Female Hormone Optimization · BHRT
Bioidentical hormone therapy for women in perimenopause, menopause, and beyond.
If you've been told your symptoms are just aging or all in your head, we'd like to offer you a different conversation. In ten years of practice, we've yet to find a patient we couldn't help.
You're not imagining it
When you do not feel your best, you can't do your best.
Hormone levels play a bigger role in our lives than most providers acknowledge. As early as your thirties, your body's natural hormones start to decline. The shifts can be subtle at first. Energy that doesn't quite return. Sleep that's never restorative. Weight that won't move. A libido that quietly disappeared.
We see many women with this exact picture. We help them find the root cause, and then we treat it. Bioidentical hormone replacement therapy isn't the only tool we use. But for the right patient, it's transformative. And there are real long-term health benefits to optimizing now, not later.
Top reasons women come to Revitalize
The six symptoms we treat most.
If any of these sound like you, hormone optimization is likely worth a conversation. Especially if you've already had your labs are normal appointment.
01
Physical and mental fatigue
Lack of energy. Difficulty focusing. The 3 PM crash that coffee does not fix. Your hormones may be too high or too low.
02
Body composition changes
Weight gain without lifestyle changes. Or weight that will not move despite consistent effort. A hormone imbalance is often the answer.
03
Sleep issues
Difficulty falling asleep. Waking at 3 AM. Night sweats. Eight hours and you still feel unrefreshed.
04
Mood changes
Depression. Anxiety. PMS that is worse than it used to be. Mood swings you do not recognize. These can all be hormone-driven.
05
Sex life
A libido that quietly disappeared. Poor sexual response. You are not alone, and you do not have to live with it.
06
Perimenopause / Menopause
Hot flashes. Vaginal dryness. Memory changes. Erratic periods. The full symptom picture, which can start years before your final period.
BHRT also helps with migraines, heavy menstrual bleeding, hair loss, dry skin, brain fog, muscle weakness, sugar cravings, and more. The list goes deeper than most patients expect.
News · Feb 2026
Feb
2026
U.S. Food and Drug Administration · Labeling change
The FDA removed the black box warnings on hormone therapy. Including for cardiovascular disease, breast cancer, and dementia.
"
Maybe one of the greatest screw-ups of modern medicine.
The FDA Commissioner, on the prior 2003 warnings
The black box warnings traced back to a 2003 study that has since been thoroughly re-examined. For two decades, women avoided hormone therapy based on warnings that the evidence no longer supports. We've practiced according to the current science for ten years. The labeling has finally caught up.
When hormone therapy is initiated within 10 years of menopause
50%
Lower heart attack risk
35%
Lower Alzheimer's risk
50-60%
Fewer bone fractures
From the review of 30+ trials underpinning the FDA's 2026 labeling change.
Beyond the obvious
Conditions hormone therapy also helps.
These are less obvious connections. Most providers don't make them. Hormones touch nearly every system in the body.
Migraines
Heavy bleeding
Endometriosis
Infertility
Hair loss
Dry skin
High cholesterol
Brain fog
Muscle weakness
Sugar cravings
Bloating
Bone loss
The program
What your care actually looks like.
Comprehensive Labs
Full hormone panels including estrogen, progesterone, and free testosterone. Plus thyroid, metabolic, nutrient, and inflammation markers. The depth your insurance will not cover.
DEXA Body Composition
Baseline and every six months. Fat mass, lean mass, bone density. So protocol changes are based on data, not guesses.
90-Minute Intake
Your first visit is unhurried. Symptoms, history, goals, labs, DEXA. The protocol is built from real understanding, not a template.
Bioidentical Protocol
Estrogen, progesterone, and where appropriate, testosterone. Bioidentical formulations only. Dosing tuned to your physiology, not a one-size protocol.
Unlimited Messaging
Questions between visits, side effects, dose adjustments. Message your provider. No per-message fee. Real responses, not portal templates.
8-12 Week Follow-ups
We recheck labs, adjust the protocol, and track your data. Care evolves with your physiology. Not a one-and-done prescription.
"
Before BHRT I was working out consistently, eating clean, and seeing nothing. Since starting at Revitalize I've lost 40 pounds in 8 months. And I actually have energy again.
40 lbs in 8 months · Verified patientAndrea, BHRT + Weight Loss Patient
Common Questions
What women want to know first.
I'm still having periods. Am I too early for hormone therapy?
Perimenopause can begin eight to ten years before your final period. Waiting until menopause is complete often means missing the most impactful window for long-term protection. The research on cardiovascular, cognitive, and bone outcomes consistently favors earlier initiation. Age is not the qualifying factor. Symptoms are.
Is hormone therapy safe? I've heard conflicting things for years.
The conflicting information traces to a 2003 study that has since been thoroughly re-examined. In February 2026, the FDA officially removed the black box warnings for cardiovascular disease, breast cancer, and dementia on hormone therapy. We have practiced according to the current evidence for ten years. The labeling has finally caught up.
My doctor said my labs are normal. How can you help me?
Being dismissed when you know something is wrong is demoralizing. The conventional system is designed to diagnose disease and keep lab values inside a population reference range. We ask a different question: where are the opportunities for optimization, especially the ones that correlate with how you actually feel?
What forms of bioidentical hormones do you use?
We use bioidentical estradiol, progesterone, and where indicated, testosterone. Delivery is matched to the patient: pellets, creams, patches, or oral, depending on your goals, tolerance, and lab response. Bioidentical means molecularly identical to what your body produces. Not synthetic.
How quickly will I notice changes?
Sleep and hot flashes often improve within two to six weeks. Mood and energy typically within four to eight. Body composition changes show meaningfully on DEXA at 90 days. Bone density takes longer to track. Symptom relief is the early signal. Long-term protection is the bigger reason.
Does insurance cover this?
We are a fee-for-service clinic, out of network on purpose. That is what lets us run the labs and the depth of care insurance would not approve. Membership covers labs, two DEXA scans, all provider visits, and unlimited messaging.
Free Consultation
Ten years of answers. Yours could start this week.
Your first consultation is free. No pressure. No commitment. Just a real conversation about what's going on and whether we can help.
