Dr. Nielsen is a family-medicine physician practicing integrative and functional medicine, seeing patients entirely by secure video visit throughout Michigan. She is explicit that she works as a physician consultant rather than a primary care doctor, with no primary care, urgent care or after-hours services, and is happy to communicate with a patient's own physician. Menopause and perimenopause care is one of three main service lines alongside thyroid optimization and gut health, with hormone therapy decisions framed around symptoms, targeted laboratory testing and personal risk factors. Initial consultations run 45 to 60 minutes after a detailed health history, and plans typically combine advanced testing with nutrition, supplements and prescriptions.
RegenCen is a hormone and regenerative medicine group with more than twenty offices across Michigan and Florida, and Amanda is its chief clinical operations officer as well as a treating PA. Care starts with a consultation and a full history, then a lab order, and you come back to go over the results before hormones are started. They use bioidentical estrogen and testosterone in pellet, gel, cream, oral and vaginal forms, and they recheck labs every three to four months. The practice is openly in favor of pellets and describes the insertion as a quick office procedure that lasts about three months for women. Amanda also trains and certifies the group's other clinicians in hormone care, so her name sits behind the protocols as well as the exam room. Alongside hormones the offices do medical weight loss with GLP-1 medicines, hair restoration injections, and device treatments for bladder leakage and vaginal comfort.
