Hormone Replacement
Therapy, Personalized
Bioidentical HRT prescribed online by a board-certified nurse practitioner. Restore your energy, balance, and sense of self — from anywhere in Florida.
Begin Intake FormYou Shouldn't Have to
Feel This Way
Hormonal imbalances don't announce themselves clearly. They show up as fatigue that sleep doesn't fix, weight that won't budge no matter how hard you try, moods that feel out of your control, and a general sense that you're not quite yourself.
These symptoms are real. They have clinical explanations. And they're treatable — with the right assessment, the right hormones, and the right provider guiding your protocol.
Bioidentical hormone replacement therapy addresses the root cause, not just the symptoms. Most patients notice meaningful improvement within 4–8 weeks of starting their protocol.
Fatigue & Low Energy
Tired despite full sleep. No stamina for daily activities.
Hot Flashes & Night Sweats
Sudden heat waves, sleep disruption, temperature dysregulation.
Mood Swings & Irritability
Emotional volatility that feels disconnected from circumstances.
Brain Fog
Difficulty concentrating, memory lapses, mental cloudiness.
Unexplained Weight Gain
Weight accumulating especially around the abdomen despite no lifestyle changes.
Low Libido
Loss of interest in intimacy, vaginal dryness, reduced sensation.
Your Path to Balance
A structured, lab-guided process that takes the guesswork out of hormone health.
Complete Your Symptom Intake
Fill out our detailed hormone-focused questionnaire covering your symptoms, cycle history, sleep, mood, energy, and current medications. Takes about 12 minutes.
~12 minutesLab Review Consultation
Amber reviews your intake and your hormone labs. If you don't have recent labs, she'll order a comprehensive panel at a nearby LabCorp or Quest — simple and affordable.
30-minute video callCustom BHRT Protocol
Based on your labs and symptom profile, Amber designs a bioidentical hormone protocol specific to your levels. Delivered as cream, troches, capsules, or injections — your preference matters.
Fully personalizedMonitoring & Optimization
Labs are repeated at 90 days to verify your levels are in optimal range. Dosing is adjusted based on how you feel and what your labs show. This is where the real fine-tuning happens.
90-day labs includedYour Hormone Panel
A comprehensive approach to hormonal health. We don't just treat the obvious — we look at the whole picture.
Estrogen
Estradiol (E2) · Estriol (E3)
The primary female sex hormone. Declining estrogen drives hot flashes, vaginal dryness, bone loss, and cognitive changes. Bioidentical estradiol restores balance without the risks associated with synthetic estrogens.
Progesterone
Natural Bioidentical Progesterone
Often the first hormone to decline in perimenopause. Low progesterone causes anxiety, poor sleep, heavy periods, and mood swings. Restoring it often produces dramatic improvement in sleep quality alone.
Testosterone
For Women & Men
Yes, women need testosterone too. Low testosterone causes fatigue, low libido, muscle loss, and brain fog in both sexes. We assess and optimize testosterone levels as part of every complete hormone panel.
Thyroid
TSH · Free T3 · Free T4
Thyroid dysfunction is frequently missed on standard panels. We assess the complete thyroid picture — not just TSH — because optimal thyroid function is foundational to everything else.
DHEA
Adrenal Support Hormone
DHEA is a precursor to multiple sex hormones and declines sharply with age and chronic stress. Optimizing DHEA supports energy, immunity, and body composition.
Cortisol & Insulin
Adrenal · Metabolic Markers
Elevated cortisol and insulin resistance interact directly with sex hormones. We include metabolic markers in our panel because you can't optimize one system in isolation.
How You'll Feel
Most patients notice initial improvements within 2–4 weeks. Full optimization typically occurs over 3–6 months as dosing is refined.
Energy Returns
The heavy, persistent fatigue that no amount of sleep fixes begins to lift. Most patients notice improved energy within the first 3–6 weeks.
Sleep Improves
Night sweats diminish, sleep becomes deeper, and you wake feeling actually rested. Progesterone normalization often produces the fastest sleep improvement.
Mental Clarity Returns
Brain fog lifts, focus improves, and that word-finding difficulty that's been driving you crazy becomes less frequent.
Mood Stabilizes
The emotional volatility and irritability that felt uncontrollable eases as hormones normalize. Many patients describe feeling "like themselves again."
Weight Becomes Manageable
Hormone-driven weight gain, especially around the abdomen, becomes responsive to diet and exercise once hormonal resistance is corrected.
Libido & Intimacy Restore
Many patients experience meaningful improvement in libido, vaginal comfort, and overall interest in intimacy within the first 60–90 days.
Hormone Therapy FAQ
Is BHRT safer than conventional HRT?
Bioidentical hormones are structurally identical to hormones your body produces naturally. While no therapy is without risk, many clinicians and patients prefer BHRT for this reason. Amber will review your personal risk profile in full.
Do I need labs before starting?
Yes — hormone therapy is always guided by labs. If you have recent results (within 6 months), bring them. If not, Amber will order a comprehensive panel through a convenient local lab. Results typically return in 3–5 business days.
Is HRT right for men too?
Absolutely. Testosterone decline in men (sometimes called andropause) produces fatigue, muscle loss, weight gain, low libido, and mood changes. We offer testosterone optimization and complete male hormone assessment.
How long before I feel a difference?
Initial improvements — especially in sleep and mood — are often noticed within 2–4 weeks. Full optimization, including lab confirmation of ideal levels, typically takes 2–3 months of dosing adjustment.
What forms of BHRT do you prescribe?
Depending on your preference and which hormones are being addressed: topical creams, troches (dissolving tablets), oral capsules, or subcutaneous injections. Your provider will discuss what's appropriate for your specific protocol.
Can I take HRT alongside other medications?
In most cases, yes. Amber will review all current medications and supplements for interactions before prescribing. Certain medications do require additional consideration.
Is there an increased cancer risk?
The relationship between HRT and cancer risk is nuanced and depends on the type of hormone, delivery method, duration, and individual history. Amber reviews your personal and family history in detail and prescribes accordingly.
Do I need to stay on HRT forever?
Not necessarily. Some patients use it for a defined period to get through perimenopause. Others continue long-term for quality-of-life and bone/heart health benefits. It's a decision made together, over time.
Amber Tomse
MSN, APRN, FNP-C — Board-Certified Family Nurse Practitioner
Amber has a particular interest in hormonal health and how it intersects with everything from weight and energy to mood and longevity. She approaches each hormone case as the unique clinical puzzle it is — looking at the full picture, not just the obvious numbers.
Her patients often describe the experience as finally feeling heard by a provider who takes their symptoms seriously and does something about them.