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Bioidentical Hormone Replacement Therapy

What makes us different

Feel Better From Day One

We offer affordable and effective bioidentical hormone replacement therapy using our own low-cost labs and experienced providers.

Our fees are considerably lower than other providers of hormone therapy here in Austin. 

We have decades of experience with hormone balancing and we can help you get your hormones right! Are you suffering from hot flashes? Low energy and fatigue? Lower sex drive? Poor sleep?

Using our BHRT system your treatment can easily be adjusted from month to month to make sure we get it exactly right. We dial in your hormones until you are feeling the full benefits of properly balanced hormones in your body.

What’s even more exciting is that all of this is now more affordable.

Using decades of experience, we listen, then we take action. Our model makes it possible for us to start your treatment on day one.

Faster Treatment = Feel Better Faster!
Message From Dr. Miskell, Founder

Restoring Balance

Hormones by Design in Austin Texas offers a revolutionary service for those wanting high quality yet inexpensive bioidentical hormone replacement therapy. Having your hormones balanced can be a life-changing revolution for your health and well-being. It can change your entire quality of life.

Hormonal changes happen throughout our lives and bioidentical hormone replacement, in the right circumstances and administered safely can bring incredible relief in many cases.

BHRT (Bioidentical Hormone Replacement Therapy) is a transformative approach addressing hormone deficiencies or imbalances, exclusively employing molecules identical to those naturally occurring in the human body.

While age-related transitions is the most common cause of hormonal shifts, such as perimenopause and menopause in women, and andropause in men, a myriad of other factors such as diet, lifestyle, pregnancy, illness, stress, trauma, and even some medications, can also cause changes and imbalances.

Hormones, acting as chemical messengers, intricately govern nearly every physiological process in the human body, all working in synergy. Disruption in one hormone level often triggers disturbances in others.

The restoration of hormonal equilibrium can have many health benefits beyond mere symptom relief. Our commitment is reflected in accurate laboratory testing, pinpointing hormones requiring regulation, and working to achieve optimal hormone balance and overall well-being.

Dr. Melissa Miskell
Dr Miskell, Ob-Gyn
Hormone Balancing

What is Bioidentical Hormone Replacement?

Derived from plants, bioidentical hormones serve as precise replicas of the hormones naturally produced in the body, boasting identical chemical structures at their core.

Unlike synthetic hormones, which deviate from the body’s natural compositions, bioidentical hormones are sourced from nature and mirror the body’s hormonal blueprint. This is the essence of BHRT, utilizing these naturally derived hormones to rejuvenate levels and promote overall health and wellness.

The inevitable aging process brings about a decline in hormones. This decline, particularly with an extended lifespan, can subject individuals to enduring many years with suboptimal hormone levels.

Hormone replacement therapy not only alleviates symptoms but also plays a crucial role in preventing and managing chronic diseases or conditions.

The quest for hormonal balance becomes paramount in navigating the journey toward sustained well-being.

Bioidentical Hormone Replacement

Conditions and Symptoms that can be addressed

Hormones can affect so many bodily functions, but here are some of the most common conditions that we have seen good success in improving.

Unwanted Weight Gain

There are a number of hormones that can contribute to challenges in weight loss. Achieving a balanced overall body composition relies heavily on maintaining hormone balance and maintaining an overall health lifestyle.

Low Energy, Fatigue

Whether your energy levels has its ups and downs during the day or is constant, there are very specific issues with hormones that can result in low energy.

Sleep Problems

insomnia can severely affect one's quality of life in many ways. While various life factors can impact sleep, the integration of bioidentical hormones presents a compelling and effective solution for significantly enhancing sleep patterns.

Mental Sharpness

Frustrated with misplacing your car keys or entering a room only to forget your purpose? The decline in mental sharpness doesn't have to be an inevitable part of aging. Maintaining optimal hormonal balance can profoundly enhance your concentration, memory, and overall productivity, allowing you to be more effective in your daily endeavors.

Skin and Hair

Hormonal imbalances, as well as nutritional deficiencies, inadequate sleep, and lifestyle choices, can contribute to premature aging, manifesting in thinner, more wrinkled, and sagging skin as well as hair loss.

Lower sex drive

Loss of interest and/or enjoyment in sex can be an unwanted condition that can come with age. Hormone replacement can often reverse this and restore the passion.

Skilled Practitioners

Our highly trained Doctors, Physician Assistants, and Nurse Practitioners are highly educated and experienced.

Tailored to You

Your treatment is always customized to each individual based on their lab results, symptoms and history.


We have worked hard to be able to offer our patients very affordable fees and efficient testing and treatment.

Hormone Replacement Overview

There are hundreds of clinics attempting to treat hormone imbalance. What makes us different? We create personalized monthly hormone injections. Easy to administer, no mess, no fuss, and no bothers with trying to remember to take pills or put on creams, and much easier than pellet insertion.
We listen to you, understand your symptoms and goals. Then we get your labwork done to ensure we can see exactly what is going on. Your treatment is then tailored exactly to you.
Our model makes it possible for us to start your treatment on day one. Faster Treatment = Feel Better Faster!
Most of our patients prefer the injections due to the way they can be changed and perfected each month based on your labs and symptoms.  However, some patients travel too much or don’t like injections and can get oral prescriptions or time-released pellets (hormone implants). We do offer it all.

Common Symptoms

Depending on the severity of deficiency and balance of the various hormones, symptoms can vary greatly. Here are some of the most common.

What’s incredible is how easily this can be addressed and unwanted symptoms relieved!

Patient Testimonial

“Just what I needed to get back to feeling like myself again! HBD is SUPER affordable, the staff is knowledgeable and professional. I've been on hormones for 3 months now and my sleep health has increased, my moods are more stable and I have more energy! OH! And my boyfriend is very pleased as well!”

For your Convenience

We do everything we can to make things easy for you.

Most of our appointments are done virtually, making it easy to connect from the comfort of one’s home eliminating the hassle of a commute and tedious waiting times. Telemedicine can liberate you from the constraints of rigid schedules making it easier to avail yourself of our services.

You can do the needed labwork in our office without a set appointment or you can go to a nearby lab if that is easier for you. Your appointments with the Provider are done virtually. If treatment involves a monthly injection, you can stop by our office for about 5 minutes anytime during our extended hours without making an appointment. 

And all of this is done with the lowest possible fees to make it affordable for everyone.

Everything is set up to make it as easy as possible for you to feel better!

HBD Clinics and Lab

Our Locations


2200 Park Bend Drive, Building 1, Suite 201 Austin, Texas 78758
HOURS Mon: 8–4, Tues - Thurs: 7– 4, Fri: 8–12 Noon.
Call our New Patient Coordinator:

San Antonio

21218 Market Ridge, Suite 101 San Antonio, Texas 78258
Mon – Thurs: 8–5,
Fri: 8–12 noon
Phone: 210-305-5077

New Braunfels

598 N Union Ave Suite 300
New Braunfels, Texas 78130
HOURS: Mon–Thurs: 7:00am–4:00pm, Fri 7:20am-12pm
Phone: 830-627-7979


31007 I-10 Suite 115
Boerne, TX 78006
Mon – Thurs: 8–5, Fri: 8–12 noon
Phone: 830-981-9540


1201 Hewitt Drive Suite 105 B Waco, TX 76712
HOURS: Mon: 8:00–3:30, Tues: 6:40–3:30, Wed: 6:40–3:30, Thurs: 6:40–3:30, Fri: 8–12
Clinic Phone: 254-230-4225

Our HBD Lab

Lab address: 1201 Hewitt Drive Suite 204 Waco, TX 76712
HOURS: Mon: 8:00–3:30, Tues: 6:40–3:30, Wed: 6:40–3:30, Thurs: 6:40–3:30, Fri: 8–12
Lab Phone: 254-230-4758

bio-identical hormones
About Us

Costs and Insurance

We have founded our practice on affordable pricing for exceptional health care.

We have very affordable cash rates for our lab testing…you will be pleasantly surprised!  However, established patients can use insurance for their labs. We cannot verify lab benefits for patients, so we recommend that you know your lab benefits prior to your lab draw.

We are designed as a cash-based practice, but our Billing Manager can provide you with a Superbill to file your own insurance claim.  However, Medicare does not allow this.  We are unable to provide Medicare patients with a Superbill.

Bioidentical Hormone Replacement Testimonials

What They Say

I have switched over from hormone pellets every 3 months to the monthly injections at Hormones by Design. I have been so pleased with the customer service and the virtual medical appointments with Madison. I feel heard and appreciated here and it is obvious that they have my wellness in mind with each interaction. I highly recommend their services.

Kelley M. Patient

Hormones by Design has hands down changed my life for the better. They have identified health issues that my primary care did not and I am now on the road to better health. I am feeling more and more balanced every day.

Rebecca J. Patient

Just after the first visit the difference in my energy level was amazing . I'm retired and I found myself sitting on the couch and taking a nap during the day. After my first doctor visit and shot I redid the whole front flower bed of my house in 2 days which is something I couldn't have done even close to a month ago. The results were amazing I feel like my old self again.

Sue G Patient