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Hormones

Bioidentical Hormone Therapy (BHRT)

The fatigue, brain fog, sleep changes, mood swings, and shifting cycles of perimenopause and menopause are real, and normal for your age is not the same as feeling like yourself. We investigate your full hormone picture, confirm it in your labs, and build a plan matched to your stage of life. Educational information, not a diagnosis or a promise.

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Who this is for

Is this right for you?

An honest look at who this fits, and who it does not.

You may be a candidate if…

  • You are noticing perimenopausal or menopausal symptoms: hot flashes, night sweats, sleep trouble, brain fog, mood changes, low libido, or irregular cycles.
  • You have been told your labs are normal but you do not feel like yourself.
  • You want a clinician who investigates the whole picture, not a single number or a default prescription.
  • You are ready to do comprehensive labs and follow up so the plan fits your biology.

This may not be right if…

  • You want a one-visit prescription with no labs and no monitoring.
  • A symptom has a clear non-hormonal cause that should be addressed first; we will say so if we see it.
  • You are looking for guaranteed results or a fixed timeline; hormone care is individual and monitored.

Our methodology

School of thought

Optimal, not normal. Your bloodwork substantiates how you feel.

Normal ranges are built on population averages, not on how a woman is meant to feel and function. Hormones move together, so we read estradiol, progesterone, testosterone, DHEA, thyroid, and metabolic markers as a whole rather than chasing one value.

Bioidentical hormones are molecularly identical to the ones your body makes. We match the type, format, and approach to your stage of life and your goals, then monitor and adjust over time.

Explore our methodology hub

Test, don't guess

What bloodwork we run

What we measure, and why each marker matters.

Estradiol and progesterone
The core sex hormones behind cycle, sleep, mood, and menopausal symptoms.
Testosterone (total and free)
Often overlooked in women; it affects energy, libido, and mental clarity.
DHEA-S
An adrenal hormone that feeds into the broader hormone picture.
FSH and LH
Help place where you are in the menopausal transition.
Thyroid panel
Thyroid and menopausal symptoms overlap, so we rule it in or out rather than assume.
Metabolic markers
Baseline context for how your whole system is functioning.

Example strategies

What care may involve

Examples a provider may consider, never a promise, protocol, or dose.

Medical

Where labs and symptoms support it, bioidentical estradiol, progesterone, testosterone, or DHEA in a format matched to you. Always individualized and monitored, never a default script.

Lifestyle

Sleep, strength and resistance training, nutrition, and stress management all shape hormones and symptoms, so we build them in.

Supplementation

Targeted, evidence-informed support where a real gap exists, not a long upsell cart.

* Some compounded hormone preparations are not FDA-approved. We will explain what that means for any option we discuss.

What to expect

How care works

Consult, labs, plan, follow-up, monitored over time.

Step 1

Consult

A real conversation about your symptoms, history, and goals, then an order for comprehensive labs.

Step 2

Labs

We review your results together and explain what they mean in plain language.

Step 3

Plan

We design a plan matched to your stage of life, and start therapy when the picture supports it.

Step 4

Follow-up

We re-check your labs and how you feel, and adjust over time. Hormone care is iterative by design.

FAQs

Common questions

Straight answers to the questions we hear most.

Ready to feel like yourself again?

Start with a consultation. Existing patients can log in to the portal.

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