Hormone levels in women can begin to shift as early as
your 30s, and the change shows up in how you look, feel and perform.
Any of these worth a blood test:
Low energy and fatigue
Weight gain and belly fat
Low libido
Sleepless nights
Hot flashes and night sweats
Mood swings
Anxiety
Brain fog and memory loss
Irregular cycles
Hair thinning
Also common: depression, pain during sex, and acne or
skin changes.
Your hormones work together toward one goal: balance
Several things can push them out of it — and when one hormone runs
low, it changes your energy, hunger, sleep, mood and sexual wellbeing.
Stress
Pregnancy
Aging and menopause
Genetics
Underlying health issues
Alongside menopause, there are two causes worth
understanding, because standard testing often misses both.
01
Adrenal fatigue
Your adrenal glands sit on top of your kidneys and produce about 20%
of your reproductive hormones, plus cortisol, your primary stress
hormone. Under sustained stress, excess cortisol can reverse the
normal cortisol curve.
The result: deep sluggishness, poor sleep, lower sex
drive, a slower metabolism and a weakened immune response.
02
Hypothyroidism
The thyroid is a butterfly-shaped gland at the base of your neck, and
it drives your body’s entire metabolic function —
including body temperature, hydration, and hair and nail growth.
Routine primary-care testing, and sometimes even an
endocrinologist’s, can miss a sluggish thyroid. Untreated, it
can drive hot flashes, muscle weakness, dehydration and weight gain.
Perimenopause and menopause
The shift starts earlier than most women expect
20s
Your sex hormones are typically at their highest.
30s
Some women begin to feel the hormonal shift into perimenopause —
often before anyone tells them to expect it.
40s
Hormones peak and start to drop off, and symptoms become harder to
explain away.
50s
Most women have been through menopause and no longer have a menstrual
cycle.
Pregnancy and chronic conditions such as polycystic ovary
syndrome (PCOS) can cause large hormonal swings at any age.
What changes
What optimized hormones give back
Mind Mental clarity, mood stability, sleep
qualityHeart Cardiovascular healthBone Bone density and strengthMetabolism Muscle mass, body composition,
energy
Relief from menopausal symptoms
Bone health
Heart health
Libido
Energy levels
Mental clarity
Mood stability
Muscle mass
Quality of sleep
Skin health
Evidence shows hormone therapy can support disease
prevention and a longer, more optimal life — but it shouldn’t
be your only tool. We ask patients to pair it with regular exercise and a
healthy diet.
How to get started
Three steps, starting with your blood
Step one
Labs and a consultation — $299
Schedule a consultation with an Apex MD hormone provider to find out
whether you’re a candidate. The $299 covers your bloodwork panel
and the consult with an Apex medical professional.
Step two
Your personalized plan
Your provider builds the hormone restoration plan that fits your
results. Pricing from there depends on the course of action they
recommend.
Step three
Follow-up labs and adjustment
You start your protocol and re-test, so your provider can see how your
levels respond and adjust your dose. Progress is tracked in your
Apex MD portal.
100% bioidentical
Hormones your body already recognizes
Bioidentical hormone therapy uses hormones that are structurally
identical to the ones your body produces. They’re typically
derived from plant sources and compounded to match your own hormone
levels.
Unlike synthetic hormones, bioidentical hormones are nearly chemically
identical to what your body makes on its own — which is why we
consider them the most natural choice for hormone replacement. The aim
is to relieve what a hormonal imbalance causes: hot flashes, night
sweats, mood swings and fatigue, particularly through menopause.
Apex MD takes a personalized approach. Our providers adjust vitamin
intake, optimize hormone levels and recommend lifestyle changes to
restore your hormonal system rather than override it.
Types of therapy
Four ways to take it
The right method depends on your body’s needs, your
routine and what you’re most comfortable with. Your provider walks
you through the options and dials in the dose.
PelletSteady release, every few months
Small bioidentical pellets are inserted into the fatty tissue just
under the skin, usually at the hip or buttock. Once in place they
release hormones gradually into the bloodstream, closely mimicking your
body’s own production.
InjectionPrecise dosing, on a schedule
Injections deliver a controlled dose of estrogen, progesterone or
testosterone directly. They need regular administration, but give
consistent delivery and suit patients who want a hands-off routine
between doses.
CreamDaily, applied at home
Topical creams carry hormones through the skin and into the
bloodstream. Applied to specific areas each day, they hold steady
hormone levels and are the least invasive option.
SupplementNutraceutical support
Nutraceuticals are derived from natural sources and contain
bioactive compounds that may support hormone balance. Herbs such as
black cohosh, dong quai and red clover are often used to help manage
menopausal symptoms.
In their words
Hear it from a patient and a provider
Apex MD client Joli Corey on how hormone therapy for women
changed her physical and mental health.Apex MD’s AJ Piovesan, PA-C, explains hormone
replacement therapy for women.
“I lost 63 lbs of fat and completely restored my mental and
emotional balance with Apex’s hormone therapy for women.”
Joli Corey
“The Apex program has been my fountain of youth. It completely
restored my body.”
Chisti Peterson
“Apex stripped the unwanted fat off my body and I have never felt
better.”
Britany Anderson
Individual results vary. Patient statements are their
own experience and are not a promise of outcome.
Written by a physician
Every panel and protocol comes from Dr. Bowen
Apex MD’s Chief Medical Officer, Dr. Jim Bowen, is a Mayo
Clinic–trained physician with 40+ years in optimization
medicine, and he oversees a national network of 1,000+ providers.
Your labs are read by a licensed provider, your prescriptions are
written only where your results support them, and your medications come
from US-based, FDA-registered 503B compounding pharmacies.
Apex MD is not urgent or emergency care. If you think
you’re having a medical emergency, call 911.
Want to feel like yourself again?
Start with labs and a provider consult for $299. Everything after that is
built around what your results actually show.