Hormone Therapy

Bioidentical hormone replacement therapy uses hormones that are molecularly identical to those produced by the human body — estradiol, progesterone, testosterone, DHEA, and others. AVAANDI MedSpa individualizes dosing using comprehensive lab work and symptom tracking, with options including creams, sublingual lozenges, pellets, and injections.

Symptoms that often signal a hormone imbalance include persistent fatigue, brain fog, low libido, sleep disruption, mood changes, weight resistance, and (in women) hot flashes or night sweats. AVAANDI starts every program with a comprehensive hormone panel — bloodwork settles whether HRT is appropriate for you. Self-symptom checking alone isn't diagnostic.

Most patients report noticeable improvements in energy, sleep, and mood within 4–8 weeks of starting an optimized dose. Full benefits — including libido, body composition, and cognitive clarity — typically settle in by 12 weeks. Pellet patients often feel a lift within 7–14 days of insertion.

Bioidentical hormone therapy, when prescribed and monitored by a qualified clinician, has a strong safety profile for symptomatic adults. AVAANDI does a full screening (labs, history, contraindication review) before starting any patient and re-checks labs at regular intervals. We don't prescribe HRT to anyone with active estrogen-sensitive cancer, active thromboembolism, or specific severe contraindications.

Most BHRT programs are paid out-of-pocket because individualized compounded hormones aren't reliably covered by commercial insurance. AVAANDI provides itemized receipts you can submit for HSA/FSA reimbursement. We also offer membership pricing — see /pricing for current rates.