Written by: Chaz Faulhaber
Published: September 12, 2025

What is BHRT?

Hormones play a vital role in regulating everything from energy levels and mood to metabolism and sexual health. However, as we age, hormonal imbalances can disrupt our well-being, leading to symptoms like fatigue, brain fog, and weight gain. Bioidentical Hormone Replacement Therapy (BHRT) offers a natural way to restore balance, helping you feel your best and supporting long-term health.
Learn more about BHRT
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What is BHRT? And how does it help with  aging?

Hormones play a vital role in regulating everything from energy levels and mood to metabolism and sexual health. However, as we age, hormonal imbalances can disrupt our well-being, leading to symptoms like fatigue, brain fog, and weight gain. Bioidentical Hormone Replacement Therapy (BHRT) offers a natural way to restore balance, helping you feel your best and supporting long-term health.

How Does BHRT Work?

As we age, our hormone levels decline, and the signals they send to your cells weaken. That’s when symptoms such as fatigue, brain fog, and weight gain start to appear.
BHRT restores these hormone levels using plant-derived compounds that are structurally identical to the ones your body naturally makes. 
Because the molecular structure is the same, the hormones can bind directly to your body’s receptors and activate normal cellular functions. This is why BHRT often feels more natural and effective compared to synthetic alternatives.
Treatment typically begins with lab testing to measure your current hormone levels. Based on these results, a provider develops a personalized plan and chooses the best delivery method, such as:

  • Creams
  • Oral capsules
  • Injections
  • Hormone pellets placed under the skin
     

Bioidentical Hormone Replacement Therapy (BHRT) can help alleviate a range of symptoms associated with hormone imbalances, particularly those linked to aging, menopause, and other hormonal disruptions. Here’s a breakdown of key symptoms that BHRT may address:
 

Symptoms of hormone imbalance in women include:

Increased body fat

Headaches

Low sexual desire

Excessive tiredness/low energy

Moodiness

Poor sleep

Joint pain

Symptoms of hormone imbalance in men include:

Erectile dysfunction

Fatigue

Poor sleep

Brain fog

Loss of muscle mass

Low sex drive

Increased weight gain around the waist

 

BHRT utilizes hormones such as estrogen, progesterone, and testosterone that are structurally identical to those found in the body. These hormones are often compounded into customized doses tailored to the specific needs of each patient. 

This tailored approach contrasts with synthetic hormone replacement, which uses hormones that differ slightly in structure and may lead to side effects or be less effective. In contrast, BHRT is an identical molecular structure to hormones produced by the body so the body knows exactly how to use them!
 

Key Benefits of BHRT over other hormone therapies

Fewer Side Effects
Because bioidentical hormones match the molecular structure of your natural hormones, the body recognizes and processes them more efficiently. This reduces the risk of side effects like bloating, mood swings, or headaches that are more common with synthetic hormones.
 

Improved Symptom Relief
BHRT can effectively treat symptoms associated with hormonal imbalances, such as hot flashes, fatigue, mood changes, and weight gain. Many patients report more consistent symptom relief compared to traditional therapies.
 

Personalized Treatment Plans
With BHRT, hormone levels are monitored closely, and dosages are adjusted as needed, ensuring the treatment is tailored to each patient. This individualized approach ensures optimal results, as no two bodies respond exactly the same way to hormone therapy.
 

Supports Long-Term Health
Beyond symptom relief, BHRT offers long-term health benefits. Research suggests it may reduce the risk of conditions like osteoporosis, heart disease, and cognitive decline by restoring optimal hormonal balance.
 

Natural Ingredients
The hormones used in BHRT are derived from plants, such as yams or soy, making them more attractive to those seeking natural alternatives to synthetic drugs.

How to Get Started With BHRT

Beginning BHRT is a straightforward process when guided by a qualified provider. Here’s what you can expect:
1. Initial Consultation
You’ll meet with a BHRT specialist to discuss your symptoms, health history, and overall goals. This step helps determine whether BHRT is the right approach for you.
2. Hormone Testing
A blood test, and sometimes saliva or urine testing, is performed to measure your current hormone levels. These results identify where imbalances or deficiencies exist.
3. Personalized Treatment Plan
Your provider reviews the test results and designs a treatment plan that specifies which hormones are needed, the appropriate dosage, and the best delivery method for your lifestyle.
4. Beginning Treatment
Treatment may be started through pellets, creams, oral capsules, or injections. Your provider will guide you on how and when to use them.
5. Ongoing Monitoring
Regular follow-up appointments and lab testing are scheduled to track progress. Adjustments are made as needed to keep hormone levels in a healthy range.

Getting started with BHRT is not a one-time fix but a tailored, ongoing process that adapts to your body’s needs.

Procedure for BHRT Pellet Therapy

The Procedure

When pellet therapy is selected, a quick in-office procedure will be performed:

A small area (usually near the hip) is numbed with local anesthetic.

Tiny hormone pellets are inserted under the skin via a small incision.

The incision is closed with a bandage—no stitches required!

The whole process typically takes 15-30 minutes.
 

Recovery & Follow-Up

For pellet therapy, minimal downtime is needed—many people return to normal activities the same day.

Mild soreness or bruising at the insertion site may occur for 1-2 days.

Regular follow-ups ensure your hormone levels are balanced, and dosages are adjusted as needed.
 

When Will You See Results?

Noticeable improvements in energy, mood, sleep, and libido can begin within 2-4 weeks, though full results may take up to 3 months.
 

A Better Path to Hormonal Wellness

Whether you're dealing with menopausal symptoms, adrenal fatigue, or low testosterone, BHRT provides a safer, more effective alternative to traditional hormone therapy. With fewer side effects, customized treatments, and long-term health benefits, BHRT empowers patients to take control of their health and wellness naturally and efficiently.

If you're ready to explore how BHRT can improve your well-being, click on the link below: