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Vital Balance

Board-Certified Adult Gerontology Nurse Practitioner in Lewiston, ID


Esther Henter, MSN, AGNP-C
Board-Certified Adult Gerontology Nurse Practitioner in Lewiston, ID
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At Vital Balance in Lewiston, Idaho, board certified in gerontology Esther Henter, MSN, AGNP-C, and the team are dedicated to redefining midlife women’s healthcare with a personalized, relationship-based approach. As a self-pay practice, we do not accept health insurance. This allows us to focus entirely on our patients — not paperwork — and provide more immediate access, longer visits, and truly individualized care without the restrictions often imposed by insurance companies.

We specialize in caring for women navigating perimenopause and menopause. These transitions can bring frustrating and sometimes disruptive symptoms, but they also present an opportunity to proactively protect long-term health. We provide evidence-based hormone replacement therapy, including bioidentical hormone therapy, along with personalized fitness and lifestyle recommendations tailored to each patient’s goals.

Esther brings specialized training in hormone optimization, supported by a diverse background in critical care, hospice, and cardiology. This foundation shapes our safety-driven, comprehensive approach to midlife health. We prioritize protecting heart, bone, brain, thyroid, and metabolic health while helping women restore energy, strength, mental clarity, and confidence.

We believe women deserve attentive, unhurried care during this important stage of life. By combining clinical expertise with thoughtful listening and individualized planning, we empower our patients to feel vibrant, informed, and in control of their health for years to come.

To schedule an appointment with the team at Vital Balance, call the office or request one online today. 

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Offering a breadth of services with empathy and expertise

Perimenopause

Perimenopause is the period of changes that occur before you actually enter menopause. This natural transition stage begins marking the end of your reproductive years and can occur as early as your mid-30s and into your 40s. During perimenopause, your estrogen levels rise and fall in uneven patterns throughout the month. You might start noticing that your periods are becoming shorter, or even longer, and that you start experiencing menopause-like symptoms. The team at Vital Balance offers effective, personalized treatments that can help ease your most troubling symptoms. 

Hormone Replacement Therapy

Hormone replacement therapy offers several health benefits for aging women, including increased energy, weight loss, improved sexual function, and better sleep. Your hormones are chemical messengers that control a variety of bodily functions, including your appetite, respiratory rate, and libido. The team at Vital Balance offers hormone replacement therapy (HRT) to help improve your sense of well-being and quality of life. 

Menopause

Menopause is when your menstrual periods stop completely, and you can no longer get pregnant. You officially reach menopause after 12 straight months without a period, but the months and years leading up to that also involve significant changes to your body. If menopause symptoms negatively affect your quality of life, the team at Vital Balance can help. They offer personalized treatment that can help ease your symptoms and improve your quality of life. 

Fitness

Fitness is a blanket term that refers to optimal health and general well-being. Usually, it focuses on your physical vitality and ability to exercise or work out. To achieve optimal fitness, you need muscular strength and endurance, flexibility, cardiorespiratory fitness, and a healthy body composition. The easiest way to do this is to live a healthy lifestyle, including eating a balanced diet, exercising regularly, getting plenty of sleep, and managing your stress levels. The team at Vital Balance can help you improve your fitness with personalized health recommendations.

Self-Pay Only 
Experience healthcare without the hurdles. Vital Balance is a dedicated self-pay practice, allowing us to trade insurance paperwork for personalized, immediate, and unrestricted attention to your health goals.

Location

Vital Balance

336 Prospect Boulevard North,
Lewiston, ID 83501