What to Expect from Bioidentical Hormone Replacement Therapy

Understanding Bioidentical Hormone Replacement Therapy: What to Expect and How It Works

Feeling off but not sure why? If you’re dealing with mood swings, fatigue, weight gain, or trouble sleeping, a hormone imbalance could be the reason, especially during or after menopause. Bioidentical hormone replacement therapy (BHRT) is a popular and growing option for adults seeking relief from these symptoms. Unlike traditional hormone therapy, BHRT uses hormones that are chemically similar to those your body makes naturally.

But what should you expect from this treatment? Is bioidentical hormone replacement therapy safe? How long does it take to feel the effects? These are common questions, and knowing the answers can help you make an informed choice.

At Altius Performance Medicine, our licensed providers offer personalized support backed by lab testing and clinical evaluation. Whether through telehealth or in-person care, we focus on safe, evidence-based hormone therapy tailored to your needs, so you can feel like yourself again.

What Is Bioidentical Hormone Replacement Therapy?

Bioidentical hormone replacement therapy uses hormones that are chemically identical to those naturally produced by the body. These hormones, typically estrogen, progesterone, and testosterone, are derived from plant sources and designed to match the body’s endogenous hormones.

The primary goal of BHRT is to restore hormonal balance. This is particularly relevant for individuals going through menopause or experiencing hormone-related issues due to aging, thyroid conditions, or other chronic health concerns. BHRT can help regulate key functions such as metabolism, mood, sexual function, and sleep patterns.

FDA-Approved vs Compounded BHRT

Bioidentical hormones are available in two main forms: FDA-approved products and compounded medications.

• FDA-approved BHRT options are standardized and tested for safety and efficacy. These include patches, creams, and pills regulated by the U.S. Food and Drug Administration.
• Compounded BHRT is prepared by a licensed compounding pharmacy according to a provider’s prescription. These formulations are not FDA-approved, and their safety or efficacy has not been evaluated by the FDA.

Patients should work with a licensed provider to determine the safest and most appropriate form.

Why Consider BHRT?

Hormonal changes can significantly impact physical and emotional well-being. These changes are especially common during menopause, perimenopause, and age-related hormone decline, but they can also affect younger individuals and men. BHRT is designed to help rebalance hormone levels using compounds that closely match the hormones naturally produced by your body. This treatment is often chosen by those looking for a more personalized and physiological approach to hormone therapy.

Working with a licensed provider ensures your symptoms are properly evaluated, and therapy is guided by lab monitoring and clinical judgment. At Altius Performance Medicine, we offer tailored care that includes both in-person and telehealth options.

Common Symptoms of Hormone Imbalance

Recognizing the signs of a hormone imbalance is the first step toward finding relief. Many adults experience the following symptoms, which may be mild or disruptive to daily life:

• Fatigue: Persistent low energy, even after rest

• Hot flashes: Sudden waves of heat, often with sweating

• Night sweats: Excessive sweating during sleep that may disrupt rest

• Mood swings: Sudden changes in mood, irritability, or sadness

• Decreased libido: Reduced interest in sex or difficulty with sexual function

• Brain fog: Trouble focusing, forgetfulness, or mental fatigue

• Weight changes: Unexplained gain or difficulty losing weight, especially around the abdomen

These symptoms often arise during menopause or perimenopause, but hormone imbalance may also occur in men or younger women due to stress, medical conditions, or lifestyle factors. BHRT may be considered when symptoms begin to affect quality of life.

Benefits of Bioidentical Hormone Therapy

BHRT may offer several benefits when used under professional guidance. While individual results vary, potential improvements include:

• Improved sleep quality: Balanced hormone levels can support deeper, uninterrupted sleep

• Enhanced mood and mental clarity: Reduced anxiety, better focus, and emotional stability

• Increased energy levels: Many patients report feeling more alert and less tired

• Stabilized weight: Hormonal balance may support better metabolism and reduce fat retention

• Restored libido: A return of sexual desire and function is a common benefit

These benefits typically appear gradually and depend on multiple factors, including starting hormone levels, health history, and how closely a patient follows their personalized treatment plan. That’s why licensed provider oversight and lab monitoring are essential parts of BHRT care.

What to Expect After Starting BHRT

Before beginning BHRT, you will complete a comprehensive evaluation at Altius Performance Medicine. This includes a detailed review of your medical history, an assessment of current symptoms, and lab testing to measure your hormone levels. These steps allow your licensed provider to create a personalized treatment plan tailored to your specific needs.

Ongoing care is key to the success of BHRT. Treatment is monitored through regular check-ins, symptom tracking, and repeat lab testing. This helps ensure safe adjustments and optimal outcomes over time.

Timeline for Improvement

Every patient responds to BHRT at their own pace, but here is a general timeline of what you might expect:

• Weeks 1–3:
  Some individuals notice early improvements such as better sleep, reduced brain fog, or a slight lift in mood. These changes may be subtle but encouraging.

• Weeks 4–8:
  More noticeable benefits often emerge, including increased energy, improved mental clarity, and a reduction in hot flashes or night sweats. Emotional stability and reduced anxiety are also commonly reported.

• After 3 months:
  Patients may experience broader, more consistent improvements in libido, metabolism, and overall well-being. Stabilized weight, enhanced motivation, and improved sleep quality may also continue to build.

It’s important to understand that results are gradual. Your provider will use lab monitoring and your feedback to make dosage adjustments and ensure your therapy stays safe and effective.

Methods of Hormone Delivery

BHRT can be delivered in several ways, depending on the type of hormone, your body’s needs, and your personal preferences. Each method offers unique advantages and considerations. Your provider will recommend a method based on your hormone levels, health history, and lifestyle. Understanding your options can help you feel more informed and confident as you begin treatment.

• Topical creams or gels: Absorbed through the skin; suitable for estrogen or testosterone.

• Oral capsules: Easy to take, but may affect liver metabolism.

• Pellet implants: Inserted under the skin, offer steady hormone release over months.

• Patches: Convenient and consistent; often used for estrogen therapy.

The best method depends on the type of hormone being replaced, your health history, and your preferences. Licensed providers at Altius help choose the right delivery method for you.

Monitoring and Safety

Lab tests play a vital role in bioidentical hormone replacement therapy by helping providers track hormone levels, ensure the correct dosing, and monitor for any side effects. Typically, follow-up testing is conducted every 8 to 12 weeks during the initial stages of treatment. Once hormone levels stabilize and the therapy is well adjusted, these tests are performed less frequently to maintain ongoing safety and effectiveness.

Side Effects and Risks

While many tolerate BHRT well, side effects can occur. These may include bloating, mood changes, breast tenderness, and headaches. Rare but serious risks include blood clots and stroke. These risks vary depending on age, health status, and whether the therapy is FDA-approved or compounded.

Patients with a personal or family history of hormone-sensitive cancers, cardiovascular disease, or clotting disorders should consult closely with their provider before beginning treatment.

When to Contact a Provider

It is important to know when to reach out to your healthcare provider during bioidentical hormone replacement therapy. Monitoring your symptoms and any side effects closely helps ensure your treatment remains safe and effective. You should seek professional guidance if you:

• Have ongoing symptoms of hormone imbalance
• Experience new or worsening side effects during treatment
• Have questions about your current hormone therapy plan

BHRT should always be supervised by a licensed healthcare provider. At Altius, we offer support that is grounded in lab results, safety protocols, and individualized care.

BHRT via Telehealth

Altius Performance Medicine offers both in-person and telehealth consultations. This ensures that patients can access expert support no matter where they live. Our telehealth consultations are delivered synchronously via secure video or phone, enabling real-time interaction with your licensed provider. Here’s how our telehealth process works:

• Initial intake and lab orders can be handled remotely
• Medications are prescribed and shipped if appropriate
• Follow-ups and dose adjustments are done virtually

All services comply with clinical standards and are provided by licensed professionals.

Is Bioidentical Hormone Therapy Safe?

BHRT is considered safe for many individuals when it is properly monitored by a licensed provider. The safety of BHRT largely depends on several key factors.

First, selecting the correct dosage is critical. Too much or too little of a hormone can lead to unwanted side effects or ineffective treatment. Secondly, using FDA-approved formulations when available adds an extra layer of safety, as these products have undergone rigorous testing for quality and consistency.

Equally important is consistent lab testing and follow-up care. Regular monitoring allows providers to track hormone levels, assess the body’s response, and make necessary adjustments. This ensures the therapy remains effective and minimizes risks.

Licensed provider oversight is essential throughout the process. Self-prescribing or relying on unverified sources can significantly increase the chances of adverse effects. At Altius, we prioritize safety through personalized, evidence-based hormone therapy management.

Ready to Take the Next Step Toward Hormone Balance?

Bioidentical hormone replacement therapy can offer relief from hormone-related symptoms and improve quality of life. However, it’s not a one-size-fits-all solution. A thorough evaluation, consistent monitoring, and clinical supervision are necessary for safe and effective treatment.

At Altius Performance Medicine, we provide personalized BHRT plans supported by lab testing, specialized care, and flexible options, including telehealth.

If you’re wondering what to expect from BHRT or are ready to begin your journey to better health, schedule a consultation today.

Text Us: 737-256-7834
Phone: 737-256-7834
Fax: 737-256-7789
Email: amanda@altiusmedicalcenter.com