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The HRT Index

Respin Health Menopause Review: Coaching, Clinic Visits, HRT Access and Cost

HI
The HRT Index Editorial TeamIndependent women's health research
Editorial research — not medically reviewed by a clinician. Why this label

Last updated: · Last verified: · See our medical review policy. Full disclosure.

Our Respin Health menopause review in one line: Respin, founded by Halle Berry, is a real menopause program built around coaching and community, plus separately priced clinic visits that Respin says can lead to hormone prescriptions. It fits women who want support first. If you mainly want HRT at a known all-in price, confirm medicine costs or compare first.

Best for: women who want a coach, a plan and other women who get it — including women who already have a doctor for their hormones. Check another route first if: you mainly want a prescription at one clear price, you need insurance to pay for visits, or you're on Medicare or Medicaid.

Quick routes: support first → Respin · prescription first, paying cash → Gala Health HRT (affiliate) · using insurance → Midi or your own clinician · not sure → The HRT Index's Find My HRT Path tool.

The HRT Index is the independent decision resource for online menopause and HRT care — comparing telehealth providers on clinical legitimacy, care quality, medication fit, price transparency, and access, with every claim verified and dated, so women can choose the path that fits their situation before their first consult.

What we actually verified · Last verified October 2026 - We read: Respin's accessible plan, clinic, FAQ and community terms pages on re-spin.com; its full study report; relevant press coverage; the alternatives' offer and policy pages; and FDA and Menopause Society sources. Checked October 20, 2026. Search-indexed excerpts were leads, not verification of the separate health-service terms. - We confirmed: Respin's pages advertise community, coaching and separate clinic visits, with different published prices. An event page lists $55 clinic visits for women 45–65 and says FDA-approved prescriptions go to your pharmacy; that page also carries an expired promotion, so its current booking terms still need confirmation. - We did not: sign up, pay, book a visit, get a prescription or cancel. This is a documentation review, not a patient test. - We could not confirm: Respin's current clinic fee and age/state scope, full medicine list, your medicine cost, whether clinic booking requires membership, or the health service's insurance, cancellation and refund rules.

Respin pays us nothing. Gala Health is an affiliate: if you start care through a labeled Gala link, we may earn a commission. That can affect which provider we feature, never what we report. How we make money.


Editorial illustration of a menopause care comparison checklist, with separate sections for coaching, clinic visits, prescriptions, and costs.
An editorial illustration for comparing support, clinic visits, prescriptions and cost; it is not a Respin interface or a personal quote.

Respin Health menopause review: our verdict by pillar

Respin Health is strongest at support: a personal plan, a menopause coach, group sessions and a community, backed by named menopause experts. It is weakest at price clarity, because its own pages show prices from $12 to $100 a month for overlapping plans and the pages we could read do not establish your medicine cost. Respin advertises clinic visits separately. Confirm the current visit fee, prescription cost and whether any package includes them before comparing totals.

We don't give numeric scores. Here is what we found under each part of The HRT Index Verification Standard.

Swipe or scroll horizontally to view every column.

Respin Health menopause review: our verdict by pillar, table 1
PillarWhat we foundStatus
1. Clinical legitimacyRespin's materials identify medical and research advisers. Outside profiles support Sarah de la Torre's OB-GYN background (professional profile) and Pauline Maki's research background and past Menopause Society presidency (UIC profile). Its event page describes visits with a menopause-trained provider.Professional backgrounds documented; current company titles and treating-clinician licenses not independently confirmed
2. Care qualityWeekly group coaching, a dedicated coach on the $45 plan, workshops, an app for tracking symptoms and a private community. Clinic visits by video or chat, scheduled or on-demand.Respin's own description; we did not use the service
3. Medication fitRespin's event page advertises hormonal and nonhormonal care and FDA-approved prescriptions sent to your pharmacy. We could not establish a current medicine or formulation list.Ask before booking
4. Price transparencyMembership pages show $12, $18, $20, $45 and $100 monthly figures. An event page lists a $55 clinic visit. Current billing commitments and the full medication cost remain unresolved.Weak — conflicting pages
5. AccessThe event page lists clinic ages 45–65 and FSA/HSA eligibility. Current age/state limits and clinic insurance terms were not confirmed.Partly published; confirm the actual booking terms

Who Respin fits best

  • You want accountability and company while you change sleep, movement, food or stress habits.
  • You already have a clinician for hormones and want coaching and community on top.
  • You like learning from experts in live sessions and asking questions in a private group.
  • You want a visit that sends a prescription to your own pharmacy, where your drug coverage may apply, and Respin confirms its current clinic can serve you.

Who should check another route first

  • You mainly want a prescription, delivered, at one predictable price. We could not establish your medicine cost through Respin.
  • You need insurance to pay for visits, or you're on Medicare or Medicaid.
  • You need a specific product, such as a certain patch brand, and want to know it's offered before you pay.
  • Hot flashes are your biggest problem and you want treatment that's been shown to reduce them. Coaching alone isn't that (more on this below).

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Who should check another route first, table 2
What you want nextSensible routeWhat decides it
Community and learningRespin Inner CircleToday's price (pages say $12–$18 a month) and whether you'll show up
A coach and group support alongside your own careRespin's $45 Care, Community & Coaching planWhat's included at checkout, session times, coach fit
A prescribing visit through RespinRespin Clinic (event page lists $55 and ages 45–65)Current booking terms, your state, exact medicine and pharmacy cost
Prescription treatment at one advertised monthly priceGala Health HRT ($69 a month advertised)The exact product, your state, checkout terms
Visits billed to insuranceMidi Health or an in-network local clinicianYour actual plan and cost sharing
Good information, no new subscriptionThe Menopause Society's free patient pagesWhether you need support beyond information

The honest limit, up front: Respin's pages don't agree on price. That's not a reason to avoid Respin. It means the checkout terms and any separate pharmacy or lab charges matter more than a monthly headline, so we've laid out the prices we could verify and the questions that settle it.

If a coach, a plan and a community are what's been missing, Respin is built for exactly that. Check today's plans on Respin's own site and keep our cost checklist handy.

No commission — we don't earn from Respin.


What is Respin Health, and which service would you be buying?

Respin is a menopause brand founded by Halle Berry. It sells three different things under one name: a community (Inner Circle), coaching memberships (Respin Health), and pay-per-visit medical appointments (Respin Clinic). Coaching and community help with habits and support. Only a clinic visit can lead to a prescription.

Respin started in 2020 as a general wellness site and relaunched in February 2025 to focus on menopause. Its online clinic visits launched in July 2025, Forbes reported. Today, Respin runs two websites: re-spin.com (community, content and shop) and respin.health (care and coaching).

The Respin services, side by side

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The Respin services, side by side, table 3
Name you'll seeWhat it isCan it lead to a prescription?Price shown (where)
Respin Inner CirclePrivate online community, expert Q&As, live talks, content libraryNo"As low as $12/mo" (Respin); "as little as $18/month" (plan page)
Respin Health starting planPersonal plan and community; confirm what's included at the offered priceNot by itself$20/month displayed (Respin); current billing terms unconfirmed
Care, Community & CoachingPersonal care plan, a menopause coach, group coaching, plus "hormone therapy patient support in between Respin Clinic appointments"Not by itself; support between clinic visits$45/month (Respin)
Respin Health (Choose Your Plan page)Personalized plan, weekly group coaching, workshops, app, everything in Inner CircleNot by itselfAs low as $100/month (plan page); relationship to other offers unconfirmed
Respin ClinicAdvertised video or chat visit with a menopause-trained provider, scheduled or on-demandYes, if currently available and the clinician prescribesEvent page lists $55 per visit and ages 45–65; confirm current booking terms (Respin)
Peloton × RespinCurated Peloton workouts plus Respin community and coachingNoFree study access advertised in 2025; results released in 2026
Respin shopIntimacy gel and a red-light device made with JoyluxNo$21–$495 (Respin)
respin.comAn unrelated online casino—Not Respin. Reviews there aren't about menopause care

Coaching and clinic visits do different jobs

A health coach helps you set goals and stick with them: sleep routines, strength training, eating patterns, stress. Respin has said its coaches hold credentials such as board-certified health coaching, registered dietitian and registered nurse. Coaching itself is not a diagnostic or prescribing service.

A prescribing clinician, such as a physician or nurse practitioner, reviews your symptoms and health history and decides whether a medicine is right for you. Respin advertises that role through separately priced Respin Clinic visits.

Why this matters: don't assume a coaching plan includes prescriptions, or that a clinic visit includes ongoing coaching. The advertised $45 plan connects the two by describing support "in between Respin Clinic appointments." Confirm what the offer you're buying includes.

Who's behind Respin

  • Founder: Halle Berry. She has spoken publicly about her perimenopause symptoms being misdiagnosed, and she has pushed for menopause research funding and insurance coverage in Congress and California.
  • Co-founder: Ally Tam Tumasova was Respin's founding CEO. She stepped back from day-to-day operations in early 2026 and remains a co-founder and shareholder, according to Hawaii Business (October 2026).
  • Medical and research backgrounds: Outside professional profiles support Sarah de la Torre's OB-GYN background and Pauline Maki's menopause research. Respin's study report names Elizabeth Knight, PhD, DNP, FNP-C, as its head of science and research. We did not independently establish a current leadership roster or verify the license of the clinician a reader would see.
  • Money: Respin had raised under $5 million from investors including Khosla Ventures as of mid-2025 (Forbes).

Is Respin Health legit?

Yes, in the sense that matters first. Respin is a real company with named professional contributors, a published clinic offer and a study report. That's different from saying it's the right buy for you or that we tested clinic booking. We didn't find a large set of independent customer reviews, and we didn't check each treating clinician's license. The verdict table above shows exactly what we could and couldn't confirm.


How much does Respin Health cost?

Respin's own pages show membership figures from $12 to $100 a month, and an event page lists $55 per clinic visit. These are published figures, not a verified current checkout total; its pages also disagree about payment intervals. If you need prescription treatment, add the actual pharmacy and any lab costs before calling a route cheap.

Every Respin price we found, with dates

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Every Respin price we found, with dates, table 4
WhenWhat was pricedPriceWhere we found itWhat it settles
Feb 18, 2025 relaunch coverageRespin Health by commitment length$150/mo (3 months) · $125/mo (6 months) · $100/mo (12 months)Women's HealthHistorical only
Jul 31, 2025Clinic visit, 30 minutes, physician or nurse practitioner$55 per visitForbesFirst published visit fee
Jul 31, 2025Lifestyle plan · group coaching · one-on-one coaching · community$20 · $45/month · $100 per session · $149/yearForbesOlder à la carte menu
Page read Oct 20, 2026Respin Clinic$55 per visit, pay as you goRespin event pagePublished figure on a page with an expired promotion; current fee unconfirmed
Page read Oct 20, 2026Care, Community & Coaching$45/monthSame pagePublished coaching figure; current checkout terms unconfirmed
Live, Oct 20, 2026Inner Circle"As low as $12/mo" and "as little as $18/month"Event page; plan pageTwo live prices for the same community
Page read Oct 20, 2026Personalized Action Plan & Community$20/monthRespin Motivation Mondays pagePublished plan price; current checkout terms unconfirmed
Page read Oct 20, 2026Respin Health "as low as"$100/monthPlan pageAnother published offer; its relationship to the other plans is unconfirmed
Not established in the sources checkedMedicine, pharmacy fees, lab tests——Unknown — not zero

The Respin event page above also advertised a "one month free" code that expired December 31, 2025. Don't expect it to work.

Why the prices don't match — and the one question that settles it

Respin's launch coverage and later pages describe different offers, but the pages we could read do not establish which price supersedes which. Some may be different plans or offers. Inner Circle's FAQ describes quarterly or annual billing, while Motivation Mondays says monthly or yearly. A monthly-looking figure may be an equivalent rate rather than the amount charged each month. Confirm the actual payment schedule for your offer.

Don't pick the lowest number and assume it's yours. Ask Respin this, in writing:

"Which plan is open to me today, what will you charge today, how often does it renew, and what is included at that price?"

Not sure whether you need coaching, a clinic visit or something else entirely? The right online menopause care isn't the same for every woman — it depends on your symptoms, what you've already tried, your age, your state and your health history. Some situations belong with an in-person clinician first. Use The HRT Index's Find My HRT Path tool to explore a featured care option for your situation — and to flag when online care isn't the right starting point — before your first consult.

Free, about 60 seconds, no email. It asks about your symptoms, what you've tried, your age, your state and your health history. It features Gala and Winona — not Respin — and we may earn a commission from those featured options. It doesn't diagnose you or decide whether hormones are right for you. How it works.

Your first 90 days: what you'd pay on each route

These are calculations from published prices, not quotes. Where a row assumes three monthly charges, your actual billing dates must support that assumption. Inner Circle's monthly equivalents and Alloy's three-month supplies are different from monthly payments. Visit counts are examples, not a care plan — a clinician decides follow-up. Missing required costs leave a total incomplete.

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Your first 90 days: what you'd pay on each route, table 5
Route illustrationMathCalculated subtotal — not a confirmed quoteMedicine included?Still outside the number
Respin Inner Circle onlyThree monthly equivalents at $12 or $18$36 or $54 allocated cost; cash due unconfirmedn/a — no prescriptionsConflicting billing intervals, upfront payment and current offer
Respin starting planThree $20 charges, if those dates and terms apply$60Not established as part of the planCurrent billing, commitment, clinical care and any upgrades
Respin $45 coaching planThree $45 charges, if confirmed$135Not established as part of the planCurrent billing/commitment; private sessions and any clinical care
Respin $45 plan + one clinic visit$135 + $55, if both offers apply$190 — incompletePharmacy cost not establishedMedicine, labs, extras; current visit fee and billing
Respin $45 plan + two clinic visits$135 + $110, if both offers apply$245 — incompletePharmacy cost not establishedSame
Respin Clinic only, two visits (if available without a plan)$55 × 2, if that rate applies$110 — incompletePharmacy cost not establishedMedicine, labs; clinic-only access and current fee
Gala Health HRTThree $69 charges, if confirmed$207 in those charges; full total unconfirmedPrescription, visit and shipping advertised; exact regimen needs confirmationFirst charge, renewal dates, exact medicines, labs and other required fees
Gala + Respin Inner CircleThree $69 charges + three $12 monthly equivalents$243 illustration; not confirmed 90-day cash paidExact Gala regimen needs confirmationInner Circle's upfront payment/cycle, Gala terms and required extras
Midi Health, self-pay$250 first visit + $150 follow-up$400 — incompletePharmacy costs separateMedicine, labs; insurance would change this
Alloy oral estradiol + progesterone, if prescribed$49 consult + ($39.99 + $23) × 3From $237.97 for the listed three-month supplies and consultListed supplies included in this calculationStarting prices; exact prescription and extras. Patch is $300 per three-month fill before progesterone and consult

Gala, Midi and Alloy pages checked October 20, 2026. Alloy's oral estradiol and progesterone prices are starting prices for three-month supplies; its patch is billed and shipped every three months. None of these examples settles a reader's full care bill.

A worked example (hypothetical). Say you're 51, still have your uterus, and want an estradiol patch plus progesterone.

  • On Respin's $45 plan: three $45 charges plus one visit at the event page's $55 rate would total $190, if those offers and charge dates apply. Then add the quoted pharmacy cost for both medicines and any labs. Confirm clinic access and billing before using that budget.
  • On Gala: three charges at the advertised $69 rate would total $207. We could not confirm that this includes both an estradiol patch and progesterone, or any required labs. Get that exact plan and price before comparing totals.
  • What the comparison teaches: your actual pharmacy coverage, medication quote and payment dates can change the answer. These partial figures do not establish which route costs less.

For example, charges on October 20, November 20 and December 20, 2026 fall within a 90-day window ending January 17, 2027. A prepaid annual membership or a different renewal interval would produce a different cash total.

Over a year.

  • Twelve $45 charges total $540. Adding two visits at the published $55 rate gives $650 before medicine, labs or other extras; current terms still need confirmation.
  • Twelve $69 Gala charges total $828. That is arithmetic, not a verified annual quote for a specific regimen or billing schedule.
  • Twelve $20 starting-plan charges total $240, if that rate and monthly schedule apply. The amount due upfront and any minimum term remain separate questions.

The four numbers to get before you pay

A monthly price on an ad isn't the whole story. Before you check out anywhere, get four numbers:

  1. Due today. What hits your card at checkout.
  2. Charged in the next 90 days. Every renewal, visit and fill in that window.
  3. The ongoing rate. What renews, how often, and on what date.
  4. The total you're committed to. If there's a minimum term, what you owe even if you stop early.

If someone can't give you all four, you don't have a price yet.

What's still outside every number

  • Unconfirmed pharmacy costs on the Respin route and separate pharmacy costs on the Midi route
  • Lab tests, if a clinician orders them
  • Extra clinic visits
  • Private coaching sessions
  • Any applicable taxes or required fees
  • Optional retail products, outside these examples; ask whether any recommended purchase is required or separately charged

Can Respin Health prescribe HRT?

Respin advertises prescription care through Respin Clinic. Its event page describes video or chat visits, hormonal and nonhormonal options, and FDA-approved prescriptions sent to your pharmacy. We could not establish the current booking rules or medication list, so ask before you book if you need something specific.

What Respin Clinic says it offers

From Respin's clinic description, read October 20, 2026. The page carries a promotion that expired in December 2025; we could not confirm its current fee, age limits or booking terms on the main care site:

  • Visits by video or chat, scheduled or on-demand
  • A menopause-trained provider (no names or credentials listed)
  • Hormone and non-hormonal treatment options
  • FDA-approved prescriptions, sent to your pharmacy
  • $55 per visit, pay as you go
  • Women 45–65
  • FSA/HSA eligible

One older Respin page still says telemedicine is "coming soon." Newer pages and 2025 press coverage show the clinic launched in July 2025, so treat the "coming soon" page as out of date.

A few terms, explained once

  • Hormone therapy (HRT or MHT): prescription estrogen, sometimes with a progestogen, to treat menopause symptoms.
  • Systemic estrogen: estrogen delivered throughout your body, often by pill, patch, gel or spray, to treat hot flashes and night sweats. Some vaginal rings also deliver systemic estrogen.
  • Progestogen: a hormone, such as micronized progesterone, that protects the lining of the uterus. If you still have a uterus and use systemic estrogen, you generally need one too (The Menopause Society).
  • Low-dose vaginal estrogen: a cream, tablet or low-dose ring used in the vagina for dryness, irritation and pain with sex. It works mainly where it's placed; not every vaginal ring is a low-dose local treatment.
  • FDA-approved vs compounded: an FDA-approved product is a specific finished medicine the FDA reviewed. A compounded hormone is mixed by a pharmacy and isn't FDA-approved. "Bioidentical" describes the hormone's shape, not its approval. (Our explainer)
  • Non-hormonal prescription: a medicine without hormones that can reduce hot flashes, such as fezolinetant.

Match what you need to the question to ask Respin

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Match what you need to the question to ask Respin, table 6
What you needTreatment categoryAsk Respin before booking
Relief from hot flashes or night sweatsSystemic estradiol (patch, gel, pill)"Which estradiol forms can your clinicians prescribe, and are they FDA-approved products?"
You have a uterus and are considering systemic estrogenEstrogen plus a progestogen"Will you prescribe micronized progesterone or another progestogen with systemic estrogen?"
Dryness, irritation, painful sexLow-dose vaginal estrogen"Do you prescribe vaginal estradiol cream, tablets or a ring?"
You can't or don't want to use estrogenNon-hormonal prescription"Which non-hormonal options do you offer, and who orders any required lab tests?"
Low sexual desire that bothers youAssessment first; testosterone may be discussed for some women"Do you assess low sexual desire, and if testosterone is appropriate, what product do you prescribe?"
A specific brand you already useThat exact product"Can you prescribe [brand] to my pharmacy?"

Respin's event page says prescriptions go to your pharmacy, where drug coverage may help. We could not verify the clinic's current insurance terms, including Medicare or Medicaid rules. Ask both the service and your plan about visits and prescription coverage before booking.

What changed on HRT labels in 2026

On November 10, 2025, the FDA and HHS announced they would begin changing boxed warnings on menopausal hormone therapy labels. On February 12, 2026, the FDA approved updated labels for the first six products. Its updated-label list names Prometrium, Divigel, Cenestin, Enjuvia, Estring and Bijuva.

Warnings about cardiovascular disease, breast cancer and probable dementia came out of the boxed warning for these products. Other risks and contraindications remain in product-specific labeling. The uterine (endometrial) cancer boxed warning remains for systemic estrogen-alone products such as Divigel; it was removed from the low-dose vaginal ring Estring. These changes apply to the updated FDA-approved products, not compounded hormones or every HRT label at once. Our 2026 label-change explainer walks through each product.

Two medicines with extra rules

Already have a prescriber?

Coaching and community can serve a different purpose from your existing prescription care. Ask Respin which support plan can work alongside your own clinician, without assuming you need to transfer treatment. Tell your clinician about anything new you start, including supplements.

If you want to discuss estradiol, progesterone, vaginal estrogen or a non-hormonal option, and would prefer a package that includes medicine, Gala Health is a prescription-first option to compare. Gala advertises $69 a month, which it says covers the telehealth visit, prescription and shipping, with ongoing messaging. It's cash-pay. Confirm that the exact medicine or combination you need is included, plus the payment schedule and any extra fees.

See Gala's HRT plan and price →Affiliate link. We may earn a commission if you start care through Gala, at no extra cost to you.

Affiliate link. Cash-pay. A licensed clinician decides whether treatment is appropriate.


Does Respin take insurance, Medicare or HSA/FSA?

We could not confirm Respin Clinic's current insurance-billing policy. Its accessible event page describes visits as FSA/HSA eligible and says coaching may qualify, but that does not establish insurance coverage. If you need your health plan to pay, confirm both the visit and prescription rules before booking.

Visits and medicine are two different bills

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Visits and medicine are two different bills, table 7
What you're paying forWho bills youCan insurance help?
Respin membership or coachingConfirm the contracting service on your offerInsurance coverage unconfirmed. The event page says the $45 plan may qualify for FSA/HSA
Respin Clinic visit (event page lists $55)Confirm the treating/billing entity at bookingInsurance billing unconfirmed. FSA/HSA eligibility advertised on the event page
Your medicineYour pharmacyPossibly. Your drug plan decides. Ask your pharmacy
Lab tests, if orderedThe labDepends on your plan and where you go

Medicare and Medicaid

We could not verify Respin's current Medicare or Medicaid terms. If you want to use either program, ask Respin and your plan before booking, or start with a clinician who accepts your coverage. The Menopause Society keeps a practitioner finder. Midi welcomes Medicare members as self-pay patients but says claims cannot be submitted for its visits, medications or associated services; it does not accept Medicaid or Medi-Cal patients (Midi).

HSA and FSA

Respin's event page lists clinic visits as FSA/HSA eligible and says the $45 plan may qualify. Confirm the actual service and expense with your benefit administrator, and keep your receipts. FSA/HSA payment uses tax-advantaged account funds; it is not insurance coverage.

Age and state limits

Respin's event page lists clinic ages 45–65, but we could not confirm the current age rules or state list. Clinical access and coaching access are different questions. Ask before you pay for a membership you planned to pair with the clinic, especially if your age falls outside that published range.

If insurance is your priority, Midi says it is in-network with most PPO plans. Self-pay visits are $250 for the first and $150 for returning visits, with separate pharmacy costs. Its coverage check shows whether your plan is listed. Confirm your deductible, copay and any separate medicine or lab costs.

No commission — we don't earn from Midi.


Does Respin Health work? What its study really shows

Respin's 2026 study found that 84.3% of women who completed its 60-day survey reported some improvement in menopause symptoms, and 49.8% met the report's threshold for meaningful improvement. But only 267 of the 1,000 women who signed up completed that survey, there was no comparison group, and many participants were already on hormone therapy. The study shows improvement among respondents. It can't show how much Respin caused that.

The 2026 Peloton study, read from the full report

Respin ran the study with Peloton. Participants were Peloton members aged 40–65 who got curated workouts, Respin's online community, education, optional weekly group coaching and lifestyle recommendations. Symptoms were measured with the MENQOL, a validated menopause quality-of-life survey. We read Respin's full report, not just the press release.

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The 2026 Peloton study, read from the full report, table 8
QuestionWhat the report showsWhat it means for you
How many started and completed follow-up?1,000 consented; 757 activated their account; 267 completed the 60-day surveySurvey completers were 35.3% of activated accounts and 26.7% of everyone who signed up
How many improved?84.3% had any improvement in their overall score; 49.8% met the report's clinically significant threshold (a drop of at least 0.9 points)"84%" counts any improvement. About half met the meaningful-change threshold used in the report
Was there a comparison group?No. The report calls it a quasi-experimental study without a control groupSome improvement may have happened anyway; symptoms rise and fall on their own
Were women also on hormones?42.7% of survey completers were on menopause hormone therapyResults mix hormone users and non-users; no head-to-head with HRT
Who completed follow-up?Survey completers had milder symptoms at the start than non-completersResults may not apply as well to women with more severe symptoms; the report does not establish why follow-up was missing
Was it peer reviewed?The report doesn't name a journal. It's written by Respin's head of science and research and lists an ethics-board approvalTreat it as a company report
Does it match today's plan?Study members got Peloton workouts plus Respin's community and coachingYour plan may not include the same pieces

The earlier 8-week pilot

Respin also promotes results from an earlier 8-week pilot. We could not verify its full methods, so we do not use those claims to predict your results. The later Peloton report gives us more detail to assess.

What coaching can and can't do for hot flashes

The Menopause Society calls hormone therapy the most effective treatment for hot flashes and night sweats (2022 position statement). Its patient guidance says experts agree it helps most women with moderate to severe symptoms when started within 10 years of menopause or before age 60, when there are no contraindications — health reasons that make a treatment unsuitable.

Its 2023 statement on non-hormone treatments recommends these for hot flashes:

  • cognitive behavioral therapy (CBT)
  • clinical hypnosis
  • weight loss when appropriate
  • certain antidepressants (SSRIs and SNRIs)
  • gabapentin, oxybutynin and fezolinetant
  • a nerve block called stellate ganglion block, considered in specialist care

Several medicines on that list are used off-label for hot flashes, including gabapentin and oxybutynin. That means the use is outside their FDA-approved indications.

The same position statement does not recommend these for hot flashes specifically:

  • exercise or yoga
  • diet changes
  • paced breathing
  • supplements
  • cooling techniques

That doesn't make coaching useless. Exercise, sleep habits, strength training and support can help your energy, mood, sleep, muscle and long-term health. It means if hot flashes are wrecking your nights, coaching alone isn't the evidence-based fix. Pair it with a treatment conversation.

"150 health factors" is a process, not proof

Respin says it builds your plan from more than 150 health factors. That tells you the intake is detailed. It doesn't tell you the advice is better than another program's, or that a clinician reviews it. Ask who writes your plan and what happens if it isn't helping.


What do you actually get as a Respin member?

Respin's membership pages describe a personal plan, symptom tracking, workshops and a private community, with inclusions varying by plan. The event page's $45 offer adds a dedicated menopause coach, group coaching and support between clinic visits. Check the exact plan and separately advertised clinical-care costs before joining.

Your personal plan

You fill out a detailed intake, and Respin builds a plan around your symptoms and goals — typically sleep, food, movement and stress. Unless a clinician is involved, this is a lifestyle plan, not a medical treatment plan.

Coaching and group sessions

On the $45 Care, Community & Coaching plan, you get a menopause coach and group coaching, plus support between clinic visits. Respin told Women's Health in 2025 that its coaches are midlife women with credentials in fields such as health coaching, nutrition, nursing and psychology. In 2025, one-on-one coaching was sold separately for $100 a session. Ask whether that's still extra.

Community and Inner Circle

Inner Circle is Respin's private community: member forums, live "ask me anything" sessions with menopause specialists, expert talks and a content library. Respin's FAQ says you get a reminder 7 days before each renewal and keep access through the end of your billing period if you cancel (Respin FAQ).

The app and tracking

The Respin Health app tracks how your symptoms change. Respin says you can share results with your coach and provider so your plan can be adjusted.

The Peloton program

Respin and Peloton built a collection of menopause-focused workouts. If you already ride or train with Peloton, this is the most natural fit, and it's what Respin's study tested.

Products

Respin also sells intimacy products made with Joylux: intimacy gel from $21 for the mini or $45 for the full size, and a $495 red-light device (Respin shop, checked October 20, 2026). These retail products are outside the care budgets above; ask whether any recommended purchase is optional or separately charged. We didn't evaluate their benefits.


Are there trustworthy Respin Health reviews?

We didn't find a large, independent set of customer reviews for Respin Health's coaching or clinic. Most of what's online is launch coverage, interviews and Respin's own pages. Watch for look-alikes: respin.com is an unrelated online casino with its own Trustpilot reviews.

How to read what you find

  • Check the service. A review of the Joylux gel or device isn't a review of Respin's coaching or clinic.
  • Check the date and plan. Older coverage describes different offers. A review of a long-term plan may not describe the offer you are considering now.
  • Check the claim. "It didn't get me a prescription" can mean the clinician decided against it, not that care was poor.
  • Look for specifics. Useful reviews mention the plan, the price charged, response times and how cancellation went.

Two useful questions to ask are simple: is this worth another bill, and does it provide the medical help or support I need? This review is built to answer both.


Respin Health vs Gala, Midi, Evernow and your own clinician

Choose Respin if coaching and community are what you're missing. Choose Gala if you mainly want prescription treatment with medicine included in one advertised monthly price and you're paying cash. Choose Midi or your own clinician if you want insurance to pay for visits.

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Respin Health vs Gala, Midi, Evernow and your own clinician, table 9
Respin HealthGala Health HRTMidi HealthEvernowYour own clinician
Main reason to choose itCoaching and community, plus an advertised clinicOnline clinician review, prescription delivery, ongoing messagingInsurance-billed virtual menopause careOngoing clinician messaging, or a separate pay-per-visit routeOngoing relationship, exams, local labs
Published pricePages show $12–$100 monthly figures; event page lists $55 visits. Current billing terms unconfirmed$69/month advertised; exact regimen and billing need confirmation$250 first / $150 returning (self-pay)$49 monthly; $129 every 3 months; $420 annually. Video visits: eligible insurance or $150 self-payYour copay or visit fee
Medicine included?Not established; event page routes prescriptions to your pharmacyPrescription included per offer; exact medicine/combination unconfirmedPharmacy costs separateGenerally extra; qualifying multimonth offers include vaginal estrogen creamCheck pharmacy coverage and charges
Treatments listedEvent page describes hormonal and nonhormonal options; current formulary unconfirmedEstradiol pill or patch, micronized progesterone, vaginal estradiol, nonhormonal options including fezolinetantFDA-approved options after a visitHormonal and nonhormonal options; confirm the exact productDepends on clinician, health history and local availability
FDA-approved or compounded?Event page says FDA-approved prescriptions; verify exact productMain offer says FDA-approved forms; another HRT page has a compounded notice. Confirm exact productConfirm your productConfirm your productAsk which exact product is prescribed
InsuranceCurrent membership and clinic coverage unconfirmedCash-payPlan-dependent PPO coverage. Medicare: self-pay, no related claims. No Medicaid/Medi-CalEligible commercial plans for video visits; pharmacy coverage may apply. Membership not insured; no Medicare/Medicaid coverageDepends on clinician and plan
FSA/HSAEvent page: clinic eligible; coaching may qualifyAccepted, per GalaAccepted for visits and services, per MidiMembership may qualify, per EvernowConfirm the expense with your benefit administrator
Ages / statesEvent page lists 45–65; current age/state rules unconfirmedMost U.S. states advertised; confirm treatment access at intakeCheck at bookingAll 50 states + D.C., per Evernow; confirm clinical fitDepends on practice
Coaching / communityStrongestClinician messagingVisitsEducation, communityVaries
Do we earn from it?NoYes (affiliate)NoNo—

Pages checked October 20, 2026. Evernow's current FAQ distinguishes membership from video visits; its vaginal-estrogen offer requires an eligible multimonth plan and clinical qualification. Published offers do not establish every reader's total.

Stay with Respin if coaching and community are the point

If you already have a clinician who handles your hormones well, you don't need another medical service. Judge Respin as an add-on: will you use the sessions and the community enough to justify the monthly cost? If yes, it's a reasonable buy. If you mainly want information, free sources may be enough.

Where Gala makes the strongest case

Gala fits a woman who mainly wants a clinician assessment and possible prescription through cash-pay care. Gala's HRT page advertises $69 a month, which it says covers the telehealth visit, prescription and shipping, with ongoing support and no separate membership fee (Gala HRT page, checked October 20, 2026). Its HRT pages list four treatment categories. They do not confirm that every medicine or combination is included at $69:

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Where Gala makes the strongest case, table 10
Gala's treatment categoryWhat it's forWhat to know
Estradiol pill or patchSystemic estrogen for hot flashes, night sweats and other menopause symptomsA clinician decides whether it's right for you; confirm the exact product
Micronized progesteroneHelps protect the uterine lining during systemic estrogen treatment; oral micronized progesterone may improve sleep qualityGenerally needed with systemic estrogen if you have a uterus; use specifically for sleep is off-label and benefit isn't guaranteed
Vaginal estradiol cream or tabletsDryness and painful sex; low-dose vaginal estrogen may also help reduce recurring urinary tract infections after menopauseLocal treatment — not a hot-flash treatment and not a treatment for an active infection
Non-hormonal medicines, including fezolinetantHot flashes and night sweats without estrogenFezolinetant needs liver blood tests on a set schedule; ask who orders and pays for them

Every treatment requires a clinician's approval, and Gala delivers prescriptions with ongoing support. Gala also says it accepts FSA and HSA. The clinical context above comes from The Menopause Society, the Prometrium label and a randomized progesterone trial, not a test of Gala's care.

Gala's limits, stated plainly:

  • It's cash-pay only — no insurance billing.
  • Testosterone is not listed on the HRT offer pages we read.
  • It serves "most US states" without a published list. Gala says you won't be charged if your state isn't served.
  • At our October 20 check, an alternate Gala HRT page still carried a compounded-medication notice, while its main pages described FDA-approved forms. Confirm the exact finished product before paying.
  • The general refund policy linked from Gala's HRT page sets a 72-hour cancellation cutoff but still uses weight-loss language. It says the first charge comes after intake; another HRT page says after approval. Ask which billing and refund terms apply to your HRT order.

Three questions before you pay Gala:

  1. "Which exact medicine and manufacturer will I receive, and is it FDA-approved?"
  2. "When is my first charge, and is it $69?"
  3. "How far before my billing date do I need to cancel?"

Read our full Gala Health HRT review for the details.

Picked the prescription-first route? Gala's online assessment takes about five minutes, and a clinician reviews it before anything is prescribed.

Start Gala's HRT assessment →Affiliate link. We may earn a commission if you start care through Gala, at no extra cost to you.

Affiliate link. Cash-pay. Treatment depends on clinician review and your state.

The "both" route: Gala for treatment, Respin for community

Some women want treatment and community. Gala's advertised $69 plus Respin's displayed $12–$18 monthly figures adds up to $81–$87 per month. That is not a confirmed monthly bill or 90-day cash total: Respin's pages disagree about billing intervals, and the actual Gala regimen and both payment schedules need checking. It is a useful route to price if you want Respin's community alongside separate clinical care.

When an insurance-based route is better

If you have a commercial PPO plan, an in-network service like Midi may reduce your visit cost, depending on your deductible and cost sharing. Medicine has its own pharmacy coverage rules. Check your actual plan before comparing a monthly ad with a visit fee.

When your own clinician is the best start

Start with an in-person or in-network clinician if you have Medicare or Medicaid, a complicated health history, or need an exam or local labs. The Menopause Society's practitioner finder lists Society members and certified practitioners; check each clinician's credentials and insurance.

Just want good information?

If you mainly want clear answers, start free. The Menopause Society's hormone therapy guide is a solid place to begin. Decide later whether paid support adds anything.


Who should choose Respin — and who should start somewhere else?

Respin suits women who want guidance, accountability and community through perimenopause and menopause, including women who already have a prescriber. Start elsewhere if you mainly need a prescription at a clear price, need insurance, or have a health situation that belongs with an in-person clinician first.

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Who should choose Respin — and who should start somewhere else?, table 11
Your situationDoes Respin fit?Best next step
You want a coach, a plan and a communityYes — its core strengthSee Respin's current plans
You have an HRT prescriber and want lifestyle supportYesRespin coaching or Inner Circle
You train with PelotonLikelyPeloton × Respin
You want a visit that sends a prescription to your pharmacyPossiblyConfirm current clinic access, age/state rules and pharmacy cost
You want treatment with medicine included at one price, paying cashNot the clearest fitGala Health HRT
You need a specific FDA-approved product or brandUnconfirmedAsk each provider to confirm that exact finished product
You want insurance to pay for visitsCoverage unconfirmedMidi, an in-network clinician, or written confirmation from Respin
You have Medicare or MedicaidCoverage unconfirmedA clinician who takes your plan, or confirmation from Respin and your plan
You're under 45 or over 65 and want the clinicCurrent age rules unconfirmedAsk Respin; the event page's range is not verified current policy
Severe hot flashes are your main problemCoaching alone is not an established hot-flash treatmentA treatment conversation — Gala, Midi or your clinician

A 20-second self-check

Answer honestly. Each answer points somewhere specific.

  1. Is a coach or a prescription the main thing I'm missing? Coach → Respin. Prescription → a clinical route first.
  2. Do I need insurance to pay? Yes → Midi or your own clinician.
  3. Do I need a specific medicine or brand? Yes → confirm it's offered before you pay anyone.
  4. Are hot flashes my biggest problem? Yes → make sure your plan includes a treatment option, not only coaching.

When online care isn't the right first step

Start with a clinician who can fully evaluate you and arrange an examination or tests when needed if you have:

  • unexplained vaginal bleeding
  • a chance you could be pregnant
  • a past breast or other hormone-sensitive cancer
  • a past blood clot, stroke or heart attack
  • menopause-like symptoms or unexplained missing periods before age 40

These don't rule out every treatment, but some rule out certain hormones. You deserve a full evaluation by someone who can arrange in-person care and coordinate with your other doctors. See The Menopause Society's hormone guidance and its explanation of premature menopause.


Cancelling Respin, refunds, refills and your data

Inner Circle members can cancel through the customer portal and keep access until their billing period ends. We could not confirm the current cancellation method or refund rules for a separate Respin Health membership. Get those terms for the exact plan you buy.

How to cancel each Respin service

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How to cancel each Respin service, table 12
ServiceHow to cancelAccess after cancellingSource
Respin Inner CircleCustomer portal, or "Manage your subscription" link in your receipt emailUntil the end of your billing period; renewal reminder 7 days beforeRespin FAQ
Respin Health membershipCurrent method and deadline not confirmedAsk when access ends and which payments are refundableApplicable Health-service agreement needs verification
Respin Clinic visitsAsk about cancellation, rescheduling and no-show feesConfirm follow-up and record accessCurrent visit terms not established

Which policy covers which purchase

Respin's community-site terms, effective February 17, 2025, say they "do not apply to services provided by Respin Health" (re-spin.com terms). So the shop's 15-day return policy covers products, not coaching or clinic care. Ask for the agreement tied to the exact care plan you're buying.

Keeping your prescription going if you leave

Cancelling a membership shouldn't mean stopping a medicine abruptly. Before you cancel, ask Respin:

  • how refills work after you leave
  • whether you can keep booking pay-per-visit clinic appointments without a membership
  • how to get a copy of your records

Then talk with your prescribing clinician about next steps.

Your health information

Respin's plans use detailed health questionnaires. Read the privacy notice for the specific service you're joining, and ask how your information is shared with clinicians. On our side, The HRT Index's Find My HRT Path tool processes your answers in your browser and doesn't send them to us or to analytics.


Questions to ask Respin Health before you pay

Ask Respin these ten questions before paying. The answers turn its unknowns into a real total and tell you whether the clinic can give you what you need. Copy or print this list and keep it next to the checkout page.

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Questions to ask Respin Health before you pay, table 13
#Ask RespinWhy it matters
1"Which plan is open to me today, what will you charge today, how often does it renew, and is there a minimum term?"Respin's pages show several prices
2"Does my plan include clinic visits, or is each visit $55?"Visits change your total
3"Can I book Respin Clinic without a membership?"You may not need both
4"Which hormone and non-hormonal medicines, and which forms, can your clinicians prescribe?"Your need may not be on the list
5"Are prescriptions FDA-approved products sent to my pharmacy, or ever compounded?"Compounded hormones aren't FDA-approved
6"Which states do you serve, and is the clinic limited to ages 45–65?"You might not qualify for the clinic
7"Who will treat me — a physician or nurse practitioner — and through which medical group?"You deserve a name and a license
8"Will I need lab tests, who orders them, and who pays?"Labs add cost
9"How do I cancel, what's the deadline before renewal, and what's refundable?"Get it in writing
10"If I cancel, how do refills and records work?"Protects your treatment

On-page copy and print; no sign-up or health details.


How we reviewed Respin Health

We read Respin's accessible offer and community-policy pages, its full study report, relevant press coverage and professional profiles. We checked the clinical and alternative-provider sources listed below; indexed excerpts alone were not treated as verified commercial rules. We didn't sign up, pay, book a visit or receive medicine, so this is a documentation review, not a patient test. We give no numeric score.

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How we reviewed Respin Health, table 14
PillarWhat we looked atLimits
1. Clinical legitimacyProfessional profiles, report authorship and the clinic descriptionCurrent company titles, treating entity and individual licenses not independently verified
2. Care qualityCoaching, community, app and clinic format; the study reportNo firsthand use; response times unknown
3. Medication fitAdvertised treatment categories, approval wording and pharmacy routingCurrent formulary and exact finished products unconfirmed
4. Price transparencyPrices on accessible Respin pages and in historical press, with datesCurrent checkout and full required costs unconfirmed
5. AccessPublished event offer, benefit wording and Inner Circle cancellationCurrent clinic age/state, insurance and Health-service refund rules unconfirmed

Respin pays us nothing. Gala Health is an affiliate, and The HRT Index's Find My HRT Path tool features Gala and Winona. Featured placement doesn't mean a provider is clinically better. Read our methodology, affiliate disclosure and corrections policy.


Respin Health FAQ

Respin's coaching, community and clinic serve different needs. Its published prices do not settle your full treatment bill, so these answers keep that distinction clear.

Is Respin Health Halle Berry's company?

Yes. Halle Berry founded Respin in 2020 and relaunched it around menopause in February 2025. A co-founder, Ally Tam Tumasova, led it as CEO until stepping back from daily operations in early 2026.

Does Respin Health prescribe HRT?

Respin's event page advertises hormone and non-hormonal treatment, with FDA-approved prescriptions sent to your pharmacy. It lists $55 visits for women 45–65, but carries an expired promotion. We could not confirm the current fee, age/state rules or medication list, so ask before booking.

How much does Respin Health cost?

Respin's pages display monthly figures from $12 to $100, including a $45 coaching plan, and its event page lists $55 clinic visits. Billing intervals conflict across pages, and we could not establish your pharmacy or lab costs. Confirm the current offer, amount due now and full treatment cost. (Pages checked October 2026.)

Is Respin just coaching?

No. Respin sells community, coaching and a separate pay-per-visit clinic. Only the clinic can lead to a prescription.

Does Respin Health take insurance or Medicare?

We could not verify Respin's current insurance, Medicare or Medicaid terms. Its event page lists clinic visits as FSA/HSA eligible, which is different from insurance coverage. Ask Respin and your plan about visits and any medicine filled at your pharmacy.

Is Respin the same as respin.com?

No. respin.com is an unrelated online casino. Respin's menopause sites are respin.health and re-spin.com.

Does Respin Health work?

In Respin's 2026 study, 84.3% of women who completed the 60-day survey reported some improvement and 49.8% met the report's meaningful-change threshold. Only 267 of 1,000 sign-ups completed that survey, there was no comparison group, and 42.7% of those respondents were also on hormone therapy.

Can I use Respin if I already take HRT from my own doctor?

Coaching and community can serve a different purpose from prescription care. Ask which Respin support plan can work alongside your existing clinician, without assuming you need to transfer your prescription. Keep your clinician informed about any changes.

How do I cancel Respin?

Inner Circle is cancelled in the customer portal, with access until your billing period ends. We could not confirm the separate Respin Health membership's current cancellation method. Get the deadline and refund terms for your exact service before you buy.

Is Respin better than Gala?

They do different jobs. Respin leads on coaching and community. Gala is the prescription-first option here, with a $69 monthly offer that advertises a visit, prescription and shipping. Confirm whether your exact medicine or combination is included; insurance and your state can also change the answer.

Is Respin Health available outside the U.S.?

We could not confirm current international access. Ask Respin about the specific service you want, because community access does not establish access to its prescribing clinic.

Do I need hormones to benefit from a menopause community?

No. Wanting support or information doesn't mean you need medicine. If symptoms are disrupting your life, a clinician can help you weigh treatment.


Bottom line

Respin Health is a real, support-first menopause program and a good choice if a coach, a plan and a community are what you've been missing. It also advertises prescribing visits, but current clinic rules and your full treatment cost need confirmation, and its prices vary by page. If you mainly want prescription treatment or need insurance, compare the routes built around those needs.

  • Support first: see Respin's current plans and bring the checklist.
  • Prescription first, paying cash: Gala Health HRT, $69 a month advertised with a prescription included; confirm your exact regimen and payment terms (affiliate).
  • Insurance first: Midi or your own clinician.

You don't have to choose a treatment before you know what kind of care you need. If that's still unclear, take the free matching quiz. It takes about 60 seconds, needs no email, and flags when online care isn't the right place to start.

Educational content. Not medical advice. Consult your clinician.


Sources

Offer and clinical checks dated October 20, 2026. Historical reporting is dated below; a published offer does not confirm today's booking terms.

Respin

Press and profiles

Alternatives

Clinical and regulatory

Related reading on The HRT Index