spring Bioidentical Hormone Replacement Therapy

Bioidentical Hormone Replacement Therapy for Men and Women

Bioidentical Hormone Replacement Therapy (BHRT) is one of the best ways to ease the symptoms of hormonal imbalance for women and men. It’s sourced by plants that are chemically like the hormone structure our body naturally produces. BHRT eases symptoms in menopausal women while men go through a period called andropause which can bring on similar symptoms, such as low libido, weight gain, depression, and fatigue. When hormonal balance begins to decline, the risk of cardiovascular disease, type II diabetes, osteoporosis, and dementia all increase. Consequently, we look for ways to slow the aging process to help maintain a lower risk of preventable diseases.
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Medically reviewed by Emile Kettle, PA, Licensed Physician Assistant | 18+ Years Experience | Last Updated: April 2026

Patients on BHRT have reported experiencing:

  • Stronger sex drive
  • Better mental clarity
  • Less anxiety and depression
  • Increased sense of wellbeing
  • Improved ability to lose fat and build muscle
  • Thicker hair growth
  • Healthier skin
  • Reduced bloating

How Hormonal Imbalance Affects Weight

Hormones play a direct role in how your body stores and burns fat. When estrogen, progesterone, testosterone, or thyroid hormones fall out of balance, your metabolism slows, fat storage increases (particularly around the abdomen), and your body becomes more resistant to weight loss. This is why many patients over 35 notice that the diet and exercise habits that worked in their twenties no longer produce results. Declining testosterone in men and fluctuating estrogen and progesterone in women during perimenopause and menopause are among the most common hormonal drivers of unexplained weight gain. Addressing these imbalances is often a critical step before other weight loss treatments can be fully effective.

Symptoms of Hormonal Imbalance

Hormonal imbalance can present differently from person to person, but common symptoms include persistent fatigue, unexplained weight gain or difficulty losing weight, mood swings, irritability, brain fog, decreased libido, poor sleep quality, thinning hair, and increased body fat despite consistent exercise. Many patients experience several of these symptoms simultaneously and have been told by other providers that their lab results are “normal.” At New Horizons Wellness Center, we look at optimal hormone ranges rather than just standard reference ranges, which allows us to identify imbalances that other clinics may miss.

Our BHRT Process

Treatment begins with comprehensive blood work to measure your current hormone levels, including estradiol, progesterone, testosterone (total and free), DHEA-S, thyroid panel, and cortisol. We review your results alongside your symptoms and health history to build a treatment plan tailored to your body. Bioidentical hormones are derived from plant sources and are structurally identical to the hormones your body produces, which allows for more precise dosing and fewer side effects compared to synthetic alternatives. Delivery methods may include pellets, creams, or injections depending on your needs. We schedule follow-up lab work at regular intervals to monitor your levels and adjust dosing. Dr. Jonathan Cheng, M.D., Ph.D., reviews all patient charts, and Emile Kettle, PA, manages your ongoing care and treatment modifications.

Frequently Asked Questions About Bioidentical Hormone Replacement Therapy

Q: What is bioidentical hormone replacement therapy?

A: BHRT uses hormones that are chemically identical to the ones your body naturally produces, including estrogen, progesterone, and testosterone. These hormones are derived from plant-based sources and are customized to your individual hormone levels. The goal is to restore your hormones to optimal ranges, relieving symptoms caused by hormonal decline or imbalance.

Q: How does BHRT help with weight loss?

A: When your hormones are balanced, your metabolism functions more efficiently, your body is better able to burn stored fat, and you have more energy for physical activity. Many patients find that stubborn weight, especially around the midsection, begins to respond to diet and exercise once their hormone levels are optimized. BHRT can also be combined with GLP-1 medications or other weight management services for a more comprehensive approach.

Q: Are bioidentical hormones safer than synthetic hormones?

A: Bioidentical hormones are structurally identical to your body’s own hormones, which generally allows for better tolerance and fewer side effects compared to synthetic versions. However, all hormone therapy carries some risk, and individual safety depends on your health history and the specific hormones being used. We conduct thorough lab work and ongoing monitoring to ensure your treatment remains safe and effective.

Q: How long before I feel the effects of BHRT?

A: Many patients notice improvements in energy, mood, and sleep within the first two to four weeks. Changes in body composition and weight typically take longer, often becoming noticeable after six to twelve weeks of consistent treatment. Full optimization may take three to six months as we fine-tune your dosing based on follow-up lab results and symptom tracking.

Disclaimer: This information is provided for educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Please schedule a consultation with our team to discuss your individual needs.

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