Bio-Identical Hormone Replacement Therapy

What Is Bio-Identical Hormone Therapy?

Hormone levels decline as we age; bioidentical hormone therapy replenishes the hormones that your body needs to function.

MD Ageless Solutions uses natural or bioidentical hormones versus bio-similar or synthetic hormones.

Bioidentical hormones are molecule-by-molecule, exactly the same as the hormones (estrogen, testosterone, progesterone, cortisol, dhea, estradiol and estriol) present in the human body.

Your bioidentical hormone replacement physician will assess your individual needs and work to restore these hormones and customize a medical plan specifically for you.

Hormone levels can be measured either in blood or saliva. The following conditions can be treated using BHRT:

  • Adrenal Fatigue
  • PMS
  • Peri-menopause
  • Menopause
  • Post- menopause
  • Andropause or low testosterone
  • Low thyroid function
  • Polycystic Ovary Disease
  • Hormonal Acne
  • Obesity


Your bioidentical hormones physician will also discuss the importance of good nutrition, fitness and lifestyle choices in your journey to better health with natural hormones. Eating right and exercising are equally important aspects of bioidentical hormone therapy or hormone replacement therapy (HRT). If your hormones are out of balance, your body will not respond optimally to improved nutrition and exercise.


Women suffering from early menopause symptoms looking to put an end to hot flashes, night sweats, memory loss, mood swings, weight gain, and low libido are turning to these expert physicians to replace natural hormones.

These certified BHRT physicians design individualized programs specifically for each woman suffering from early menopause symptoms, menopause, peri-menopause, and severe PMS.

Men experiencing the male menopause who want to get a grip on weight gain, lost libido, fatigue, stress, energy, muscle mass, and body fat are also finding solutions through natural hormone therapy. For men,andropause (the male menopause) happens gradually and when diagnosed, the symptoms are successfully treated using bioidentical HRT.


  • A comprehensive review of symptoms, medical, family and personal history
  • Testing of saliva, urine and/or blood laboratory analysis
  • Natural hormone balancing
  • Ongoing evaluations every 3 to 6 months
  • Quality compounded pharmacy
  • Highest quality supplements
  • Fitness programs
  • Nutrition planning
  • Stress reduction plans


  • Physician initial consultation $100
  • Saliva Test Basic Hormone Evaluation Male $200
  • Saliva Test Basic Female Hormone Evaluation $200
  • Saliva Test Comprehensive Male Hormone Evaluation $300
  • Saliva Test Comprehensive Female Hormone Evaluation $300

The Comprehensive Blood Panel:

The Comprehensive Lab panel includes the minimum amount of blood test panels the physician requires for a diagnosis while still being able to provide the high quality hormone replacement therapy services. The Comprehensive Lab panel includes the following:

  • CMP (Complete Metabolic)
  • Testosterone, Free & Total
  • IGF-1 (Insulin Growth Factor)
  • IGF-BP3 (Binding Protein 3)
  • LH (Luteinizing Hormone)
  • Lipids Panel (LDL / HDL)
  • PSA – Prostate (men)
  • Thyroid Panel (TSH)
  • Progesterone
  • Estradiol
  • Free T3
  • Cortisol
  • SHBG

The price of the Comprehensive Blood Panel is $400

If you have a recent lab test that includes all of these panels then you can forward the lab test results to us for review and you will not need to get lab testing.

The Executive Lab Panel

Our highest level lab test is our Executive Lab Panel. This extensive blood testing panel covers every lab test the physician would like to see to assess your complete current health status and goes well beyond screening for just a hormone deficiency. This is for the patient who takes a very progressive hands-on approach to their health care. Included in this test is NMR LipoProfile, a specialized laboratory test performed on a blood sample that provides a detailed analysis of your blood lipids. It also checks for: adrenal fatigue, advanced blood sugar and cardiovascular health markers. The Executive blood test panels include everything in the Comprehensive lab panels and more as follows:

  • CBC (Complete Blood Count)
  • CMP (Complete Metabolic)
  • Testosterone, Free & Total
  • IGF-1 (Insulin Growth Factor)
  • IGF-BP3 (Binding Protein 3)
  • LH (Luteinizing Hormone)
  • Lipids Panel (LDL / HDL)
  • PSA – Prostate (men)
  • Thyroid Panel (TSH)
  • Progesterone
  • Estradiol
  • Free T3
  • Cortisol
  • Vitamin D, 25-Hydroxy
  • Homocystine Plasma
  • C-Reactive Protein
  • Hemoglobin A1C
  • NMR LipoProfile
  • Ferritin Serum
  • Progesterone
  • Prolactin
  • Cortisol
  • DHEA
  • FSH

The price of the Executive Lab Panel is $800.


Estrogens are hormones produced in both men and women. Estrogens circulating in the blood eventually get broken down by the liver into estrogen metabolites, which are eliminated in the urine. There are several different pathways estrogen can take on its way out of the body. Two of the major metabolic pathways are: 2-hydroxyestrone (2-OHE1) and 16-alpha-hydroxyestrone (16-OHE1). Research shows that a ratio of 2-OHE1 to 16-OHE1 in urine of greater than 2.0 is associated with a lower degree of severity, or risk of developing, certain diseases. Maintaining a healthy balance in favour of 2-hydroxyestrogens may help preserve good health.

The Estrogen Metabolism Ratio can be used to help women and men assess their risk of the following conditions associated with imbalances in the breakdown of estrogens.

Conditions Associated with Estrogen Metabolism Imbalance

Breast Cancer

  • Several studies show that women diagnosed with breast cancer have a lower ratio of 2-OHE1 to 16-OHE1 than age-matched disease-free women.

Cervical dysplasia

  • Cervical dysplasia is a condition where pre-cancerous cells are found in the cervix. Studies show the severity of the dysplasia is greater in women with a lower Estrogen Metabolism Ratio.

Why Test the Estrogen Metabolism Ratio?

  • Because a number of health conditions (see above) are affected by the ratio of 2-hydroxyestrone to 16-hydroxyestrone; your Estrogen Metabolism Ratio may give some indication of your relative risk of developing these conditions.
  • Knowing you are at increased risk for certain hormone-related conditions may provide motivation to make healthier lifestyle choices.
  • The Estrogen Metabolism Ratio test is simple to do. A single urine sample is tested and measurements of both 2-OHE1 and 16-OHE1 are made. The ratio of 2-OHE1 to 16-OHE1 is plotted on a bar graph with the favorable range highlighted in green.

Improving Your Estrogen Metabolism Ratio

A number of supplements and lifestyle changes can be used to raise the Estrogen Metabolism Ratio (EMR). Unfortunately, there is no definitive proof that increasing the ratio now guarantees a reduced risk of developing hormone related diseases later. However, we do know from population studies that men and women with higher ratios of 2-OHE1 to 16-OHE1 are much less likely to develop certain hormone related diseases. We also know that many of the supplements, foods and lifestyle changes that raise EMR have documented health benefits. Therefore, it is reasonable to assume that adding these food/supplements and making lifestyle changes will reduce risk of disease.

Supplements: There are a number of natural products that help improve the Estrogen Metabolism Ratio. Indole-3-carbinol (I3C), Di-indolylmethane (DIM), laxseed, omega-three fatty acids, soy isoflavones and oil of rosemary all increase 2-hydroxyestrone levels, thereby raising the EMR.

In addition, prescription progesterone and prescription thyroid hormone have been shown to improve the Estrogen Metabolism Ratio.

Exercise: Levels of the “bad” metabolite 16-OHE1 go up with obesity, therefore weight loss and exercise are important factors in regulating the EMR.

Lifestyle: Exposure to toxins can increase levels of the “bad” metabolite 16-OHE1, which lowers the EMR, so it is important to minimize exposure to toxic chemicals. Excessive alcohol consumption may also lower the EMR.

Diet: Increased consumption of cruciferous vegetables like broccoli, Brussels sprouts, cabbage and cauliflower can raise the EMR by increasing the amount of the “good” metabolite, 2-OHE1. Increasing dietary fiber and reducing consumption of saturated fats also helps raise the EMR.

Test Results

Maintaining an Estrogen Metabolism Ratio of 2.0 or higher may provide some protection against hormone related cancers. In some cases, an EMR of 2.0 may not be high enough. Your health care practitioner can help you determine what is a good ratio for you.
Note that treatment decisions are based on the ratio of the two metabolites, not on individual measurements of either 2-OHE1 or 16-OHE1. The amount of 2-OHE1 or 16-OHE1 that is produced and eliminated varies widely throughout the menstrual cycle in women and from patient to patient, depending on kidney function and fluid consumption. Therefore, decisions must be based on the absolute ratio between the two.

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