Hormone Replacement Therapy (HRT)

Treating hormone decline in men and women with Bio Identical Hormones will improve muscle tone, facilitate lean muscle and fat loss, improve libido and sexual health, improve skin quality, reduce moodiness and depression and give you the energy you need to live life to the fullest.

Many of the signs and symptoms of the aging body are related to the gradual decline in one or more of the critical hormones the body uses to chemically function optimally. Just as many women unnecessarily suffer through the agony of perimenopause and menopause, men to suffer from the effect of testosterone decline or Low T – the dreaded andropause.

Hormones associated with Optimal Health and well-being:

  • Testosterone
  • Human growth hormone ( HGH)
  • Estrogen
  • Progesterone
  • Thyroid
  • Adrenal
  • Human chorionic hormone (HCG)

Common SYMPTOMS associated with hormonal decline include:


  • Fat accumulation
  • Loss of lean muscle
  • Fatigue / apathy
  • Insomnia
  • Moodiness
  • Anxiety / depression
  • Loss of libido or sexual performance
  • Hot flashes
  • Difficulty concentrating (mental fog)

Common SIGNS associated with hormonal decline include:


  • Thinning skin over face and hands
  • Volume loss in the face
  • Thinning hair or balding
  • Midsection fat accumulation – Muffin Top
  • Loss of muscle tone
  • Poor work performance
  • Poor sexual performance
  • Poor athletic performance
Dr. John motivated me to improve my lifestyle through simple easy-to-understand explanations of why I felt and looked like I did, what I needed to change, and how his program would make that happen. Following his medical program paired with minimum dietary changes and nothing more than daily walking I dropped 40 lbs. 5” from the waist, and was able to quit blood pressure and cholesterol medications. Joining Marshall lifestyle medicine was the best decision.Doug from Lexington

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Frequently Asked Questions

Yes—if it’s done correctly, and under the supervision of an experienced doctor.

Hormone therapy is not a search for the fountain of youth. It is medical science at its best. It is trained doctors using sophisticated lab tests and treatments developed and used over many years to produce life-altering results.

Historically, our answer to the “when should I start” question has been to begin once you have symptoms, regardless of age.

However, the idea that we can manage the aging process is gaining momentum. An outgrowth of that is that we have an increasing number of clients who contact us initially because they wish to take control of the aging process early, long before symptoms have emerged.

Whether you want to head off the aging process early, or you’re just beginning to experience symptoms, or your symptoms are severe and you’ve had them for a long time, we can design a treatment program to address your unique needs.

Bioidentical means that molecularly the hormone that you’re replacing is exactly the same as what your body produces naturally. The molecules of synthetic hormones are slightly different.

There are hormone receptors all over your body. Think of these receptors like they’re locks, and hormone molecules like they’re keys. The synthetic molecules don’t fit into those locks quite right, which means they don’t work the same way in your body—often with detrimental consequences. You may be wondering…why do pharmaceutical companies make synthetic hormones with molecules that are slightly different? Because it’s the only way they can patent them. Bioidentical hormones can’t be patented.

The short answer is that it depends. For some hormones, there are one or two optimal and safe methods of delivery. In other instances, client preference may come into play. You will be informed as to what the pros and cons are of any particular method of delivery, so that you and our doctors can decide what makes the most sense for you. Regardless, our doctors will not allow you to do something that isn’t safe.
Hormones can be treated separately or in combination. However, we do emphasize that hormone therapy is about having balanced hormones—better results are obtained by taking the proper amount of a combination of hormones, depending upon what your lab results show, and depending upon your symptoms. All of your hormones will function better if they’re all present at healthy levels.
Your doctor will prescribe the amount needed to optimize your levels. We use a combination of lab testing and feedback from you with regard to how you’re feeling to dial in just the right dosages.
Yes. There are countless studies that have shown not only the safety of hormone therapy, but also the long-term health benefits. This assumes that treatment is done properly, and monitored on a regular basis. Again, the only way we do things is safely, and correctly.
When hormones and other treatments are administered correctly—and correctly is the only way we do things—there should be no side effects.
Your commitment to hormone therapy should last as long as you want the results. If this thought is daunting, consider that men and women of previous generations had the same age-related challenges that we face today. They could not, however, do anything about it. When you consider the improved quality of life that hormone therapy affords, not to mention a longer life, making the commitment becomes easier.
Hormones are not drugs. It is therefore unlikely they will react with other medications. In fact, some medications may no longer be needed. For example, research has shown that many people no longer need anti-depressants and sleep aids once their hormones are restored to healthy levels. Specific concerns should be discussed with your doctor.
Yes! Establishing and maintaining good lifestyle habits is critical to achieving optimal results from your treatment. This means eating a healthy diet, getting enough exercise, managing stress, getting adequate sleep, and drinking lots of water. Your Marshall Coach will guide you into a healthier overall lifestyle, including a scientific diet and exercise program.
Absolutely. We have many solutions available for both men and women.
That’s largely up to you. Many of our clients augment their better aging efforts with injectable nutrients. Our doctors will discuss your goals with you, and will review the various options available to you.

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