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Aliva Balance Hormone Therapy, Medical Weight Loss, Botox

Hormone Therapy/Testosterone Therapy

For Women
Perimenopause usually begins in a woman’s 40s, but it can start in some women’s 30s, or come later in the 50s. The duration of perimenopause can vary widely, lasting anywhere from a few months to several years before menopause is reached. Menopause is defined as the point in time when a woman has not had a menstrual period for 12 consecutive months.
For Men
Testosterone levels in men typically start to decline gradually as they age, generally beginning in their late 20s or early 30s. For men older than 35 years, testosterone declines by nearly 2% each year. This age-related decline in testosterone referred to as “andropause” or “late-onset hypogonadism.” The rate and extent of decline can vary among individuals.

Commonly Asked Questions

Hormone therapy, when used appropriately and under the guidance of a qualified healthcare provider, is considered safe for many individuals with proper monitoring, dose adjustments, and management of complications and side effects. The goal is not to exceed natural hormone levels but to optimize them.
Most patients notice the benefits of hormone therapy in as little as two weeks, but optimal results can take several months.
  • Initial consultation cost: $300 includes blood work and comprehensive hormone visit reviewing health history, review of symptoms, physical assessment, hormone goals, risk versus benefit, lifestyle modification recommendations, supplement recommendations, discussion of treatment options, discussion of plan, and informed consent.
  • Monthly memberships: starting at $200/month for BHRT or TRT therapy for at home or in office administration of creams, pills, and/or injections.
  • BHRT pellets: Women’s $400/insertion every 3-4 months (includes follow-up and labs) or Men’s $600/insertion (includes follow-up and labs) every 4-6 months
Risks and side effects can include an increased risk of blood clots, breast tenderness, mood changes, acne, hair loss, and vaginal bleeding (in women). Your provider will monitor your blood work and your symptoms closely to manage any side effects that may arise.
The duration of hormone therapy varies. It can be short-term or long-term, depending on the reason for treatment and individual health needs.
Yes, alternatives include lifestyle changes, dietary modifications, over-the-counter remedies, non-hormonal medications, and complementary therapies to manage symptoms without hormones.
Regular monitoring by a healthcare provider is essential to assess hormone levels, adjust treatment as needed, and evaluate potential risks and benefits. Typically blood work may be done every 3-6 months but may need to be done more frequently depending on individualized treatments and response.

No, hormone therapy for menopause, andropause, or hormone replacement is not a form of birth control and should not be used for that purpose.

The suitability of hormone therapy depends on individual health factors rather than age. It can be used at various stages of life, including peri-menopause, menopause, and andropause.

  • At this time Aliva Balance does not take insurance for hormone replacement therapy. 

Does Insurance cover BHRT?

  • If your insurance company does not cover “holistic” or “natural” treatments, your insurance will likely not cover BHRT. Reach out to your insurance provider to find out if they will cover the cost of BHRT through your primary health provider.  

For Men

Testosterone Replacement Therapy (TRT) examples:
  1. Intramuscular Injections: Testosterone can be administered through intramuscular injections, typically weekly. These can be self-administered at home or in the med office.
  2. Pellets: Testosterone implants, small pellets inserted under the skin, release a steady supply of testosterone over several months. Typically, pellets are inserted every 4-6 months for men. 
  3. Transdermal Patches: Patches are applied to the skin and deliver a controlled dose of testosterone over time. They are usually changed daily.
  4. Topical Gels: Testosterone gels or creams are applied to the skin daily, usually on the shoulders, upper arms, or abdomen. They are absorbed through the skin and gradually release testosterone.
  5. Oral Tablets: Oral testosterone preparations are less commonly used due to concerns about potential liver toxicity. They are not as commonly prescribed as other forms of TRT.
Erectile Dysfunction (ED) Treatment examples:
  1. Oral Medications: Phosphodiesterase type 5 (PDE5) inhibitors like sildenafil (Viagra) and tadalafil (Cialis) are commonly prescribed to enhance blood flow to the penis, making it easier to achieve and maintain an erection.
  2. Lifestyle Modifications: Lifestyle changes such as regular exercise, maintaining a healthy weight, managing chronic conditions (e.g., diabetes, hypertension), reducing stress, and quitting smoking can often improve ED.
  3. Psychotherapy: Counseling or psychotherapy may be beneficial for men with psychological or emotional factors contributing to ED.
  4. Hormone therapy (Testosterone) 
Signs and Symptoms of Andropause:

For Women

Bioidentical Hormone Replacement Therapy (BHRT) examples:

Bioidentical Estrogen:

  • Estrogen Pellets: Small pellets containing bioidentical estrogen are implanted under the skin and slowly release hormones over several months. This route avoids daily application of creams or frequent injections. Pellets are easily placed under the skin every 3-4 months on average in women.
  • Estrogen Creams: Topical creams containing bioidentical estrogen are applied to the skin, allowing for controlled absorption.
  • Estrogen Gels: Similar to creams, estrogen gels are applied topically.
  • Estrogen Patches: Patches deliver a consistent dose of estrogen through the skin. They are typically replaced every few days.
  • Oral Estrogen: Bioidentical estrogen is available in pill form. It is taken orally, usually daily.

Bioidentical Progesterone:

  • Progesterone Creams: Topical creams containing bioidentical progesterone can be applied to the skin.
  • Oral Progesterone: Bioidentical progesterone is available in pill form and is taken orally.

Combination Therapies:

  •  Some BHRT regimens combine both bioidentical estrogen and progesterone to mimic the hormonal balance of the natural menstrual cycle.

Bioidentical Testosterone:

  •  In some cases, women may receive BHRT containing bioidentical testosterone, especially if they have low testosterone levels that affect libido and overall well-being. Testosterone is also available in pellets, injection, or topical applications.

Custom Compounded BHRT:

  •  Compounding pharmacies can prepare BHRT formulations tailored to an individual’s specific hormone needs and dosages.

Individualized Hormone Replacement Plans:

  •  Healthcare providers may develop individualized BHRT plans for women, which may include a combination of hormones in various forms and dosages based on a woman’s symptoms, hormone levels, and medical history.
Female Sexual Dysfunction (FSD) therapy examples:
Signs and Symptoms of Perimenopause:
Signs and Symptoms of Menopause:


Bioidentical Hormone Replacement Therapy (BHRT) can have a significant impact on the lives of a couple when one or both partners are undergoing treatment. Here’s how BHRT can affect a couple’s life: