Sage Hormone Health

Making Healthcare Accessible

Dr. Viva Zima

Dr. Viva Zima, DNP, APRN, FNP-C

Dr. Viva Zima is a board-certified family nurse practitioner (FNP-C) and advanced practice registered nurse (APRN) in Arizona, with full-practice authority to evaluate patients, diagnose, order and interpret diagnostic tests and initiate and manage treatments — including prescribing medications. Dr. Zima obtained her Masters of Science in Nursing (MSN) from the University of Phoenix, and her Doctor of Nursing Practice (DNP) from Arizona State University. As part of her doctoral studies, Dr. Zima completed research in diabetes prevention with families from vulnerable and minority populations.

PROFESSIONAL AFFILIATIONS

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Committed to You

Our mission is to provide accessible healthcare with a focus on holistic, evidenced-based approaches that address physical, mental, and emotional well-being. With a priority on accessible healthcare and aiding cross-border healthcare, we aim to educate, treat, and nurture individuals’ needs. Our values center on integrity, ensuring treatment is evidence-based, innovative, and patient-centered. We respect each patient as unique individuals, offering individualized care plans to support their performance, resourcefulness, and determination. Through empathy, we foster strong patient relationships, seeking to understand their experiences from their perspective.

Patient Testimonials

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Quality Healthcare, Without the Wait

Sage Hormone Health IS COMMITTED TO MAKING HEALTHCARE ACCESSIBLE FOR EVERYONE.
As a private practice provider, we offer cash-pay healthcare services, this means that our clients don’t have to go through health insurance, and don’t have to wait to confirm coverage. We’re here to provide the quality health care that you deserve, without insurance delays.
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When your menopause symptoms are under control, sometimes you almost forget how disruptive they can be…

Until you spend five minutes talking to another woman in perimenopause. 😂

Hot flashes.
3 AM wake-ups.
Brain fog.
Weight that suddenly has its own agenda.
Mood changes.
Low libido.
Fatigue.

I may not be feeling all of those symptoms anymore…

but as a hormone specialist, I definitely still feel the pain. 😂

And that’s exactly why I talk about this so much.

These symptoms are common—but that doesn’t mean every woman should be told to simply accept them as the price of getting older.

There are evidence-based options. There are modifiable factors. And for appropriate candidates, hormone therapy can be one of those options.

Menopause is inevitable.
Suffering through every symptom isn’t.

So if I keep talking about hormones, it’s because I know how different this chapter can feel when you finally figure out what works for you. 💛

Educational purposes only. Treatment should be individualized based on symptoms, medical history, risks and goals.
My hair didn’t get healthier in my 40s because I found one magical shampoo.

I started looking at what was happening inside my body.

Hormones. 
Testosterone. 
Thyroid. 
Iron and ferritin. 
Nutrition. 
Stress. 
And the nutrients hair follicles actually need to grow.

As a hormone specialist, one of the biggest things I’ve learned is that hair is often part of a much bigger picture.

👉Testosterone matters—but more is not always better. Both inadequate androgen activity and excessive androgen/DHT activity can be relevant depending on the woman and the type of hair change.

👉Thyroid function matters. Hair follicles are metabolically active, and thyroid dysfunction can affect the normal hair-growth cycle.

👉Estrogen changes during perimenopause and menopause may matter too. And then there are the things we sometimes overlook: iron status, protein intake, vitamin and mineral deficiencies, medications, rapid weight loss, stress, genetics and scalp conditions.

👉That’s why I don’t believe in looking at one number—or one hormone—in isolation.

For me, the goal has been to support my body from the inside out: optimize my hormones and thyroid based on my individual needs, prioritize protein and nutrition, address deficiencies when present, and support the follicle itself.

And yes, Nutrafol is one of the tools I use as part of that bigger picture. 🌱

The goal isn’t simply “normal labs.”

It’s understanding your symptoms, your history, your labs and the whole clinical picture—and figuring out what your body needs.

My hair in my 40s?
I’ll take it. 💁🏼‍♀️

👉If your hair has changed during perimenopause or menopause, don’t assume you simply have to live with it. Start asking why.

Educational information only; not individualized medical advice.
Weekend energy. On a Monday. ☀️🌧️

Kind of busy… living. 🤍

#MondayMood #WeekendVibes #MainCharacterEnergy #LifeLately #SageHormoneHealth

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OFFICE HOURS

Monday - Saturday: 9am to 6pm
NEW HOURS: Now Open Sundays
*By appointment only

Location Map: 42201 N 41st Drive Anthem, AZ 85086

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