Exploring Bioidentical Hormone Replacement Therapy
Why Bioidentical HRT?
Have you ever been told “your labs are normal” when you still don’t feel right?
You’re not alone. So many people are struggling with fatigue, brain fog, mood swings, or changes in weight, only to be brushed aside or handed a quick fix. At The Listening NP, we believe your symptoms are real, your story matters, and you deserve care that truly listens.
That’s why we use bioidentical hormones. These plant based hormones are structurally identical to the ones your body naturally produces. Because they work in harmony with your system, they’re often gentler, safer, and more effective than synthetic versions that cause so many of the side effects people fear. And by working with certified pharmacies, we ensure every prescription meets the highest standards of safety and quality.
Many insurance companies consider hormonal replacement therapy “off-label”, and patients are often denied access to treatment that could restore their quality of life.
That’s why we do not accept insurance. By stepping outside of insurance restrictions, we can focus on what actually helps you, not what a policy dictates. This means more time with you, more flexibility in treatment, and the ability to truly tailor your plan to your needs.
At The Listening NP, your care is guided by science, compassion, and your personal goals — not by red tape. Our mission is simple: to restore balance, relieve symptoms, and help you feel like yourself again.
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Testosterone replacement can help restore energy, vitality, and confidence.
It’s often used to ease the symptoms of andropause (low testosterone), which may include:Fatigue or lack of stamina
Low libido and erectile dysfunction
Loss of muscle mass or strength
Mood changes such as depression, irritability, or anxiety
Difficulty sleeping or staying focused
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Hormone therapy can make a meaningful difference before, during, and after menopause.
It’s commonly used to improve symptoms such as:Hot flashes, night sweats, and insomnia
Mood swings, depression, or brain fog
Vaginal dryness or painful intimacy
Low libido and weight gain
Bone loss/osteoporosis or muscle weakness
Thyroid imbalance, adrenal fatigue, or insulin resistance
Beyond Symptom Relief: Benefits of Bioidentical HRT
Improved Quality of Life
When hormones are back in balance, people often tell us they feel more like themselves again.
Patients commonly report more steady energy, brighter mood, clearer thinking, better sleep, and a renewed ability to enjoy work, relationships, and movement.
Support for Long-Term Health
Hormone imbalance is associated with concerns like bone loss, metabolic changes, and cardiovascular risk factors. Thoughtful HRT, paired with nutrition, movement, and sleep, can help optimize markers such as bone density, body composition, lipids, and insulin sensitivity over time.
Custom-Fit Care
Your story, goals, and labs are uniquely yours—your plan should be too.
At The Listening NP, we personalize dosing and delivery (creams, injections, or other forms), adjust based on symptoms + labs, and collaborate on lifestyle steps so your treatment fits your life, not the other way around.
Improved Quality of Life
HRT can ease symptoms of imbalance for both men and women. Patients often feel more energetic, happier, stronger, and more present in day-to-day life.
Reduced Risk Factors for Chronic Conditions
Imbalances can contribute to issues tied to bone, metabolic, and cardiovascular health. By restoring levels thoughtfully and tracking key labs, we work to improve the risk profile that keeps you in the doctor’s office—and get you back to living.
Customizable Treatment
You’re not a template. We customize therapy to your labs, symptoms, and goals, making it more precise and holistic than one-size-fits-all approaches.
We do not bill insurance so your care is guided by clinical judgment—not policy limits. Retail options are available by request when appropriate.
Results vary. HRT is prescribed when clinically appropriate and monitored with regular follow-ups and labs.
Hormone Therapy Pricing
Labs are ordered by us and billed to your insurance. Medications ship to your door.
Initial Visit (Onboarding)
60-minute medical consult with lab orders, interpretation, safety review, and a personalized plan. Labs and medications are billed separately.
- History & goals, risk/benefit discussion
- Lab interpretation & treatment plan
- Prescription(s) when clinically appropriate
TRT — Injection
Testosterone therapy with monthly med management and quick check-ins.
- Testosterone included + needles/syringes + alcohol pads
- Home shipping included
- Access to supplements via Fullscript
TRT — Cream
Testosterone cream for those who prefer a non-injection option.
- Testosterone cream included + home shipping
- Monthly med management & quick check-ins
- Access to supplements via Fullscript
Essentials
Any single sex hormone (e.g., estradiol or progesterone or testosterone cream).
- Medication & shipping included
- Monthly check-ins + secure messaging
Balanced
Any two sex hormones (e.g., estradiol + progesterone, or estradiol + testosterone cream).
- Both medications & shipping included
- Monthly check-ins + secure messaging
Complete
Up to three sex hormones (e.g., estradiol + progesterone + testosterone cream).
- All included meds ship to your door
- Monthly check-ins + dose adjustments
We do not bill insurance for visits. HSA/FSA may apply.
If a formulation or dose ever falls outside standard ranges, we’ll review options with you first—no surprises.
Quick FAQs
What’s included each month?
Your membership covers a monthly check-in (virtual or in-person), secure messaging, prescription management, dose adjustments, and the medications listed in your plan—shipped to your door.
Can I use insurance for labs?
Yes. We order labs and you can use your insurance or pay the lab’s discounted cash price. Lab costs aren’t billed by us.
What counts as a “hormone” in the women’s plans?
Each distinct sex hormone counts as one (e.g., estradiol, progesterone, or testosterone cream). Most women do well on Balanced (2 hormones); some prefer Complete (3 hormones) for symptom control.
Are supplies and shipping included?
Yes—TRT injection includes needles/syringes/alcohol pads and shipping. Creams and women’s hormones include shipping as well.
How do I change plans later?
Easy. If we add or remove a hormone, we’ll switch you to the plan that matches (Essentials, Balanced, or Complete) on your next billing cycle and confirm any change beforehand.
Can I schedule an acute visit?
Yes—brief, non-emergent concerns can be handled during your monthly check-in. If you need extra time, we’ll book an additional visit at our standard follow-up rate.