OVERVIEW
HRT (Hormone Replacement Therapy)
Bioidentical Hormone Replacement Therapy (BHRT) uses hormones that are molecularly identical to those your body naturally produces. Unlike synthetic hormones, bioidentical hormones are derived from plant sources and are structurally indistinguishable from your own estrogen, progesterone, testosterone, and DHEA.
At RevivalizeMD, hormone optimization is not about replacing what's lost it's about restoring balance. Our comprehensive approach begins with advanced hormone panel testing, continues with precision dosing, and includes ongoing monitoring to ensure your levels stay within your optimal range.
Conditions Treated
Condition
Common Symptoms
Who It Affects
Menopause
Hot flashes, night sweats, mood changes, sleep disruption, vaginal dryness, bone density loss, weight gain.
Women, typically ages 45–55.
Andropause / Low T
Fatigue, muscle loss, low libido, erectile dysfunction, brain fog, irritability, increased body fat.
Men, typically ages 40+.
Thyroid Imbalance
Fatigue, weight changes, temperature sensitivity, hair thinning, mood disturbance, sluggish metabolism.
Men and women, all ages.
Adrenal Fatigue
Chronic fatigue, difficulty handling stress, salt/sugar cravings, lightheadedness, weakened immune response.
Men and women experiencing chronic stress or burnout.
Comprehensive Hormone Panel Testing
Every HRT program begins with a thorough hormone panel. Our testing includes:
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Total and free testosterone
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Estradiol (E2) and estrogen metabolites
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Progesterone
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DHEA-S
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Cortisol (AM and PM)
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Full thyroid panel (TSH, Free T3, Free T4, reverse T3, thyroid antibodies)
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SHBG (Sex Hormone Binding Globulin)
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Insulin, fasting glucose, HbA1c
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Vitamin D, B12, and other nutritional markers
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CBC and comprehensive metabolic panel
Treatment Modalities
Modality
How It Works
Pros
Cons
Pellets
Small hormone pellets inserted subcutaneously every 3–6 months. Consistent, steady-state hormone delivery.
Set-and-forget convenience, no daily dosing, consistent levels.
Requires a minor in-office procedure for insertion, not easily adjusted once placed.
Creams / Gels
Topical application to the skin daily. Absorbed transdermally for systemic delivery.
Easy to adjust dosing, non-invasive, self-administered at home.
Daily application required, potential for skin transfer to others, absorption variability.
Injections
Intramuscular or subcutaneous injections on a weekly or biweekly schedule.
Precise dosing, reliable absorption, cost-effective.
Requires self-injection or office visits, hormone level fluctuations between doses.
Program Tracks
Women's Hormone Optimization
Tailored for perimenopausal, menopausal, and post-menopausal women. Focus on estrogen, progesterone, and testosterone balance. Addresses hot flashes, mood changes, sleep disruption, vaginal health, bone density, and libido. Includes thyroid and adrenal assessment.
Men's Hormone Optimization
Designed for men experiencing symptoms of low testosterone or andropause. Focus on testosterone optimization, estrogen management, and metabolic health. Addresses fatigue, muscle loss, libido, cognitive function, and cardiovascular markers.
Ongoing Monitoring Protocol
Initial Follow-Up
4–6 weeks after starting therapy. Labs repeated to assess response and adjust dosing.
Quarterly Monitoring
Labs every 3 months during the first year to ensure optimal levels and safety.
Annual Comprehensive Panel
Full panel annually once stable, with dosage refinements as needed.
Symptom Tracking
Ongoing symptom questionnaires at every visit to correlate lab values with how you feel.