Frequently Asked Questions

Weight change and improved insulin sensitivity can influence cycles in some individuals. We track symptoms and labs and coordinate care if you’re also on hormone therapy or fertility treatments.

 Risk depends on the medication, dose, route, timing, and your personal history. Transdermal estradiol and appropriate dosing strategies may lower certain risks compared with some oral formulations. We screen thoroughly and monitor over time to keep you safe.

Hashimoto’s is an autoimmune condition in which antibodies target the thyroid, often causing fluctuations and eventual decline in function. We evaluate TSH, Free T4, Free T3, reverse T3, and antibodies, then individualize therapy and nutrient support to stabilize symptoms.

Most dose-related effects improve with adjustment or discontinuation. Pellets deliver steadily for months, so we start carefully and fine-tune each insertion. We also provide non-pellet options if you prefer medication that can be stopped more quickly.

Bioidentical hormones are chemically identical to what the body produces. When prescribed appropriately, with careful screening and regular lab monitoring, they can safely relieve symptoms. Suitability depends on your health history, dose, delivery method, and ongoing follow-up.

Pellets are tiny cylinders placed just under the skin during a brief office procedure. They release hormones steadily for months, which can minimize daily ups-and-downs seen with some creams or injections. We’ll review all options and choose what best fits your goals and safety profile.

The Women’s Health Initiative highlighted risks tied to specific formulations and populations. Current practice individualizes care: type of hormone (bioidentical vs. synthetic), route (transdermal vs. oral), dose, timing, and your risk factors all matter. We use the lowest effective dose with monitoring to balance relief and safety.

No. Therapeutic doses for women are modest and aim to support energy, mood, libido, and muscle preservation and not bodybuilding. You may notice improved strength and body composition, but significant “bulk” requires much higher, non-therapeutic dosing.

At medically appropriate doses, voice deepening is uncommon. A small increase in facial or body hair can occur in sensitive individuals or at higher doses. We start low, monitor closely, and adjust to minimize side effects.

Most people start feeling the effects of vitamin B12 injections within a few days, especially improvements in energy and mood. For others, it may take a couple of weeks, depending on how low their levels were and how their body responds.

Peptide therapy is usually safe when guided by a qualified healthcare provider. We’ll tailor the treatment to your needs and keep a close eye on your progress to make sure it’s both effective and safe for you.