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telehealth-first
Here to support your health journey—wherever you are in the states we serve.
We proudly serve patients across the states shown here—offering telehealth-first specialty care that’s thoughtful, accessible, and tailored to the unique needs of every individual we support.

Dr. Jill Schramm DNP, FNP-C, BCADM, CDCES
Our Mission
Let’s Redefine What Aging Can Look Like
If you’ve been told “everything is fine” but you don’t feel fine, you’re not alone, and you’re not out of options. Our mission at Dakota Synergy is to help you thrive, not just survive. Let’s partner to create a personalized care plan that brings you back into balance and moves you forward with confidence.
Our Services
Endocrine – Pre Diabetes, Diabetes & Thyroid Optimization
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Midlife hormonal shifts can make diabetes management and thyroid function more challenging.
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Our approach focuses on optimizing these systems to support energy balance, glucose control, and long-term health.
Weight loss & Nutrition
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Midlife weight gain often has hormonal roots.
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Our personalized programs combine nutritional guidance, practical meal planning, and lifestyle support to achieve sustainable, healthy results; without extreme dieting or deprivation.
Hormone Replacement Therapy
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Restore hormonal balance and ease the symptoms of aging and hormonal fluctuation.
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HRT can improve sleep, energy, mood, cognition and overall vitality; helping you feel like yourself again.
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