The initial hormone consult is discounted and includes labs for a total of $349.00.

At your hormone consultation visit, we will discuss recommended treatment options for you. You may opt to start treatment and select a plan that fits your needs. Return visits are $299.00.

We offer packages for multiple visits and include labs.

We do not accept medical insurance. You may submit a claim to your insurance. We will provide the procedure and diagnosis codes for your visits.

Laboratory orders are sent to Quest Diagnostics. Schedule your appointment here: Quest appointment.

You may elect another laboratory, however, it will not be included in any discounted offers or packages.

Yes.

You can add-on thyroid for $49.00 to include the lab and consult with your initial hormone consultation.

For other endocrine or functional medicine tests (including DUTCH) please reach out or schedule a 15-minute free consult for more details.

At Elevate Health and Hormones your unique health history is accounted for when determining an appropriate treatment plan. Our nurse practitioner, Crystine L’Heraux NP-C (see about) has extensive education, experience, and success in navigating BHRT for hundreds of people.

Many providers offer hormone replacement and do not monitor your levels for safety or with specific healthspan target values. Women can be complex and navigating uncommon symptoms can lead to unpleasant experiences with BHRT.

We are attentive to your care and well-being with one-on-one treatment with a consistent healthcare provider. Your care is not approached as an algorithm that an online type of clinic must use to standardize care.

Additionally, we may incorporate both conventional and Functional Medicine approaches to ensure the highest quality and excellence in your care.

It is at the discretion of your provider.

Some providers maintain the stigma against BHRT that arose from the WHI study that (inappropriately) proclaimed that all hormones cause cancer, when it should have been stated that the culprit was synthetic progestin.

Many providers do not feel comfortable with BHRT management, as it is not an area of focus in most healthcare education programs. Providers who are adept in BHRT have likely sought out specialty training for this field. A good BHRT provider has years of experience to guide your therapy, explain your lab results and how to optimize hormones for you.

We do not advise other providers how to practice. Each provider practices under their own license.

No, it is not.

The concept of a time limit for starting hormone replacement therapy (HRT) is based on the Timing Hypothesis. According to this hypothesis, if estrogen replacement is not initiated within approximately 10 years of menopause, there may be an increased risk of experiencing a cardiovascular event when starting hormone replacement.

To reduce this risk, we approach BHRT in a specialized manner for these women. While it is associated with a risk in the first 12-months of initiating HRT or BHRT, it is because of estrogen’s protective role in preventing excessive plaque buildup in the cardiovascular system. The process that helps to reduce plaques is believed to be the same mechanism that may potentially destabilize plaques if estrogen replacement is reintroduced.

To further investigate this risk, talk to us about a visit to discuss advanced cardiac makers and consider a specialized imaging that can provide insight on existence of calcified plaques.

Synthetic progesterone (‘Progestin’) was associated with causing cancer in the Women’s Health Initiate (WHI) study. We do not use this for treatment.

Bioidentical hormone replacement does not cause or increase your risk of developing a cancer. There are no studies demonstrating that BHRT is a culprit.

However, cancers occur for many reasons, and if a cancer develops that has an estrogen or progesterone receptor, your natural hormones and bioidentical that may be prescribed to you can contribute to the growth of that cancer.

Therefore, we encourage women to get breast cancer screening annually to be attentive to early detection of a cancer.

In some cases poor detoxification pathways can cause an excess of estrogen in the body. Should a cancer with an estrogen-receptor be present, excess estrogen would accelerate growth. Functional medicine testing can help to identify whether you have a gut irregularity or a genetic SNP (single nucleotide polymorphism) that would benefit from extra care to maintain healthy levels of estrogen.

If you have or have had (in the last 5 years) a cancer that specifically has an estrogen or progesterone receptor on the pathology report, you should discuss BHRT with your oncologist. After 5-years of being cancer-free, you may be a candidate for BHRT.

Recommended reading: Why Estrogen Matters, by Avrum Bluming, MD, Oncologist, a breast cancer specialist. This is a compelling book about his discovery of the benefits of BHRT and shift his perspective from shunning BHRT to recommending BHRT for his wife, a breast cancer survivor and his mother.

Other conditions may influence the recommendations made for you, in oder to offer you the safest approach to your BHRT. However, they do not exclude you from BHRT.

No. You always have a choice to stop treatment at any point in time. BHRT will not harm your endocrine system, and your anticipated level of age-appropriate hormone production will resume shortly after stopping BHRT.

Some people use BHRT to help manage symptoms associated with peri-menopause and menopause and then do trials off of BHRT to see if symptoms are resolved.

Many people continue BHRT throughout all of their years. The benefits of estrogen on the cardiovascular system, reducing the risk of osteoporosis and Alzheimer’s-dementia will diminish after BHRT is stopped. Hormones help people feel like themselves and provide many benefits that improve quality of life.

Compounding pharmacies are a great resource in many cases, such as when a patient has an allergy to a component of a medication, and they can customize the medication without the allergen. When it comes to BHRT pellets, we rely on a compounding pharmacy that ensures quality control and provides reports for our assurance.

A criticism of some compounding pharmacy surrounds the practice of pharmacists directly treating patients without involvement from healthcare providers in medical management. The concern is the lack of comprehensive medical history review and the absence of monitoring through follow-up visits and laboratory tests, which is considered an unsafe practice. It is possible that pharmacological groups may scrutinize the accessibility of compounded products. However, we are glad to partner with reputable compounding pharmacies that are accredited and adhere to industry standards.

Yes.

For sake of ease in navigating to the type of hormone replacement sought after, we have opted binary gender descriptors. It is not intended to exclude anyone. Everyone is welcome here.

California residents can be treated by telehealth or in clinic. Currently, we have a clinic in Brentwood. We look forward to expanding toward Sacramento and including Nevada residents!

If you are not a resident of California, you may only be treated if you come in-person to our clinic.

Schedule a complimentary 15-minute consult. If it’s a simple question you are welcome to text (925) 338-0448 or call, email or send a message through FB or IG.