What's included in your hormone care

The goal is not a number on a lab report. The goal is helping you feel like yourself again.

Your care

• 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

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.

The hormones we work with

Hormone therapy uses hormones with the same structure your body already makes: progesterone, estradiol, testosterone, and, when the picture calls for it, thyroid and DHEA.

Creams and forms you take by mouth come first. Injections are used only if you ask for them.

What we do not offer

• Pellets. We do not offer pellet therapy at all.
• Saliva or urine hormone tests. We do not offer them. The Menopause Society calls them unreliable.
• Research peptides are not FDA-approved drugs and are not part of this program.

What it costs

Care depends on what you actually need, so your provider reviews costs with you at your consult, before you decide anything.

Your right to a written cost estimate

You have the right to know what your care will cost before you start. If you are paying us directly instead of billing insurance, you can ask for a written estimate of your expected charges at any time, and we will send it to you within 3 business days. If you schedule something with us, you get one without asking: within 1 business day when the appointment is 3 to 9 business days away, and within 3 business days when it is 10 or more business days away.

If your final bill from us is $400 or more above the estimate we gave you, you can dispute it through a federal process. Ask us and we will tell you how.