Hormone Replacement Therapy (HRT) — Delivered Online
Lab-guided hormone care for patients in Oregon and Washington, delivered through telehealth.
Evaluation focuses on the patterns behind your symptoms — fatigue, mood changes, sleep disruption, shifts in metabolism — and treatment is built around your physiology, not a protocol.
What Is Hormone Replacement Therapy
Hormone replacement therapy restores hormones the body is no longer producing at adequate levels — most commonly estrogen, progesterone, testosterone, thyroid, and DHEA. The goal is not to chase numbers on a lab report, but to address the symptoms and long-term health risks that come with hormonal decline.
Hormones interact with nearly every system in the body, so changes in their levels can show up as fatigue, sleep disruption, mood changes, weight gain, reduced libido, brain fog, or loss of muscle mass. Identifying which hormones are involved — and why — is the foundation of an effective treatment plan.
Decisions about HRT are based on a combination of clinical history, symptom patterns, and laboratory data. This includes determining whether HRT is appropriate, which hormones to address, and how treatment should be monitored over time.
Who This May be For
Persistent fatigue or low energy not explained by sleep or lifestyle
Mood changes, irritability, or new difficulty with focus and memory
Sleep disruption, including waking through the night or non-restorative sleep
Reduced exercise tolerance, slower recovery, or loss of muscle despite training
Unexplained changes in body composition or weight
Perimenopausal or menopausal symptoms including hot flashes, night sweats, or vaginal dryness
Low libido or signs of declining testosterone in men
Structured and Clinically Guided Approach
Comprehensive Hormone Evaluation
Each evaluation begins with a detailed review of symptoms, medical history, lifestyle, and prior lab work. When testing is needed, targeted labs are ordered through your insurance whenever possible and interpreted in the context of the full clinical picture.
Treatment Plan
When HRT is appropriate, treatment is tailored to your physiology, symptoms, and goals — including the form of hormone (oral, topical, or injection), starting dose, and what to expect in the first weeks and months. If HRT isn't the right answer, that will be communicated clearly and other options discussed.
Ongoing Monitoring
Hormone therapy requires follow-up. Symptoms are reassessed and labs rechecked on a defined schedule to confirm treatment is working, well-tolerated, and aligned with long-term health.
Telehealth Hormone Care
All visits are conducted by video, allowing care to be accessed from home without travel or time off work. Labs are coordinated at facilities near you, and prescriptions are sent to your preferred pharmacy. Telehealth care is available to patients located in Oregon and Washington.
Why Choose This Practice
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Direct, one-on-one care with a licensed naturopathic physician
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Treatment decisions grounded in labs and clinical reasoning
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Focused on identifying what's actually driving your symptoms
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Direct-pay visits ($350 new patient, $175 follow-up); insurance used for labs and imaging when possible
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Long-term clinical relationship rather than one-time prescriptions