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Hormone Replacement Therapy (HRT):

Our clinic’s provider partners with each patient to create a personalized treatment plan for hormone deficiencies. This service is recommended for patients who struggle with weight gain, sexual dysfunction, low energy levels, or other symptoms that are usually related to perimenopause or menopause.

Bioidentical Hormone Replacement Therapy (BHRT)

BHRT uses testing to establish a precise and individual dosing plan to replenish hormone levels. The hormone is molecularly identical to naturally occurring hormones found in the body, including estrogen, progesterone, and testosterone. An increasing number of studies show increased safety of BHRT.

Common things we help with...

Estrogen Dominance

Common symptoms

  • Bloating
  • Swelling and tenderness in your breasts
  • Fibrocystic lumps in your breasts
  • Decreased sex drive
  • Irregular menstrual periods
  • Increased symptoms of premenstrual syndrome (PMS)
  • Mood swings
  • Headaches
  • Anxiety and panic attacks
  • Weight gain
  • Hair loss
  • Cold hands or feet
  • Trouble sleeping
  • Sleepiness or fatigue
  • Memory problems

Peri & Post Menopause

Common symptoms

  • Hot Flashes
  • Decreased libido or sexual satisfaction
  • New or worsening anxiety or depression
  • Weight gain or difficulty losing weight
  • Vaginal dryness or painful sex
  • Recurrent urinary tract infections
  • New or worsening urinary incontinenceCommon symptoms
  • Hot flashes
  • New-onset insomnia (especially trouble staying asleep)

Thyroid Problems & Hashimoto's

Common symptoms

  • Fatigue
  • Cold, Constipation
  • Weight Gain
  • Dry Skin
  • Depression
  • Menstrual Irregularities 
  • Fertility issues or miscarriage
  • Hair loss
  • Muscle & Joint Pain (especially Hashimoto’s) 
  • Confusion/”brain fog” Slow thinking
  • Hot Flashes
  • Diarrhea
  • Weight Loss
  • Anxiety
  • Amenorrhea

High Cortisol

Common Symptoms

  • Anxiety/Irritability
  • Insomnia
  • Hot flashes
  • Brain Fog
  • Sugar
  • Weight gain
  • Fatigue “Tired but Wired”
  • High blood sugar/Insulin resistance
  • IBS Symptoms
  • Low Libido/Vaginal Dryness
  • Low Progesterone & DHEA

Low Cortisol -“Adrenal Fatigue”

Common Symptoms

  • Fatigue /Exhaustion
  • Depression
  • Increased sleep but nighttime wakening
  • Low DHEA and Sex Hormones
  • Early Menopause/Menstrual irregularity
  • Orthostatic hypotension
  • Poor concentration
  • Very low libido
  • Low sex & thyroid hormones

Sexual Dysfunction

Common Symptoms

  • Low libido or interest in sex
  • Decreased or absent arousal
  • Absent or difficulty with climax
  • Painful intercourse
  • Vaginismus
  • Vulvodynia

What our customers are saying

So far my experience has been great! I have a variety of issues that I’ve never been able to get anyone to sit down and listen to. Dr. Pickering really cares about his patients and wants to see them reach their goals. It was so refreshing to have someone actually listen and care. Natalia is great as well - super happy and friendly and willing to help. All in all, I’ve been super impressed and am excited to actually make some progress!


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