Hormone Therapy
The Perimenopause Symptom Checklist — What to Track Before Your First Appointment
A clinician-written guide to perimenopause symptoms — what to track, what they signal, and how to prepare for a hormone evaluation.
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If you are sleeping poorly, gaining weight without explanation, losing your focus, feeling emotionally flat, or watching your libido fade — these are not signs of getting older. They are signs that your hormone levels have shifted, and that shift is measurable. Most women in their 40s and 50s have never had a hormone panel done with any clinical precision. They have been told their labs are 'normal' while they feel anything but.
What is this treatment?
Bioidentical hormone therapy uses hormones that are structurally identical to those your body produces. At Revitalize, we use the Biote pellet method — tiny, rice-grain-sized pellets inserted subcutaneously that release hormones steadily over three to five months. There are no daily pills, no patches to forget, no peaks and crashes. The hormones dissolve completely. Nothing is left behind.
How we approach it at Revitalize
Every woman's treatment begins with a comprehensive consultation and selective lab work. We are not looking for 'normal ranges' — we are looking for optimal ranges relative to your symptoms and goals. We review your complete history, including medications, sleep patterns, stress load, and prior hormone-related concerns. If pellet therapy is appropriate for you, we proceed with the insertion procedure — brief, performed under local numbing, and typically completed in under fifteen minutes. You leave with a wound care plan and a follow-up schedule. Most women are re-assessed every three to five months.
Who is a good candidate
- ✓Women in perimenopause or menopause experiencing fatigue, brain fog, hot flashes, or night sweats
- ✓Those with unexplained weight gain, sleep disruption, or mood changes not explained by other conditions
- ✓Women experiencing decreased libido or changes in sexual responsiveness
- ✓Those who prefer a low-maintenance delivery method over daily pills or patches
- ✓Patients who have had prior hormone therapy and want a more consistent approach
Not appropriate for
- ×Current or recent diagnosis of hormone-sensitive cancers — requires physician coordination
- ×Active blood clots or history of thromboembolic disease without specialist clearance
- ×Pregnancy or those actively trying to conceive
- ×Certain medical conditions that require evaluation before proceeding
- ×Those who have not had a clinical consultation and baseline labs
What to expect at your appointment
1
Initial consultation: We review your symptom history, health background, and goals. You may have labs drawn at this visit or prior — we will review them together and explain what we are actually seeing.
2
Candidacy review: If pellet therapy is appropriate, we walk through the procedure, the expected timeline for effects, and what your follow-up schedule will look like. No treatment is recommended before this conversation.
3
Pellet insertion: A brief in-office procedure using local numbing. A small incision is made — typically in the upper buttock area — and the pellet is placed. The incision is closed with a small bandage. Most patients describe minor soreness for a day or two.
4
Recovery: You will receive post-procedure instructions including activity modifications for the first week. No swimming, hot tubs, or heavy lower-body exercise for a specified period.
5
Follow-up and re-assessment: Most women return for labs and clinical re-assessment at three to five months, depending on individual response. Dosing is adjusted at each cycle based on how you are feeling and what your labs show.
Beyond the Clinic
Go deeper with the Rebuild Institute
If clinic visits are not the full picture for you, the Rebuild Metabolic Health Institute is the structured coaching layer Travis built for patients who want more depth than a single appointment can give.
Learn About the Institute →From the Learning Library
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Frequently asked questions
Medical information on this page is educational and does not constitute medical advice. Consultation and lab work are required to determine candidacy for hormone therapy. Individual results vary. Not all patients are appropriate candidates. Always consult with a licensed healthcare provider before beginning any hormone treatment.
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Hormone Health Self-Assessment
Use this assessment before your consultation to help identify relevant services and prepare for your appointment.
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Women's hormone education video
Menopause and estrogen-focused education
This video is selected specifically for women evaluating hormone support around menopause and estrogen changes.