Bioidentical Hormone Replacement Therapy

Introduction: Why Hormone Imbalance Needs a New Approach

Millions of men and women silently suffer from hormonal imbalances—leading to fatigue, weight gain, mood swings, low libido, brain fog, and more. At Patients Medical in New York City, we don’t believe in band-aid fixes. We specialize in Bioidentical Hormone Replacement Therapy (BHRT), guided by functional medicine to uncover and correct the root causes of hormonal dysfunction.

We treat the whole person, not just isolated symptoms.

What Is Bioidentical Hormone Replacement Therapy (BHRT)?

BHRT uses hormones identical in molecular structure to the ones your body naturally produces. Unlike synthetic hormones, bioidentical options are custom-compounded based on your unique lab results and can be delivered via creams, pellets, patches, or capsules.

Our goal is to restore optimal hormone levels naturally and safely, supporting your energy, metabolism, mood, and longevity.

Common Symptoms of Hormonal Imbalance

Whether you’re approaching menopause, experiencing perimenopause, andropause, or simply dealing with adrenal or thyroid dysfunction, these symptoms may be signs of a deeper issue:

Root Causes: Why Do Hormone Imbalances Happen?

Hormonal imbalances are rarely random. They are often driven by lifestyle, environmental, and physiological factors such as:

  • Chronic stress: Elevates cortisol, suppresses sex hormones
  • Poor diet: Causes blood sugar swings and inflammation
  • Toxin exposure: Plastics, pesticides, and endocrine disruptors interfere with hormone signaling
  • Thyroid dysfunction: Affects every other hormonal pathway
  • Nutrient deficiencies: Especially in B vitamins, iodine, selenium, magnesium
  • Gut dysbiosis: Influences estrogen metabolism and detox
  • Perimenopause/menopause/andropause: Natural declines that need support, not suppression

Diagnostic Testing We Use

We believe in data—not guesswork. Our hormone evaluations include comprehensive labs and symptom tracking:

Saliva and blood hormone panels (estrogen, progesterone, testosterone, DHEA, cortisol)

Thyroid function testing (TSH, free T3, free T4, reverse T3, antibodies)

Adrenal function tests (salivary cortisol rhythm or DUTCH testing)

Sex hormone binding globulin (SHBG)

Vitamin and mineral panels

Gut microbiome and liver detox profile

Genetic variants (MTHFR, COMT, CYP450)

Integrative Treatments for Hormonal Imbalance

Bioidentical Hormone Replacement Therapy

Custom-compounded BHRT restores natural balance using:

  • Estrogen, progesterone, and testosterone
  • DHEA or pregnenolone for adrenal support
  • Thyroid hormone (T3, T4, or compounded)

Delivery methods include creams, pellets, troches, and capsules—tailored to your physiology and preferences. All monitored closely for efficacy and safety.

Nutritional & Herbal Support

We combine BHRT with dietary and nutraceutical support:

  • Adaptogens (ashwagandha, rhodiola, maca)
  • Omega-3s and evening primrose oil
  • Magnesium, zinc, selenium
  • DIM, calcium-D-glucarate for estrogen detox
  • Liver-supporting herbs like milk thistle and dandelion

IV Therapy

Intravenous nutrient therapy to replenish depleted reserves, boost energy, and support adrenal and thyroid function.

Gut & Detox Optimization

We support proper hormone elimination through the liver and gut, using:

  • Elimination diets and food sensitivity testing
  • Probiotics, digestive enzymes
  • Detox protocols to flush xenoestrogens and toxins

 

Stress & Sleep Management

We help patients balance cortisol and restore circadian rhythm with:

  • Meditation, breathwork, yoga
  • Cortisol-regulating herbs
  • Melatonin or magnesium support
  • Sleep hygiene coaching

Real Case Study: Susan’s Hormonal Renewal

Susan, 49, came to us with intense hot flashes, night sweats, anxiety, and weight gain despite exercising daily. Lab testing showed:

  • Low estrogen and progesterone
  • Flatlined cortisol pattern
  • Early thyroid imbalance

We designed a personalized plan including:

  • BHRT with transdermal estrogen and oral progesterone
  • Adrenal adaptogens and IV B-complex
  • Gentle liver detox and estrogen-balancing nutrition

Within 3 months, her hot flashes vanished, her sleep improved, and her energy returned. She lost 14 pounds and said, “I feel like myself again.”

Real Case Study: Sarah’s Relief from Menstrual Cramps

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

 They are plant-derived hormones that exactly match your body’s own hormones at the molecular level—unlike synthetic versions.

Yes, when prescribed based on labs, monitored properly, and combined with lifestyle support, it is safe and effective.

Some patients feel better within days; most notice full effects within 4–8 weeks.

When customized and monitored, side effects are rare. We adjust dosing if any imbalances appear.

Yes. It’s one of the most effective therapies for managing menopausal symptoms and supporting graceful aging.

Not at all. Men benefit from testosterone and DHEA support, especially during andropause.

Not necessarily. We review progress regularly and taper as needed. Some use it long-term for optimal aging.

If you are of childbearing age and planning to conceive, BHRT may be used differently. We customize accordingly.

We are out-of-network but offer superbills for possible reimbursement. Custom compounding is typically not covered.

If you experience any symptoms listed above, we recommend a consultation and full hormone panel to determine next steps.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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