Hormone Replacement Therapy for Women and Men in Southlake, TX
Bioidentical hormone replacement therapy in Southlake, TX. Your dose comes from your own blood work, not a standard starting point.
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Four ways to replace what is low
Women's, Men's, Bioidentical, and Pellet Therapy. Which one you start on comes out of your lab panel, and it can run alongside your Peptide Therapy or Medical Weight Loss plan.
Women's HRT
Estrogen and progesterone therapy for perimenopause and menopause symptoms such as hot flashes, mood changes, and low energy.
Men's HRT
Testosterone therapy for men with low energy, reduced muscle mass, or low libido.
Bioidentical HRT
Hormone therapy using molecules structurally identical to the ones your body produces, available as pellets, creams, patches, or pills.
Hormone Pellet Therapy
Custom-compounded pellets placed under the skin that release a steady hormone dose over three to six months.
Symptoms of a hormone imbalance
These are the six people most often arrive with. Every one of them has causes other than hormones, which is why they may benefit from HRT only after a medical evaluation and a hormone panel.
Ways hormone replacement therapy is delivered
The hormone is the same decision; the route is a separate one. It is chosen against your levels and against how much day-to-day management you want, from pellet therapy at one end to a daily cream at the other.
What your first months on HRT look like
Symptoms and history
Dr. Mikki goes through what you are experiencing and your medical history, including the conditions and medications that change what is appropriate for you.
A blood panel
Labs show which hormones are low and by how much. Nothing is prescribed off the symptom list alone.
Your dose and delivery method
The starting dose comes out of those numbers, and the route — pellets, injections, creams, patches, or pills — is matched to your levels and to how you want to manage it.
Follow-up labs and adjustment
Levels are rechecked and the dose is changed when your labs or your symptoms move. Most people start noticing improvements in energy and mood within a few weeks, with full effects typically developing over several months. Individual results vary.
How your dose gets decided
Hormone replacement therapy tops up the hormones your body has stopped making enough of. A blood panel comes first and shows which ones are low and by how much. Your starting dose is set from those numbers, then re-checked against follow-up labs and how you feel, and changed when either one moves. An online hormone clinic sets a dose from a questionnaire and leaves it there.
| Feature | Medrein | Online Hormone Clinic |
|---|---|---|
| Blood labs read before any dose is set | Included | Varies |
| Dose changed as your levels and symptoms move | Included | Not included |
| Follow-up labs built into the plan | Included | Varies |
| Suitability checked before treatment is scheduled | Included | Varies |
Who hormone replacement therapy is for
Dr. Mikki confirms candidacy against your symptoms, your labs, and your history, and will say when something else fits better — peptide therapy where the goal is recovery or sleep, or medical weight loss where the goal is weight itself.
A good fit
- You have symptoms of a hormone imbalance and want them evaluated rather than guessed at.
- You are in perimenopause or menopause and want to look at estrogen and progesterone options.
- You are a man with low energy, reduced muscle mass, or low libido.
- You want a plan matched to your own numbers. Bioidentical hormones and personalized plans are built around your specific hormone levels and health goals.
- You want your weight or metabolic plan managed alongside it. HRT can support weight management by improving metabolism, reducing fat accumulation, and increasing muscle mass, and it works best alongside a healthy lifestyle.
Not the right step yet
- You want a prescription without labs. A dose here comes out of your blood work, not out of a symptom questionnaire.
- Your risks have not been reviewed. HRT is generally considered safe when monitored by a provider, and the individual risks and benefits depend on your medical history and health conditions.
- You want a fixed timeline. Improvements are typically noticed over weeks to months, and individual results vary.
- You would rather not re-test. Follow-up labs are part of the plan, because the dose moves when the numbers move.
What to raise at your consultation
Bring your medical history and the conditions and medications you are already managing. HRT is generally considered safe when monitored by a healthcare provider, and the individual risks and benefits are weighed against exactly those things. Individual results vary.
What HRT patients say
These reflect common patient sentiment rather than verbatim quotes, and individual results vary.
I had done an online testosterone program before and nobody ever looked at my blood work. Here, Dr. Mikki went through my results with me, explained what pellet therapy actually involves, and re-tested before she changed the dose. Results may vary, but I understood every step of mine.
My dose moved when my labs moved, not when a subscription renewed.
Frequently asked questions
What is Hormone Replacement Therapy (HRT)?
HRT supplements hormones your body now produces at lower levels than it once did, usually estrogen and progesterone in women or testosterone in men. It treats the symptoms tied to that decline, such as low energy, mood changes, and reduced libido.
What's the difference between Bioidentical HRT and traditional hormone therapy?
Bioidentical HRT uses hormone molecules structurally identical to the ones your body produces. Other hormone medications can use synthetic or animal-derived compounds instead.
How does Hormone Pellet Therapy work?
Custom-compounded pellets are placed under the skin, usually in the hip, and release a steady dose over three to six months before a repeat insertion. It is one of several delivery options here, alongside pills, patches, and creams.
Am I a candidate for HRT?
That depends on your symptoms, your hormone-level lab results, and your medical history. Dr. Mikki reviews all three and confirms candidacy before treatment is scheduled.
Is Hormone Replacement Therapy safe?
HRT carries risks and benefits that vary by individual, medical history, and hormone type. Dr. Mikki goes through your specific risk factors at consultation and rechecks your labs as treatment continues.
How does HRT coordinate with Peptide Therapy or Medical Weight Loss?
Dr. Mikki manages all three, so your hormone plan can be built alongside a peptide or weight-loss protocol. Ask about a combined plan at your consultation.
What are the different types of HRT?
HRT can be given as pills, creams, patches, injections, or hormone pellets. Which route suits you depends on your levels, your history, and how you want to manage it day to day.
How long does it take to see results from HRT?
Most people start noticing improvements in energy, mood, and other symptoms within a few weeks, with full effects typically developing over several months. Individual results vary.
Does HRT help with weight loss?
HRT can support weight management by improving metabolism, reducing fat accumulation, and increasing muscle mass, but it works best alongside a healthy lifestyle. Dr. Mikki can run it with a medical weight-loss plan when that is the better route.
Start with a blood panel
Dr. Mikki reads your hormone levels alongside your history, then tells you which track fits and what to expect from it.
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