emergency medicine, ER administration, and orthopaedic surgery.

Early on, she saw how the system underserves women in perimenopause, menopause, and anti-aging — and made it her mission to change that, expanding into hormone therapy and functional medicine so she can treat the whole person.

A proud mom of two and a triathlete who trains alongside her husband, she brings the same drive to her patients: focused, empowering, complete care.

So you can get back to doing what you love.

Emergency MedicineOrthopaedic Surgery Hormone TherapyFunctional MedicineA4M Member
Here when you need us

Appointments that fit a real schedule.

Early, midday, late — and sometimes weekends. In person, by phone, or telemedicine.

  • Monday – ThursdayEarly – Late
  • FridayBy appointment
  • WeekendsSelect times
  • TelehealthWashington statewide
  • Phone(509) 990-5242
Find a time
National standards & quality

What you do every day matters. So does what's behind it.

We source from vetted local partners and 503A & 503B compounding pharmacies — tested for quality, purity, and potency.

Measurable results

Treatments chosen for proven outcomes, not guesswork.

Vetted pharmacies

503A & 503B compounding partners held to rigorous standards.

You decide your care

No insurance authorizations, no denials — a direct-care model.

Active wellness
Begin your healing

Take the first step today.

Book online in a couple of minutes, or call and we'll find the right time for you.

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