True rejuvenation starts at the cellular level by restoring the hormones your body needs to thrive. At Rise, our HRT protocols are precision-tailored to your unique labs, helping you reclaim the energy and vitality of your prime.
Hormonal shifts are an inevitable part of aging, but the symptoms don’t have to be. The menopausal transition is a phase marked by fluctuating female hormones, such as oestrogen and progesterone, which can lead to symptoms that HRT is designed to address.
At Rise, we specialize in Bioidentical Hormone Replacement Therapy (BHRT) to address the root cause of fatigue, weight gain, and diminished libido. Menopausal women are a primary group who benefit from hormone optimization, as restoring balance to female hormones can significantly improve quality of life during and after menopause. By combining our 30 years of medical experience with advanced laboratory testing, we provide a sophisticated alternative to “one-size-fits-all” aging, ensuring your hormones are balanced with clinical precision.
Improved energy, mental clarity, libido, and metabolic function.
Consultations take 30–45 minutes; treatment is ongoing.
Zero downtime for most delivery methods (creams, injections, or pellets).
Patients often report improved sleep and mood within 2–4 weeks.
Hormonal imbalances can affect everything—energy levels, weight, sleep, libido, mood, and even skin health. Our expert providers use lab-driven data to create personalized hormone therapy plans tailored to your specific needs. Unlike synthetic versions, bioidentical hormones are molecularly identical to the ones your body naturally produces, offering a safer and more effective way to resolve imbalances caused by menopause, andropause, or high-stress lifestyles. Bioidentical hormone therapy uses these identical hormones, but it’s important to note that their safety and efficacy are still under investigation.
Whether you're navigating perimenopause, postpartum recovery, thyroid dysfunction, or general fatigue, we offer gentle, effective solutions to help you feel like yourself again. Estrogen replacement therapy is available in various forms, including pills, patches, and vaginal rings, allowing for individualized treatment options.
In this appointment, we will review your health history, medications, supplements/vitamins, and how you are feeling. We will look at all symptoms and treatments related to your health. After discussing your health, we will work together to determine whether you are a suitable candidate for bioidentical hormone replacement.
We offer both bioidentical hormone replacement therapy (BHRT) and targeted support for both men & women in all stages of life.
Your journey begins with a comprehensive blood panel to map your current hormonal landscape. Once your labs are analyzed, Traci or Lauren will sit down with you to discuss your symptoms and goals. Together, we select the delivery method that fits your lifestyle—ranging from topical creams and self-administered injections to long-lasting pellets—ensuring your levels stay within the "optimal" range rather than just the "normal" range.
In addition to bioidentical options, we also offer systemic HRT and conventional HRT, which include systemic estrogen. These therapies are available in various forms, such as oral, transdermal, and vaginal routes, to address menopausal symptoms and long-term health.
Estrogen therapy involves taking only estrogen, while combination therapy includes both estrogen and progesterone. Combination therapy is typically recommended for women who still have a uterus to reduce the risk of uterine cancer associated with estrogen-only therapy. Progestins are added to estrogen regimens unless the uterus has been removed, in order to avoid the increased risk of endometrial cancer.
We utilize HRT to treat a wide array of symptoms associated with hormonal decline, including:
HRT may also have broader health impacts, including potential effects on colorectal cancer and coronary heart disease risk.
While HRT is a systemic treatment that benefits the entire body, these benefits are achieved through systemic therapy, including systemic HRT and systemic estrogen, which specifically optimize the endocrine system to improve brain function, heart health, bone density, and metabolic rate.
The benefits of reaching hormonal optimization are life-changing.
HRT is ideal for men and women experiencing the symptoms of perimenopause, menopause, or low testosterone (Low T). Women experiencing early menopause may particularly benefit from HRT, as it can help manage symptoms and reduce long-term health risks. If you feel like you’ve “lost your edge” or are struggling with persistent fatigue despite a healthy lifestyle, you are likely a candidate.
You can usually begin HRT as soon as you start experiencing menopausal symptoms. The decision to start HRT should involve a discussion with your healthcare provider to assess your symptoms and determine the best approach. We perform a rigorous medical screening to ensure HRT is the safest and most appropriate option for your health history.
Hormone replacement therapy is not suitable for everyone. Women with a history of breast cancer, invasive breast cancer, ovarian cancer, endometrial cancer, or uterine cancer should avoid HRT, as it may increase the risk of cancer recurrence.
HRT is also contraindicated for individuals who have experienced blood clots, such as deep vein thrombosis or pulmonary embolism, or who have a history of stroke or cardiovascular disease.
Those with liver disease or uncontrolled high blood pressure should exercise caution, as hormone therapy can exacerbate these conditions. If you have any of these health risks or a personal or family history of these conditions, it is crucial to consult with your healthcare provider to determine whether HRT is a safe option for you.
There is no "recovery" period for HRT, but consistency is key. We monitor your progress through follow-up blood work and symptom check-ins to fine-tune your dosage. For those choosing pellet therapy, minor aftercare includes keeping the small insertion site clean and dry for 3–5 days.
Ongoing monitoring is vital to safely taking HRT and achieving the best results. Regular check-ups with your healthcare provider allow for assessment of how well hormone therapy is managing your symptoms and help detect any potential side effects early.
Women on HRT should have annual breast exams, mammograms, and pelvic exams to monitor for changes such as breast tenderness, vaginal bleeding, or new hot flashes. Blood tests may be recommended to check liver function, blood clotting, and cholesterol levels. It’s important to promptly report any new or unusual symptoms to your provider.
Hormonal optimization is a journey, not an overnight fix. While some patients experience increased energy and improved sleep within the first 14 days, the most significant changes, such as body composition shifts and stabilized mood, typically manifest between 3 and 6 months of consistent therapy. These results are sustainable as long as the treatment protocol is maintained.
Hormone management requires a deep understanding of internal medicine and aesthetic wellness. With 30 years of combined experience, our providers don't just look at numbers on a page; we listen to how you feel. Our Rise Standard ensures that your HRT protocol is integrated into a broader wellness vision, potentially paired with NAD+ Therapy or Medical Weight Loss for total life optimization.
Some prescription hormone replacement medications can be covered under insurance. Bio-identical hormones prescribed through a compounding pharmacy often are not.
Yes! This is a great appointment for men who are interested in hormone replacement therapy. Testosterone supplementation, testosterone therapy, and testosterone replacement are available for both men and women, and baseline testing and ongoing monitoring are recommended to ensure safety and effectiveness.
Yes, when monitored by experienced medical professionals. We use bioidentical hormones and regular blood monitoring to ensure your levels stay within safe, optimal parameters. Conjugated equine estrogen and combined HRT (using both estrogen and progestogen, either continuously or in cycles) are among the available options for hormone replacement therapy. It's important to find the correct HRT to help your symptoms, and a low dose of HRT hormones is usually prescribed to begin with to minimize risks while providing symptom relief.
While HRT is not a weight-loss drug, balancing hormones like testosterone and estrogen can improve insulin sensitivity and muscle mass, making weight loss much easier when combined with diet and exercise.
Many patients choose to stay on HRT indefinitely to maintain their quality of life, but the duration is entirely up to you and your health goals.
"Normal" levels are a wide range based on the average population (including those who feel unwell). "Optimal" levels are the specific ranges in which the human body functions at its peak performance.
Non-hormonal medications, including certain antidepressants and anti-seizure drugs, have been shown to relieve hot flashes and night sweats for some women.
To address vaginal dryness and painful intercourse, non-hormonal vaginal creams, lubricants, or rings can provide targeted relief. Some women explore bioidentical hormones or compounded hormones as alternative treatment options, but it’s important to note that their safety and efficacy are not as well established as conventional therapies.
Always consult with your healthcare provider to discuss the best options for managing menopausal symptoms and to ensure your chosen approach aligns with your health needs and goals.
