Specialty Care
Our hormone therapy is a comprehensive, physician-directed approach that uses lab testing and clinical evaluation to identify imbalances and work toward balanced hormone levels through customized treatment plans.
An unhurried conversation about your symptoms, your medical and family history, your cycle or its changes, and what you're hoping to feel different. This is also where we identify anything that would make hormone therapy inappropriate for you.
Testing that looks beyond sex hormones alone to include thyroid and adrenal markers and relevant metabolic labs, because those systems influence how you feel and how you respond. For women who are still cycling, timing the draw correctly matters, and we'll tell you exactly when to go.
We interpret your labs alongside your symptoms rather than in isolation, and we explain what we see in plain language. If hormone therapy isn't the right answer, or isn't the whole answer, we say so.
If therapy is appropriate, your provider selects the hormones and the delivery form that fit your clinical picture and your preferences. Options may include creams, capsules, troches, injections, or pellets, each with real trade-offs we'll walk through.
Recheck labs and symptoms after you've been on a stable plan, typically around the three-month mark, then at regular intervals. Hormone therapy is adjusted over time; the first plan is a starting point, not a final answer.
Most people don't arrive asking about hormones. They arrive because they're exhausted in a way sleep doesn't fix, because their mood or memory feels unfamiliar, because the weight won't move, or because they simply don't feel like themselves anymore and no one has been able to say why. Hormonal change is one of the more common explanations, and it is one of the more treatable ones.
Hormone levels shift for many reasons. Age is the most common: estrogen, progesterone, and testosterone all decline over time. But chronic stress, thyroid and adrenal function, blood sugar and insulin patterns, significant weight change, and cycles where ovulation becomes irregular all influence hormone balance too. Because these systems interact, evaluating any one hormone in isolation rarely tells the whole story.
Our hormone therapy may include conventional hormone replacement and bioidentical hormone replacement therapy (BHRT). "Bioidentical" describes molecular structure, not source: these hormones are synthesized in a laboratory from plant-derived starting material into molecules structurally identical to the ones your body makes. That structural distinction matters, because hormones with different molecular structures do not behave identically in the body.
Hormonal changes affect both women and men. For women, that may involve perimenopause and menopause symptoms such as hot flashes, night sweats, disrupted sleep, brain fog, mood changes, vaginal dryness, or low energy. Perimenopause in particular can begin years before periods stop, and symptoms often appear while cycles are still regular. For men, it may involve the gradual decline sometimes called andropause, with changes in energy, strength, motivation, and libido.
Care begins with a thorough evaluation and comprehensive lab work, not a questionnaire. Your plan is built from your symptoms, your history, and your results together, then refined over time with follow-up testing and adjustment. The specific hormones, the form they take, and whether hormone therapy is appropriate at all are determined by your provider based on your individual clinical picture.
Hormone therapy is not right for everyone, and a consultation is the only way to know whether it's right for you. People who commonly turn out to be reasonable candidates include:
Worth a conversation if…
May not be appropriate if…
Candidacy is always determined during a confidential consultation.
Bioidentical or prescription progesterone used to support hormonal balance, particularly in relation to menstrual health and menopause.
Best for: Hormonal imbalance, sleep support, menopausal symptoms
Benefits: May support sleep, mood, and hormonal regulation
A form of estrogen therapy used to help support healthy hormone levels and overall hormonal health.
Best for: Menopausal symptoms, hormone deficiency, skin and bone health
Benefits: May help with hot flashes, mood, skin quality, cognitive function, and bone density
A precursor hormone that supports the body's natural production of estrogen and testosterone.
Best for: Low energy, hormone imbalance, aging-related decline
Benefits: May support energy, mood, and hormonal balance
A milder form of estrogen commonly used in targeted therapy to support tissue health and comfort.
Best for: Vaginal health, dryness, localized hormone support
Benefits: May help with dryness, comfort, and tissue health
A foundational hormone that serves as a precursor to multiple key hormones, supporting cognitive and hormonal function.
Best for: Brain health, stress support, hormone optimization
Benefits: May support memory, mood, and overall hormone balance
Hormone therapy used to help optimize levels in both men and women; effects vary by individual.
Best for: Low energy, libido support, muscle mass, hormone imbalance
Benefits: May support energy, mood, muscle mass, libido, bone density, and cognitive function
Hormone testing can be done through several methods, and they are not interchangeable. Blood testing is widely available and often covered by insurance. Saliva and dried urine testing can show patterns that blood testing cannot, including the daily rhythm of cortisol and, in the case of dried urine, how your body metabolizes hormones downstream. Each method has genuine strengths and genuine limitations, and the right one depends on your situation, what form of therapy you're using, and practical factors like cost and convenience.
Timing matters more than most people expect. For women with regular cycles, hormone levels are typically checked in the second half of the cycle, and testing at the wrong point can produce results that look alarming or reassuring for no real reason. If you're on birth control pills, estrogen and progesterone testing is generally uninformative, and we'll discuss that before ordering anything.
We treat the person, not the lab report. Numbers that sit inside a reference range don't automatically mean you feel well, and numbers outside one don't automatically mean you need treatment. Labs confirm and refine a clinical impression; they don't replace it.
Hormone therapy is priced as ongoing care rather than a single procedure, and the total depends on your lab work, the hormones and delivery form your plan uses, and your follow-up schedule. Some lab testing is covered by insurance; compounded prescriptions and specialty hormone panels typically are not. We give you a clear picture of what your plan will cost at consultation, before you commit to anything.
Why Randali
Every plan is overseen by our Medical Director: clinical judgment, never a questionnaire.
We weigh your full health picture to recommend the right treatment (or combination) for you.
Care delivered to medical standards and in line with state and federal regulations.
Two-plus decades of refined, natural results and lasting patient relationships.
Physician-led hormone therapy through secure telehealth for eligible patients in Pennsylvania, Arizona, Delaware, and Utah. Choose your state to explore the offering near you.
Telehealth availability depends on provider licensure and state regulation. A consultation confirms whether telehealth hormone therapy is the right option for you.
Explore telehealthTake the first step toward your goals with a personalized, physician-directed plan designed just for you.
