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Bioidentical Hormone Replacement

Hormone levels shift with age, and for some people the effects are significant enough to be worth treating. Bioidentical hormone therapy uses preparations chemically identical to the hormones the body produces. It is not right for everybody, and the decision rests on a proper assessment — history, examination and laboratory testing — rather than on symptoms alone.

Symptoms that bring people in

Weight gain, low energy, poor sleep, low sex drive, mood swings, low mood, poor concentration, memory changes, hair loss and persistent fatigue. These are often described as the classic symptoms of aging, and hormone change is one explanation for them. It is not the only one, which is why the first job is to work out what is actually going on.

Ruling things in and out first

Thyroid disease, metabolic syndrome, sleep problems, low vitamin D, anemia, depression and medication side effects all produce overlapping symptoms. Patients frequently arrive having read about labels such as adrenal fatigue; the useful response is to test what can be tested and treat what is treatable.

Assessment includes a full review of symptoms and of your medical, family and personal history, alongside laboratory analysis — usually blood, and in some cases saliva or urine testing.

If hormone therapy is appropriate

A plan is individual: which hormone, what dose, what route, and how it will be reviewed. Preparations may be dispensed by a compounding pharmacy.

Therapy is not a one-off prescription — it needs repeat evaluation, and doses change. Dr. Gisi will go through the benefits and the risks for your own history, including family history, before you start, and will review the decision periodically rather than leave you on the same regimen indefinitely.

What sits alongside it

Hormone therapy tends to work best as part of something broader: nutrition planning, professional-grade supplements where indicated, exercise, and stress reduction. For some patients those changes alone shift the symptoms enough that hormone therapy is not needed.

What to expect at your visit

  • A detailed symptom review plus medical, family and personal history
  • Physical examination and laboratory testing before any treatment decision
  • A frank discussion of what hormone therapy can and cannot be expected to do, and its risks
  • A written plan, with the dose and how it will be monitored
  • Follow-up appointments and repeat testing to review the plan

Common questions

Is bioidentical hormone therapy suitable for men as well as women?
Hormone changes affect both, and both are assessed here. Suitability depends on your symptoms, examination, laboratory results and medical history — including any history that makes hormone therapy inadvisable.
What testing is involved?
A comprehensive symptom and history review, and laboratory analysis — commonly blood, and in some cases saliva or urine. Testing is repeated during treatment so the plan can be adjusted.
How soon would I need to be seen again?
Hormone therapy is monitored, not set and forgotten. Expect follow-up after starting or changing a dose, with repeat evaluation thereafter. Refills generally require your laboratory work to be current.
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