Hormone Replacement Therapy
Bioidentical Hormone Replacement Therapy (BHRT)
Thrive in this new season of life with bioidentical hormone replacement therapy, relieving symptoms associated with hormonal imbalances by naturally replenishing declining hormones.
Treatment Length
30-90 minute visits, and ongoing protocols
Duration of Results
Lasts several months when maintained with regular therapy
Number of Treatments
Bi-monthly visits for the first 3 months, then monthly thereafter
What It Treats
- Hormonal Imbalance
- Perimenopausal & Menopausal Symptoms
- Mood Swings
- Low Libido
- Fatigue or Low Energy
- Brain Fog or Memory Issues
How BHRT Works
Bioidentical hormone replacement therapy (BHRT) is a personalized treatment that uses chemically identical hormones to those naturally produced by your body. These hormones help restore balance by replenishing levels that decline with age, alleviating symptoms such as hot flashes, night sweats, mood swings, and low libido.
At FitLab Hawaii, each BHRT plan is meticulously designed by our board-certified nurse practitioner based on your unique symptoms, lifestyle, and lab results. Our science-backed approach begins with a comprehensive consultation, medical evaluation, and detailed hormone testing to ensure precision and safety. Throughout your therapy, we closely monitor your progress, fine-tuning your dosage to maximize benefits and help you feel your best in this stage of life.
What to Expect
Your journey begins with a one-on-one visit with our nurse practitioner, where we take the time to truly listen to your symptoms, concerns, and goals. Together, we’ll review your health history and order any necessary lab work so we can create a hormone therapy plan that feels personalized, safe, and designed just for you.
We’ll guide you through any recommended lab work and easy preparation steps, making sure you feel confident and ready for treatment. This ensures your body is fully prepared for safe, effective hormone therapy tailored just for you.
Your personalized BHRT plan begins, which includes medical-grade supplements and prescription coordination with a compounding pharmacy. Discounts are available if insurance does not cover your medications.
Your treatment may include administration methods such as topicals, oral capsules, patches, or injectables.
We will continue to assess your progress at monthly follow-ups for the first three months of your protocol, and continue personalized care with quarterly follow-ups to ensure long-term hormone balance and overall wellness.
Many patients notice improvements in sleep, mood, and hot flashes within a few weeks, with full benefits developing over several months.
Your care doesn’t end after treatment begins, we’re with you every step of the way. You’ll receive continuous message support, regular follow-up visits, and ongoing lab reviews with detailed interpretations from our board-certified nurse practitioner. This ensures your hormone levels stay in balance, your symptoms continue to improve, and your plan evolves with your needs so you can feel your best long-term.
BHRT Personalized Protocol
Your Bioidentical Hormone Replacement Therapy plan is carefully designed by our board-certified nurse practitioner after a thorough review of your symptoms, medical history, and lab results. From the moment you begin, we’re with you every step of the way.
Your care includes:
- Science-backed, personalized plan
- Regular follow-ups to track your progress
- Ongoing lab reviews to fine-tune your therapy
- Continuous telehealth and messaging support so you’re never left with unanswered questions.
Medical-Grade Supplements & Prescriptions
A curated selection of bioavailable supplements is included in your treatment plan to support hormone balance, adrenal health, and overall wellness, starting with a Custom Starter Kit and 15% off quarterly restocks. Your treatment may include administration methods such as topicals, oral capsules, patches, or injectables.
For all bioidentical hormone prescriptions, we coordinate directly with a trusted compounding pharmacy, ensuring personalized dosing, seamless refill management, and close provider–pharmacy collaboration. If your insurance does not cover your medications, discounted pricing is available to help make your treatment more accessible.
VIP Membership Perks with BHRT
Active BHRT patients also have access to exclusive FitLab VIP Membership perks, including 10% off aesthetic and wellness treatments.
Frequently Asked Questions
$250/month
Explore your included services to see everything that’s part of your BHRT journey—and the full value of your investment in feeling your best.
A 60–90 minute one-on-one consultation to discuss your symptoms, review your medical history and lab results, and create a personalized hormone optimization plan tailored to your unique needs.
(Value: $350)
Monthly Check-Ins – 30-minute sessions for the first three months of your protocol to assess progress, fine-tune dosing, and answer any questions.
(Value: $150 per visit)
Quarterly Check-Ins – After your initial monthly check-ins, you’ll have three quarterly visits to maintain hormone balance, support your wellness goals, and adjust your plan as needed.
(Value: $150 per visit)
Continuous Messaging Support – Stay connected between visits through our secure patient portal, where you can ask questions, share symptom updates, and fine-tune treatment as needed.
(Value: $300 per year)
Ongoing Lab Reviews – We closely monitor your progress with detailed interpretations of hormone panels and follow-up testing, ensuring your treatment stays optimized. While lab screenings are not included, all coordination and review are covered.
(Value: $300)
Your BHRT protocol includes a curated selection of bioavailable supplements, starting with a Custom Starter Kit and 14% off quarterly restocks
(Value: ~$500/year).
We also coordinate directly with our partner pharmacies for your bioidentical hormone prescriptions—providing personalized, fine-tuned dosing, seamless refill management, and clear communication to make ongoing care simple and stress-free. If your insurance does not cover your medications, discounted pricing is available.
(Provider-Pharmacy Coordination Value: $200 savings/year)
Active BHRT patients get access to 15% off skincare and supplements in our storefront, and 10% off aesthetic and wellness treatments at our medical spa, including:
- Microneedling
- PRF Rejuvenation
- Advanced Laser
- IV Therapy
- Customized Facials
(Value: Varies; estimated $300-$500/year)
- Base Clinical Services: $2,950 value
- Medical-Grade Supplements: $500 value
- Prescription Savings: $200 value
- VIP discounts: $250+ value
- BHRT Service Total Value: $3,900+/year
Your Investment: $3,000/year
Your Bioidentical Hormone Replacement Therapy (BHRT) care investment is a one-time payment. For your convenience, we offer in-house financing with the option to spread payments over six months, completely interest-free. Please note that these plans are non-refundable and cannot be canceled once started.
If you’re interested in BHRT but would prefer a longer-term, customized payment plan, we also partner with PatientFi. Through their monthly membership payment program, you can finance your care in a way that best fits your budget and lifestyle. See Financing options for more information.
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Frequently Asked Questions
BHRT involves using hormones—like estrogen, progesterone, and sometimes testosterone—that are molecularly identical to those your body naturally produces, often derived from plant sources. They are often derived from plant sources and designed to match your body’s natural hormone structure, supporting more natural hormone balance.
At our clinic, BHRT is provided only through prescription-based, medical-grade options to ensure the highest safety and effectiveness. We offer topical creams, serums and gels, patches, oral capsules, and injectable hormones including testosterone. We do not offer pellets at this time.
Your treatment plan will be customized based on lab results, symptoms, and your health history, and carefully monitored by our provider.
Traditional Hormone Replacement Therapy (HRT) may use synthetic or chemically altered hormones, whereas BHRT uses body-identical hormones that match your natural molecular structure. Some BHRT products are FDA-approved prescriptions, while others can be compounded for personalized dosing under medical supervision.
Research shows that bioidentical hormones carry many of the same benefits and potential risks as conventional hormone therapy. The safety and effectiveness depend largely on proper dosing, prescription quality, and ongoing monitoring — all of which are core to our clinical approach.
Like any treatment, BHRT can have some side effects — these might include things like mild bloating, breast tenderness, mood shifts, or skin irritation if you’re using a cream or gel. These side effects are temporary. Serious risks, such as blood clots, stroke, or certain types of cancer, are rare but possible, and depend on your personal health history.
The good news is that your care will be in expert hands. Our provider is a board-certified nurse practitioner with extensive training in bioidentical hormone replacement therapy, and every plan is tailored just for you. With prescription-grade quality and regular check-ins, we make sure your treatment is as safe, effective, and comfortable as possible.
Many patients notice improvements in energy, mood, and other symptoms within a few weeks. However, the exact timeline depends on your dosage, hormone levels, and the method of administration. Our program requires a 12 month commitment because most patients initiating BHRT require close follow up and 3-6 months to achieve optimal levels and dosing. Our focus is on helping to gain the long term benefits of BHRT which include improved bone density, brain health (reducing the risk of dementia and osteoporosis), and enhanced quality of life.
You’re always in control of your BHRT journey. You can choose to stop treatment whenever you feel it’s right for you. Just keep in mind that some of your original symptoms may return once therapy is discontinued. The great news is that your provider will be right by your side, helping you decide the best next steps and making any adjustments or gradual changes to keep you feeling your best.
BHRT often includes estrogen and progesterone; testosterone may also be prescribed for specific concerns such as low libido or reduced energy. Your exact formulation will be determined based on comprehensive lab testing.
We use lab-based blood testing to track your hormone levels and ensure precise dosing. When needed, we may run a DUTCH® test to better understand how you metabolize your hormones. Regular monitoring allows us to fine-tune your treatment to maintain optimal results and safety.
Absolutely — your safety is our top priority. BHRT works best (and safest) when it’s carefully prescribed and monitored by a qualified professional. At our clinic, your personalized plan is created by a board-certified nurse practitioner with advanced training in bioidentical hormone therapy. We start with a full health evaluation and lab testing, then stay connected through regular follow-ups to make sure your treatment is safe, effective, and helping you feel your best.
While visits with Madeline, our Board Certified Nurse Practitioner are not covered by insurance (hence the monthly fee), insurance coverage for BHRT medications can vary depending on your plan and the type of prescription. Some FDA-approved bioidentical hormone medications may be covered, while customized compounded prescriptions are often not. We strive to negotiate discounted pricing to keep medications affordable. We’ll also review all costs with you up front, so there are no surprises.