Bioidentical Hormone Replacement Therapy

Specialized therapies for bioidentical hormones

Can you imagine a simple, yet extremely effective treatment that will restore your energy, enhance your sex life, and boost your overall sense of well-being?

Executive Medicine of Texas offers treatment for hormone imbalance, menopause, and andropause using a variety of options, including bio-identical hormone replacement pellet therapy. Bio-identical hormones are virtually identical to what the body produces. Because of this, hormone therapy can replace specifically what the body is missing in order to restore vitality.

Some people are unable to manage on shots and creams, making hormone pellet therapy another option. A bit larger than a grain of rice, hormone therapy pellets are designed to be placed just beneath the skin in the subcutaneous tissue of the upper buttock. This provides continuous absorption, and allows the hormones to go directly into the bloodstream. Hormone pellets act as a 24/7 hormone delivery system.

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Bioidentical hormone memberships

Our hormone programs take the financial guesswork out of hormone replacement, allowing you to budget accordingly. Since hormone therapy is an individual process, all programs are designed for minimum one year commitment in order to optimize your outcome. Each program’s benefits are outlined below.

To learn more, please select a membership plan below to learn about what benefits come with each:

Limitless

Pricing: $375/Month

Limitless Plus

Pricing: $455/Month

Age Management Conceriege

Pricing: $8,700

Age Management Concierge Plus

Pricing: $8,700 + $210/peptide order

A graphic with a chart titled “Symptoms of Hormonal Imbalance” for men and women, next to a blue banner that says “View The Signs of Hormonal Imbalance.”.
Infographic showing symptoms of hormonal imbalance in men and women. Men: fatigue, low libido, anxiety, etc. Women: mood swings, low libido, trouble sleeping, etc. Lists overlap for both genders. Blue background for men, pink for women.

Compare the plans!

If you’re unsure of which plan is right for you, let the experts at Executive Medicine of Texas help! Browse the comparison chart below, which will allow you to see what is included at each level, and contact us with any questions!

Hormone replacement therapy FAQs

What is hormone replacement therapy?

Hormone replacement therapy at Executive Medicine of Texas balances your hormones using bioidentical hormones that are almost identical to those your body makes. While topical creams and injections can both relieve symptoms of hormone imbalance, they’re not fully effective for everyone. 

With bioidentical hormone replacement therapy, tiny rice-sized pellets, placed just under your skin at the top of one buttock, release a steady source of hormones. That gives you direct-to-bloodstream hormones in small doses, which duplicates your body’s natural hormone delivery system. 

When would I need hormone replacement therapy?

The most common times to experience hormone imbalance are menopause in women and andropause in men. But, many younger people also struggle with hormone imbalance. Some of the symptoms that could indicate a hormone imbalance include:

  • Hot flashes
  • Mood swings
  • Weight gain
  • Restless sleep
  • Lower libido
  • Thinning hair
  • Depression
  • Anxiety
  • Poor work productivity
  • Chronic fatigue
  • Brain fog

If you’re struggling with any of these problems, visit Executive Medicine of Texas to find out if hormone replacement could improve your quality of life, health, and wellness.

How do the hormone replacement therapy plans work?

Executive Medicine of Texas offers several hormone replacement therapy plans:

Limitless

The Limitless plan includes office visits related to hormone treatment, up to 56 lab values, weekly Slim Shots (vitamin B12 and amino acids), bioidentical hormone replacement pellet therapy, and Stay Young pharmaceutical-grade supplements.

Limitless Plus 

The Limitless Plus plan includes everything in the Limitless plan along with CJC-1295 or Ipamorelin peptide therapy. The growth hormone-releasing hormone (GHRH) analogues help you make growth hormone to encourage brain health, organ function, fat loss, and lean muscle growth.

Age Management Concierge 

The Age Management plan is a concierge medicine plan that includes primary care, round-the-clock physician access, air medical transfer if hospitalized out of town, a Gold executive physical exam, bioidentical hormone replacement therapy, Slim Shots, and Stay Young supplements.

Age Management Concierge Plus 

The Age Management Concierge Plus program includes all the services in Age Management along with peptide therapy.

Because bioidentical hormone replacement works best over time, all programs require a one-year commitment. With the Limitless and Limitless Plus plans, you can pay on a monthly basis; you pay the concierge medicine program fee on a yearly basis.

To learn more about how bioidentical hormone replacement therapy can revitalize your life, call Executive Medicine of Texas or book an appointment online.

Is hormone replacement therapy safe?

Yes, when properly screened and monitored, bioidentical hormone replacement therapy (BHRT) is considered safe for appropriate candidates.

Safety begins with comprehensive evaluation and laboratory testing, followed by individualized dosing and regular follow-up to maintain physiologic hormone levels.

How quickly will I see results?

Some patients notice subtle improvements within the first two weeks. Most experience meaningful symptom changes within four to six weeks.

For some, full optimization may require more than one pellet cycle.

Do men need hormone replacement therapy too?


Yes. Hormonal decline can also affect men. Our testosterone replacement therapy in Texas is commonly used to address fatigue, reduced libido, muscle loss and mood changes associated with low testosterone in men.

Signs you may benefit from hormone replacement therapy

Hormonal changes rarely happen overnight. For many adult men and women, symptoms develop gradually and are often dismissed as stress, aging or lifestyle. Patients seeking hormone replacement therapy in Southlake frequently describe a persistent sense that something feels “off.”

If you recognize the symptoms below, bioidentical hormone replacement therapy may help restore balance and improve your sense of wellness.

It’s time to take charge of your hormones and Be the BOSS of Your Health™.

Persistent fatigue and low energy

Do you wake up feeling sluggish, even after a full night of sleep? Has your stamina declined despite consistent habits?

Declines in estrogen, progesterone or testosterone can disrupt energy production and metabolic efficiency. With properly dosed bioidentical hormones in Southlake, many patients report steadier daily energy and improved resilience.

Mental fog and difficulty concentrating

Hormones influence neurotransmitter regulation (for body functions) and cognitive processing (for attention, memory and reasoning). Symptoms may include:

  • Difficulty finding words
  • Reduced focus
  • Slower decision-making
  • Decreased work performance

BHRT in Texas is often associated with improved clarity and cognitive sharpness within the first month of therapy.

Mood changes and irritability

Hormonal imbalance can affect serotonin and dopamine pathways, contributing to:

  • Irritability
  • Anxiety
  • Low motivation
  • Emotional volatility

Balanced hormone levels support more consistent mood regulation and emotional steadiness.

Decreased libido and sexual function

Sexual wellness is closely tied to estrogen and testosterone levels in both women and men. Symptoms of low estrogen and testosterone may include:

  • Reduce libido
  • Vaginal dryness
  • Erectile challenges
  • Reduced sexual satisfaction

Hormone pellet therapy in Southlake is frequently used to support sexual function by delivering stable hormone levels without daily dosing.

Sleep disturbances

Hormones help regulate circadian rhythm (the body’s internal clock) and REM (rapid eye movement) sleep cycles. Common concerns include:

  • Difficulty falling asleep
  • Frequent waking
  • Night sweats
  • Early morning waking

Optimizing hormone levels often improves sleep quality, which supports overall metabolic and cognitive health.

Weight gain and body composition changes

Unexplained weight gain, particularly central abdominal fat, may be hormonally mediated. Testosterone and estrogen influence:

  • Lean muscle mass
  • Fat distribution
  • Insulin sensitivity
  • Metabolic rate

When hormone levels are restored to physiologic ranges, patients often find it easier to maintain healthy body composition alongside healthy lifestyle efforts.

Understanding bioidentical hormones

What are bioidentical hormones?

Bioidentical hormones are hormones made from plant sources that are chemically identical to the hormones your body naturally produces. Because their structure matches your own hormones, they work with your hormone receptors in a natural, predictable way.

At Executive Medicine of Texas, bioidentical hormone replacement therapy is primarily delivered through pellet implantation to provide consistent absorption and steady serum levels.

Bioidentical vs. synthetic hormones

Synthetic hormones are man-made compounds that may not exactly match the structure of the hormones your body makes naturally. Bioidentical hormones are designed to be chemically identical to your natural hormones. That difference can influence:

  • How the hormone fits into your body’s hormone receptors
  • How it’s processed and broken down
  • How steady hormone levels remain over time
  • How the medication is delivered (e.g., pellets, creams, pills or injections)

At Executive Medicine of Texas, bioidentical hormone replacement therapy is used to support stable, consistent hormone levels that align closely with your body’s natural chemistry.

Why Executive Medicine of Texas uses bioidentical hormone replacement therapy

We provide BHRT in Texas through physician-led concierge medicine tailored to each patient’s symptoms and lab results. Every hormone program includes:

  • A detailed symptom review
  • Comprehensive lab testing
  • Personalized dosing
  • Ongoing monitoring and adjustments

Some hormone programs are available as standalone monthly memberships, while others are part of our full concierge medicine model. Concierge members enjoy additional benefits, including direct access to their physician for questions or dose adjustments via calls, texts, email, or secure portal messaging.

Hormone replacement therapy may also be combined with services like peptide therapy, when clinically appropriate.

The pellet insertion procedure

What to expect during the procedure

Hormone pellet therapy in Southlake is performed in the office and takes between 15 and 30 minutes. During the procedure:

  • The upper hip area is numbed with a local anesthetic
  • A small incision is made
  • The pellet is placed beneath the skin
  • The area is covered with sterile strips

Recovery and results timeline

Here is what most patients can expect:

  • Days one to three—hormone levels begin adjusting
  • Two to four weeks—symptom improvement
  • Four to six weeks—full benefits of BHRT

Note: Results may vary depending on your starting hormone levels and metabolism.

How long do pellets last?

Pellets dissolve slowly, releasing hormones over time. Typical duration:

  • Women: approximately three to four months
  • Men: approximately four to six months
Follow-up lab work helps determine the right time for reinsertion to keep levels steady.

Hormone replacement therapy for women

Menopause and perimenopause symptoms

Perimenopause and menopause treatment in Southlake often focuses on symptom relief, including:

  • Hot flashes
  • Night sweats
  • Vaginal dryness
  • Brain fog
  • Mood changes
  • Sleep disruption
  • Reduced libido

Perimenopause can begin several years before menopause and symptoms may come and go, making them unpredictable and frustrating.

Hormones we optimize in women

BHRT can optimize the following hormones in women:

  • Estradiol
  • Progesterone
  • Testosterone

Testosterone is not just a male hormone. It plays an important role in women, supporting energy, muscle tone and sexual health. Our physicians customize dosing based on lab results and symptoms.

Benefits women experience

Women receiving bioidentical hormone replacement therapy often experience:

  • More consistent energy
  • Better sleep quality
  • Clearer thinking
  • Improved mood stability
  • Healthier sexual function
Hormone replacement therapy may also be a part of a broader preventive care strategy through our Age Management Concierge, Power Couple Concierge and Diamond Access Concierge Programs.

Hormone replacement therapy for men

Symptoms of low testosterone in men

Testosterone levels naturally decline with age. When levels drop too low, symptoms may include:

  • Ongoing fatigue
  • Loss of muscle mass
  • Increased abdominal fat
  • Reduced libido
  • Brain fog
  • Decreased motivation

Testosterone replacement in Texas is designed to restore hormone levels to healthy levels under close physician supervision.

Benefits men experience

Men undergoing hormone replacement therapy in Southlake often report:

  • Improved stamina
  • Increased strength
  • Sharper focus
  • Better sexual performance
  • Greater overall vitality
If you are considering hormone replacement therapy in Southlake, or exploring BHRT in Texas, schedule a consultation with Executive Medicine of Texas today to learn more about our physicians, services and concierge approach to care.

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Location

Executive Medicine of Texas
2106 E State Hwy 114 #300
Southlake, TX 76092
Phone: 817-552-4300
Fax: 817-552-4301

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