Hormone Therapy FAQs

Hormone Replacement Therapy (HRT) Basics

  • Hormone replacement therapy restores declining estrogen, progesterone, and sometimes testosterone to more balanced levels. This helps relieve symptoms and supports long-term health.

  • HRT can address hot flashes, night sweats, poor sleep, mood swings, brain fog, fatigue, low libido, vaginal dryness, painful intimacy, and even protect against bone loss.

  • The right time depends on your age, health, and goals. Some women begin in perimenopause when symptoms first appear, while others start after menopause.

  • Yes—when it’s prescribed and monitored carefully. I individualize every plan and supervise closely for both safety and results.

Safety, Risks & Effectiveness

  • Risks vary depending on your history, family background, and the type of therapy. That’s why I take the time to review your health before making a recommendation.

  • Many women begin noticing improvements in a few weeks. Full benefits often appear within three to six months as your body adjusts.

  • Some women use it short-term, others longer. I adjust care as your needs evolve—there is no one-size-fits-all timeline.

Types & Options

  • I use bioidentical hormones, which are structurally identical to those your body makes. They are safe, evidence-based, and designed for a more natural approach.

  • Options include pills, patches, creams, gels, injections, and pellets. I’ll recommend the option that best fits your lifestyle and goals.

Testing & Treatment

  • Yes. Comprehensive labs are a cornerstone of care. They provide the clarity needed to design a plan that targets the root causes—not just the symptoms.

  • If your symptoms persist, we revisit your labs, adjust your protocol, and refine your treatment until you’re on the right track.

  • Yes. If you’ve had labs completed within the past 60 days, you can bring those to your initial True Balance Consultation. I’ll review them carefully and determine what additional testing may be needed for clarity.

  • I use a comprehensive lab panel that looks beyond the basics to identify the root causes of symptoms. This often includes:

    • CBC

    • CMP

    • Lipid panel

    • Anemia Panel (Ferritin, Iron, TIBC, Vitamin B12, Folate)

    • Thyroid Panel (TSH, Free T4)

    • Hemoglobin A1c, Fasting insulin

    • Estradiol, FSH, LH, Progesterone, Testosterone

    • Sex Hormone-Binding Globulin (SHBG)

    • Dehydroepiandrosterone Sulfate (DHEAS)

    • Vitamin D (25-OH Vitamin D)

    • Magnesium

    • Zinc

    • High-sensitivity C-Reactive Protein (hs-CRP)

  • I work with two trusted laboratories in New York City, LabCorp and Quest, where patients can have their labs completed for the initial True Balance Consultation. I’ll provide instructions and a curated panel order based on your symptoms and goals.

Download Free Lab Instructions 
Care Model & Pricing

  • Insurance-based models often limit time, testing, and treatment options. By offering direct-pay care, I put you—not insurance companies—at the center of your health.

    • Clarity you can trust – upfront, transparent pricing with no surprise bills.

    • Time that respects you – longer visits where your questions are answered.

    • Care without compromise – treatments chosen because they’re best for you.

    • Freedom to innovate – access to services insurance often won’t cover.

    • Focus on results – more energy devoted to restoring yours.

Strong women deserve care that matches their ambition—credible, personalized, and uncompromised.

Still have questions? Reach out—I’m here to help.

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