Bio-identical Hormone Replacement Therapy (BHRT) is a part of functional medicine where we look to restore the naturally occurring hormones that decline with age or, depending on disease, has been genetically deficient as in polycystic ovarian syndrome (PCOS).  Bio identical hormones are natural hormones that are made by a special compounding pharmacy and they are made to be molecularly exact to what is made by your body.  These bio identical hormones are quite protective against many diseases. When you start to decline in them we see more illness such as cancer, diabetes, mood disturbances, weight gain, decreased sex drive, decreased muscle mass, increased blood pressure, increased cholesterol, decreased motivation, bone loss, chronic urinary tract infections, dementia and much, much more.

Mature couple cycling on the beach at sunset or sunrise.

DHEA (Dehydroepiandrosterone)

Offsets cortisol, the stress hormone, helps with anxiety and depression, helps with energy, insulin resistance, balances sugar fluctuations, transforms fat into lean body mass.  Boosts the immune system, works as an anti-oxidant, helps with bone health.  Can help with lupus and arthritis.


An anti-inflammatory, a potent free radical scavenger, helpful with the immune system and believed to be an inhibitor of tumor growth.  It is being used as a supplement to cancer therapy.  Puts you into REM sleep which is restorative sleep.  Sleep is of the utmost importance.  Without sleep you cannot achieve your best health.

Vitamin D3

Even with adequate sun exposure deficiency is very common.  Vitamin D is extremely important for anxiety, depression, bone health, obesity, diabetes, immune health and cancer protection. Monitoring levels is a must to make sure we do not get levels that are too high.


Women only.  Most of us need this replaced even in our 30’s.  It helps with anxiety, depression, contentment, stimulates new bone formation, sex drive, hot flashes, cholesterol, regulates periods, helps with PMS, headaches, and infertility.  Offsets estrogen thereby protecting you from uterine and breast cancer.  The oral form is far superior to progesterone creams.  Creams do not adequately protect your uterus or breasts like the pill does.  Women need this even if they do not have a uterus.


Women only.  This is replaced after menopause.  Protects against Alzheimer’s, osteoporosis, vaginal dryness, urogenital atrophy causing UTIs, helps with hot flashes, decreases risk for cardiovascular disease and stroke by protecting blood vessels of the heart, lowers cholesterol.  There are 3 types of estrogen.  Estradiol is the best form for protection and effect on tissues.  Oral administration (a pill) is the best for protection of all the above benefits.  However, there are a couple of reasons you may receive a cream, but this is a small subset of people. Estrone and Estriol are not effective forms of estrogen.  Estradiol is the best and it is what we were making in our younger years.

Testosterone for men and women

Improves sex drive, builds stronger muscles, bone health/formation, motivation, assertiveness, stamina, improved orgasms, erectile dysfunction, protects against heart disease, improves cholesterol, depression, is a potent anti-inflammatory, helps with degenerative joint pain, arthritis, improves insulin resistance, helps weight loss by transferring fat to lean muscle mass, and an overall sense of well-being and zest for life.  Testosterone DOES NOT cause prostate cancer.  In men we want testosterone to convert to estrogen, just like it does normally.  We DO NOT want to block that conversion with a medication called an aromatase inhibitor.  It is that conversion to estrogen that protect men from osteoporosis and Alzheimer’s disease.


Improves fatigue, energy level, brain fog, constipation, cholesterol, fertility, bone health, blood pressure, PMS, weight loss, dry skin, hair loss, improves cardiac function, feeling cold all the time, depression, immune health.


Pregnenolone is the “grandmother” of hormones like DHEA and progesterone.  It has been implicated in the improvement of cognitive health such as schizophrenia, giloma, bipolar depression disorder, rheumatoid arthritis and wrinkles.

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