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Hormone Replacement Therapy

Hormones influence nearly every system in your body. When they're out of balance, you feel it. At Genesis Health, we use personalized bioidentical hormone replacement therapy (BHRT) designed to help restore balance for both men and women.

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Dr. Ruth Johnson - Hormone Replacement Therapy at Genesis Health NYC
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Hormone optimization consultation at Genesis Health NYC

What Is Hormone Replacement Therapy?

Hormone replacement therapy (HRT) is a physician-supervised approach designed to help address hormonal imbalances that may occur naturally with aging, stress, or other factors. As hormone levels shift, many individuals experience changes in energy, mood, sleep quality, and overall vitality.

At Genesis Health, we specialize in bioidentical hormone replacement therapy (BHRT), which uses hormones that are structurally identical to those your body naturally produces. This personalized approach differs from conventional hormone therapy by focusing on your unique biochemistry rather than a one-size-fits-all protocol.

Our integrative methodology combines advanced diagnostic testing with individualized protocols, aiming to support the body's natural processes rather than simply masking symptoms.

Every protocol at Genesis Health begins with comprehensive testing to understand your unique hormonal landscape before any treatment recommendations are made.

Common Signs of Hormonal Imbalance

Hormonal shifts can manifest in many ways. If you're experiencing several of these concerns, a comprehensive evaluation may help identify underlying imbalances.

Persistent Fatigue

Feeling chronically tired despite adequate sleep may indicate hormonal changes affecting your body's energy regulation systems.

Mood Changes

Unexplained irritability, anxiety, or shifts in emotional wellbeing can be connected to fluctuations in hormone levels.

Weight Changes

Unexplained weight gain, particularly around the midsection, may be associated with hormonal shifts that affect metabolic function.

Sleep Disruption

Difficulty falling asleep, staying asleep, or night sweats can be related to imbalances in estrogen, progesterone, or cortisol.

Brain Fog

Difficulty concentrating, memory concerns, or mental cloudiness may be associated with hormonal fluctuations affecting cognitive function.

Low Libido

Decreased interest in intimacy or changes in sexual function are commonly associated with shifts in testosterone, estrogen, or other hormones.

Personalized Treatment Modalities

We offer a range of evidence-informed approaches tailored to your individual needs, health history, and goals.

Bioidentical Hormones

BHRT uses hormones that are structurally identical to those your body produces. These may be compounded specifically for your needs based on comprehensive lab work and clinical assessment.

Thyroid Optimization

Beyond standard TSH testing, we evaluate a comprehensive thyroid panel to identify subclinical dysfunction that may be contributing to fatigue, weight changes, or mood imbalances.

Adrenal Support

Chronic stress may impact adrenal function and cortisol regulation. We assess adrenal health as part of a comprehensive hormonal evaluation and may recommend targeted nutritional and lifestyle interventions.

Testosterone Therapy

For both men and women, optimizing testosterone levels may support energy, mood, lean muscle maintenance, and overall vitality. Protocols are carefully monitored and adjusted based on lab work.

Estrogen & Progesterone Balance

Proper balance of estrogen and progesterone is essential for women's health. We evaluate these hormones in context with your full hormonal picture to develop protocols that may support comfort, sleep, and wellbeing.

How It Works

Our four-step process is designed to provide a thorough, personalized experience from initial evaluation through ongoing care.

1

Comprehensive Testing

We begin with an in-depth consultation and advanced lab work that goes beyond standard panels, evaluating hormones, thyroid, adrenal function, metabolic markers, and more.

2

Personalized Protocol

Based on your results, health history, and goals, Dr. Johnson develops a customized treatment plan that may include BHRT, nutritional support, and lifestyle recommendations.

3

Ongoing Monitoring

Regular follow-up appointments and lab work allow us to track your progress and make adjustments to your protocol as your body responds and your needs evolve.

4

Optimization

As your hormonal balance improves, we continue fine-tuning your plan to support long-term wellbeing and help you maintain the improvements you've achieved.

Take Control of Your Hormonal Health

Schedule a complimentary discovery call to discuss your concerns, learn about our approach, and find out if personalized hormone replacement therapy may be right for you.

Schedule Free Discovery Call

Or call us directly: (212) 644-9100

Frequently Asked Questions

Bioidentical hormone replacement therapy uses hormones that are molecularly identical to those your body naturally produces. Unlike synthetic hormones, bioidentical hormones are derived from plant sources and are designed to function the same way as your own hormones. At Genesis Health, BHRT protocols are individualized based on comprehensive lab testing and your specific symptoms, health history, and goals.

Every individual responds differently to hormone optimization. Some patients report noticing improvements in energy and sleep within the first few weeks, while other changes may become more apparent over two to three months. Full optimization often takes several months of careful monitoring and protocol adjustment. We set realistic expectations and track progress through regular lab work and follow-up consultations.

When prescribed and monitored by a qualified physician, hormone replacement therapy has been used for decades. Dr. Johnson conducts thorough health evaluations, reviews your medical history, and monitors lab work regularly to help ensure that any protocol is appropriate for your individual situation. As with any medical treatment, we discuss potential benefits and considerations during your consultation so you can make an informed decision.

Yes. Hormonal imbalances affect both men and women, though they often present differently. Women may experience changes related to perimenopause, menopause, or other hormonal shifts, while men may notice age-related changes in testosterone and other hormones. Our protocols are personalized regardless of gender, with treatment plans designed around your unique biochemistry and health goals.

Coverage varies by insurance plan and the specific services provided. Many of our diagnostic tests and physician consultations may be covered under major insurance plans. Some compounded bioidentical hormones may not be covered. Our team can help verify your benefits and provide transparent cost information during the scheduling process so there are no surprises.

We conduct comprehensive lab work that goes well beyond standard hormone panels. This typically includes a full thyroid panel (TSH, Free T3, Free T4, reverse T3, antibodies), sex hormones (estradiol, progesterone, testosterone, DHEA-S), adrenal markers (cortisol), metabolic markers (insulin, HbA1c), inflammatory markers, and key nutrients. The specific tests may vary based on your symptoms and health history. This thorough approach helps us identify the root factors contributing to your concerns.

Your First Step Toward Balance

Whether you're navigating perimenopause, andropause, or simply feel that something is off, a conversation with our team is a good place to start. No pressure, no obligation.

Book Your Free Discovery Call

Or call us: (212) 644-9100