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Hormone replacement therapy, also known as menopausal hormone therapy or postmenopausal hormone therapy, is a form of hormone therapy used to treat symptoms associated with female menopause. During menopause, your estrogen levels fall. Signs that you may need hormone replacement therapy include:

What is Hormone Replacement?

& Getting Started

Our Approach

From the convenience from your home to our discreet clinic we have everything you need to get back to feeling like YOU. Created and approved by specialty providers. Perfected just for you. Get started in just four easy steps!

Book Appointment

Women's Wellness Health Assessment

Book your first appointment on our calendar. Choose between in office visit or have our mobile staffer visit your home or office, record your vitals and draw a blood sample.

Personalized Plans & Hormone Treatment

Within 10 business days, our lab will issue a hormone report on your patient portal app. The blood analysis includes: Total Testosterone, SHBG, PSA, CBC, TSH, Progesterone, Prolactin, Estradiol, HGB, FSH, LH, and B12. Complete our personal assessment that will help y0ur provider create your personalized plan.

Optimization and Prevention

Your PPrX practitioner will give you a call, review your report with you and decides the best protocol of prescriptions for you. A mobile practitioner is also available for in clinic, tele-visit and home visits to give you a physical and demonstrate medication administration.

Individualized Treatment Plan

Now that you have started, you will have a personal concierge and A+ customer service by your side. You will also receive a list of recommended add-0ns and mental health and wellness screening. Continuous Monitoring and Follow up is included in your plan.

Our Services

We pride ourselves on our one-of-a-kind One Stop Shop approach to medicine. We treat a multitude of disorders. Let us help you find a solution to your problem.

Adrenal glands produce hormones necessary for normal body functioning; the deficiency of these hormones is called adrenal insufficiency. Adrenal insufficiency can present along a spectrum ranging from mild nonspecific symptoms to life-threatening shock. The decrease in adrenal function may be masked until stress or illness triggers an adrenal crisis.

Patients with adrenal insufficiency often present with hypotension, altered mental status, anorexia, vomiting, weight loss, fatigue, and recurrent abdominal pain. Reproductive complaints typically occur in women (amenorrhea, loss of libido, decreased axillary and pubic hair). Salt craving and orthostatic hypotension are common in patients with primary adrenal insufficiency. Patients with secondary adrenal insufficiency are more likely to have hypoglycemia but will not have dehydration, hyperkalemia, or skin hyperpigmentation.

Huecker MR, Bhutta BS, Dominique E. Adrenal Insufficiency. [Updated 2021 Aug 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441832/

Adrenal Dysfunction

Thyroid disease is a general term for a medical condition that keeps your thyroid from making the right amount of hormones. Your thyroid typically makes hormones that keep your body functioning normally. When the thyroid makes too much thyroid hormone, your body uses energy too quickly. This is called hyperthyroidism. Using energy too quickly will do more than make you tired — it can make your heart beat faster, cause you to lose weight without trying and even make you feel nervous. On the flip-side of this, your thyroid can make too little thyroid hormone. This is called hypothyroidism. When you have too little thyroid hormone in your body, it can make you feel tired, you might gain weight and you may even be unable to tolerate cold temperatures.

Risk Factors- Female, pregnancy or post-partum, Type 1 Diabetes or other autoimmune disease (celiac disease), increase age over 50-60, history of neck irradiation.

Symptoms- fatigue, cold, constipation, weight gain, dry skin, depression, menstrual irregularities, fertility issues or miscarriage, hair loss, muscle and joint pain especially in Hashimoto’s disease, confusion “brain fog” slow thinking.

Thyroid Dysfunction

Perimenopause means "around menopause" and refers to the time during which your body makes the natural transition to menopause, marking the end of the reproductive years. The average length of perimenopause is 4 years, but for some women this stage may last only a few months or continue for 10 years. Perimenopause ends when women have gone 12 months without having their period.

Women in perimenopause have at least some these symptoms:

Hot flashes
Breast tenderness
Worse premenstrual syndrome
Lower sex drive
Fatigue
Irregular periods
Vaginal dryness; discomfort during sex
Urine leakage when coughing or sneezing
Urinary urgency (an urgent need to urinate more frequently)
Mood swings
Trouble sleeping

Pre-Menopausal Hormone Imbalance

Cardiovascular disease (CVD) is the leading cause of death in women in every major developed country and most emerging countries.1,2 Hypertension, the most common modifiable risk factor for CVD, is estimated to occur in 85.7 million adults in the United States (44.9 million women and 40.8 million men).3 Elevated blood pressure (BP) >140/90 mm Hg is associated with a shorter life expectancy overall, shorter life expectancy free of CVD, and more years lived with CVD.

Hypertension

Hyperlipidemia is one of the risk factors leading to erectile dysfunction (ED), a common disorder in men, especially in old men. Epidemiological studies have found that the decrease in high density lipoprotein (HDL) and elevation of total cholesterol/high density lipoprotein (TC/HDL) are correlated with ED.

Hyperlipidemia may damage man's erectile function at an early stage by affecting the endothelial cells and smooth muscles of the penis and the peripheral nerves for penile erection.

Kim, S. C. (2000). Hyperlipidemia and erectile dysfunction. Asian journal of andrology, 2(3), 161-166.

Hyperlipidemia

Diabetes mellitus is categorized as a metabolic disease characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both. As a result, the amount of glucose in the blood increases while the cells are starved of energy.

ED has been reported to occur in ≥50% of men with DM worldwide. It is usually present within 10 years of diagnosis of DM. The incidence of ED was reported to be higher in men with DM than for men without DM and up to 12% of men who present with ED were found to have previously undiagnosed DM

Thorve, V. S., Kshirsagar, A. D., Vyawahare, N. S., Joshi, V. S., Ingale, K. G., & Mohite, R. J. (2011). Diabetes-induced erectile dysfunction: epidemiology, pathophysiology and management. Journal of Diabetes and its Complications, 25(2), 129-136.

Diabetes

Obesity in women is linked with variations in the reproductive cycle with a drop in fertility, as well as an bigger risk of polycystic ovarian syndrome and sporadic or no ovulation. Adiposity has precise consequences for women and for reproductive health .Lifestyle changes persist the backbone of treatment and are significant for the long period maintenance of weight loss. Regrettably, obesity is a chronic disorder and there is no ‘quick fix’ result or treatment that is effective for all obese individuals. Additionally, after subsequent weight loss programs, setbacks of weight gain are tremendously common. This highlights the importance of a lifetime vow to healthy eating and exercise practices.

Key components of weight management

Diet
Physical Activity
Energy Balance
Basal Metabolic Rate
Thermogenic Effect of Food
Genetics
Medications
Diseases

Weight Loss

Continuous Monitoring

The Prefect Prescription offers the nation’s most comprehensive & convenient hormone balancing. Subscriptions include optimization of HGH, estrogen, progesterone, testosterone, adrenals & thyroid. We offer A+ concierage and customer service starting on the first day. We monitor you throughout your entire course of treatment. As you evolve, we will evolve with you making the changes you need to your treatment plan.

What is Hormone Replacement?

Hormone Replacement therapy is the replacing endogenous hormones with exogenous hormones. There are two kinds:

Bioidentical HRT (BHRT)

The hormone is identical molecularly to naturally occurring hormones found in the body (estrogen, progesterone and testosterone) which most studies show an increase in its safety

Synthetic HRT

The hormone is not identical to the molecular structure of the hormones found in the body. They have been synthetized/manufactured in a lab or are made from horse urine
Some synthetic hormones are only 30% similar in structure to human hormones which have shown an increase in the rate of adverse reactions