Menopause & Perimenopause in Las Vegas
Hot flashes, sleep changes, brain fog, mood shifts — evaluated medically, not dismissed.
Medically reviewed by Charles Kamen, MD, board-certified neurologist ·

The transition through perimenopause and menopause can bring hot flashes, disrupted sleep, brain fog, mood changes, and shifts in energy and body composition. These are real, hormonally driven symptoms — and they deserve a thorough medical evaluation.
At LiveNow Longevity, Dr. Charles Kamen, MD evaluates the hormonal picture and builds an individualized plan, with particular attention to the cognitive and sleep symptoms that a neurologist understands well.
Every plan begins with a complete medical evaluation by Dr. Charles Kamen, MD. Individual results vary, and we do not guarantee specific outcomes.
Why It Happens
During perimenopause and menopause, estrogen and progesterone levels fluctuate and then decline. Because these hormones influence temperature regulation, sleep architecture, mood, cognition, bone, and metabolism, their changes ripple across many systems at once — which is why symptoms can feel scattered and hard to pin down.
The cognitive and sleep symptoms in particular — brain fog, poor sleep, mood shifts — are nervous-system effects, an area where a board-certified neurologist brings a useful perspective alongside hormonal evaluation.
How Our Approach Helps
Dr. Kamen evaluates your hormone levels, symptoms, and overall health, then builds an individualized plan — hormonal, lifestyle, and metabolic — designed around your specific picture rather than a template.
Where appropriate, the plan may include hormone optimization and supportive longevity therapies such as NAD+, which is studied in the context of energy and cellular function. The goal is symptom relief and long-term health, with honest expectations and ongoing monitoring.
What We Evaluate
Estrogen, progesterone, and related hormone markers
Thyroid, metabolic, and bone-health considerations
Sleep, cognitive, and mood symptoms
An individualized, physician-supervised plan with follow-up
Approaches We May Consider
Considered only when medically appropriate, after a complete evaluation.
Frequently Asked Questions
What are common perimenopause and menopause symptoms?
Hot flashes, night sweats, disrupted sleep, brain fog, mood changes, irregular cycles, and shifts in energy and body composition. They are driven by changing estrogen and progesterone levels.
Do you offer hormone therapy for menopause?
Hormone optimization may be considered after a complete evaluation, individualized to your hormone levels, symptoms, and health history under physician supervision.
Why does a neurologist help with menopause symptoms?
Many of the most disruptive symptoms — brain fog, poor sleep, mood — are nervous-system effects. Dr. Kamen's neurology background complements the hormonal evaluation.
How much does the evaluation cost?
The initial medical evaluation is $88 and includes a clinical consultation and lab orders when appropriate.
How do I get started?
Book online or call (702) 808-2650 to schedule your evaluation in Las Vegas.
Selected Research
Peer-reviewed sources on the mechanisms discussed above. Research does not constitute a treatment recommendation; appropriateness is determined only after a medical evaluation.
Physician-Led in Las Vegas
Start with a medical evaluation
The $88 evaluation is the most accurate way to understand what is driving your symptoms. Dr. Charles Kamen, MD reviews your labs, history, and goals and recommends a plan only if it is appropriate. Serving Las Vegas, Henderson, Summerlin, Green Valley, and Nevada.
Ready to start your longevity care?
Book your $88 evaluation with Dr. Kamen today, online, by phone, or by text.
Prefer to talk? Call (702) 808-2650 or text us to book.
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