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It’s no secret that hormones play a major role in our moods and emotions. This is especially true for women, as many female hormones regulate mood and feelings. As we approach menopause, many women experience a variety of symptoms that are often classified as depression.

However, before automatically prescribing antidepressants to these women, it’s important to look at all the possible causes of their symptoms. In some cases, bioidentical hormone replacement therapy can be the answer.

Menopausal Symptoms

Women in perimenopause and menopause can experience hot flashes, night sweats, insomnia, lack of sex drive and so many more symptoms that disrupt your life.

You feel like you have lost your vitality and don’t feel like yourself. It can be hard to cope with the changes. It’s no wonder that so many women end up feeling depressed during this time.

Estrogen, Progesterone, and Testosterone all Play a Role

Estradiol regulates mood and emotion by affecting the brain’s serotonin levels. As we age and approach menopause, our estradiol levels decline, which can lead to feelings of depression. Progesterone also plays a role in regulating mood and emotions. In addition, it has a calming effect on the brain and can help with anxiety and insomnia.

Testosterone is another hormone that can affect mood, although it’s often thought of as a “male” hormone. However, women also produce small amounts of testosterone, and this hormone can play a role in energy levels, sex drive, and a feeling of well-being.

When any of these hormones are out of balance, it can lead to feelings of apathy or even depression.

Bioidentical Hormone Replacement Therapy Can Help

middle aged woman feeling happy

The first step to determining if you are feeling down/depressed due to declining hormone levels is testing your hormone levels. This can be done with a simple blood test.

If your hormone levels are low, you may be a candidate for bioidentical hormone replacement therapy (BHRT). BHRT is an individualized treatment that uses hormones that are identical to the ones your body naturally produces.

These hormones can help to restore balance and alleviate many of the symptoms associated with perimenopause and menopause, including feelings of apathy or depression.

Antidepressants Also Play a Role

Antidepressants can still be necessary for some women. If you and your doctor have determined that your feelings of depression are not solely due to declining hormone levels, then antidepressants may be the best course of action.

What is the MOST IMPORTANT item to remember?  Talk to your doctor.  If you feel like you are experiencing depression or anxiety, don’t wait.   Make an appointment with your doctor to discuss your symptoms and possible treatment options.

This is the best way to determine if BHRT, antidepressants, or a combination of both is right for you.

We here at Hormones by Design understand what a huge toll all this takes on your marriage, your family, and even your work.

We can help you by testing your hormone levels and helping you get back in balance.  We want you to have clear thinking, good sleep, no hot flashes or night sweats, and the desire to be intimate with your significant other.

We understand how important it is to feel like yourself again.  Give us a call today and let’s get started on getting your life back on track.

Our newest location in New Braunfels, Texas is accepting new patients.  Call 830-627-7979 to schedule today!



Do you sometimes have trouble sleeping? Are you finding it harder to fall asleep or stay asleep at night? If so, you’re not alone.

Millions of women deal with insomnia every year. And while there are many potential causes, one of the most common is menopause.

In this blog post, we will discuss the relationship between menopause and insomnia and look at some of the possible treatments.

What is menopause and what are the symptoms

Menopause is a natural biological process that marks the end of a woman’s reproductive years.

It typically occurs around the age of 51, but menopause can occur earlier or later depending on individual health and hormonal factors.

Menopause is caused by a decline in the production of estrogen and other reproductive hormones.

This decline leads to changes in a woman’s menstrual cycle and eventually to the cessation of menstruation.

Symptoms of menopause can vary from woman to woman, but they are often characterized by hot flashes, night sweats, vaginal dryness, mood swings, and sleep disturbances.

While menopause is a natural part of aging, the symptoms can be disruptive and even debilitating for some women.

Fortunately, there are treatments available that can help manage menopausal symptoms and minimize their impact on quality of life.

What causes insomnia during menopause?

Menopause is a time of great change for women. Not only are there changes in hormone levels, but also changes in sleeping patterns.

Many women find that they have difficulty falling asleep and staying asleep during menopause. There are several possible causes of insomnia during menopause.

First, the hormonal changes that occur during menopause can disrupt the body’s natural sleep cycle.

Second, menopause can cause hot flashes and night sweats, which can make it difficult to sleep.

Finally, stress and anxiety can also contribute to insomnia during menopause.

How to treat insomnia during menopause

While there is no one-size-fits-all solution for menopause-related insomnia, there are a few treatments that can help. Here are five of the best treatments for menopause-related insomnia:

  1. Hormone therapy: For women who are experiencing menopause symptoms due to a decrease in hormone levels, hormone therapy can be an effective treatment. This can be done through a pill, patch, or cream that replaces the hormones that are no longer being produced by the body. We only recommend bio-identical hormones.
  2. Sleep aids: Over-the-counter sleep aids can be helpful for menopausal women who occasionally have trouble sleeping. These include melatonin, valerian root, CBD and more.  Remember to always talk to your doctor before starting any supplement as it can interact with other medications.
  3. Relaxation techniques: Relaxation techniques such as yoga, meditation, and deep breathing can help to ease menopause symptoms and promote better sleep.
  4. Exercise: Exercise can help to improve sleep quality by reducing stress and anxiety. It is important to avoid exercising too close to bedtime, however, as this can make it difficult to fall asleep.
  5. Dietary changes: Making dietary changes such as avoiding caffeine and eating a light evening dinner can also help menopausal women get a better night’s sleep.


Does menopausal insomnia go away?

As any woman who has gone through menopause knows, the hot flashes and night sweats can be difficult to deal with. But menopausal insomnia can be even more disruptive, causing sleepless nights and fatigue during the day.

The good news is that menopausal insomnia is often temporary, and there are a number of things that women can do to help themselves get some relief, which has been discussed earlier in the blog post.

Can menopause cause severe insomnia?

There is some evidence that menopause can disrupt the body’s circadian rhythms, making it more difficult to fall asleep and stay asleep. While more research is needed to confirm these connections, it’s clear that menopause can potentially cause severe insomnia.  If you are suffering from insomnia, talk to your doctor about it.

How can I increase my sleeping hormones?

There are a few things you can do to help increase your sleeping hormones. One, as mentioned earlier, is to avoid caffeine and alcohol before bed, as both can interfere with sleep. Another is to establish a regular sleep schedule and stick to it as much as possible.

Going to bed and waking up at the same time each day helps to regulate your body’s natural sleep cycle. Finally, make sure your bedroom is dark and quiet, and that the temperature is comfortable. Creating an environment that is conducive to sleep can help your body to produce the hormones needed for a good night’s rest.


Menopause can be a difficult time for many women, both physically and emotionally. One of the most common complaints during menopause is insomnia, which can be caused by a number of factors.

Fortunately, there are a number of treatments that can help to ease menopausal symptoms and promote better sleep. If you’re struggling with menopausal insomnia, talk to your doctor about the best treatment options for you.

If you have any further questions, please feel free to contact us. We would be more than happy to help!  Our newest location in New Braunfels, TX is accepting new patients.  Call us at 830-627-7979.



Testosterone plays a part in many functions in both the male and female bodies. As men and women age, their bodies produce less and less testosterone.

But how do you know if you need to boost your testosterone level?

In this blog post, we will take a look at the symptoms of low testosterone and different therapies to increase or replace testosterone.

How does a woman know if she has low testosterone?

The most common symptom of low testosterone in women is a loss of libido. You may also experience fatigue, depression, anxiety, or brain fog.

There are other potential symptoms as well, such as hot flashes or night sweats, osteoporosis, hair loss, and vaginal dryness.

If you are experiencing any of these symptoms, it’s important to talk to your doctor. They can run some tests to see if your testosterone levels are indeed low.

How does a man know if he has low testosterone?

older man testosterone loss

The most common symptom of low testosterone in men is a loss of libido. You may also experience erectile dysfunction, fatigue, depression, anxiety, or brain fog.

There are other potential symptoms as well, such as hot flashes or night sweats, osteoporosis, hair loss, and testicular shrinkage.

If you are experiencing any of these symptoms, it’s important to talk to your doctor. They can run some tests to see if your testosterone levels are indeed low.

What are the different therapies to increase or replace testosterone?

There are a few different therapies that can be used to increase or replace testosterone. The most common is testosterone replacement therapy, which can be done via injection, patch, gel, or dissolvable tablet.

There are also testosterone boosters, which are supplements that can help increase your testosterone levels. 

Why are there no pharmaceutical testosterone pills?

The answer to this is two-fold. First, testosterone is a hormone, and hormones are not typically taken in pill form because they are not easily absorbed by the body.

Second, testosterone pills can have serious side effects, such as liver damage.

There are rapid dissolving tablets (also called orally disintegrating tablets) or Troches that can be compounded with specific testosterone dosing in them.

These dissolve under your tongue or between your cheek and gum to safely give you the dose of testosterone required daily.

What is medical testosterone made from?

Most testosterone therapy is made from synthetic testosterone. This means that it is not identical to the testosterone that your body naturally produces.

We recommend bio-identical testosterone. This is testosterone that is identical to what your body produces. It is made in a laboratory from plant sources.

What classification is testosterone?

Testosterone is classified as a controlled substance. This means that it can only be prescribed by a licensed medical provider and dispensed by a pharmacy.

This also means that if you are prescribed testosterone to take daily, you will most likely need to show your ID at the pharmacy to pick up your medication.

What medications or supplements can I take to help with my low testosterone?

Most people need testosterone replacement therapy, however, there are also testosterone boosters, which are supplements that can help increase your testosterone levels. One of those supplements is DHEA.

DHEA is a hormone that the body uses to make testosterone. However, it’s important to talk to your doctor before taking any supplements, as they can interact with other medications you may be taking.

What lifestyle changes can I make to help with my low testosterone?

There are a few different lifestyle changes that can help with low testosterone in men or women. First, you can try to lose weight if you are overweight. Second, you can exercise regularly. Third, you can try to reduce stress in your life.

Lastly, you can make sure to get enough sleep each night. All of these things will help improve your overall health and well-being, which can in turn help increase your testosterone levels.

Which therapy is right for me?

The best way to figure out which therapy is right for you is to talk to your doctor. They can help you figure out if your testosterone levels are indeed low and then recommend the best course of treatment.

If you are prescribed testosterone replacement therapy, they will also be able to help you decide which delivery method is right for you. 

Here at Hormones by Design, we help both women and men with low testosterone. Call our newest location in New Braunfels, TX to make an appointment 830-627-7979. We are happy to help you!



According to the National Osteoporosis Foundation, 54 million Americans are at risk of developing osteoporosis.

This number is only going to increase as the population ages. One of the biggest risk factors for osteoporosis is menopause.
During this time in a woman’s life, her body undergoes many changes that can lead to a decline in bone health.

Thankfully, there are steps you can take to reduce your risk of developing osteoporosis. In this blog post, we will discuss how bioidentical hormones can help keep your bones healthy during menopause!

First of all, what is bone density and how is it measured?

Bone density is a measure of how much calcium and other minerals are in your bones.

It is usually measured using a test called dual-energy X-ray absorptiometry (DXA).

This test can be done on any part of the body, but it is most often done on the hip and spine. The results of the DXA test are used to diagnose osteoporosis, osteopenia (low bone density), and other conditions.

What exactly are osteopenia and osteoporosis?

Osteopenia is a condition in which bone density is lower than normal but not low enough to be classified as osteoporosis.

Osteoporosis, on the other hand, is a condition in which bone density is so low that bones are more likely to break. Both of these conditions are serious and can lead to additional health problems.

What are the risk factors for osteoporosis?

There are many risk factors for osteoporosis, but the most common ones are aging, being female, having a small body frame, and having a family history of osteoporosis.

Other risk factors include smoking, drinking too much alcohol, not getting enough calcium or vitamin D, and being physically inactive.

What happens during menopause?

As we age, our bodies produce less and less estrogen. This decline in estrogen can lead to changes in our bodies, one of which is a decrease in bone density.

Estrogen helps to keep our bones healthy and strong, so when levels start to decline, it’s not surprising that our risk of developing osteoporosis increases.

How can bioidentical hormones help reduce the risk of osteoporosis?

Bioidentical hormones are hormones that are structurally identical to the hormones our bodies produce. They can be used to treat a variety of conditions, including menopause symptoms.

One of the most common ways bioidentical hormones are used is in the form of hormone replacement therapy (HRT). HRT can help reduce the risk of osteoporosis by replenishing the hormones that our bodies lose during menopause.

Estrogen in particular is important for bone health, and as women approach and go through menopause, their estrogen levels drop.

Studies have shown that HRT can help reduce the risk of osteoporosis and osteopenia in postmenopausal women by increasing estrogen levels.

What are the symptoms of osteoporosis?

Osteoporosis can cause a number of different symptoms, including back pain, loss of height, and fractures.

Fractures are one of the most serious complications of osteoporosis and can occur in any bone, but they are most common in the hip, spine, and wrist. If you have osteoporosis, it is important to talk to your doctor about ways to prevent fractures.

What if I do everything recommended and still suffer from osteoporosis? What do I do then?

There are medical treatments, such as bisphosphonates, that can help treat osteoporosis. However, these treatments are not right for everyone and have several side effects. If you have osteoporosis, it is important to talk to your doctor about all your treatment options.

In conclusion, osteoporosis is a serious condition that can lead to many health problems. Menopause is one of the biggest risk factors for osteoporosis, but there are steps you can take to reduce your risk.

One of the most effective ways to reduce your risk of osteoporosis is by using bioidentical hormones in the form of hormone replacement therapy. If you are pre or postmenopausal, talk to your doctor about whether HRT is right for you. Worried about osteoporosis?

Call our New Braunfels office today to schedule your appointment, 830-627-7979. We can help you determine your current bone density and how to help you avoid having a diagnosis of osteoporosis!



If you’re like many women, you’ve probably been struggling to lose weight for years.

You may have tried every diet and exercise program out there, but nothing seems to work.

Have you ever considered hormone replacement therapy? Hormone replacement therapy can help you lose weight in a number of ways, including reducing your appetite and increasing your metabolism.

In this blog post, we will discuss the benefits of hormone replacement therapy for weight loss and how it can help you finally achieve your goal weight!

Hormone replacement therapy can help reduce your appetite

If you’re always feeling hungry, it can be difficult to stick to a healthy diet.

hrt helping with appetite

Hormone replacement therapy can help reduce your appetite, so you’ll be less likely to overeat. 

Estrogen in particular can work on the portion of the brain that is responsible for appetite, and can decrease hunger…therefore leading to a reduced calorie intake.

Reducing your calorie intake is one of the most effective ways to lose weight. And with a reduced appetite, you’ll be able to do just that.

A reduction in appetite can also help you avoid unhealthy snacks and junk food cravings. And we all know what happens when we give in to those cravings…

Hormone replacement therapy can help increase your metabolism

A slow metabolism can make it difficult to lose weight. Hormone replacement therapy can help increase your metabolism, which will help you burn more calories and lose weight. 

Some research has shown that adding estrogen hormone therapy can help the body to process starches and sugars more efficiently instead of storing them as fat.

An increased metabolism can also help you maintain your weight loss in the long term.

When your metabolism is working properly, your body will be better able to burn calories and keep off excess weight.

HRT can also help boost metabolism by regulating the production of thyroid hormones.

Thyroid hormones are responsible for regulating your metabolism.

If your thyroid hormone levels are imbalanced, it can lead to a slow metabolism.

Hormone replacement therapy can help balance your thyroid hormone levels and increase your metabolism.

As an added bonus, an increased metabolism can also give you more energy!

You’ll feel more energetic and motivated to stick to your weight loss goals.

If you have an underactive thyroid, you may find it difficult to lose weight even if you eat a healthy diet and exercise regularly.

Hormone replacement therapy can help get your thyroid back on track, so you can finally start seeing results.

Hormone replacement therapy can help you burn more calories

Exercise is one of the most effective ways to lose weight.

But sometimes, no matter how hard you try, you just can’t seem to get rid of those stubborn pounds.

Hormone replacement therapy can help by replacing estrogen levels that drop during menopause.  Estrogen can help increase metabolic rate in women and therefore can increase the number of calories you burn during exercise.

In one study, women who underwent HRT burned more calories during exercise than women who did not receive HRT.

This means that HRT can help you lose weight even if you don’t make any changes to your diet or exercise routine.

Plus, burning more calories during exercise can help you tone your body and build muscle. And we all know that muscle burns more calories than fat, so this is a great way to boost your metabolism even further.

If you’re looking for an extra edge in your weight loss journey, hormone replacement therapy may be just what you need.

hormone replacement therapy for weight loss

Hormone replacement therapy can help you lose weight in a healthy way

Losing weight quickly can be unhealthy. And often, the weight that is lost quickly is gained back just as quickly.

Hormone replacement therapy can help you lose weight in a healthy way by reducing your appetite and increasing your metabolism.

With HRT, you’ll be able to lose weight slowly and steadily. And because the weight loss is coming from a reduction in calorie intake, it is more likely to be permanent.

Losing weight in a healthy way can also help reduce your risk of developing obesity-related health problems, such as heart disease, type II diabetes, and certain types of cancer.

Hormone replacement therapy can help improve your overall health

Not only can hormone replacement therapy help you lose weight, but it can also improve your overall health.

Some studies have shown that HRT can reduce the risk of osteoporosis, heart disease, and type II diabetes. It can also help relieve symptoms of menopause, such as hot flashes, night sweats, and vaginal dryness.

Receiving hormone replacement therapy can help you feel better both physically and mentally.

If you’re struggling to lose weight, HRT may be the answer you’ve been looking for.

Please don’t hesitate to call our New Braunfels location at (830) 627-7979 if you have any queries. We would be delighted to assist you!


What is Growth Hormone Deficiency (GHD) or low Human Growth Hormone (HGH)?

Growth hormone deficiency (GHD) is a disorder that results in insufficient production of human growth hormone (HGH).

HGH is a hormone that is responsible for many important aspects of growth and development. There are multiple types of growth hormone deficiency: acquired, congenital, and adult-onset growth hormone deficiency.

Acquired growth hormone deficiency may be caused by tumors, surgery, radiation therapy, or other medical conditions.

Congenital growth hormone deficiency is present at birth and may be caused by a genetic defect or an abnormality in the pituitary gland.

Growth hormone deficiency that occurs as you age is called adult-onset growth hormone deficiency and is the most common type of growth hormone deficiency. This is the subject we are referring to in this blog.

Where does HGH come from?

The pituitary gland is a small organ located at the base of the brain. The pituitary gland secrets many hormones that control different body functions. HGH (also called somatotropin) is secreted by the pituitary gland.

What are the symptoms of Growth Hormone Deficiency?

Symptoms of GHD can vary depending on the age at which it develops and the severity of the deficiency. Adults with GHD may have decreased muscle mass, increased body fat, reduced bone density/osteoporosis, increased risk for diabetes, and increased risk for cardiovascular disease. 

How do you treat Growth Hormone Deficiency?

Most providers replace the missing HGH with synthetic HGH injections. However, at Hormones by Design, we do not use HGH in any form.

We use a natural hormone replacement therapy that has been shown to be more effective and safer than HGH therapy. We prefer Dehydroepiandrosterone (DHEA) due to its many benefits and lack of side effects.

For example, synthetic HGH injections can have the following side effects: insulin resistance, carpal tunnel, joint pain, increased risk of diabetes, and increased risk of heart problems.

Why DHEA instead of HGH?

DHEA is a hormone that is produced by the adrenal gland.


DHEA is converted to testosterone and estrogen in both men and women. DHEA replacement therapy has been shown to improve many of the symptoms associated with GHD including increased muscle mass, decreased body fat, improved bone density, improved blood sugar control in diabetes, and improved cholesterol levels.

Additionally, DHEA replacement therapy is considered safe and does not have the side effects associated with HGH therapy.

If you are concerned that you have any of the symptoms of Growth Hormone Deficiency, please contact us at Hormones by Design. We would be happy to help you find the best treatment option for you! Our New Braunfels office is now open! Call us at 830-627-7979 to schedule today.

*This blog is intended to provide general information about growth hormone deficiency (GHD) and hormone replacement therapy. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this blog. If you think you may have GHD, please contact us at Hormones by Design for evaluation and treatment.

This article has been reviewed by Dr. Melissa Miskell


What is a hysterectomy or oophorectomy?

A hysterectomy is the surgical removal of the uterus, and an oophorectomy is the surgical removal of the ovaries. Hysterectomies and oophorectomies can be performed together or separately.

Why do you get a hysterectomy or oophorectomy?

There are many reasons why a hysterectomy or oophorectomy may be recommended.

Some common reasons include:

  • Endometriosis
  • Uterine fibroids
  • Chronic pelvic pain
  • Cancer of the uterus, ovaries, or cervix
  • Severe bleeding during menses

What are the consequences of a hysterectomy and/or oophorectomy?

The loss of the ovaries can cause a woman to experience a sudden and drastic decrease in estrogen levels (also called surgical menopause).

This can lead to numerous health problems, including osteoporosis, heart disease, and cognitive decline. Symptoms of low estrogen include:

  • Hot flashes
  • Vaginal dryness
  • Mood swings
  • Sleep problems
  • Foggy thinking
  • any many more

What are my estrogen replacement options/alternatives?

Fortunately, there are several ways to increase estrogen levels naturally. One option is bio-identical hormone replacement therapy (BHRT), which involves taking estrogen injections, pills, patches, or creams.

In fact, most patients need estrogen, progesterone, and testosterone to feel their best after a hysterectomy or oophorectomy.

Natural vs. Synthetic Estrogens

There are two main types of estrogen therapy: synthetic and natural:

Synthetic estrogens are made in a laboratory and are not identical to the hormones produced by the body.

Natural estrogens, on the other hand, are derived from plant sources and are chemically identical to the hormones produced by the body. This is often termed “bio-identical.” The most common form of estrogen used for HRT is Estradiol.

woman speaking with nurse

How long should you take estrogen after a hysterectomy?

This is a question that should be discussed with your doctor. Typically, patients will take estrogen therapy for the rest of their lives. However, some women may only need to take it for a few years.

If you are considering a hysterectomy or oophorectomy, it is important to talk to your medical provider about hormone replacement before the procedure. Here at Hormones by Design, we specialize in BHRT.

We can help you with determining your estrogen levels and help you make a plan for the best method to replace all your needed hormones.

If you have any questions, please don’t hesitate to call our new New Braunfels location at (830) 627-7979. We would be happy to help!


Bio-identical hormone replacement therapy (BHRT) using pellets has become a popular treatment for hormone imbalance.

The pellets are implanted under the skin and release hormones into the bloodstream gradually over time. They provide a steady stream of hormones that can help to restore balance and improve symptoms.

But what happens if you decide you want to stop taking pellets? Can they be removed once they have been implanted?

How long have hormone pellets been in use?

Hormone pellets have been used as a medical treatment since 1939. They were originally developed as a way to treat hypothyroidism and are still used for this purpose today. In the 1960s, researchers began using pellets to treat menopausal symptoms such as mood swings and hot flashes caused by hormonal imbalance in women.

Since then, research into the use of pellets for bio-identical hormone replacement therapy (BHRT) has increased and they have become a popular treatment option.

How do BHRT pellets work?

Pellets are small cylinders (about the size of a grain of rice) that contain hormones in a solid form. They are made from estrogen or testosterone and can be used to treat both men and women.

In men, pellets can be used for testosterone replacement therapy (TRT), while in women estrogen or testosterone pellets are typically used to treat symptoms of hormonal imbalance.

How are BHRT pellets implanted?

The BHRT pellets are implanted under the skin in a surgical procedure (a small incision) that takes just a few minutes. The pellets are typically placed into the fat tissue of your hip or upper buttocks. 

What are the risks involved in this procedure?

As with any surgical procedure, there are risks associated with implanting BHRT pellets. These include infection, bleeding, scarring, and damage to the surrounding tissue. If the implantation site becomes infected, the pellets may be expelled with the infection. 

You should not take a bath, get in a hot tub, or go swimming (in a pool, river, or at the beach) for at least two weeks after the pellets are implanted. You should discuss these risks with your doctor before deciding whether or not to have the implant procedure.

Can BHRT pellets be removed?

No. Once implanted, pellets are not meant to be removed. They dissolve over time and release hormones into the bloodstream gradually. We understand one advantage of pellets is that they don’t have to be taken daily like pills and that makes them convenient. But once they are placed under the skin, you are stuck with them for 3-4 months.

What alternatives are there to pellet therapy?

Besides pellets, there are other ways to take hormones. For example, patients can take oral medications, or our preferred form of treatment, hormone injections. In fact, at Hormones by Design, we specialize in crafting a unique hormone injection for each of our female patients.

Injections are created and administered every 3-4 weeks. Dosage for each patient is based on their lab work and most importantly, their symptoms. This dose can be adjusted up or down as needed at EVERY visit…unlike dosing with pellets. Our most recent location in New Braunfels is now specializing in hormone injections as well.

In short, pellets can be a convenient choice for some patients. However here at Hormones by Design, we recommend our uniquely crafted hormone injection therapy. We want to listen to you and help you through all the symptoms of perimenopause and menopause. Call 830-627-7979 today to schedule your appointment in our newest location, New Braunfels, Texas.


It’s normal to lose hair as you age. Hair loss in women is usually caused by a decrease in hormones, which can happen as you approach menopause. However, other factors can cause hair loss in women, including stress, diet, and genetics.

In this blog post, we will discuss the causes and symptoms of hair loss in women, as well as treatment options.

Causes of Hair Loss in Women

  1. Decreased hormones: This is the most common cause of hair loss in women. As you approach menopause, your body produces less estrogen and progesterone, which can lead to a decrease in hair growth.
  2. Stress: When you’re stressed, your body releases cortisol, which can cause hair loss. Hair can also fall out when you’re going through emotional stress, such as grief or trauma.
  3. Diet: Hair needs nutrients to grow and stay healthy. If your diet is low in protein, vitamins A and B12, zinc, iron, or fatty acids like omega-three fatty acids (found in fish oil), then you may be more likely to experience hair loss.
  4. Genetics: Hair loss can sometimes be hereditary. If your parents or grandparents had noticeable hair loss, you may also experience it.
  5. Thyroid issues: An overactive or under-active thyroid can cause hair loss.
  6. Autoimmune diseases: Hair loss is a common symptom of autoimmune diseases, such as lupus and rheumatoid arthritis.
  7. Birth control pills: Some women experience hair loss after starting birth control pills. This is most likely due to the change in hormone levels.

Symptoms of Hair Loss in Women

  • Hair thinning: You may start to notice that your hair is thinner than usual. You see lots of hair after shampooing, in the shower, or on your brush.
  • Hair loss: You may start to lose hair in clumps. Hair may also come out when you brush it or style it.
  • Bald patches: You may develop bald patches on your scalp where there is little or no hair growth.
  • Difficulty styling hair: Your hair may be harder to style than normal, due to a decrease in its thickness and volume.

Treatment Options for Hair Loss in Women

treatment for hair loss

  • Medications: There are several medications available to treat hair loss in women, including minoxidil (Rogaine) and finasteride (Propecia). They can help regrow hair, but they must be used for several months to see results.
  • Bio-identical hormone replacement therapy: When your hormones are out of balance, bio-identical hormone replacement therapy can help. This therapy involves taking hormones that are identical to the ones your body produces.
  • Platelet Rich Plasma (PRP) Hair Restoration: PRP Hair Restoration is a treatment that uses your body’s growth factors to stimulate hair regrowth and healing. This is a simple process that begins with a blood draw from your arm. We then spin down the blood to separate the platelets and growth factors, which we inject into areas of hair loss on your scalp. Hair grows in a cyclical pattern, so it may take several treatments to see results. This treatment is now offered in our New Braunfels, San Antonio, and Boerne locations.
  • Thyroid medications: Medications can help regulate your thyroid if you have an overactive or under-active thyroid. Hair loss may be reduced once the thyroid is back in balance.
  • Collagen supplements: Collagen is the most abundant protein in your body, and it’s essential for hair growth. Hair loss can be reduced by taking collagen supplements or eating foods high in this nutrient (such as bone broth).
  • Vitamins and minerals: Taking a multivitamin that includes vitamins A, B12, zinc, and iron can help promote hair growth. You can also speak to your doctor about taking specific supplements for hair loss.

If you’re concerned about thinning hair or other signs of aging, schedule a consultation with one of our providers in our newest location, New Braunfels, Texas! Call 830-627-7979 today.



Yet another common question we are asked is “What is Bioidentical Hormone Replacement Therapy.” 

Well, let’s break this question down into two parts, and look at the answer.

First, let’s explore Hormone Replacement Therapy (or HRT for short).  HRT has been around since the 1940s with the advent of Premarin.  Premarin is a combination of estrogens made from pregnant mare (as in horses) urine.  Early in its lifespan, Premarin was shown in short-term studies to help combat the bone loss associated with osteoporosis.  Then along came the 1960s with the advent of hormonal birth control pills.

These pills consisted of estrogen along with a synthetic progesterone called progestin.  As you can see, some of these therapies are organic in nature (like pregnant mare’s urine) while others are synthetic (like the progestins). Versions of all these substances combined to make up early treatments for Hormone Replacement Therapy.

Now, let’s fast forward to the modern-day.  Research has shown that taking synthetic hormones and even organic-based hormones like Premarin can lead to dangerous side effects such as blood clots or stroke.  Today, there is Bioidentical Hormone Replacement Therapy (or BHRT for short).  What does that mean, “Bioidentical?”.

Bioidentical means that the hormones are chemically and structurally identical to the ones your body made when you were younger. 

To put it plainly, bioidentical hormones are fitting a round peg into a round hole, where traditional HRT (like pregnant mare’s urine) is fitting a square peg into a round hole.  I don’t know about you, but I would prefer the formula that actually fits the hormone receptors in my body so that I can get the most benefit from what I am taking…

Here at Hormones by Design, we specialize in Bioidentical Hormone Replacement Therapy.  In fact, that is the only kind we offer.  Our licensed specialists can help you through the many symptoms you may be experiencing.  Feel free to call the office closest to you today!

There are hundreds of clinics attempting to treat hormone imbalance. What makes us different? We listen, then we take action. Our business model makes it possible for us to start your treatment on day one. Faster treatment = feel better faster.
Hormone Replacement Therapy in San Antonio, Waco, New Braunfels, and Boerne

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