Integrated Wellness is a Maine-based health optimization clinic led by Elizabeth Duke, NP, offering personalized care for hormone health, osteoporosis and osteopenia, weight management, skin/wound concerns, and wellness support.

At Integrated Wellness, care is designed to be personal, practical, and focused on helping patients feel stronger, more balanced, and better supported. Services are available through in-person visits and telehealth for patients in Maine.

Services Offered at Integrated Wellness

1. Hormone Health for Men and Women

Integrated Wellness offers personalized hormone replacement therapy and hormone optimization for men and women experiencing symptoms of hormone imbalance. Hormone care may support energy, mood, sexual health, muscle strength, bone density, menopause symptoms, sleep, and overall well-being.

Common areas addressed include:

• Perimenopause and menopause symptoms
• Low testosterone and andropause
• Fatigue and low energy
• Mood changes
• Sleep disruption
• Low libido
• Muscle and strength concerns
• Bone health support

Hormone therapy is individualized, and risks and benefits are reviewed because HRT is not appropriate for everyone.

2. Women’s HRT Membership Options

Integrated Wellness offers structured hormone care levels, including Balance, Optimize, and Thrive, depending on the level of support, follow-up, labs, and care coordination needed. These plans are designed for individualized hormone therapy for women and men, with telehealth available throughout Maine.

The website describes:

• Balance: Foundational hormone support for mild to moderate symptoms
• Optimize: Active hormone optimization with more frequent follow-up and medication adjustments
• Thrive: Higher-touch hormone and wellness care for more complex symptoms or patients wanting more comprehensive support

3. Men’s Testosterone Replacement Therapy

Men’s hormone care may include evaluation and treatment for low testosterone symptoms such as fatigue, low mood, reduced muscle strength, low libido, erectile function concerns, and bone density support.

4. Integrated Osteoporosis Clinic

Integrated Wellness provides osteoporosis and osteopenia assessment and treatment. The bone health program focuses on strengthening bones, reducing fracture risk, identifying underlying causes, improving nutrition, supporting safe exercise, reducing fall risk, and helping patients stay active and independent.

Bone health services may include:

• Fracture risk assessment
• Lab and nutrition evaluation
• Lifestyle guidance
• Fall risk and safety planning
• Exercise recommendations and physical therapy referrals when appropriate
• Bone loss management using pharmacologic and natural approaches
• Prevention strategies to reduce frailty, spinal deformity, and long-term complications

5. Telehealth Services

Integrated Wellness offers telehealth services for patients across Maine, making hormone and wellness care more accessible for people who cannot easily come into the office.

6. Skin Care and Dermoscopy

Elizabeth Duke, NP is a wound care specialist trained in dermoscopy through the Maine Cancer Foundation. Integrated Wellness uses a DermLite dermascope to examine skin lesions with magnification and polarized/non-polarized light. Lesions may be photographed and monitored over time to support early detection and treatment.

Skin concerns that should be evaluated include:

• New or changing moles
• Irregular borders
• Uneven colors
• Spots larger than 6 mm or darker than others
• Sores that do not heal
• Rough or scaly patches
• Pearly or scar-like bumps
• Itching, pain, or spreading color

7. Health Optimization, Wellness Support & Supplements

Integrated Wellness combines traditional medical care with complementary care methods, with a focus on individualized attention, tailored care plans, and more time with the nurse practitioner.

The website also includes access to supplement support through Fullscript and selected wellness products. Supplement statements are noted as not evaluated by the FDA and not intended to diagnose, treat, cure, or prevent disease.