Hormones change with age. When they do, you feel it long before a lab test looks unusual. Tired all the time. Sleeping badly. Losing muscle and gaining fat in places you never used to. Low drive. A short fuse.
Bioidentical hormone replacement therapy, or BHRT, uses hormones that have the same molecular structure as the ones your body already makes. The goal is not a number on a lab report. The goal is helping you feel like yourself again.
Who this is for
People who are noticing changes and want an answer instead of being told everything looks fine. Common reasons patients come in:
- Fatigue that sleep does not fix
- Trouble sleeping, or waking up at 2 or 3 in the morning
- Low sex drive
- Mood swings, irritability, anxiety, or brain fog
- Losing muscle, gaining belly fat, or a stalled weight loss plan
- Hot flashes, night sweats, or cycle changes
You do not have to be in full menopause or andropause to be evaluated. Symptoms often start years earlier.
How we evaluate you
We do not practice lab-only medicine. Labs guide the plan. They do not replace the conversation.
- We start with your symptoms and your history, not just a blood draw
- Lab work looks at the hormone markers that fit your symptom pattern
- We screen for safety first — clotting history, cancer history, smoking, abnormal bleeding, pregnancy plans, liver or heart disease, and sleep apnea
- Your provider explains the risks and the benefits before anything is prescribed
- If therapy is appropriate, we set a plan and a recheck date
What follow-up looks like
Hormone optimization is not one visit. Your first recheck is usually eight to twelve weeks in, so we can adjust based on how you feel, any side effects, and repeat labs. The first year needs closer monitoring. Once things are stable, visits can spread out.
How BHRT fits with the rest of your care
Hormones and metabolism are connected. Patients on a weight management program sometimes find that sleep, energy, and muscle mass are part of the same picture. Your provider will tell you whether treating hormones makes sense alongside what you are already doing, or instead of it.
BHRT pricing
Made Ya Skinny offers two separate payment paths. Prices, what is included, and what is billed separately are shown together so you know the cost before you start.
Cash-pay all-inclusive plan — paid upfront
- Year 1: $4,299 paid in full before care begins.
- Current verified Made Ya Skinny patients: $3,299 for year 1 after a $1,000 discount. Ask for your unique one-time promo code. Staff must verify current-patient status before issuing it.
- Year 2 and after: $3,299 paid in full at each annual renewal.
- Military discount: active-duty service members, veterans, retirees and their spouses save 10% on year 1 of this all-inclusive plan. Verified at sign-up with a military ID, VA card or DD-214. Cannot be combined with other discounts, including the current-patient discount. Not available on the insurance-supported plan.
- Medication may be prescribed and fulfilled in up to 90-day intervals when medically appropriate. The prescription schedule does not change the annual payment schedule.
This all-inclusive plan includes clinical management, provider visits, prescribing and refills, secure care-team messaging, pharmacy coordination, prescribed medication within a $110-per-month allowance, overnight shipping on 90-day fills, and scheduled laboratory draws: four in year 1, two in year 2, and one per year beginning in year 3. If the medication selected by your provider costs more than the allowance, we disclose the additional amount before it is dispensed.
Insurance-supported managed care
- Year 1: $2,999 paid in full before care begins.
- Year 2: $179 charged monthly.
- Year 3 and after: $167 charged monthly.
This fee covers Made Ya Skinny’s clinical management. Your pharmacy and laboratory bill you or your insurance separately. Coverage depends on your plan and is never guaranteed.
Payment does not guarantee a prescription. A licensed provider determines whether treatment is medically appropriate. If the provider determines that treatment cannot be prescribed, the program payment is refunded in full.
All prescription therapies require a medical evaluation. A licensed provider decides whether a treatment is appropriate for you. Not everyone is a candidate.
Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness, or quality.
Some hormone therapies are prescribed off-label. Your provider will tell you when that applies to your plan and why.
Continue online
Start your hormone lab intake online. You set up your patient portal, answer the Hormone Symptom Check, and request your lab order. A licensed provider reviews your answers and decides whether treatment is appropriate for you. If testosterone is part of your plan, you’ll have a live visit with your provider, by video or in person, before the first prescription. Testosterone is a controlled substance, and some states require that live first visit. We help you book it. If you have a question first, use the live chat bubble on this page. Do not use the weight-loss prescreen for this service.
Prefer to talk to a provider first? Book a virtual or in-person visit.
Common questions
Do I have to be in menopause to be evaluated?
No. Symptoms often start years before menopause or andropause, and you do not have to be through either one to be seen. Patients come in for fatigue that sleep does not fix, broken sleep, low drive, mood changes, brain fog, or losing muscle and gaining belly fat.
Is this decided by a blood test alone?
No. Labs guide the plan. They do not replace your provider’s review of your symptoms and history. The evaluation starts with your symptoms and your history, and lab work looks at the hormone markers that fit your symptom pattern. Safety is screened first, including clotting and cancer history, smoking and abnormal bleeding.
How soon would I be seen again?
The first recheck is usually eight to twelve weeks in, so the plan can be adjusted based on how you feel, any side effects, and repeat labs. The first year needs closer monitoring. Once things are stable, visits can spread further apart.
Can I do this alongside a weight management plan?
Sometimes, and that is a clinical decision rather than an upsell. Hormones and metabolism are connected, and sleep, energy and muscle mass can be part of the same picture. Your provider will tell you whether treating hormones makes sense alongside what you are already doing, or instead of it.