Aesthetics services
Hormone replacement therapy.
Personalized BHRT for women navigating perimenopause and menopause, and men experiencing the effects of declining testosterone — built on diagnostic labs, not assumptions.
What it is
Hormones that match your body's own chemistry.
Bioidentical hormones are structurally identical to the hormones your body produces naturally. This distinguishes them from synthetic hormones used in conventional hormone replacement therapy, which have a different molecular structure. Because bioidentical hormones match your body's own chemistry, they interact with hormone receptors in the same way.
Hormone levels shift significantly with age — for women during perimenopause and menopause, and for men in a more gradual process sometimes called andropause. The resulting symptoms can be wide-ranging and disruptive. BHRT addresses these symptoms by restoring hormone levels to a physiologic range tailored to you as an individual.
At Millard Premier, every BHRT plan begins with a comprehensive lab panel. Your provider evaluates your hormone levels, thyroid function, metabolic markers, and other relevant values before recommending any treatment. Dosing is not standardized — it is calibrated to your labs and adjusted over time based on how you respond.
For women
Perimenopause, menopause, and beyond.
The hormonal changes of perimenopause and menopause — declining estrogen, progesterone, and testosterone — affect far more than hot flashes. Sleep, mood, cognition, libido, energy, and body composition are all influenced by these shifts. For many women, the cumulative effect is a meaningful reduction in quality of life that goes unaddressed or is dismissed as inevitable.
BHRT for women focuses on restoring balance to these hormonal systems with formulations and dosing matched to your lab values and symptoms. Treatment delivery options — including pellets, creams, and troches — give your provider flexibility to find the approach that works best for your body and lifestyle.
Symptoms we address
- Hot flashes and night sweats
- Sleep disruption and insomnia
- Mood changes, anxiety, and irritability
- Fatigue and low energy
- Brain fog and difficulty concentrating
- Decreased libido
- Vaginal dryness and discomfort
- Weight changes and metabolic shifts
- Joint aches and muscle loss
For men
Low testosterone and andropause.
Testosterone levels in men decline gradually beginning in the fourth decade of life. For some men, this decline is clinically significant — producing symptoms that affect energy, body composition, cognition, libido, and overall wellbeing. This is sometimes called andropause, though the decline is less abrupt than the hormonal shifts of female menopause.
Testosterone replacement therapy for men begins with a complete hormonal and metabolic lab panel to confirm low levels and rule out secondary causes. Your provider then builds a personalized plan using the delivery method best suited to your lifestyle — pellets, creams, troches, or injections — and monitors your response with regular follow-up labs.
Symptoms we address
- Persistent fatigue and low energy
- Decreased libido and sexual dysfunction
- Mood changes and irritability
- Loss of muscle mass and strength
- Increased body fat, especially abdomen
- Brain fog and reduced mental clarity
- Poor sleep quality
- Reduced motivation and drive
Delivery options.
Your provider selects the delivery method that fits your body, your labs, and your lifestyle. All options are available; the right one depends on your specific clinical picture.
Pellets
Women & menSubcutaneous pellets inserted under the skin, releasing hormones steadily over 3–6 months. Consistent levels without daily dosing.
Cream
Women & menTopical hormone cream applied daily to the skin. Absorption varies by individual; convenient for patients who prefer non-invasive delivery.
Troches
Women & menDissolvable lozenges absorbed sublingually or through the cheek. An alternative for patients who prefer oral delivery without systemic first-pass metabolism.
Injections
MenIntramuscular injections administered on a scheduled basis — typically weekly or biweekly. Often used for testosterone therapy in men for consistent, measurable dosing.
Ready to begin
Schedule your consultation.
Your consultation begins with a conversation and a complete lab panel. Candidacy and treatment plans are determined by your clinical picture — not a questionnaire.