Inner Balance is a women-first telehealth practice built on a simple belief: women deserve to be believed, and to get real answers about their own bodies. We were founded in 2023 by Dr. Sarah Daccarett, MD. She is a board-certified physician licensed in all 50 states, and her practice focuses on women's hormonal health and longevity medicine. We offer prescription treatments across four areas of women's health: hormone enrichment with Oestra®, desire and sexual wellness with Libida®, hormone-informed prescription skincare with BodyMatched®, and cellular longevity support with NAD+. Care starts with a two-minute symptom quiz. A licensed clinician reviews your intake, and if a treatment is appropriate for you, it ships to your door — no office visit, no insurance required. What to expect: free shipping, HSA/FSA eligibility, unlimited clinical follow-up, and the ability to cancel anytime. Our treatments are compounded by an accredited U.S. 503A pharmacy that is NABP, LegitScript, and PCAB certified, third-party tested for potency and purity, and delivered through a HIPAA-compliant care model.
Inner Balance (innerbalance.com) has 38 customer reviews on Five Star Index, with an average rating of 2.2 out of 5.
Also known as
innerbalance.com
Website
innerbalance.com
Category
Personal Care
Listed on Five Star Index
2026
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Most recent review: October 2026.
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This company is fraudulent - there is no customer support. No phone number, no email, and multiple attempts to cancel my subscription have been ignored by the only contact option - a "chat" that goes no where and is read by no one.
LR
LRK
Told to give it six months, then denied a refund days after the deadline
A company that advertises being trusted by 60,000 women and having a 4.9-star rating should welcome honest customer feedback. In my experience, finding a place to leave that feedback has been remarkably difficult. That alone raises concerns.
I used Oestra for almost eight months. Within two weeks of starting it, I began retaining enough water that I bought my first pair of SPANX. I also started gaining weight. During a telehealth appointment, I was told this was normal, that it was water weight, and that I should give it three months.
Then came heavy periods every two weeks. Again, I was told this was normal. To their credit, the bleeding eventually mostly settled down. But I also experienced breast pain and changes, persistent water retention, and severe bloating. At times, I looked six months pregnant. Even my child commented that I looked like I had a baby in my belly.
This was a significant change for me. I have always been a size 00 and had never experienced this kind of water retention or rapid weight gain, including during multiple pregnancies.
Across multiple telehealth appointments, the advice was essentially the same: take more supplements and give it more time. First three months, then six months. I took every supplement they recommended.
Their staff repeatedly suggested my thyroid was the problem. I had extensive bloodwork done, and my doctor told me my thyroid, glucose, and insulin results were optimal and that my metabolic health was excellent. I also consulted a gastroenterologist and a nutritionist to investigate other possible causes.
I bought an Oura ring to track my sleep. I paid close attention to nutrition, protein intake, and strength training. I was doing everything I could to understand and address the changes, yet the symptoms persisted. Oestra was the only new addition, but that possibility never seemed to receive serious consideration.
The turning point came when I accidentally left it behind during a long weekend. After three days without it, my bloating noticeably decreased. When I brought this up at another telehealth appointment, I was advised to double my dose.
At that point, I felt unheard. I needed someone to reassess whether this treatment was appropriate for me. Instead, I was being encouraged to take more of it.
I requested a refund under their six-month satisfaction guarantee literally days after the six-month mark. My request was denied with no exceptions. What frustrated me most was that I had continued treatment at their own staff’s repeated insistence that I give it six months for my hormones to “level out.” I followed their advice, then was told I had missed the deadline.
After my refund request was denied, I continued using Oestra for approximately another month, but reduced my dose to half a pump. At that lower dose, I began to feel better. That experience, along with the improvement I noticed during three days without it, left me frustrated that my concerns about the treatment itself had not been taken more seriously.
I also tried sharing my experience in the Reddit community, but moderators deleted my comments. To my knowledge, my comments were factual accounts of my experience and did not violate the community rules. Having that feedback removed only added to the feeling that negative experiences were unwelcome.
I understand that Oestra may work well for some women. It did not work well for me. My concern is how the company responded when I repeatedly reported problems: more supplements, more time, and eventually a higher dose, without what felt like a meaningful reassessment.
In my experience, Inner Balance’s reassuring marketing did not match the support I received when treatment went wrong. I felt dismissed, and I regret continuing for as long as I did instead of trusting what I was noticing in my own body.
Women seeking help deserve to have their symptoms taken seriously, their treatment reconsidered when necessary, and their honest feedback heard.
If sharing my experience helps even one woman recognize that she does not have to keep pushing through a treatment that is making her feel worse, this review was worth writing.
TV
Tammy Van C.
Buyer Beware
If I could give this company a lower rating I would. The website is horrific! I wanted to cancel my subscription but there is no way to do it online. They make you talk to a damn robot that does zero for you. I am going to have to call my credit card company to stop payment because they give you no alternative. All they say is they’ll put your account on “pause”. I don’t want to be put on pause…I want to CANCEL! I detest companies that do business this way. To top it all off…the product I was paying $247 a month for doesn’t even work. Buyer beware! I wish I had looked up the reviews before believing a slick looking website and TikTok videos.
CU
Customer
This company is a total scam
This company is a total scam. Steer clear.
The product wasn't working for me, so I decided to cancel the subscription. They charged me for the next shipment, but never sent the product. I asked for a refund. They said they would refund, but never did. I disputed the charge. Inner Balance sent proof of delivery from before I canceled the product & the credit card accepted that. Hours of fighting with no result. You can't talk to customer service either.
VA
Vanessa
This product hurt my health & has unethical business practices
This product hurt my health for the year I was on it, and a year after discontinuing, I'm still trying to recover. It made me feel bloated, I gained 15 lbs when I was already trying to lose 20lbs, I felt panicky, anxious, angry, irritable, had insomnia, massive heat intolerance -- all things that were WORSE than my initial peri-symptoms! Awful dispensing mishaps resulting in confusing and incorrect dosing for many. They experiment with these changes before they test them and it's at the cost of the consumer. Very challenging to speak with healthcare professional when you need it most. I gave it a good year simply because of the encouragement from the company that it would "get better." Only got worse, unfortunately and I just cold turkey had to stop. Felt a lot better after stopping, and went on DIM with Sulforaphane and Calcium D- Glucarate as suggested by a local provider who took my blood work. Feeling so much better than before. Not everyone feels better with estrogen (or progesterone), let alone this very specific combination of E and P. They said it's a customizable formula, but it's clearly just another one size fits all business model. Lots of people having issues with this product! And as other reviews state, they absolutely make it VERY challenging to cancel the subscription. A big red flag from any company.
JI
Jill
Oestra was a game changer for me
Oestra was a game changer for me. I had increased energy the day after starting. My mood improved greatly by week two and after increasing my dose after 6 months I have zero hot flashes. My eyebrows and lashes have thickened up again and I have about 3 inches of new hair growth after a year of being on it. I know everyone’s experience will be different, but I have loved this product and plan to keep using it as long as possible. Worth every dollar to feel like myself again!
TM
Tomasin M.
I’m honestly shocked at these reviews
I’m honestly shocked at these reviews. Inner Balance saved me. I’ve been on it consistently for two years. I started with one pump then went up to two. It took about 3 months to really kick in. It has been nothing short of a spectacular experience for me.
KP
kristina P.
The dosing is not consistent
The dosing is not consistent. The first two weeks of using product, I started to feel better as the time went on, all symptoms came back worse than ever.
The estrogen separates from the rest of the cream so 1/2 way through the bottle all you are dosing is progesterone. It was like this for 6 months.
Look for other Bhrt companies.