Hormone
Replacement
Therapy
Hormone Replacement Therapy (HRT)
Restore Balance. Reclaim Your Vitality.
Hormonal imbalances affect everything from your energy levels and sleep quality to your mood, weight, and libido. Elevated Aesthetics & Wellness is committed to helping you feel your best—naturally, safely, and effectively.
Hormone replacement therapy in Sarasota at Elevated Medical Aesthetics is built around a simple idea: bloodwork before recommendations, education before prescriptions, and a real conversation about whether HRT is the right call, or whether something else is driving how you feel.
Why Hormone Replacement Therapy?
Hormone levels naturally decline with age. The question is what to do about it and whether the symptoms you're noticing are actually hormones, or sleep, stress, weight, thyroid, or something else.
HRT may help with:
Fatigue or low energy
Weight gain or stubborn fat
Sleep disturbances
Mood swings or anxiety
Brain fog and poor concentration
Low libido or sexual dysfunction
Hot flashes or night sweats (for women)
Loss of muscle mass or performance decline (for men)
Whether you’re experiencing symptoms of perimenopause, menopause, andropause, or other hormone-related imbalances, we have treatment options to overcome them and restore balance.
HRT SOLUTIONS FOR Women
Women
Bioidentical Hormone Replacement Therapy for women
If you're navigating perimenopause or menopause, you've probably noticed the shift before any clinician put a name to it. The conversation here starts with what you're actually experiencing and ends with a plan built around your bloodwork, your symptoms, and your season of life.
We offer bioidentical hormone replacement therapy for women using estrogen, progesterone, and testosterone — yes, women need testosterone too, and most providers under-address it.
Symptoms HRT for women may help address:
Hot flashes and night sweats
Sleep disruption and insomnia
Weight gain — especially around the midsection — that diet and exercise aren't moving
Brain fog, poor concentration, or memory changes
Mood changes, anxiety, or irritability
Low libido or changes in sexual function
Vaginal dryness or discomfort
Fatigue that doesn't respond to rest
Loss of muscle tone
Hormone delivery methods for women
We offer five delivery methods, and we'll recommend the one that fits your lifestyle, your symptom profile, and your medical history — not a default protocol.
-
Tiny, plant-based bioidentical hormone pellets inserted just beneath the skin. Pellets release steadily for 3 to 5 months, controlled by your own metabolism, which means none of the daily peaks and dips you get from creams or pills. We use Evexipel pellets, a patented formulation chosen for its consistency and safety profile.
-
A discreet, long-wearing option applied weekly or twice weekly. Patches deliver hormones through the skin at a steady rate and are often the right starting point for women new to HRT.
-
Applied to the skin daily. A gentle, customizable option for women who want flexibility in dosing.
-
Daily capsules. Familiar, simple, and effective for the right candidate though not the right fit for every hormone or every patient.
-
Self-administered weekly or biweekly for steady, predictable levels.
Pellet Therapy
Consistent, Convenient, and Long-Lasting Relief
We offer bioidentical hormone pellet therapy, a method backed by decades of research and trusted by thousands of patients across the U.S.
Pellets are tiny, plant-based hormone compounds inserted just beneath the skin. Our Evexipel pellets are patented and offer you the greatest assurance of their safety and potency. They deliver steady, consistent hormone levels for months, controlled by your own metabolic output —without the noticeable ups and downs of creams, pills, or injections.
Benefits of Pellet Therapy:
Fewer mood swings and better emotional stability
Improved sleep and energy
Enhanced libido and sexual health
Better focus, mental clarity, and memory
Reduced risk of certain age-related diseases
Before beginning, we ensure a comprehensive evaluation through labwork and medical history, then provide precision dosing tailored to your individual needs.
HRT SOLUTIONS FOR men
Men
Testosterone Replacement Therapy (TRT) for Men
If your energy, sleep, recovery, focus, or libido aren't where they used to be, hormones may be part of the answer. Most men come to us after a strip-mall TRT clinic, a telehealth questionnaire, or a 15-minute appointment that ended with a prescription and a six-month commitment. None of those start where they should: with the labs.
Testosterone replacement therapy in Sarasota at Elevated Medical Aesthetics starts with bloodwork, a real conversation, and an honest answer about whether TRT is the right call for you right now.
Signs of low testosterone we look for:
Persistent fatigue or low energy that doesn't track with your sleep
Loss of muscle mass or harder time recovering from exercise
Belly fat that wasn't there in your 30s and isn't moving
Decreased libido or changes in sexual function
Sleep disruption — falling asleep, staying asleep, waking unrested
Slower mental processing, focus issues, or mood changes
Loss of strength or stamina
Feeling softer, slower, or less like yourself in a way you can't explain
TRT delivery methods for men
We offer two primary delivery methods for testosterone replacement therapy. We'll recommend the right one for you based on your bloodwork, your lifestyle, and how you respond to treatment.
-
The most common and clinically validated form of TRT. Self-administered weekly (or sometimes more frequently for steadier levels). Injections give us the most precise control over your dosing and are the right starting point for most men.
-
A discreet, long-wearing option applied weekly or twice weekly. Patches deliver hormones through the skin at a steady rate and are often the right starting point for women new to HRT.Bioidentical testosterone pellets inserted beneath the skin, releasing steadily for 4 to 6 months. A good fit for men who'd rather not manage weekly injections and prefer a hands-off approach. We use Evexipel pellets here as well.
TRT is medicine. It's the right call for some men and not others. We won't recommend it if your bloodwork doesn't support it, if your symptoms point elsewhere, or if there's a more appropriate starting point. We will recommend it when it's what you actually need.
Who TRT is and isn't right for
Frequently asked Questions
-
Bioidentical hormones are structurally identical to the hormones your body produces naturally. They're typically derived from plant sources and used in HRT to restore hormone levels to a healthy range. Bioidentical hormone replacement therapy is offered for both women and men.
-
Good candidates are women experiencing perimenopause, menopause, or symptoms of hormone decline; and men with clinically low testosterone confirmed by bloodwork. The honest answer is that candidacy is determined by labs, symptoms, and medical history not by symptoms alone.
-
For appropriately screened candidates, modern HRT — particularly bioidentical hormone replacement therapy with consistent monitoring — has a strong safety profile. Risks vary based on individual health history, which is why comprehensive bloodwork and ongoing follow-up are non-negotiable parts of how we practice.
-
Pellets release hormones steadily over 3 to 6 months without daily or weekly maintenance — set-and-forget. Injections give us tighter control over dosing and let us adjust quickly based on bloodwork, but require self-administration on a weekly schedule. For some patients, one is clearly the right fit; for others, either could work and the choice comes down to lifestyle.
-
Most patients begin noticing changes within 3 to 6 weeks, with full effect by 3 months as your levels stabilize. Pellet patients often feel the shift faster.
-
Yes. Women produce testosterone, levels decline with age, and that decline contributes to fatigue, low libido, mood changes, and loss of muscle tone. Testosterone is a routine part of HRT for women and is often the most under-addressed hormone in standard protocols.
Start with a Simple Consultation
Not sure what you need? Book an appointment to start with a personalized hormone consultation and discover the treatment plan that fits your lifestyle.