Hormone care without the guesswork.
Hormone optimization at Healing Advanced Solutions is provider-directed bioidentical hormone replacement therapy (BHRT) for women and men in Jacksonville, FL, guided by comprehensive testing.
You wake up tired, no matter how long you slept.
The weight moved in and will not leave, no matter what you eat. Nobody warned you perimenopause could feel like this. And for men: the energy, the drive, the edge, all quieter than they used to be.
These are signals, not a diagnosis. Testing tells the difference.
Where imbalance shows up.
Hormone imbalance rarely announces itself as one symptom. It shows up as a pattern. Open any point below.
Common in both
Brain fog
Estrogen and testosterone both support memory and processing speed, so shifts often show up as slower, foggier thinking.
Sleep
Progesterone has a calming effect and estrogen helps regulate temperature at night. When they fall, sleep gets lighter and hotter.
Mood
Hormone shifts change how the brain responds to stress. Irritability or flatness that is new to you is a common signal.
Fatigue
Thyroid, cortisol, and sex hormones all feed energy. Tiredness that sleep does not fix is one of the most common reasons people test.
Weight
Insulin, thyroid, cortisol, and sex hormones all shape how the body stores fat. Weight that resists diet changes can have a hormonal driver.
Libido
Desire has a strong hormonal component. Testosterone and estrogen both play a role, for women and for men.
More common in women
Hot flashes & night sweats
Sudden heat, flushing, and night sweats track the estrogen shifts of perimenopause and menopause. They are one of the clearest hormonal signals there is.
Cycle changes
Cycles that shorten, lengthen, or turn unpredictable track the estrogen and progesterone shifts of perimenopause.
More common in men
Muscle & drive
Testosterone supports muscle mass, recovery, and drive. A slow fade across all three is the classic low testosterone pattern.
Bone health
Testosterone supports bone density, not just muscle. Levels that run low for years can quietly weaken bone long before anything else feels wrong.
Testing first. Then, and only then, treatment.
The order matters. Here is how hormone care works here, start to finish.
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A free consultation
Ten to fifteen minutes by phone or video. Tell us what is going on and we will help you decide whether hormone testing makes sense as a next step.
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Comprehensive hormone testing
The Full Panel ($175), drawn in office: your sex hormones read by LC-MS/MS alongside thyroid and the supporting markers that shape how you feel. For women it covers the hormones behind cycles, sleep, and mood. For men it is never testosterone alone: SHBG and estradiol are read with it, because men are affected by estrogen too.
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Results, reviewed together
You see your numbers and what they mean, side by side with your symptoms. Treatment starts only if the labs support it.
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Treatment matched to you
Bioidentical hormone replacement in the form that fits your life. Pellet therapy is our primary approach: steady release over months, no daily dosing. Injections and creams or patches are available when preferred or better suited. For men, testosterone replacement (TRT) follows the same test-first rule.
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Retest and adjust
Follow-up labs in the first month, then periodic retesting for as long as you are on therapy. Dosing is adjusted from your levels and your response, never left on autopilot.
One question worth answering before you ask: compounded hormone pellets, like all compounded medications, are not FDA-approved products. The safeguards are the licensed pharmacy that prepares them and the provider who tests, doses, and monitors you.
Let’s talk about safety.
If hormone therapy makes you nervous, there is a good chance it traces back to one study. In 2002, the Women’s Health Initiative reported higher risks of breast cancer and blood clots in women taking hormone therapy, and millions of women stopped treatment almost overnight.
The details told a more careful story. The women in that trial were 63 years old on average, and many were more than a decade past menopause. They also took one specific combination: an older oral estrogen with a synthetic progestin (not progesterone). Both arms of the trial were stopped early, with the adverse findings concentrated in the synthetic-progestin arm, so the study was never completed as designed. Re-analyses in the years since found a more favorable balance of benefit and risk in women who start near menopause, typically in their fifties. The estrogen-only arm of the same trial did not show the breast cancer increase at all. Timing, hormone type, and route all changed the picture.
That is why modern hormone care looks different. Today the evidence supports hormone therapy as safe and effective for most healthy women with symptoms who start before 60, or within ten years of menopause. The field has also moved toward bioidentical hormones, lower-risk routes, and dosing guided by lab work rather than one-size prescriptions.
None of that makes hormone therapy risk-free. Personal history matters: some histories change the answer entirely, and monitoring is not optional here. Baseline labs before treatment, follow-up labs after starting, and a provider who adjusts your dose from data. That conversation, applied to your history specifically, is what the evaluation is for. If weight is the louder half of your story, our medical weight loss program and hormone care can also work together.
Testing, prescribing, and every adjustment: Catherine Seidle, APRN.
She spent six years as a registered nurse in the Medical ICU at the Roudebush VA before practicing as a nurse practitioner for more than ten years. Hormone care here runs by one guideline: treat the labs and the person, never the trend.
Serving Jacksonville, St. Johns, Ponte Vedra, Nocatee, and Mandarin.
What are the signs you might need hormone replacement therapy?
Persistent fatigue, insomnia or changes in sleep, weight that is hard to lose, mood changes, low libido, brain fog, and for women, cycle changes and hot flashes. None of these prove a hormone problem on their own, which is why we test before we treat. The symptom map above shows where imbalances tend to show up.
Is hormone replacement therapy safe?
For most healthy adults, modern hormone therapy started at the right time is considered safe and effective, and the scary headlines from twenty years ago came from a study that has been commonly misinterpreted. Safety depends on your personal history, the type of hormones used, and monitoring. We cover your individual risk profile at your evaluation.
Will hormone therapy cause weight gain, or help with weight loss?
Untreated hormone imbalance is often what drives weight gain in the first place, and balancing hormones commonly makes weight easier to manage. Hormone therapy is not a weight loss drug, though. If weight is your primary goal, our medical weight loss program may fit better, and the two can work together.
Do I need lab work before starting hormone therapy?
Here, yes. We treat symptoms and labs together, and sometimes labs come first: hormones can run low before you feel it, quietly working against bone health and mood, and starting before that becomes a problem is the point. The baseline labs also exist for safety and dosing. They establish where you started, catch the look-alikes such as thyroid disease, and give us something real to measure against once you are on therapy.
How long does it take to feel a difference?
This is different for everybody. Some patients notice sleep and energy changes within a few weeks; mood, body composition, and libido typically take longer as levels stabilize. We recheck labs and adjust rather than guessing, so expect follow-up testing in the first month and periodic retesting for as long as you are on therapy.
How much does it cost, and does insurance cover it?
We are a cash-pay practice with transparent pricing and no insurance billing, which also means no insurance company deciding your protocol. Visits and labs are HSA and FSA eligible, and financing is available through Affirm. Exact pricing for your situation is covered at the free consultation.
How do I start?
Book the free consultation. It is a short call, ten to fifteen minutes, where we hear what is going on and tell you whether hormone testing makes sense as a next step. Treatment only ever starts after comprehensive labs and a full evaluation.
This information is for general education and is not medical advice, a diagnosis, or a substitute for care from your provider. Lab results are reviewed with you by Catherine Seidle, APRN.
Test first. Then decide.
A free consultation costs nothing and commits you to nothing. Tell us what is going on and we will help you decide whether hormone testing is the right next step.