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, and documents that conversation
- 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.
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.
Individual results will vary. This is not a guarantee of outcome.
Continue online
Choose an available office reservation for hormone testing. If you have a question first, use the live chat bubble on this page. Do not use the weight-loss prescreen for this service.
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 the conversation. 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.