Bioidentical Hormone
Testing and Therapy
Hormone Testing and Therapy
At DNA Wellness and Longevity Institute, we offer comprehensive hormone testing tailored to individual needs. Depending on symptoms, we conduct thorough evaluations using full blood panels, saliva testing, or urine testing.
Our focus includes assessing pituitary, thyroid, adrenal functions, and hormone pathways to pinpoint imbalances accurately.
Customized Bioidentical Hormone Replacement Therapy (BHRT)
We specialize in bioidentical hormone replacement therapy for both men and women. Our therapies, such as transdermal creams, hormone pellets, sublingual, and injections, are customized to suit your unique needs. Whether addressing hormone decline due to aging or specific conditions, our therapies aim to restore vitality and improve overall well-being.
Balancing your hormones can dramatically improve your quality of life in a short amount of time.
Understanding Bio-Identical Hormone Therapy (BHT) vs. Hormone Replacement Therapy (HRT)
Bio-identical hormones are typically prescribed by healthcare professionals in customized doses based on an individual’s hormone levels and specific needs. They can be administered in various forms, including creams, gels, sublingual, injections, patches, or pellets. Bioidentical hormones are hormones that are structurally identical to the hormones naturally produced by the human body. They are derived from natural sources such as plants and are designed to mimic the molecular structure of hormones like estrogen, DHEA, pregnenolone, progesterone, and testosterone The term “bio-identical” refers to the fact that these hormones are chemically indistinguishable from the hormones produced by the body. This contrasts with synthetic hormones, which have a slightly different molecular structure.
HRT typically refers to the use of synthetic hormones, such as conjugated equine estrogens (CEE) and medroxyprogesterone acetate (MPA), which are chemically identical or like the hormones produced by the human body.
BHRT, on the other hand, uses hormones that are identical to the hormones produced by the human body, such as estradiol and progesterone. These hormones are typically derived from natural sources, such as plants, and are formulated to be chemically identical to the hormones produced by the human body.
One of the main differences between HRT and BHRT is that HRT is FDA-approved, while BHRT is not. This means that HRT has undergone clinical trials and has been found to be safe and effective for its intended use, while BHRT has not undergone the same level of testing.
Another difference between HRT and BHRT is that HRT is typically prescribed in a "one-size-fits-all" dosage, while BHRT is often customized to the individual patient's needs based on their hormone levels and symptoms. This means that HRT may not be as effective for some women as BHRT, which is tailored to their specific hormone levels and symptoms.
When women, and even health experts, google ‘hormone therapy’ they will still see the antiquated results of the Women’s Health Initiative (WHI) study. The WHI was a unique effort to look at women’s health as they age, however, the misinformed results of the WHI from 2002 (started in the 1990s) stated that hormone users may have a slightly elevated risk of breast cancer, heart disease, stroke, and blood clots. The research was wrong.
Though the WHI study results have been corrected (and reversed), many women and their clinicians concluded that they had to stop using hormone therapy.
Sadly, most of those women’s hot flashes, insomnia, night sweats, weight gain, bone loss, anxiety, and other menopausal symptoms returned with a vengeance. Additionally, the inaccurate WHI conclusions scared two generations of women away from using safe, effective, and regulated medications to prevent suffering and long-term health issues. They are suffering unnecessarily.
Hormone therapy is still considered the most effective treatment for symptoms of menopause, but women are still frightened off and not rushing to try hormone replacement therapy (HRT).
Let’s explore why Bioidentical Hormone Therapy Right for You?
Bioidentical hormone therapy isn’t just for menopausal women; it benefits both men and women experiencing hormone imbalances at various life stages.
Symptoms like low energy, mood swings, and decreased libido can often be signs of hormonal disruptions.
Personalization of Treatment
BHRT is all about you and your unique needs. Your medical expert carefully assesses your
hormone levels, tailoring your treatment plan to address your specific hormone imbalances. This personalized approach ensures more effective results by addressing the root causes of your symptoms.
Potentially Reduced Risk of Certain Side Effects
BHRT’s use of bioidentical hormones can translate to a reduced risk of certain side effects for some individuals when compared to synthetic HRT. These bioidentical hormones closely mimic your body’s own, potentially leading to a smoother and gentler experience.
Natural Metabolism and Elimination by the Body
BHRT hormones are processed and eliminated from your body in the same way as your natural hormones. This natural metabolic process promotes a more harmonious hormonal balance, allowing your body to maintain its equilibrium naturally.
Broader Range of Hormones Available
BHRT offers a wider array of hormones, allowing for a more comprehensive approach to
hormonal health. Your healthcare provider can select from various bioidentical hormones to precisely target your specific needs. This expanded toolkit ensures a more thorough and tailored approach to your well-being.
Improved Symptom Control for Some Individuals
Many individuals find that BHRT provides superior symptom relief, particularly for conditions like menopause and andropause. BHRT may offer enhanced control over bothersome symptoms, helping you regain your vitality.
Clinical Indications of Both Synthetic HRT and BHRT
Now, let’s dive into the practical applications of both Synthetic Hormone Replacement Therapy
(HRT) and Bioidentical Hormone Replacement Therapy (BHRT):
Menopause and Perimenopause
HRT and BHRT offer relief from the challenging symptoms commonly associated with menopause and perimenopause. These symptoms include hot flashes, night sweats, mood swings, and disruptions in sleep patterns. They can be especially bothersome, but both therapies provide effective solutions to ease these discomforts.
Male Andropause
For men experiencing andropause, a condition marked by a decline in testosterone levels, both HRT and BHRT can be beneficial. These therapies can help alleviate symptoms like fatigue, low libido, and mood changes, enabling a smoother transition through this phase of life.
Adrenal Fatigue and Thyroid Disorders
Hormonal imbalances related to adrenal fatigue and thyroid disorders can be addressed effectively with either HRT or BHRT. These imbalances may lead to symptoms such as fatigue, weight fluctuations, and mood disturbances. Both therapies can help restore hormonal equilibrium, promoting better overall well-being.
Other Hormonal Imbalances
Beyond the more common hormonal challenges, both HRT and BHRT have a place in managing various other hormonal imbalances. Conditions like Polycystic Ovary Syndrome (PCOS), hormone-related migraines, and even fertility issues may benefit from these treatments. The flexibility of these therapies allows for tailored approaches to address specific needs.
Hormone Sources
Synthetic hormones in HRT: Traditional HRT relies on synthetic hormones that are created in a laboratory setting. These synthetic hormones resemble the ones your body produces, but there are slight differences. For instance, they are crafted to be similar enough to alleviate symptoms but not identical in structure.
Natural hormones in BHRT: BHRT takes a different approach. It sources its hormones from natural substances like soybeans and yams. What sets BHRT apart is that the hormones it uses are nearly identical to the hormones your body naturally produces. That’s why they’re referred to as “bioidentical.” They have the same molecular structure as your body’s hormones, making them an exceptionally close match.
Hormone Composition: Comparison of hormone structure The hormones used in BHRT closely mimic the structure of the ones naturally found in your body. This structural similarity is why they’re referred to as “bioidentical.” It’s akin to having a perfectly matched puzzle piece.
Bio-identical nature of BHRT: BHRT hormones are not just similar; they are nearly identical to the ones your body produces. This remarkable resemblance allows them to seamlessly integrate into your body’s natural processes, ensuring a smooth interaction.
Analyzing the Benefits
Bioidentical Hormones: Personalized Treatment: One of the most touted benefits of bioidentical hormones is the ability to customize treatment for each individual. At Envoque MD, we personally tailor our treatments to our clients and prescribe doses that precisely match an individual’s needs.
Fewer Side Effects: Due to their identical nature to our body’s hormones, bioidentical treatments tend to have fewer side effects. Their natural fit with our body’s receptors often translates to a smoother physiological integration.
Broad Range of Delivery: Bioidentical hormones can be administered through various means – pills, patches, creams, gels, and even injections.
Synthetic Hormones: Tried and Tested: Having been in the market for a longer time, synthetic hormones have undergone extensive research and testing. Their effects, both positive and adverse, are well-documented.
Cost-Effective: Synthetic hormones, being mass-produced, are often available at a lower price point compared to their bioidentical counterparts.
Standardization: Due to their consistent formulation, it’s easier for medical practitioners to predict their effects and interactions with other drugs.
Common FAQs About Bioidentical Hormone Testing and Therapy
When should I consider bioidentical hormone therapy?
In general, your body’s natural hormones begin to decline after your mid-20s and hormone imbalance symptoms are frequently present by your mid-30s. Men and women often start replacing hormones between the age of 35 and 40. If you are experiencing symptoms of hormone imbalance, it is best not to wait.
Are bioidentical hormones approved and regulated by the FDA?
Many people are under the misconception that bioidentical hormones are not FDA-approved. This is simply not the case. The hormones derived from plant sources, such as soy and yams, which are approved by the FDA, however the methods of delivery and custom doses are not. Bioidentical hormones may be delivered in the form of creams, patches, pills, gels, pellets of vaginal rings. Bioidentical hormones are designed in a lab and shipped to a compounding pharmacy where they are custom designed to fit the needs of each patient. Synthetic hormones are created in specific, patented doses and delivery methods (not customized), therefore regulation is possible.
What are bioidentical hormones?
Bioidentical hormones are an exact replica of the hormones that are naturally produced by the body. The difference between bioidentical hormones and synthetic hormones is that, although both are created in labs, synthetic hormones are not identical to the hormones naturally created in your body and bioidentical hormones match your body’s hormones molecule by molecule. Depending on what your symptoms are and which hormone(s) your body needs, your BodyLogicMD affiliated physician may choose to prescribe bioidentical hormones such as estrogen, progesterone, testosterone, thyroid hormones, DHEA, melatonin or others as needed.
Who needs bioidentical hormone replacement therapy (BHRT)?
The only way to know if you need bioidentical hormone replacement therapy is through specific laboratory testing. There are specific lab panels available to determine if your hormones are imbalanced. Signs and symptoms of imbalance may include, but are not limited to fatigue, depression, hair loss, weight gain, muscle atrophy, low energy levels, insomnia, mood swings, hot flashes, night sweats, and anxiety. In many cases, hormone imbalances can occur with expected changes in the lifespan, such as menopause and andropause. Following lab testing, a trained physician will review your results to determine if BHRT is necessary for you. In some cases, BHRT may not be necessary; however lifestyle and environmental factors may change this need over time, so routine testing, along with a preventive health lifestyle is recommended to keep hormones balanced and maintain optimal health.
My sex drive is low, could it be my hormones?
Yes, estrogen and testosterone work in a perfect balance to fuel your sex drive. Too much or too little of either these hormones can cause a decrease in sex drive or cause performance issues. In some cases, increased levels of cortisol, classically secreted due to chronic stress, can negatively impact the sex hormones and impair your libido.
How long until I see results using bioidentical hormones?
Most patients begin feeling better within a few months of beginning the program, but some results may take a bit longer to achieve. You may begin to feel a difference within a matter of weeks, especially when it comes to sleep patterns and energy levels. Every patient has a different experience, but the end result is the same – a healthier, balanced life. Changes like these take time to evolve. Remember, it took some time for you to lose balance of your hormones, so it will take your body some time to recover. Consistency and compliance every step of the way will improve your results.
Why do men need testosterone replacement?
As men age, production of the hormone testosterone begins to decline and they experience symptoms of low testosterone. Testosterone is the hormone that is responsible for maintaining mental focus, energy, metabolism, muscle mass, fat levels, and sex drive. By balancing a man’s hormones with bioidentical hormone therapy, men can restore their vitality and reduce the symptoms of andropause.
Why do women need hormones before, during and after menopause?
Hormones affect a multitude of pathways in the body. Women may experience fluctuations in their hormone levels throughout the lifespan. Imbalances can occur due lifestyle and environmental factors, as well as expected changes, such as pregnancy, perimenopause, menopause and post-menopause. Imbalances of hormones, including estrogen, progesterone and testosterone can lead to many uncomfortable experiences, like night sweats, hot flashes, mood swings, depression and anxiety. The most common decline seen in menopausal and post-menopausal women is estrogen. When estrogen levels become unbalanced, women may experience symptoms such as low libido and bone loss. The bone loss that women experience due to declining estrogen levels can lead to osteoporosis and increase the likelihood of bone fractures. Adjustments to a woman’s hormone levels through BHRT and lifestyle changes can reduce or eliminate these discomforts and improve overall health and well-being.
Why don’t traditional doctors prescribe bioidentical hormones?
Traditional doctors do not usually have the time or the resources to seek expertise in bioidentical hormones.
What are the ingredients of bioidentical hormones?
Bioidentical hormones are hormones derived from plants, such as soy or wild yams, and are designed to be structurally identical to the hormones produced naturally inside the human body. Additional ingredients in each prescription vary by hormone – testosterone, estrogen, progesterone, etc. and form- creams, gels, pellets, pills, etc. Your pharmacy may be able to provide with an ingredient list for your specific medication
Do I need a prescription for bioidentical hormone therapy?
Yes. Bioidentical hormones are compounded prescription drugs that are produced in a specialized pharmacy. Each prescription is hand made from the highest quality ingredients and made by pharmacists that specialize in formulating drugs. Since every patient is unique, the strength or the dosage form needs to be specially made to fit the individual.
Will my weight change from bioidentical hormone therapy?
Hormones are like stop-lights. When they are balanced the light is green and you will get the optimum results from your nutrition and fitness programs. When they are imbalanced the light is red making it, in many cases, difficult to lose and easy to gain weight. Hormones are chemical messengers that cause the body to make changes affecting weight gain or weight loss. Changes in hormone levels are also dependant on the lifestyle we lead and can affect our mood, metabolism, and energy levels. For example, when males become less active there is often a gradual decline in testosterone. This hormone is known to boost metabolism and has the benefit of helping lower fat levels. Thus, when testosterone is balanced a man’s ideal weight is easier to achieve.
