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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Is it your hormones… or is cortisol crashing the party? 👀

5 signs your stress response may be out of balance:

🔥 Belly fat — especially increasing weight around the middle
😴 Sleep disruption — trouble falling asleep, staying asleep, or waking too early
⚡ Wired but tired — exhausted, but your body refuses to shut down
💇🏼‍♀️ Hair shedding or thinning — chronic stress can disrupt the normal hair-growth cycle
🍫 Cravings + blood sugar changes — feeling hungrier, craving carbs/sweets, or experiencing energy crashes

Here’s where it gets interesting for women 40+:

These symptoms can look a LOT like perimenopause.

Estrogen and progesterone changes, thyroid dysfunction, insulin resistance, inadequate nutrition, iron deficiency—and chronic stress—can all create overlapping symptoms.

That’s why I don’t like guessing based on symptoms alone.

Test when appropriate. Look at the whole picture. Treat the WHY. 🧬

And no, the answer isn’t simply “lower your cortisol.” 😉

Educational purposes only. These symptoms are nonspecific and do not diagnose elevated cortisol or a cortisol disorder.
Arizona is already hot enough. 🔥🌵

I don’t need declining estrogen and shifting hormones messing with my internal thermostat too. 😂

Hot flashes and night sweats are some of the most recognizable symptoms of perimenopause and menopause. As ovarian function changes and estrogen levels fluctuate and ultimately decline, those hormonal changes can affect the brain’s thermoregulatory system—making your comfortable temperature range much narrower.

Translation: suddenly EVERYTHING feels hot. 🔥

For me, getting my hormones balanced changed the conversation.

Because when it’s 110° outside, I want to know the heat is coming from Arizona—not my hypothalamus overreacting to changing hormones. 😎

If you’re constantly asking, “Is it hot in here, or is it me?” it may be worth taking a closer look at your symptoms and the bigger hormonal picture.

Menopause is inevitable. Hot flashes don’t have to be.

Educational purposes only. Individual treatment needs vary.
✨ Long hair didn’t happen overnight—it started with paying attention to what my body was trying to tell me.

When I began focusing on my thyroid health and supporting my hair from within, everything changed. Healthy hair is about more than what you put on it—it’s about nourishing your body, managing stress, and giving it the nutrients it needs.

Nutrafol has become part of my wellness routine, helping me support stronger, healthier-looking hair from the inside out. 💛

If you’re struggling with thinning, shedding, or simply want to invest in your hair health journey, don’t ignore the signs your body may be giving you.

👇 Tell me: What’s your biggest hair challenge right now?

#NutrafolPartner #Nutrafol #HairWellness #HealthyHairJourney #LongHairGoals

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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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