Bioidentical Hormone Replacement Therapy · Jacksonville, FL
Feel like yourself again — with hormones identical to your own
FDA-approved bioidentical hormone replacement therapy for women navigating perimenopause and menopause — prescribed by Florida-licensed medical providers in a calm, private clinic in San Marco. Personalized care, real evidence, no compounded shortcuts.
NAMS Certified Menopause Practitioner Florida-licensed medical providers Veteran-owned · LegitScript certified FDA-approved bioidentical hormones San Marco, Jacksonville
LegitScript Certified — verified healthcare merchant 7+ years
average duration of menopausal hot flashes if untreated
SWAN Study, JAMA Internal Medicine 2015
First-line
most effective treatment for moderate-to-severe vasomotor symptoms
NAMS 2022 Position Statement
FDA-approved
bioidentical estradiol and progesterone — the same molecules made by the body
U.S. Food & Drug Administration
1 in 4
women report symptoms severe enough to affect daily life
NIH / Office on Women's Health
Who BHRT helps
If any of this sounds like you, you're not alone
Perimenopause and menopause can begin a decade before they end. The right hormone plan, started in the right window, often makes the difference between coping and feeling well.
Hot flashes & night sweats
Sudden waves of heat, often with sweating and disrupted sleep — the most common reason women seek hormone therapy.
Sleep & mood changes
Insomnia, anxiety, irritability, and low mood that begin or worsen in perimenopause or after menopause.
Low libido & vaginal symptoms
Reduced sex drive, vaginal dryness, painful intercourse, and recurrent urinary discomfort.
Brain fog & fatigue
Difficulty concentrating, slower recall, and persistent fatigue that doesn't respond to rest alone.
Bone & joint changes
Joint stiffness and accelerated bone loss after menopause, increasing long-term fracture risk.
Weight & body composition shifts
Loss of lean muscle and central weight gain that resists previous diet and exercise patterns.
What "bioidentical" actually means
Bioidentical vs. older hormone therapy
"Bioidentical" means the hormone molecule is structurally identical to one your body makes. FDA-approved versions exist — and they're the formulations we prescribe.
| FDA-approved bioidentical hormones | Older / synthetic hormone therapy | |
|---|---|---|
| Active ingredient | Estradiol, progesterone, sometimes testosterone — chemically identical to what your body makes | Conjugated equine estrogens or synthetic progestins — chemically different from human hormones |
| FDA approval | Yes — multiple FDA-approved estradiol patches, gels, sprays, and oral micronized progesterone | Yes — long-established Premarin, Provera, etc. |
| Delivery options | Patch, gel, spray, ring, oral capsule — chosen with your provider | Primarily oral tablets |
| Evidence base | Decades of clinical use; favored in current NAMS guidance for many patients | Foundational long-term safety data, including the original Women's Health Initiative trials |
Why The Practice for BHRT
Built around evidence, not influencer marketing
Most BHRT clinics either rush 15-minute pellet appointments or push expensive yearly memberships. We do neither. Here is what makes our approach different.
A NAMS Certified Menopause Practitioner on our team
The Menopause Society's NCMP credential is earned through a rigorous menopause-specific clinical examination and ongoing continuing education. It is the most respected credential in menopausal medicine — and a rare one in Jacksonville BHRT clinics.
FDA-approved hormones only — no compounded pellets
We prescribe FDA-approved estradiol patches, gels, and oral micronized progesterone. We do not prescribe custom-compounded BHRT preparations or pellets, which the FDA and major endocrine societies caution against because they lack standardized testing for purity, potency, and dose accuracy.
Comprehensive baseline labs — included in your consultation
Every BHRT workup includes estradiol, FSH, LH, progesterone, total and free testosterone, SHBG, TSH, fasting lipids, A1C, and vitamin D. No surprise lab bills, no upselling — the data you need to design a real plan, on day one.
Hormones and the brain — under one roof
Perimenopause and menopause affect mood, sleep, and cognition just as much as they affect the body. Our founder is a board-certified psychiatric provider, which means brain fog, anxiety, and low mood get clinical attention here — not dismissed as "just hormones."
Telehealth follow-ups across Florida
After your in-clinic evaluation and labs, follow-up visits and dose adjustments can be done by secure Telehealth from anywhere in Florida. Saves you the drive — and keeps your treatment continuous if you travel, work nights, or simply do not want to take a half day for a 20-minute check-in.
Pay per visit — no $2,000–$6,000 yearly membership
Many BHRT clinics require an annual subscription that locks you in whether you need it or not. We do not. You pay for the consultation (labs included), then for the prescription medication itself — usually inexpensive generics, often covered by insurance. No membership, no contract, no surprises.
For men
Looking for hormone therapy for low testosterone?
For men, the parallel treatment is testosterone replacement therapy — bioidentical testosterone under careful clinical monitoring. We treat it as a separate clinical pathway.
See Testosterone Replacement Therapy →Common questions
What patients ask before starting BHRT
What is bioidentical hormone replacement therapy (BHRT)?
BHRT uses hormones that are chemically identical to those produced by the human body — typically estradiol, progesterone, and in some cases low-dose testosterone — to relieve symptoms of perimenopause, menopause, or hormone deficiency. The Practice prescribes FDA-approved bioidentical hormones (such as estradiol patches/gels and oral micronized progesterone) rather than custom-compounded preparations, which the FDA and endocrine societies caution against because they lack the same testing for purity, dose accuracy, and safety.
How is BHRT different from older hormone therapy?
The hormones in BHRT are structurally identical to the ones your body makes. Older hormone therapies used synthetic progestins or conjugated equine estrogens, which are effective but chemically different. Many patients and providers today prefer bioidentical estradiol and progesterone, and current NAMS (Menopause Society) guidance supports their use as first-line options for most patients in the appropriate age window.
Is BHRT safe?
For most women within ten years of menopause and under age 60, FDA-approved hormone therapy is considered safe and is the most effective treatment for vasomotor symptoms. Risks — including small absolute increases in certain cancers, blood clots, and stroke for specific subgroups — depend on your age, medical history, type of hormone, and route of delivery. A clinical evaluation determines whether BHRT is appropriate for you.
Do you use compounded hormones?
The Practice prescribes FDA-approved bioidentical hormone formulations as a first choice. Custom-compounded BHRT is not FDA-approved and is not routinely recommended by the major endocrine societies; we will discuss this fully during your consultation and explain why we generally prefer regulated, FDA-approved options.
What does treatment look like?
After an initial consultation and lab work, your provider designs a personalized plan — typically a transdermal estradiol patch or gel paired with oral micronized progesterone if you still have a uterus. Doses are adjusted based on symptoms and follow-up labs. Treatment continues for as long as benefits outweigh risks for you individually, with regular reviews.
Does insurance cover BHRT?
FDA-approved bioidentical hormones are often covered by insurance, and many are available as low-cost generics. Coverage depends on your plan. Exact pricing and coverage at The Practice are reviewed during your consultation.
I'm a man with low testosterone — is BHRT for me?
For men, the parallel treatment is testosterone replacement therapy (TRT), which uses bioidentical testosterone under careful clinical monitoring. The Practice offers TRT as part of our men's health services — see our dedicated testosterone replacement page or book a Men's Health Consultation.
How do I get started?
Book a consultation online or call (904) 877-1100. We'll review your symptoms, history, and goals, order any labs needed, and tell you honestly whether BHRT is the right path. Available in person at our San Marco clinic or via Telehealth where permitted.
Find out if BHRT is right for you
A focused consultation with a Florida-licensed medical provider. We'll review your symptoms, history, and goals, order labs if needed, and design a plan around what the evidence actually supports.