Hormone Replacement Therapy (HRT) uses bioidentical hormones to restore levels that naturally decline with age or become imbalanced. When key hormones, such as estrogen, progesterone, testosterone, thyroid, and DHEA, are optimized, your body can regulate metabolism, sleep, stress response, and appetite more effectively. The result: a healthier foundation for fat loss, lean mass maintenance, and long-term weight stability.

We typically assess:

Sex hormones: estrogen, progesterone, testosterone Thyroid function: TSH, free T4, free T3 (and often thyroid antibodies as indicated) Adrenal/other markers: DHEA-S, vitamin D, insulin, fasting glucose, lipids, inflammatory markers (as clinically appropriate)

Adults experiencing symptoms of hormonal imbalance, fatigue, stubborn weight gain (especially abdominal), poor sleep, hot flashes/night sweats, low libido, brain fog, mood changes, or plateaued results despite diet and exercise. A consultation and labs will confirm if HRT is appropriate.

Your provider may recommend bioidentical options such as creams/gels, capsules, troches, injections, or pellets, depending on your goals, lifestyle, and medical history. Thyroid optimization (when indicated) may include T4 and/or T3 therapy.

No. HRT restores hormonal balance to support metabolism, appetite, energy, and sleep—key drivers of sustainable weight management. For some patients, HRT pairs well with nutrition coaching, fitness, and (when appropriate) prescription weight-management medications. Your plan is customized.

Many patients notice improved sleep, energy, and mood in 2–6 weeks. Visible body composition changes typically appear over 6–12+ weeks as lifestyle habits become easier and your metabolism stabilizes. We’ll track progress with labs, measurements, and how you feel.

HRT is FDA-regulated when using approved formulations and is considered safe for appropriately screened patients under medical supervision. We review your personal and family history, perform baseline labs, and monitor you regularly. Not everyone is a candidate; your provider will discuss benefits and risks for your unique profile.

Possible effects depend on the therapy and dose and may include breast tenderness, mood changes, acne, fluid retention, or changes in menstrual patterns (for cycling patients). Most are temporary and resolve with dose adjustments. Serious risks are rare but will be reviewed during your consult.

We’ll discuss symptoms and goals, review medical history, and order labs. Once results are in, you’ll receive a personalized plan that may include HRT, targeted supplements, lifestyle guidance, and follow-up timelines. Ongoing check-ins and labs help us fine-tune your protocol.

Duration varies. Some patients use HRT through the transition of perimenopause/menopause or during testosterone decline and then taper; others prefer longer-term maintenance under supervision. We’ll revisit your plan regularly to ensure it continues serving your health and goals.

Expert, compassionate care, Hawai‘i style. Our medical team combines thorough diagnostics with evidence-based, bioidentical therapies and ongoing monitoring. You’ll get a plan that fits your life, plus the supportive coaching and high-touch follow-up that Honolulu MedSpa is known for.