5,000+ reviews

Bioidentical HRT: Balance Made Simple

Our personalized bioidentical HRT helps balance estrogen, progesterone, and testosterone levels with one simple cream, tailored to your symptoms and stage of life.

maintaining quality & excellence
“I found my balance with Josie!”
Lisa, 44 - Balance Cream
all-in-one bioidentical hrt

Josie Balance Cream: Your All-in-One Bioidentical HRT Cream

Josie Balance Cream is a bioidentical vaginal hormone cream with Estradiol and Progesterone — designed for effective absorption with just two pumps a day. Each 3-month supply is $299, billed quarterly with free express shipping. Compounded by Belmar Pharmacy, a trusted name in women's hormone care.

supporting systems

Find your stride again.

Hormone shifts during perimenopause and menopause can disrupt sleep, mood, energy, and more. Josie Balance Cream supports your body through personalized bioidentical hormone therapy — tailored to your symptoms and stage.

Weight & Bloating

Estrogen fluctuations can lead to water retention, bloating, and slower metabolism. Josie Balance Cream supports hormonal balance that may help reduce inflammation and ease weight changes tied to perimenopause.

Mood & Irritability

Your monthly fee includes medical oversight, medication, shipping, and support - everything you need for a successful journey.  There are no hidden fees. Fees are paid monthly in advance.

Sleep, Fatigue & Energy

Lower estrogen and progesterone can disrupt your circadian rhythm and adrenal function. Josie Balance Cream supports a steadier hormone pattern, which may promote more restful sleep and balanced energy.

Libido & Vaginal Dryness

Decreased estrogen levels often cause dryness, discomfort, and low libido. Our vaginal cream delivers bioidentical hormones directly where they’re needed — gently supporting comfort and intimacy.

feeling good in midlife made easy

The Simple HRT Cream That Changed Everything!

90%
of women noticed improvements across mood, sleep, hot flashes, energy and libido in just 6 weeks*
*Based on internal data; results vary.
80%
of users felt “more like themselves again” using Josie Balance Cream*
*Based on internal data; results vary.

Your Simple Path back to balance

Step - 1
Tell us how you’re feeling

Take our 3-minute quiz to help us understand your symptoms and see if Josie Balance Cream is a good fit for your needs.

Step - 2
Get your custom prescription

If eligible, your treatment ships to your door — no office visit needed.

Step - 3
Start your plan, with real support

Our care team checks in with you regularly and helps adjust your treatment as your needs evolve.

Vaginal Cream

What Makes Josie Balance Cream So Effective

Personalized to your symptoms, Josie Balance Cream combines bioidentical estrogen and progesterone in a vaginal cream designed to support hormonal balance. It’s a simple, once-a-day formula made to meet you where you are,  perimenopause, menopause, or beyond.

What's in it (2 pumps):

  • Estradiol (3mg)
  • Progesterone (100mg)
  • EllageTM Base (vaginal delivery base)
This vaginal route allows hormones to absorb directly through the
mucosa,
by passing the liver for efficient delivery without
affecting clothing factors.
No synthetic hormones. No injections. No in-office appointments required.
Personalized
HRT Treatment
Real symptom
relief

When can you expect  symptom relief with Josie's HRT?

Most women using Josie Balance Cream report noticeable improvements in sleep, mood, energy, and more, typically within 4 to 8 weeks.

Here’s a week-by-week look at how HRT progress may unfold.
WEEK 2
Deeper sleep, lighter mood
Mood swings ease. Rest feels more restorative.
WEEK 4
More energy, less bloat
Lighter body. More stamina to get through your day.
WEEK 6
Libido returns, mind sharpens
Mental clarity improves. Desire and focus feel familiar again.
WEEK 8
Hormones stabilize, balance feels real
Your mood, energy, and comfort feel steady — finally.
Start your HRT plan

Physician-Guided Care

Your care with Josie is overseen by a trusted team of licensed, U.S.-based medical professionals who review every patient case for safety and appropriateness.

All treatment plans are supervised by our nationwide physician leadership team, including:

  • Dr. Ana Lisa Carr, MD (NPI: 1689841744)
  • Dr. Kelly Tenbrink, MD (NPI: 1346482684)

These physicians guide clinical protocols, oversee patient evaluations, and support the licensed providers involved in your care. This ensures every plan is reviewed through a medical lens, while still allowing for a personalized, patient-first experience.

Josie combines modern telehealth with real physician oversight so women can access hormone support with confidence, clarity, and continuity of care.

Dr. Ana Lisa Carr, MD
Dr. Kelly Tenbrink, MD
4.9/5 average rating

Real women, Real relief

Josie Balance Cream Really Works!
"It's been about a month with Josie Balance Cream, and I'm already noticing changes. My hot flashes aren't as intense, and I feel more balanced than I have in a long time. Thank you!"

Dawn, 45

Trust This Company
"The relief from my hot flashes is amazing! no more vaginal dryness, a bump in energy and mood! I'm thrilled to have found Josie Balance Cream and excited about the long-term benefits. Plus, the patient support has been excellent!"

Nikki, 43

I am so happy!
“I am so happy I found Josie Balance Cream. I felt more energy, clarity and motivation in just a few days after starting. It’s been 90 days now and I feel vibrant and balanced."

Julia, 54

Josie helps women of all ages reclaim their energy, libido, sleep, and clarity. Every story is different, but the results speak for themselves.

Why Josie HRT feels different?

Most women are left juggling symptoms, prescriptions, and providers. Josie simplifies it all with one personalized, bioidentical HRT delivered to your door, supported by a care team that stays with you.

HRT-focused clinicians
Whole-health view, not just hormones
Safety-first protocols
Care that stays with you
See if you qualify
Faqs
Questions? We have Answers.

What is bioidentical hormone replacement therapy (HRT)?

Bioidentical HRT uses hormones that are identical to those your body naturally makes. Josie’s treatment supports balanced levels of estrogen, progesterone, and testosterone to help relieve symptoms and restore hormonal wellbeing.

How is Josie different from other HRT providers?

Josie is an all-in-one solution. You get a personalized prescription cream based on your symptoms, plus ongoing care from hormone-trained clinicians. No labs, no guesswork, and no waiting rooms.

What’s in Josie Balance Cream?

Each dose includes bioidentical estradiol and progesterone in Ellage™ Base, a vaginal delivery cream designed for safe and effective absorption. This method avoids the risks of oral estrogen and does not require bloodwork.

Do I need lab work or blood tests?

No. Because Josie uses a topical vaginal cream, lab work is not required. We base your treatment on your symptoms, which is the standard of care supported by menopause experts.

Where is the medication made?

Josie Balance Cream is compounded by Belmar Pharmacy, a trusted leader in hormone health and compounding pharmacy care.

Who is on your medical team?

Your care is supervised by Dr. Ana Lisa Carr, MD, a licensed physician specializing in hormone health. You’ll be supported by our team of licensed nurse practitioners and physicians throughout your treatment.

Who is your Medical Team?

The Join Josie team is led by OBGYNs, physicians, and midlife care providers who specialize in helping women reverse menopause weight gain.

What is Josie Balance Cream?

Josie Balance Cream is a personalized, prescription hormone therapy used once daily. Each dose contains estradiol (3mg) and progesterone (100mg) in a vaginal Ellage™ base, designed for safe and effective absorption. You use two pumps, once per day as directed by your clinician.

What symptoms does Josie help with?

Our treatment supports common symptoms like hot flashes, low libido, poor sleep, brain fog, mood swings, vaginal dryness, bloating, and fatigue. Your plan is tailored to your specific stage and needs.

How long does it take to work?

Most women notice symptom relief in 4 to 8 weeks. Some feel better sooner. Every body is different, and your care team adjusts your plan as you go.

How much does it cost?

Josie Balance Cream is $299 for a 3-month supply. You’re billed quarterly and can cancel anytime. We don’t auto-bill — patients fill out a simple refill form each cycle. There is no membership fee and no hidden costs.

How fast is shipping?

We use express shipping. Most orders arrive within 1 to 3 business days, depending on when you place your refill.

How do I get started?

Start with our 3-minute quiz. If you're a candidate for HRT, you'll be matched with a clinician who reviews your symptoms and prescribes your personalized Josie Balance Cream. Your prescription ships directly to your door.