Bioidentical Hormone Replacement Therapy (BHRT)

What is BHRT?

Precision support for hormonal balance. 

Hormones are powerful chemical messengers that influence nearly every system in the body - from energy, sleep, and mood to memory, metabolism, and sexual health. When they’re out of sync, it can feel like your whole life is too. Hormonal shifts are not isolated events. They are often downstream of deeper, multifactorial imbalances - chronic stress, poor sleep, gut dysfunction, micronutrient depletion, or neurologic dysregulation. That’s why at Lumitra, we don’t treat “hormones.” We treat people.

At Lumitra Health, we offer evidence-based bioidentical hormone replacement therapy (BHRT) management as part of a comprehensive approach to hormone health. Unlike synthetic hormones, bioidentical hormones are structurally identical to those your body naturally produces - allowing for more seamless integration and fewer side effects for many patients. But BHRT is not one-size-fits-all. Every prescription is guided by clinical labs, patient history, and deep listening, ensuring your treatment is both safe and specific. We evaluate hormonal patterns in the context of your whole physiology, including stress, brain health, gut function, and lifestyle.

  • Whether you're navigating:

    • Perimenopause or menopause

    • Andropause (age-related testosterone decline)

    • Postpartum depletion

    • Thyroid or adrenal dysregulation

    • Brain fog, fatigue, low libido, or mood shifts

    We help uncover the root causes and craft an individualized, integrative hormone plan that makes sense for you.

    Whole-system care. Personalized rhythm. Thoughtful precision.

    We view BHRT as one potential tool - never the only one - in a nuanced, integrative model that considers your brain, body, lifestyle, and life stage. Our approach is not reactive but restorative: grounded in evidence, adapted to your physiology, and guided by your personal goals. Whether you’re experiencing menopausal shifts, testosterone decline, or hormonal disruption from chronic illness or trauma, you deserve care that’s intelligent, fluid, and deeply respectful of your lived experience.

    • Thorough initial intake with lab workup

    • Review of estrogen, progesterone, testosterone, thyroid, cortisol, and key metabolic markers

    • Access to both prescription and natural options (including creams, capsules, patches, and troches)

    • Integration with your neurofeedback, nutrition, and supplement protocols (as appropriate)

    • Ongoing follow-up and dose adjustments based on your response - not guesswork

      Whole-system care. Personalized rhythm. Thoughtful precision.

      We view BHRT as one potential tool - never the only one - in a nuanced, integrative model that considers your brain, body, lifestyle, and life stage. Our approach is not reactive but restorative: grounded in evidence, adapted to your physiology, and guided by your personal goals. Whether you’re experiencing menopausal shifts, testosterone decline, or hormonal disruption from chronic illness or trauma, you deserve care that’s intelligent, fluid, and deeply respectful of your lived experience.

  • Simple steps. Deep insight. Real transformation.

    Our BHRT process is designed for clarity and customization. Here's what you can expect:

    1. Integrative Intake

    Your journey begins with a 60-minute consultation with a licensed naturopathic doctor and thorough health history. We explore not just symptoms, but patterns, stressors, and physiology.

    2. Comprehensive Lab Testing

    We assess sex hormones (estrogen, progesterone, testosterone), thyroid function, adrenal rhythms (cortisol), and related biomarkers to build a clear, data-informed picture of your hormonal landscape.

    3. Precision Planning

    We work together to determine the best hormone therapy option for you, which may include bioidentical creams, troches, capsules, patches, or compounded options - plus nutrition, supplement, and lifestyle recommendations to support your entire endocrine system.

    4. Ongoing Monitoring + Adjustments

    Hormonal balance is dynamic. We follow up regularly, reviewing labs, tracking symptom response, and adjusting doses to stay in rhythm with your body.

    5. Integrated Support (Optional)

    BHRT can be powerfully combined with neurofeedback, cognitive support, metabolic care, or stress resilience training - if needed. Your care evolves with you.

  • Not just one-size-fits-all hormone care - intelligent, integrative medicine.

    At Lumitra, we believe BHRT is most effective when it’s part of a broader system of care that supports the entire human. Here’s how we stand apart:

    Neuroendocrine Expertise:
    We bring a unique lens to BHRT that integrates brain function, mental health, and hormone dynamics. This means better outcomes in areas like sleep, cognition, mood, and memory - not just hot flashes and libido.

    Precision + Personalization:
    Your plan is never cookie-cutter. We work with specialty labs, compound pharmacies, and high-touch follow-up to ensure every dose is thoughtfully calibrated and unique as you are.

    Root-Cause, Not Quick-Fix:
    We see hormones as a reflection of underlying balance, or imbalance, in the body. We aim to restore systems, not override or hide them.

    Licensed, Evidence-Based, Humanistic:
    All care is provided by a licensed naturopathic doctor trained in functional endocrinology and integrative medicine. We listen deeply, educate clearly, and act responsibly.

    Holistic Integration:
    Whether you're also pursuing neurofeedback, brain wellness, trauma recovery, or cognitive optimization, your hormone care is never siloed.