Bioidentical Hormone Therapy
for women

Female Hormonal Decline Can Affect Optimal Health & Wellness

Hormones naturally decline with age.

Estrogen levels fluctuate dramatically during perimenopause before dropping sharply after menopause.
Progesterone begins declining in the mid-30s and often falls over 75% by menopause.
Testosterone, DHEA, and pregnenolone decline approximately 50% from age 25 to 50, with further reductions by age 75.
Melatonin production also drops significantly with age.

Importantly, research shows that women who initiate hormone therapy before age 60 have an overall reduced mortality. As women now live 30–40 years past menopause, this stage of life deserves critical attention.

Negative Effects of Declining Estrogen Levels

When estrogen declines during menopause, it can impact many aspects of a woman's health, leading to:

Hot flashes and night sweats disrupting sleep and comfort
Vaginal dryness and discomfort during intimacy
Mood swings, anxiety, or depression due to neurotransmitter changes
Bone loss increasing the risk of osteoporosis
Skin thinning and loss of elasticity
Increased cardiovascular risk (less protection for heart and vessels)
Disrupted lipid metabolism (elevated cholesterol)
Urinary tract changes leading to more infections or urgency
Cognitive changes like memory lapses or brain fog

Bottom line: Estrogen decline in menopause has wide-ranging effects on the body, impacting physical, emotional, and sexual health.

Discover the Benefits of Natural Hormone Therapy

Rebalancing your hormones doesn’t have to be complicated. We can help you optimize your hormone levels so you can regain control of your health, well-being, and confidence. Whether you're navigating perimenopause, menopause, weight changes, or other hormone-related concerns, bioidentical hormone replacement therapy (BHRT) offers proven benefits, including:

Balancing mood and emotional well-being
Supporting bone density and strength
Restoring steady energy levels
Improving sleep quality
Enhancing libido and sexual health
Relieving hot flashes and night sweats
Promoting natural lubrication and reducing vaginal dryness
Easing joint discomfort

We use bioidentical hormones that closely match your body’s natural chemistry, supporting better absorption and minimizing unwanted side effects. Our approach is always personalized—designed to meet your unique needs and help you feel like yourself again.

hormone appointment fee schedule

New Patient Appointment

30-45 minute virtual appointment includes:

Reviewing your medical and family history,
Assessing current concerns and symptoms,
Ordering appropriate laboratory tests, and
Developing a personalized treatment plan based on your results.

$250

Book Appointment

Established Patient Follow Up

15-20 minute virtual appointment includes:

Assessment of treatment effectiveness,
Adjust medications as necessary,
Ordering any additional labs if needed.

$175

Book BHRT Appointment

Treatment Plan Expectations

After your initial visit and the start of your personalized plan, we'll schedule a follow-up in approximately 2 months. Ongoing follow-ups will typically occur every 2–6 months, depending on your symptoms and how you’re responding to therapy.
Consistent follow-up is key to helping you reach your goals. You can expect up to 4 visits in the first year, totaling $775—often less than many membership models. Consider it an investment in your health and well-being, both now and for the future.
After the first year, labs and follow ups are recommended every 6 months to ensure safe hormone levels.

Bioidentical Hormone Replacement FAQ

Cost Effective Solutions

Your treatment is personalized just for you, based on your genetics and symptoms. Your get the tests and care you need based on your health history and symptoms, which enables us to cut out the excess testing and keep costs down.
Virtual Consultations

You deserve a personalized approach. That's why I take a patient-centered and personalized approach, to address your health concerns while honoring your pace and readiness.
Natural-First Approach

Natural-First Approach Before considering conventional medication, we will look for natural and effective treatments. I believe in "food-first" approach. Only after natural solutions have been exhausted will I prescribe medication.
First Follow-Up Visit

I will review your in-depth health history and labs results from the perspective of both conventional medicine and functional medicine. I will make sure no serious problems are missed that would require conventional treatments. I will formulate an easy-to-follow "Functional Health Blueprint" that includes lifestyle modifications, meal plans, supplements, and treatment recommendations. All of these will be discussed upon your first follow up visit.
New Patient Consult

New Patient Intake Questionnaires will be sent to you via email after booking your appointment 60-75 minute virtual intake visit guided by information in your intake questionnaires I will also order a comprehensive functional blood panel and/or a functional medicine test to get a deeper understanding of your current health I will make easy to follow recommendations to jumpstart your recovery The majority of recommendations will be made after I have lab results available.
Consequent Follow Up Visits

We will review your symptoms about 4-6 weeks after the "Functional Health Blueprint" interventions have been implemented. If needed, more in-depth functional medicine testing will be recommended. Only tests you need will be recommended, keeping cost in mind You can anticipate 4-6 follow up visits in 6 months after developing your treatment blueprint Together we will tailor the blueprint to your lifestyle, readiness, finances, and life circumstances.
Collaborative Partnership

Empowers patients with ongoing support and guidance throughout their health journey.
Comprehensive Testing

Uses advanced functional lab panels to uncover insights traditional testing might miss.
Personalized Treatments

Tailors solutions like diet changes, supplements, and peptides to each patient's unique needs.
Root Cause Approach

Focuses on identifying and addressing the coot causes of health concerns rather than just managing symptoms.
Proactive Prevention

Prioritizes prevention and long-term wellness over reactive care.
Holistic Care

Takes a whole-body approach, considering physical, mental, and lifestyle factors.
Bioidentical Hormone Replacement Therapy (BHRT)

- BHRT - New Patient: $260 - BHRT - Follow Up: $175
GLP-1 Weight Loss

Weight Loss Appointments: GLP-1 - New Patient: $75 GLP-1 - Follow Up: $30 GLP-1 Medication Pricing Semaglutide: approx. $200-250/month Tirzepatide: approx. $300-350/month These medications are titrated based on your individual needs and tolerance levels. I aim to stay at lower doses to maintain a healthy and sustainable weight loss, keeping cost in mind.
Functional Medicine Packages

Functional Lab Panel with Review - $599 Foundational Health Snapshot - $2450 (3 tests + 3 visits) Total Wellness Blueprint - $2950 (5 tests + 3 visits)
Functional Medicine - Pay As You Go

- New Patient Appointment (60-75 min): $500 - Follow Up Visits (45-60 min): $325 - 3 Follow Up Visit Bundle (3 x 45-60 min) : $925 - Brief Follow Up Visit (20-30 min) (by approval for a quick/minor concern) : $150
Lab Testing

Functional Medicine Labs A'la Carte - individually priced for those only looking for testing but no treatment. Please see the Lab Testing menu under Services.
How do I get started with GLP-1 weight loss treatment?

Start by booking a virtual consultation. We’ll review your health history, discuss your goals, and determine if semaglutide or tirzepatide is the right fit for you. We’ll also help you create a personalized plan to support lasting results.
How are semaglutide and tirzepatide administered?

They’re given as once-weekly subcutaneous (under the skin) injections. We’ll show you exactly how to administer them at home, making it convenient and easy to follow.
Are semaglutide and tirzepatide FDA-approved for weight loss?

Yes! Semaglutide (Wegovy®) is FDA-approved for chronic weight management. Tirzepatide (Mounjaro®) is FDA-approved for type 2 diabetes with strong weight loss benefits and is commonly prescribed off-label for weight loss under medical supervision.
What are GLP-1 medications for weight loss?

GLP-1 medications like semaglutide (Wegovy®) and tirzepatide (Mounjaro®) are prescription injectable treatments that help support weight loss by regulating appetite, slowing stomach emptying, and improving blood sugar control.
Are there side effects of semaglutide and tirzepatide?

Common side effects include nausea, vomiting, constipation, or reduced appetite. We start with low doses and gradually increase to improve tolerability and reduce side effects.
How long will I need to take GLP-1 medications?

They’re designed for ongoing weight management. Many patients stay on them long-term, but plans are individualized based on your goals, progress, and tolerance. We’ll reassess regularly to ensure you’re on the best path.
How much weight can I lose with GLP-1 injections?

Results vary, but clinical studies show average weight loss of 12–20% of body weight over time when paired with healthy nutrition and lifestyle changes. We’ll tailor your plan to support long-term, sustainable success. Tirzepatide results in greater weight loss when compared to semaglutide.
Is GLP-1 weight loss available in Austin and across Texas?

Absolutely! We provide virtual functional medicine and weight loss support for clients in Austin, Dallas, Houston, San Antonio, and anywhere in Texas. Our approach is personalized, evidence-based, and convenient.
Do you offer GLP-1 weight loss programs in Texas?

Yes! We offer virtual consultations for GLP-1 weight loss programs throughout Texas, including Austin, Dallas, Houston, San Antonio, and beyond. Get expert guidance from the comfort of your home.
Who is a good candidate for GLP-1 weight loss injections?

GLP-1 medications may be appropriate for adults with a BMI of 30 or higher (obesity), 27 or higher with weight-related conditions like diabetes or high blood pressure, and even for those with a BMI over 24 who may benefit from improved blood sugar control, reduced inflammation, or other metabolic health goals. We’ll review your health history and goals to determine if they’re the right choice for you.
How do semaglutide and tirzepatide help with weight loss?

Both medications mimic the body’s natural GLP-1 hormone to help you feel fuller longer, reduce cravings, and support sustainable calorie reduction. Tirzepatide also targets GIP receptors for an additional effect on insulin sensitivity and appetite control.
How long does it take to feel better on BHRT?

Many women start noticing improvements within a days to a few weeks, but optimal results often take a few months as we fine-tune your doses and approach. Ongoing follow-ups help ensure you continue feeling your best while keeping safety in mind.
Is BHRT only for menopause?

BHRT is most commonly used for menopause and perimenopause, but some younger women with hormonal imbalances may also benefit. Each case is assessed individually to ensure appropriateness and safety.
How is BHRT administered?

BHRT can be delivered through creams, gels, patches, troches (lozenges), or capsules, depending on individual needs and goals. Your plan is customized for safety, efficacy, and your preference.
Is BHRT safe?

BHRT is personalized and carefully monitored. For many women, it offers a safe and effective way to manage menopausal symptoms. We tailor treatment plans based on medical history, risk factors, and regular follow-up assessments to maximize safety.
Do I need lab testing before starting BHRT?

Yes. We perform comprehensive lab testing to assess your hormone levels, overall health, and individual needs. This ensures your treatment is personalized and evidence-informed. These labs are typically covered by insurance.
What is BHRT?

BHRT stands for Bioidentical Hormone Replacement Therapy. It uses hormones that are chemically identical to those your body naturally produces to help restore optimal balance during perimenopause and menopause. We offer BHRT consults in Austin and virtually across the entire State of Texas.
Can BHRT help with bone health?

Yes! Estrogen plays a vital role in maintaining bone density. BHRT can help reduce the risk of osteoporosis and fractures associated with menopause-related bone loss. It also supports joint health by reducing inflammation and maintaining the lubrication and integrity of joints.
Will BHRT make me gain weight?

Many women fear hormone therapy will cause weight gain, but balanced hormones can actually support healthy metabolism and body composition. We work with you to optimize overall lifestyle factors to help maintain a healthy weight.
How is BHRT different from traditional hormone therapy?

Traditional HRT often uses synthetic or animal-derived hormones. BHRT uses plant-derived compounds that are structurally identical to human hormones, which may improve tolerability, effectiveness, and offer a better safety profile for women.
Who is a good candidate for BHRT in Texas?

Women experiencing menopausal or perimenopausal symptoms—such as hot flashes, night sweats, mood changes, sleep disturbances, low libido, or vaginal dryness— benefit. We evaluate each woman’s health history, symptoms, and labs to determine if BHRT is right for her.
Is BHRT covered by insurance in Texas?

Coverage varies by plan. While some insurance may cover lab testing or pharmacy-dispensed hormones, compounded bioidentical preparations are often an out-of-pocket expense. We’ll help you understand all costs upfront and will always work with you to choose the solution that best fits your needs and budget.
What symptoms can BHRT help with?

BHRT can help relieve: Hot flashes and night sweats Sleep disturbances Mood swings or anxiety Vaginal dryness and discomfort Low libido Fatigue and brain fog Bone health concerns related to menopause
Brain Health & Mental Clarity

Brain fog Chronic Fatigue Anxiety Depression
Detoxification & Environmental Toxins

Mold exposure/toxicity
Digestive & Metabolic Health

Irritable bowel syndrome (IBS) Small intestinal bacterial overgrowth (SIBO) Leaky gut Food sensitivities Bloating / gas / reflux Chronic constipation / Diarrhea Celiac disease / Gluten sensitivity Candida / Yeast overgrowth Insulin resistance Weight loss resistance Pre-diabetes Type 2 diabetes High cholesterol Metabolic health
Skin Conditions

Eczema Psoriasis Acne
Bioidentical Hormone Replacement Therapy (BHRT)

I use bioidentical hormones and botanical treatments in - perimenopausal women, and - post-menopausal women
Holistic Wellness Coaching

To learn more about our 4-month personalized wellness program with 1:1 coaching or our 10-week group coaching experience, please visit: https://yourholisticwellness.com
Functional Medicine Lab Testing

I offer a wide variety of functional medicine lab testings for those who want to dig deeper and know more about their health. You can order labs a'la carte depending on your needs: - gut health testing, - mycotoxin/mold illness testing, - environmental toxin testing, - organic acid testing, - complete hormone testing, - food sensitivity testing, - methylation testing, - single nucleotide polymorphism (SNP) genetic testing, and - immunology testing.
GLP-1 Weight Loss Therapy

Available to anyone who - wants to lose weight, - wants to improve their insulin sensitivity and glucose control, - wants to regulate appetite and control cravings, - wants to reduce anxiety, brain fog, and improve mood, and - to support cognitive resilience and memory.
Hormone Imbalances

Hypothyroidism/Hashimoto's Adrenal fatigue/dysfunction Premenstrual syndrome (PMS) Polycystic ovarian syndrome (PCOS) Amenorrhea and menstrual irregularities Perimenopause/Menopause
Is my information protected?

Yes! I follow HIPAA guidelines on telemedicine that include: Only authorized users should have access to Electronic Protected Health Information (ePHI). A system of secure communication should be implemented to protect the integrity of ePHI. A system of monitoring communications containing ePHI should be implemented to prevent accidental or malicious breaches. That means I will only ever communicate with you through secure channels and our password-protected portal. We will never communicate via any platform that is not fully secured to protect your private information.
What is the difference between functional vs. traditional medicine?

The distinction between functional and traditional medicine lies in their approach. Traditional medicine typically takes a reactive stance, treating the symptoms directly. On the other hand, functional medicine adopts a proactive approach, seeking to identify and address the root causes of symptoms. It aims to provide long-term relief and enhance overall health by resolving underlying issues, rather than merely masking or managing symptoms that may signal serious health problems or worsen over time.
Are you located in Austin?

Yes, I am based in Austin, Texas. However, at this time my functional medicine services are virtual only. This provides flexibility to my patients. I am able to provide virtual functional medicine services to any patient who is based in the State of Texas.
What are the rates for your visits and services?

Functional Medicine New Patient Appointment (60-75 min): $500 Functional Med Follow Up Visit (45-60 min): $325 3 Functional Med Follow Up Visit Bundle (3 x 45-60 min) : $925 Brief Follow Up Visit (25-30 min) (by approval for a quick/minor concerns) : $150 BHRT - New Patient: $260 BHRT - Established Patient: $175 GLP-1 Weight Loss - New Patient: $75 GLP-1 - Established Patient Follow Up: $30 Functional Medicine Lab Testing - individually priced. Please see the Lab Testing menu under Services.
Do you take commercial insurance or Medicare?

I do not accept insurance as insurance does not cover functional medicine services. However, I do accept HSA and can provide you with a detailed invoice with diagnosis codes.
Can you be my primary care provider?

A comprehensive approach to your health and wellness involves a team of healthcare providers, including your primary care provider, alongside working with Xenia. As a functional medicine provider, I cannot serve as your primary care provider, as certain services, such as physical exams and the management of acute or urgent conditions, cannot be handled virtually. While functional medicine adds valuable expertise, it is not a substitute for conventional medicine when it comes to acute, urgent, or serious medical issues. For emergencies, please utilize your local urgent care or emergency room.
How many visits will I need?

Every case is individual. The number of needed visits depend on the complexity and severity of your symptoms and conditions. In general after the intake visit, you can count on needing about 3 follow up visits in six months, however you should expect to see improvements in the first 8 weeks. If you need continued care after six months, memberships can be offered.
Do you offer in person or tele-health services?

Currently all our appointments are conducted through tele-medicine using audio and video through the "Practice Better" app. All our functional medicine services are offered in the greater Austin area and the entire state of Texas.
What role do hormones play in my health and why are they so important?

Hormones are essential to our body's biochemistry, influencing both our physical and mental well-being. They also play a crucial role in the risk of developing conditions such as diabetes, Alzheimer's, and heart disease. Hormonal imbalances can occur for various reasons, disrupting both physical and emotional health. Additionally, as we age, hormone levels naturally decline, leading to issues like sexual dysfunction, weight gain, hot flashes, and mood swings. By restoring hormonal balance, we address the root cause of your symptoms, reduce the risk of serious health conditions, and help you feel more youthful, energized, and vibrant.
What is included in your services?

Virtual functional medicine appointments via a secure tele-medicine application, which saves time and energy. In-depth analysis of your symptoms and medical conditions with a thorough Your Functional Health Blueprint to outline the plan to better health and longevity "Practice Better" phone app (Android or Apple) to manage your appointments, access your labs and send messages through. This app is used for the virtual visits. 10% off pharmaceutical-grade supplements through the FullScript online dispensary. No markups on lab testing No additional charge for portal messaging between sessions for clarification on any part of your health care plan previously discussed in a session. Protected health records as required by law.
What kind of lifestyle modifications will you recommend?

The lifestyle adjustments you'll be encouraged to adopt will be tailored to your specific health concerns and needs. The details will be outlined in your Holistic Health Guide. While some patients may see improvements with just a few small changes, others may need to make more significant shifts in their daily routines. However, there are a few key changes that most patients are expected to implement, including: Diet and nutrition Stress management Movement and exercise Sleep hygiene
Why is gut health so important in functional medicine?

In recent decades, research has revealed surprising connections between the gut and various parts of our body. Known as the gut microbiome, our digestive system contains both beneficial and harmful bacteria. Factors like pregnancy, antibiotics, stress, and diet can all affect the gut microbiome, influencing our mood, cognition, and even pain levels. We now understand that the gut plays a crucial role in producing neurotransmitters like serotonin and is responsible for 90% of our immune system function. These are just a few examples of how the gut impacts every system in our body. It’s clear that imbalances in gut health can have a profound effect on our overall well-being if not addressed. Functional and integrative medicine aims to improve gut function.
Are labs included?

No, labs are additional. Some basic labs can be run through your insurance, but most labs used by functional medicine providers are considered specialty and are not covered by insurance. Approximate pricing: Gut health labs: $350-$500 Immune health labs: $150-$500 Toxin/detoxification labs: $270-$800 Hormone health labs: $250-$450 Energy regulation labs: $280-$480 Cardiovascular health labs: $50-$250