Bioidentical hormone therapy in Sarasota at Beach Glo starts with comprehensive labs, not a prescription. We use hormones structurally identical to the ones your body makes, delivered through pellets, creams, or other routes depending on what fits you, and we monitor with repeat labs. Women and men both.
What actually brings people in
Almost nobody books a hormone consult because of a lab value. They book because something has been off for a while and it has stopped being ignorable.
For women that usually sounds like: exhausted no matter how much you sleep, awake at 3 a.m. for no reason, a shorter fuse than you recognize, weight settling where it never used to, a libido that quietly left, and brain fog that makes familiar words go missing mid-sentence. For men it is flatter: energy gone, drive gone, workouts that stopped producing anything.
These are not personality changes and they are not simply aging. They are what a hormone system out of range feels like from the inside.
Why labs come first
We do not prescribe hormones on symptoms alone, and we do not treat a lab result while ignoring the person attached to it. Both halves matter.
Your evaluation includes a comprehensive hormone panel along with thyroid and metabolic markers, because those systems pull on each other. Then we sit down and go through it. You should leave knowing what each number means, what it does not mean, and why we are recommending what we are. If your symptoms point somewhere other than hormones, the labs usually show that too, and we will tell you.
Bioidentical pellets and the EvexiPEL method
Bioidentical means the hormone is structurally identical to what your body already produces. Pellets are a delivery method: a small pellet placed just under the skin during a brief in-office visit, releasing a steady dose over the following months.
The appeal is consistency. Creams and gels can produce daily peaks and dips, and they depend on remembering to use them correctly. A pellet takes the daily decision out of it. Farah places pellets using the EvexiPEL method, and the insertion itself is quick.
"I am on the road to feeling like myself again."
"I have had pellets done in another spa and this experience was way better! Painless, and the recovery was excellent. I am on the road to feeling like myself again!"
Jody B. · Google review · Individual results vary.
Pellets are not the only option, and we will not pretend otherwise. Creams, patches, injections, and oral routes all have their place, and for some patients they are the better starting point. If you want the honest comparison, we wrote one: hormone pellets versus creams.
Women's care and men's care, both
For women, hormone therapy often overlaps with the perimenopause and menopause transition, which deserves more room than a paragraph. That has its own page: menopause and perimenopause care, including how we handle whether to use hormones at all.
For men, low testosterone is common, underdiagnosed, and frequently dismissed as stress or age. The process is identical: comprehensive labs, a full history, options reviewed together, and monitoring over time rather than a prescription and a wave goodbye.
Low testosterone, plainly
Men describe it in the negative. Energy that never arrives, a drive that faded with no date to point at, muscle slipping despite training that has not changed, a shorter fuse where motivation used to sit, and sleep that stopped repairing anything.
Any one of those has a dozen explanations. Several together, at the age where testosterone starts to drop, are worth a lab draw.
We do not diagnose low testosterone from a symptom checklist. Your panel covers testosterone along with the thyroid and metabolic markers that move with it, because those systems pull on each other and produce overlapping symptoms. Then we sit down and read it next to your history, the same way we do for women.
TRT is not a shortcut past a training problem or a sleep problem. We rule out the other causes first, because poor sleep, chronic under-eating, alcohol, and thyroid disease all produce this exact list and none of them improve with testosterone. If your labs point elsewhere, that is what we treat. If TRT is appropriate, we monitor it: repeat labs, a conversation about fertility before anything starts, and dose decisions we make from numbers rather than from how the last two weeks felt.
Hormones sit upstream of everything else
Thyroid and sex hormones shape how your body handles fuel, which is why a stalled weight loss program sometimes turns out to be a hormone problem. Sleep, recovery, and body composition run through the same system, which is where peptide therapy fits alongside.
Here your hormone care and the rest of your treatment are coordinated, with Achilles Kalnoky, MD on site. Nobody is guessing what someone else prescribed you.
Who hormone therapy is for, and who it is not
Often a good fit
- Women in perimenopause or menopause with symptoms affecting daily life
- Men with low energy, low drive, and difficulty maintaining muscle
- Anyone told their labs are "normal" who still does not feel right
- Patients who want treatment monitored with repeat labs
Not a fit, or needs coordination first
- Anyone pregnant, nursing, or trying to conceive
- A history of breast, uterine, or prostate cancer, which requires coordination with your oncology team first
- A history of blood clots, stroke, or certain cardiac conditions, reviewed case by case
- Undiagnosed abnormal bleeding, which needs a workup first
- Anyone unwilling to do labs, because we do not prescribe hormones blind
We screen with labs and a full history at your consult. If hormone therapy is not right for you, or not right yet, we will say so and tell you what we would do instead. Results vary from person to person.
What people ask in a hormone consult.
How long until I feel different?
It depends on the symptom. Sleep and hot flashes usually move first, sometimes within a few weeks. Energy and mood tend to follow over the next month or two. Libido, body composition, and mental clarity are measured in months. Results vary from person to person, which is why we re-check labs.
How often do pellets need to be re-inserted?
Typically every few months. The exact interval is guided by your labs and by how you feel toward the end of a cycle, not by a fixed schedule. Metabolism, activity, and dose all change how long a pellet lasts.
Do you treat men too?
Yes. Men are a meaningful part of our hormone practice, usually arriving with flat energy, lost drive, and difficulty holding muscle. Same process: comprehensive labs, full history, options reviewed together, monitoring over time.
Is BHRT safe?
Hormone therapy carries real benefits and real risks, and both depend on your age, your history, which hormone, which route, and what dose. That makes it a decision to reach individually with a provider looking at your labs, not a yes or no that applies to everyone. We screen, review your picture with you, and monitor over time.
What labs do you run?
A comprehensive hormone panel plus thyroid and metabolic markers, because those systems move together. We go through the results with you rather than emailing a PDF. To compare delivery methods before your visit, start with pellets versus creams.
How much does hormone therapy cost?
We do not publish pricing, because a number without labs and an exam is a guess. What your treatment involves depends on which hormones you need, which delivery route fits you, and how much monitoring your history calls for. Your consult ends with a written plan and what it costs, before anything is scheduled.
Labs first, and an MD a room away.
Your labs and your prescriptions are reviewed together as part of your care. Achilles Kalnoky, MD is on site.
Often paired with hormone therapy.
Menopause Care
Perimenopause and menopause treatment for women who want to be listened to first.
Learn more →Peptide Therapy
Evidence-first protocols for energy, recovery, sleep, and metabolic goals.
Learn more →Book your visit.
A hormone consult starts with labs and ends with answers you can read yourself. Booking online takes about a minute, and your appointment is confirmed on the spot.