Hormone therapy is appropriate for specific patients with specific symptoms and documented imbalances. We use bioidentical hormones, prescribed based on individual lab work and symptom assessment, with the ongoing follow-up that real medical management requires. We're not the place to optimize hormones in someone with normal labs and no symptoms.
longer initial visit, brief follow-ups
stops when therapy stops
varies by hormone and protocol
no real downtime

Treatment begins with a comprehensive consultation reviewing your symptoms, medical history, family history, and current medications. We order a baseline lab panel: hormones, thyroid, metabolic markers, lipids, and other tests relevant to your specific situation.
Based on labs and symptoms, we prescribe bioidentical hormones in the most appropriate delivery method: topical creams, oral capsules, injections, or pellet implants. Each method has tradeoffs in absorption, convenience, and cost. We discuss what fits your life.
Follow-up labs at 3 to 6 months let us see how your body is responding and adjust dosing. Most patients settle into a stable maintenance protocol with annual lab reviews.
Your provider conducts a full medical intake and orders comprehensive lab work: hormone panel (estradiol, progesterone, testosterone, DHEA, cortisol), thyroid, lipids, complete blood count. BHRT is a medical intervention. We don't start without a clinical picture.
Treatment begins based on your lab results and symptoms. For most clients, this is pellet insertion (a quick in-office procedure under local anesthesia) or topical/oral therapy. Pellet placement takes about ten minutes; we use small incisions in the upper buttock or hip area.
Follow-up to assess initial response and discuss any side effects. Some clients feel changes in the first two weeks. Others take longer. We don't adjust dosing this early. We listen.
Repeat hormone panel and symptom assessment. This is when we titrate dosing based on actual lab values, not just feel. Some clients need adjustment up; some need down. Some are exactly where they need to be.
Pellet recipients return every three to four months for repeat insertion. Topical or oral therapy continues daily with quarterly check-ins. Lab work twice a year minimum. BHRT is an ongoing relationship, not a one-time treatment.
At RN Esthetics, every treatment starts with listening. We are Nurse Practitioners, RNs and Estheticians who treat every client as the hero of their own story.

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BHRT is one I'm certified to do and one I'm careful about. Pellets, the lab work that has to come first, the ongoing monitoring. This isn't a one-visit treatment. It's a relationship with your hormones and your provider. I'd rather we get that part right than pretend it's simpler than it is.
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Every plan starts with comprehensive bloodwork. We don't guess at hormones, deficiencies, or metabolic markers. We test, treat, and recheck.
Wellness is full of products with no data behind them. We use protocols supported by current evidence and skip the rest.
We're not a primary care replacement. We coordinate with PCPs, endocrinologists, dermatologists, and mental health providers when our scope ends and theirs begins.
Wellness work is ongoing. Quarterly bloodwork, regular check-ins, plans that adjust as you do. We're built for that pace.
For appropriately selected patients with proper monitoring, yes. The safety conversation is more nuanced than the marketing language in this space often suggests. Risks vary by hormone, dose, route of administration, age, family history, and individual factors. We require comprehensive lab work and full medical history before prescribing. We monitor with repeat labs twice a year. We don't treat 'bioidentical' as a synonym for 'risk-free.' It's not. But for the right client with the right monitoring, the benefits often outweigh the risks substantially.
Each location has its own character. All three share the same standard of care.
Bioidentical hormones are chemically identical to the hormones your body makes naturally. Traditional HRT used synthetic or animal-derived hormones in some cases. In current practice, much of mainstream HRT is also bioidentical (estradiol, micronized progesterone). The marketing distinction is often less important than the dosing, route, and monitoring. What matters is whether the protocol is tailored to your labs, your symptoms, and your risk profile. We approach BHRT as evidence-based hormone medicine, not as a parallel system.
BHRT is priced based on the route of administration (pellet, topical, oral), the hormones prescribed, and the monitoring schedule. Pellet therapy typically runs as a quarterly procedure with lab work twice a year. Topical or oral therapy runs as monthly cost. Some insurance covers HRT prescribed for menopause; we help navigate that conversation. We don't quote without seeing you.
Some clients notice changes in the first two weeks. Others take six to eight weeks to feel a clear shift. Pellet therapy typically reaches steady-state hormone levels within three to four weeks. We don't make adjustments before then because the picture isn't complete. Patience early in the protocol pays off.
For women: perimenopausal and menopausal symptoms like hot flashes, night sweats, sleep disruption, mood changes, low libido, vaginal dryness, and brain fog. For men: low testosterone symptoms like fatigue, low libido, mood changes, decreased muscle mass, and decreased focus. We're honest about what BHRT does and doesn't address. It treats hormone deficiency symptoms. It isn't a cure-all for fatigue, weight gain, or aging in general. Many of those have other causes worth investigating first.
For appropriately selected patients with proper monitoring, yes. The safety conversation is more nuanced than the marketing language in this space often suggests. Risks vary by hormone, dose, route of administration, age, family history, and individual factors. We require comprehensive lab work and full medical history before prescribing. We monitor with repeat labs twice a year. We don't treat 'bioidentical' as a synonym for 'risk-free.' It's not. But for the right client with the right monitoring, the benefits often outweigh the risks substantially.
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Had my first blood draw today with it was INCREDIBLE!!! Also the front desk were all so pleasant especially Kelsie! I highly recommend RN Esthetics!!
I was truly blown away after my appointment here. Every single person I interacted with, from the front desk to the providers who handled my treatments, was incredible! They made me feel so welcomed and cared for, and were both informative and genuinely kind. The space itself is spotless, cozy, and easily the most inviting place I’ve ever been for Botox. Michelle did my Botox and she was amazing! I also had a hydrafacial and dermaplaning, and I already can’t wait to come back again and again.You will not regret booking here!
I highly recommend RN Esthetics! The staff is welcoming, knowledgeable, and helpful without making you feel rushed. The facility is spotless and clean, which made me feel even more comfortable and confident being there. Great experience overall!
Annual cards built around facials, retail, and the visits that follow. Today's treatment isn't discounted, but everything that comes after it quietly is.
Discounted IV drips, a birthday IV, and member-only wellness pricing.
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