Service
Bioidentical Hormone Therapy (BHRT)
Bioidentical hormone therapy (BHRT) refers to hormone therapy using hormones with a molecular structure identical to hormones the body produces. Vitality Medicine RX offers nurse practitioner-led telehealth evaluation for hormone-related concerns, with care available in states where Dr. Miklos Major II, Sc.D., DNP, NP-BC, FAAMFM holds an active license. Book a discovery call to discuss your symptoms and whether hormone evaluation may be appropriate.
Who may be evaluated for BHRT?
Adults with hormone-related symptoms who want a careful evaluation may be appropriate candidates. This includes women navigating perimenopause or menopause and men with low testosterone symptoms, as well as anyone whose symptoms overlap with possible hormone changes.
Hormone symptoms can overlap with many other conditions, so evaluation matters before any treatment is considered. A hormone discussion does not mean hormone therapy is right for you.
Common symptoms and goals
People often seek evaluation for hot flashes, night sweats, sleep disruption, mood changes, low energy, changes in libido, weight changes and other symptoms that may relate to hormone shifts.
These symptoms can have multiple causes, so a full evaluation, including appropriate labs, helps separate hormone factors from thyroid, metabolic, nutritional and lifestyle factors.
How telehealth hormone care works
After a discovery call, you complete an intake covering your history, symptoms and goals. Dr. Miklos Major II, Sc.D., DNP, NP-BC, FAAMFM reviews prior labs and orders new testing when appropriate, then walks you through findings in a dedicated visit.
If hormone therapy is appropriate, dosing is individualized and monitored with follow-up visits and repeat labs. Dose adjustments are made based on your response and clinical judgment.
Labs that may be used
Hormone evaluation may include estradiol, progesterone, testosterone, DHEA, cortisol and thyroid markers as appropriate, along with a metabolic panel and other baseline tests.
Labs are completed near you or with home kits where available, depending on your state and the tests ordered. Outside lab fees are billed separately and discussed in advance.
Treatment options that may be considered
When hormone therapy is appropriate, options may include FDA-approved bioidentical products or compounded hormone preparations. It is important to understand the difference: FDA-approved products have been reviewed by the FDA for safety, effectiveness and quality, while compounded hormones are not FDA-approved.
Vitality Medicine RX does not claim that bioidentical hormones are safer or more natural than other hormones. The right choice depends on your individual situation and is discussed openly, including risks and alternatives.
Safety, risks and ongoing monitoring
Hormone therapy carries potential risks that vary by person, type of hormone, dose and delivery method. Risks are reviewed with you before any treatment begins, and monitoring includes follow-up visits and appropriate labs.
Telehealth is not for emergencies. If you have chest pain, sudden severe headache, vision changes, leg swelling or another emergency, call 911.
Cost of hormone care
Care is provided through our programs and memberships. See the Pricing page for details. Medications, compounded medications and outside lab fees are billed separately.
The practice is fee-for-service and does not bill insurance, Medicare or Medicaid. HSA and FSA cards are accepted, and superbills are available on request.
Your provider
Dr. Miklos Major II, Sc.D., DNP, NP-BC, FAAMFM
Doctor of Nursing Practice (DNP) and Doctor of Science (Sc.D.), board-certified nurse practitioner (NP-BC).
About your providerRelated
Last updated 2026-10-07.