Hormones regulate every system in the body — energy, mood, metabolism, sleep, cognition, sexual function, bone density, cardiovascular health, and immune response. When they decline or fall out of balance, the consequences are felt everywhere simultaneously. Dr. Katherine Ortiz at DNA Wellness and Longevity Institute in Bonita Springs offers comprehensive bioidentical hormone therapy for both men and women — beginning with advanced testing to identify precisely what is off, and building a personalized protocol around what your biology actually shows.
Why patients choose us
All hormone protocols ordered and monitored by Dr. Katherine Ortiz, PA-C, Ph.D.
Every protocol built from your complete hormone and metabolic panel not a standard dose
Serving Bonita Springs, Naples, Estero & Fort Myers

Understanding BHRT
Bioidentical hormones are compounds that are chemically identical — at the molecular level — to the hormones your body naturally produces. The primary bioidentical hormones used in clinical practice are 17β-estradiol (the same estrogen your ovaries make), natural micronized progesterone (the same molecule, not a synthetic analog), and testosterone. Because they share the same molecular structure as your own hormones, they bind to the same receptors, undergo the same metabolic processing, and are eliminated through the same pathways — producing effects that more closely mirror your body's natural hormonal activity than synthetic hormone analogs.
This is a clinically meaningful distinction from conventional hormone replacement therapy as it was practiced for decades and studied in the 2002 Women's Health Initiative — which used conjugated equine estrogen (CEE, derived from pregnant mare's urine) and medroxyprogesterone acetate (MPA), a synthetic progestin with a different receptor profile and metabolic behavior than natural progesterone. The increased breast cancer and cardiovascular risk identified in the WHI was specific to that synthetic combination in older postmenopausal women — not to bioidentical estradiol or natural progesterone in perimenopausal women initiating therapy in the appropriate therapeutic window. The research community has substantially clarified this distinction in the years since 2002, and in 2025, the FDA took the landmark step of requesting removal of cardiovascular disease, breast cancer, and probable dementia language from the menopausal hormone therapy boxed warning.
At DNA Wellness, Dr. Ortiz prescribes bioidentical hormones exclusively. Every protocol begins with a comprehensive hormone panel — not a single number but the full metabolic picture: total and free sex hormones, binding proteins, thyroid, adrenal markers, and metabolic context. The treatment plan that follows is built from those results, not from a standard starting dose applied to every patient of a similar age.
Explore Your Option
Comprehensive bioidentical hormone therapy for women navigating perimenopause, menopause, and hormonal imbalance — addressing hot flashes, sleep disruption, mood instability, cognitive changes, low libido, vaginal health, and the long-term health dimensions of estrogen and testosterone deficiency. Dr. Ortiz uses estradiol, progesterone, and testosterone in combination based on your specific lab results and symptom pattern.
Physician-supervised testosterone replacement therapy for men with confirmed hypogonadism — addressing fatigue, reduced muscle mass, declining libido, mood instability, body composition changes, and the cardiovascular and metabolic consequences of untreated low T. Available as injections, topical gels, or pellets, based on your clinical picture and lifestyle. The 2023 TRAVERSE trial definitively established TRT's cardiovascular safety in appropriately selected patients.
Custom-compounded subcutaneous pellets — approximately the size of a grain of rice — inserted in the hip or buttock to deliver consistent, continuous hormone levels over 3–6 months. Pellets eliminate the peak-and-trough fluctuations of injections and the daily compliance burden of gels, providing the most pharmacokinetically consistent hormone delivery available for both men and women.
Every hormone protocol at DNA Wellness begins with objective data. Beyond standard blood panels, Dr. Ortiz uses DUTCH Complete hormone testing (mapping estrogen metabolism pathways, cortisol rhythm, and hormone metabolites), genetic panels (MTHFR, APOE, pharmacogenomics), and intracellular micronutrient testing to build protocols grounded in your specific biology.
Your Journey
Step 01 — Comprehensive Hormone Panel & Consultation Your first appointment includes a full hormone evaluation — estradiol, total and free testosterone, progesterone, SHBG, DHEA-S, TSH, free T3/T4, cortisol, IGF-1, LH, FSH, fasting insulin, and metabolic panel. Dr. Ortiz reviews your results in clinical context — not just whether you are in the reference range, but whether your levels are consistent with optimal function for your age, symptoms, and health goals. This conversation is the foundation of everything that follows: it determines which hormones to address, in what form, at what dose, and through which delivery method.
Step 02 — Personalized Protocol & Initiation Based on your lab results and consultation, Dr. Ortiz prescribes a customized hormone protocol — which may include transdermal estradiol (patches, gels, creams), oral micronized progesterone, compounded testosterone cream, pellet therapy, or injectable testosterone depending on your clinical picture and preference. She explains the rationale for each choice, what to expect during the initiation period, and how to interpret what you feel in the first weeks. Most patients begin to notice improvements in their most acute symptoms within 2–4 weeks.
Step 03 — Monitoring, Adjustment & Long-Term Care Follow-up labs at 4–6 weeks confirm therapeutic levels and allow Dr. Ortiz to refine the protocol. Annual comprehensive panels and clinical reviews are standard. Hormone therapy at DNA Wellness is a long-term partnership — not a short course — and Dr. Ortiz's approach is to find the minimum effective dose that produces optimal symptom relief and health protection, adjusted as your biology and life circumstances evolve.
Questions Answered
Q1: What is the difference between bioidentical hormones and conventional HRT? Bioidentical hormones are chemically identical to those your body produces — 17β-estradiol, natural progesterone, and testosterone. Conventional HRT used in the 2002 WHI study used conjugated equine estrogen and medroxyprogesterone acetate — synthetic compounds with different receptor profiles and metabolic behavior. The risks observed in the WHI were specific to those synthetic compounds in older women. Bioidentical estradiol and natural micronized progesterone have a more favorable safety and efficacy profile, particularly when initiated close to menopause. Dr. Ortiz prescribes bioidentical hormones exclusively.
Q2: Is hormone therapy safe? I've heard conflicting things. The conflicting information reflects genuine scientific evolution. The 2002 WHI produced fear that was subsequently found to be overapplied — to synthetic hormones, in older women, at delayed initiation. The current evidence supports that bioidentical hormone therapy, initiated within the appropriate therapeutic window and monitored by a physician, has a benefit-risk profile that is favorable for appropriately selected patients. In 2025, the FDA formally requested removal of cardiovascular disease, breast cancer, and probable dementia language from the MHT boxed warning — a landmark regulatory shift reflecting the updated evidence. Dr. Ortiz discusses your individual risk profile at every consultation.
Q3: I'm a man — do you offer hormone therapy for men as well? Yes. DNA Wellness offers comprehensive testosterone optimization for men with confirmed hypogonadism — available as injections, topical gels, or subcutaneous pellets. Testosterone deficiency in men produces fatigue, reduced muscle mass, mood instability, cognitive changes, and increased cardiovascular risk that are as clinically significant as estrogen deficiency in women — and as treatable. The 2023 TRAVERSE trial definitively established the cardiovascular safety of TRT in appropriately selected men. See the dedicated Testosterone for Men page for full detail.
Q4: How is hormone therapy at DNA Wellness different from getting a prescription from my GP? General practitioners typically use one-size-fits-all dosing, measure only total testosterone or basic estradiol levels, and have limited time for the nuanced conversation that hormone optimization requires. Dr. Ortiz orders a comprehensive panel — total and free hormones, binding proteins, thyroid, adrenal markers, metabolic context — evaluates results against functional optimization targets rather than just population reference ranges, uses bioidentical hormones rather than synthetic formulations, and maintains an ongoing monitoring relationship that adjusts your protocol as your biology responds. The difference is between a managed, titrated optimization protocol and a standard prescription.
Q5: Is bioidentical hormone therapy available in Bonita Springs and Southwest Florida? Yes. DNA Wellness and Longevity Institute, located at 26800 S Tamiami Trail, Suite 380 in Bonita Springs, offers comprehensive bioidentical hormone therapy for both men and women under the direct supervision of Dr. Katherine Ortiz. The clinic serves patients throughout Bonita Springs, Naples, Estero, Fort Myers, and surrounding Southwest Florida communities. Call (239) 250-7930 to schedule your hormone consultation.
Dr. Katherine Ortiz is the founder of DNA Wellness and Longevity Institute in Bonita Springs, FL. She is a board-certified Physician Associate and holds a Ph.D. in Integrative Medicine from Quantum University, with fellowship training through the American Academy of Anti-Aging Medicine (A4M) and the University of South Florida in functional and regenerative medicine.
Her practice is built on a foundational belief: that the body has an extraordinary capacity to heal and self-regulate when given the right support. Dr. Ortiz investigates root causes — hormonal imbalances, nutritional deficiencies, genetic factors — and builds individualized protocols designed to restore function and optimize long-term health.
Every protocol at DNA Wellness is ordered, reviewed, and monitored directly by Dr. Ortiz.