Hormone Replacement Therapy — For Men and Women
Bioidentical pellets, hormone injections, and topical creams prescribed by our in-office nurse practitioner — built around your lab work, your symptoms, and the form that fits your life.
What Hormone Replacement Therapy Is
Hormone replacement therapy (HRT) supplements the hormones your body has stopped producing in the amounts it once did. For men, that often means testosterone declining with age. For women, it can mean estrogen, progesterone, or testosterone shifting through perimenopause and beyond. The right HRT protocol can support energy, sleep, mood, libido, body composition, and other symptoms tied to hormone changes — but the right protocol depends entirely on what your labs show and the symptoms you're actually experiencing. We prescribe based on both, never on age alone.
Conditions We Treat
Hormone Replacement Therapy is most effective for these conditions. If you're unsure whether it fits your situation, that's what the evaluation is for.
- Low testosterone (men)
- Andropause symptoms — fatigue, low libido, mood changes
- Perimenopause and menopause symptoms (women)
- Hot flashes, night sweats, sleep disruption
- Hormone-related mood, energy, or libido changes
- Body composition changes tied to hormone decline
Three Delivery Forms — Matched to You
We offer hormone replacement in three forms so the protocol fits the patient, not the other way around. Pellets are bioidentical hormone implants placed just under the skin during a brief in-office visit; they release a steady dose for several months. Injections are typically self-administered at home on a regular schedule and use synthetic hormone preparations. Creams are topical, applied daily, and use synthetic preparations as well. Which form is best comes down to your labs, your symptoms, your tolerance for in-office visits, and personal preference — discussed openly after we have your results in hand.
What to Expect
- 1
Initial Consultation
You meet with our nurse practitioner to review your symptoms, history, and goals. We talk through what HRT can and can't do for what you're experiencing, and confirm that a workup makes sense for you.
- 2
Lab Work
We send you out for a comprehensive hormone panel at a partner lab. Results typically take a few days to a week and form the foundation of the entire protocol — no responsible HRT plan is built without them.
- 3
Lab Review & Form Discussion
Once your labs are back, you return to discuss what they show. The nurse practitioner walks through the findings and recommends a specific form — pellets, injections, or creams — based on what the labs indicate and what you'd prefer for delivery and lifestyle.
- 4
Treatment & Onboarding
Pellets are placed in-office during a brief visit. For injections or creams, we walk you through self-administration and the dosing schedule. Either way, you leave with a clear protocol.
- 5
Follow-Up & Adjustment
We retest labs at intervals (typically several weeks after starting and then periodically), assess how you're feeling, and adjust the protocol as needed. HRT is iterative — we tune the dose to your response, not just your initial labs.
The Practical Stuff
Number of sessions
Cadence depends on the form. Pellet insertions occur every few months. Injections are typically self-administered at home on a regular schedule. Creams are applied daily. All forms involve periodic lab rechecks and follow-up visits to fine-tune the protocol.
Downtime
None. Pellet insertion is a brief in-office procedure with mild soreness at the site for a day or so. Injections and creams have no downtime. Most patients continue their normal routine immediately.
Insurance & cost
Hormone replacement therapy is not covered by insurance — it's a cash service. Lab work is sent out and may or may not be covered depending on your insurance plan; we'll discuss that during your initial consult. Care Credit financing is available.
Lab-Driven, Symptom-Driven, Not One-Size-Fits-All
We don't put every patient on the same protocol. The form, the dose, and the cadence are all tailored to your labs and your symptoms — and adjusted as we go. Our nurse practitioner handles HRT directly, so you're not handed off between providers as your protocol evolves. We're also upfront about what HRT can realistically improve and what it won't, so you go in with realistic expectations.
Common Questions
Do you treat both men and women?+
Yes. We treat men dealing with testosterone decline and the symptoms that come with it, and women navigating perimenopause, menopause, and other hormone-related changes. The protocol differs by patient, but the framework — labs, consult, tailored protocol, follow-up — is the same.
What's the difference between bioidentical and synthetic hormones?+
Bioidentical hormones are molecularly identical to those your body produces. Our pellets are bioidentical. Synthetic hormones are pharmaceutical preparations that act on the same receptors but aren't structurally identical. Our injections and creams use synthetic preparations. Both are clinically used; the choice between them depends on your labs, your goals, and which form fits your lifestyle.
How long until I notice a difference?+
Many patients start to notice changes — energy, sleep, libido, mood — within a few weeks of starting therapy. Full benefit typically shows up over the first 2–3 months as the protocol stabilizes and we fine-tune the dose. Pellets release steadily over several months; injections and creams take effect on whatever cadence you're using them.
Who prescribes the hormones?+
Our in-office nurse practitioner. The same provider handles your initial consult, lab review, prescribing, and ongoing follow-up — so the person managing your protocol knows your full case.
Is the lab work done in-office?+
We send you out to a partner lab for the hormone panel. Results come back to us within a few days to a week, and we review them together at your next visit.
Will insurance cover it?+
HRT itself is not covered by insurance — it's a cash service. Lab work is sent out and may be covered by your plan depending on your insurance. We'll be upfront about cost at the consult. Care Credit is available if you'd like to spread payments.
Is HRT safe?+
When prescribed appropriately based on labs and symptoms and monitored with periodic follow-up, HRT has a long clinical track record in both men and women. There are specific situations where HRT isn't appropriate, and we screen for those during your evaluation. We discuss the relevant risks and benefits openly so you can make an informed decision.
Do I need a referral?+
No. You can schedule the initial consult directly with us.
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Contact & Locations
Main Phone
(386) 800-3100Office Hours
- Monday: 9 AM – 12 PM, 3 PM – 6 PM
- Tuesday: 3 PM – 6 PM
- Wednesday: 9 AM – 12 PM, 3 PM – 6 PM
- Thursday: 9 AM – 12 PM
- Friday: 9 AM – 12 PM, 3 PM – 6 PM