Get freedom from the symptoms of menopause and peri-menopause

Step one: Listen to the needs of the patient
Step two: Perform in office lab testing
Step three: Treat the patient to help them feel better ASAP!

Affordable Care that Works

Hot flashes, night sweats, mood swings, lack of libido…so many women think “well I’m older now, I just have to deal with it.” The truth is, you don’t. We can help you get your life back. No more standing in front of the open freezer door (you know you do it) or waking up in a puddle of sweat at night. Call to schedule your appointment today!

The Symptoms

So you don’t know if what you’re going through is menopause or peri-menopause related? Check out the symptoms.

Women typically go through peri-menopause starting in their 40’s, then proceed on to menopause at some point in their 50’s (the average age of menopause in the U.S. is 51).  During these decades women can experience a whole myriad of symptoms including:

  • Hot flashes
  • Night sweats
  • Mood swings
  • Weight gain
  • Poor sleep quality
  • Fatigue
  • Foggy thinking
  • Low sex drive (libido)
  • Vaginal dryness

Schedule Your Appointment

At Hormones by Design we will never tell you that “you are getting old” or “you’re just depressed.”  We will discuss your symptoms, draw blood labs, have them processed within 24-48 hours, and get your treatment ready for you.  All this in just a day or two, and at an affordable price.

Remember that Hormones by Design only uses Bio-Identical hormones.  Hormones that have the same chemical structure as what your body made when it was younger.


Get Your Life Back

Same day treatment means that you start to feel better faster.  Feeling better leads to more exercise, more vacations, being able to sleep…getting back into life!

What our clients say

I have been going to Dr. Miskel for about 10 yrs. and I can truly say it has been a life changing source for me. I highly recommend her and her staff. Will definitely make a difference in your life. Thank you for being there for me.


Hormones by Design? Can’t live without them. Changed my life.


Susie is the kindest, caring healthcare provider i have ever encountered. She listened to my needs and concerns and built a plan specifically for ME! I am 4 months into my program and i am feeling amazing. My health concerns are dissipating and i feel like myself again. I cannot thank her enough for her support and knowledge. Go see her and you will experience healthcare like never before!


I would Highly recommend Dr. Miskell, and her team, they were friendly competent, and saw me within five minutes of walking into the office, and then I saw Dr. Miskell as soon as my vitals were taken, It was a refreshing experience, I am certainly making Dr. Miskell My primary physician in this area!


Our team

Welcome to Our Waco Office
Our Boerne Office


About us

Our founder, Dr. Melissa Miskell, has owned a medical practice for over 17 years.  During her time in practice, she saw how the symptoms of menopause and peri-menopause negatively effected the quality of life for multitudes of women.  So she decided to do something about it…without using harmful prescriptions like Premarin and Provera.  The other problem she set about tackling was that laboratory testing for hormone imbalance was very expensive. She created Hormones by Design. Here we can test your hormones in our in-office lab, treat you, and get you back to your busy life! All this at an affordable price.

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