Bioidentical Hormone Replacement Therapy

Personalized hormone optimization designed to restore balance, improve how you feel and function, and support long-term health through every stage of life.

Row of glass medical ampoules with a single pale-blue dosage vial
What this involves

Bioidentical Hormone Replacement Therapy, in detail

Bioidentical hormones are structurally identical to the ones your body makes, and that is the least interesting thing about the therapy. What decides your result is sequence and judgment: confirming hormones are actually the driver before prescribing, dosing to your measured status rather than a standard protocol, then adjusting against your symptoms and repeat labs over months.

This is for you if you are in perimenopause or menopause with hot flashes, insomnia, mood change or vaginal dryness, or if you are a man or woman with fatigue, low libido, muscle loss and slower thinking that tracks with falling testosterone. Certain cancer, clotting and cardiovascular histories rule therapy out, and we review yours before anything is prescribed.

Assessment covers hormone testing plus full thyroid function, insulin resistance markers and nutrient status, so a thyroid or metabolic driver is not mistaken for a hormonal one. Your compounded therapy is dosed to your results, then titrated against repeat labs and how you actually feel. Monitoring continues the whole time you are on it.

Consultation time, protocol design and ongoing monitoring are all part of your care plan. Compounded hormones and diagnostics are arranged separately. Brianna Cole manages every protocol, in Overland Park or by telehealth across Kansas and Missouri. If your history rules therapy out, or a reproductive endocrinologist is the right referral, she will tell you.

FAQ

Common questions

The ones we are asked most about Bioidentical Hormone Replacement Therapy.

The hormones are identical to your own rather than synthetic, and your dose comes from your labs rather than a standard starting point. The bigger difference is oversight: we keep adjusting for as long as you are on therapy.

Sleep and hot flashes often settle within weeks. Energy, body composition and libido take longer, because thyroid, metabolic and training factors are involved too. The first protocol is rarely the final one, and that is by design.

That depends on your history and your monitoring, which is why we review both before prescribing. Some cancer, clotting and cardiovascular histories rule it out. Where therapy is right for you, the monitoring is what keeps it right.

Conditions treated here

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Hormone Imbalance

Estrogen, testosterone, thyroid, cortisol and insulin work as one system, and reading them together is what separates a partial result from a real one.

Woman sitting on the edge of a bed in early-morning light

Chronic Fatigue

Fatigue is a presentation rather than a diagnosis, so thyroid, mitochondrial, adrenal and nutrient contributors are assessed together.

Brianna Cole, DNP, APRN and Tanner Wilson, DC, IFMCP of EvoHealth in Overland Park
Get started

Ready to start with a clear clinical picture?

Start with the fifteen-minute consultation. No cost, and a straight answer on whether this model fits your case.