Bioidentical Hormone Therapy

Introduction: Why Hormonal Health Needs a New Approach

Hormonal imbalances can profoundly affect your quality of life—causing fatigue, mood swings, weight gain, hot flashes, brain fog, and more. But the solution isn’t always synthetic hormone drugs.

At Patients Medical in New York City, we offer a functional, integrative approach to bioidentical hormone therapy (BHRT)—designed to restore balance naturally, while carefully weighing potential risks and benefits.

We treat the root causes of hormonal dysfunction, not just the symptoms. Our goal? Safe, sustainable, and personalized hormone health.

What Are Bioidentical Hormones?

Bioidentical hormones are lab-created compounds that are chemically identical to the hormones produced by your body—such as estrogen, progesterone, testosterone, DHEA, and thyroid hormones.

They differ from conventional synthetic hormones in structure and often in how the body metabolizes them. BHRT can be used to address:

Are There Risks to Bioidentical Hormone Therapy?

While BHRT is often touted as a “natural” solution, it’s still powerful medicine—and should be carefully managed by experienced practitioners. Risks may include:

We mitigate these risks through precise diagnostic testing, continuous monitoring, and individualized dosing—never one-size-fits-all.

Common Signs You May Need Hormone Testing

If you’re experiencing any of the following, hormone imbalance may be at the root:

Root Causes of Hormonal Imbalance

We always ask: Why is your body out of balance in the first place? Common root causes include:

They differ from conventional synthetic hormones in structure and often in how the body metabolizes them. BHRT can be used to address:

Diagnostic Testing We Use

At Patients Medical, we don’t guess—we test. Our comprehensive hormone testing may include:

Saliva hormone testing (for bioavailable levels)

Bloodwork for total and free hormone levels

Dried urine hormone test (DUTCH)

Cortisol rhythm testing (morning and evening)

Thyroid panels (TSH, Free T3, Free T4, reverse T3, antibodies)

Blood sugar, insulin, and A1C

Gut health analysis and liver detox panels

Micronutrient testing to assess healing readiness

Our Integrative Approach to Hormone Therapy

We combine advanced testing with natural, functional solutions:

Nutritional & Lifestyle Optimization

We use food as medicine to support hormone balance:

  • Anti-inflammatory, hormone-friendly diet plans
  • Elimination diets to reduce endocrine disruptors
  • Liver-supportive foods (leafy greens, cruciferous vegetables)
  • Stress-reduction protocols like breathwork and yoga

Personalized BHRT Plans

  • Estrogen (estradiol, estriol)
  • Progesterone
  • Testosterone
  • DHEA
  • Thyroid hormones (T3/T4 blends)
  • Cortisol support (if low)

We use creams, pellets, patches, sublingual drops, or capsules—whichever suits your physiology best.

Herbal & Nutraceutical Support

To gently restore hormone balance:

  • Chasteberry, maca, and ashwagandha for estrogen/progesterone
  • DIM and calcium d-glucarate for estrogen detox
  • Zinc, selenium, iodine for thyroid
  • Licorice root and Rhodiola for adrenal health
  • Magnesium and B6 for PMS and anxiety

All dosed and monitored under physician guidance.

Real Case Study: Samantha’s Hormone Healing

Samantha, 47, came to us with relentless hot flashes, poor sleep, and anxiety. Her OB-GYN had dismissed it as “normal aging.” Lab work revealed:

We built a 4-month integrative plan that included:

Four months later, Samantha’s hot flashes were gone, sleep normalized, and her mood improved dramatically.

Anonymized 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

Related Blog Posts (Cluster Content)

  • Do You Need Hormone Testing? Top Signs to Watch
  • Bioidentical vs. Synthetic Hormones – What’s the Difference?
  • Can Hormone Imbalance Cause Anxiety?
  • Natural Ways to Support Estrogen Detox
  • Thyroid and Weight Gain – The Missing Link
  • The Best Herbs for Hormonal Harmony
  • Sleep, Cortisol, and Your Hormone Cycle
  • Is Estrogen Dominance Holding You Back?
  • When to Consider BHRT – A Functional Medicine Perspective
  • The Gut-Hormone Connection

Frequently Asked Questions

 While bioidentical hormones are structurally identical to your body’s hormones, they still carry potential risks. The key is proper dosing, testing, and monitoring.

 Absolutely. Balanced hormones improve metabolism, reduce inflammation, and support healthy fat distribution.

 Yes. We offer testosterone therapy, thyroid balancing, and adrenal support for men experiencing fatigue, ED, or weight gain.

 Some bioidentical hormones are FDA-approved. Custom-compounded versions (personalized formulas) are prepared by licensed compounding pharmacies.

 Most patients feel improvements within 3–6 weeks. Full hormonal rebalancing may take 3–6 months depending on your case.

 While we are out-of-network, we provide superbills. Some lab testing may be covered by your provider.

 No. We help women with perimenopause, PMS, fertility issues, and PCOS—all using personalized hormone care.

 Yes. Hormones like progesterone and estrogen have powerful effects on mood and sleep cycles.

 We use a combination of saliva, blood, and dried urine testing to get the most accurate, personalized profile.

 No problem. We offer non-hormonal options like herbs, diet therapy, IV nutrients, and acupuncture to support natural balance.

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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