Comprehensive Consult
Dr. Farag reviews symptoms, history, goals, and orders a full hormone, thyroid, and metabolic panel.
Hormone Replacement Therapy in Fort Myers, FL
Restore Energy, Mood, and Vitality
Your Hormone Replacement Therapy at a glance:
Therapy Type:Bioidentical Hormones
Treatment Plan:3 to 6 Months
Visits Per Year:3 to 4 Follow Ups
Downtime:None
When Your Hormones Stop Working With You
From Symptoms to Solutions
By the early 40s, women begin perimenopause, with estrogen and progesterone fluctuating unpredictably. Men experience a steady 1 to 2 percent annual decline in testosterone after age 30. The result is a familiar pattern: persistent fatigue, weight that resists diet and exercise, mood swings, poor sleep, low sex drive, brain fog, and slower recovery. Most patients are told these changes are simply part of getting older and offered antidepressants or sleep aids that mask symptoms without addressing root causes.
Hormone Replacement Therapy works differently. Dr. Farag begins with comprehensive lab panels that quantify your hormone levels, then prescribes bioidentical hormones in pellet, cream, oral, or injection form to restore physiological balance. Doses are calibrated to your labs and how you feel, not to one-size-fits-all reference ranges. Most patients notice clearer thinking, deeper sleep, and steadier energy within 4 to 8 weeks, with full benefits at 3 to 6 months as receptors and tissues adapt.
What Is Hormone Replacement Therapy?
Bioidentical Hormone Restoration
Hormone Replacement Therapy (HRT) is the supervised use of bioidentical hormones, molecules that are structurally identical to the estrogen, progesterone, testosterone, thyroid, and DHEA your body produces naturally, to restore optimal physiological levels. Unlike older synthetic hormone formulations, bioidentical hormones bind to the same receptors and follow the same metabolic pathways as your endogenous hormones, which is why they are generally well tolerated and easily titrated. We offer customized bioidentical hormone replacement therapy for men and women, including injectables, patches, pills, and pellets — both FDA approved and compounded.
At RegalMed Clinic, HRT is always lab-driven. Dr. Farag orders comprehensive panels including total and free testosterone, estradiol, progesterone, DHEA-sulfate, sex hormone binding globulin (SHBG), TSH with free T3 and free T4, fasting insulin, and inflammatory markers. Treatment is delivered through the route best suited to your lifestyle and goals: subcutaneous pellets that release a steady dose for 3 to 6 months, transdermal creams, sublingual troches, oral capsules, or weekly injections. Plans are reviewed at 6 weeks, 3 months, and every 3 to 4 months thereafter.
Treatment Timeline
Initial Consultation
60 to 90 minutes with comprehensive lab order
First Symptom Relief
2 to 4 weeks after starting therapy
Full Effect
3 to 6 months as tissues adapt
Pellet Duration
3 to 4 months (women), 5 to 6 months (men)
Lab Recheck
6 weeks, then every 3 to 4 months
Benefits of Hormone Replacement Therapy
Beyond Symptom Management
- 01
Bioidentical Formulations
Molecularly identical to your body's own hormones for natural action
- 02
Lab Driven Dosing
Doses titrated to your specific labs and symptom response, not generic ranges
- 03
Multiple Delivery Options
Injectables, patches, pills, pellets, creams, and troches — FDA approved and compounded options available
- 04
Whole Body Impact
Improves energy, sleep, mood, libido, body composition, and cognition
- 05
Preventive Benefits
Supports bone density, cardiovascular health, and muscle preservation
- 06
Physician Supervised
Personally managed by Dr. Sherry Farag, M.D., with structured follow up
HRT vs Symptom-Only Approaches
Compare Your Options
| Approach | Mechanism | Lab Driven | Onset | Duration | Downtime | Best For |
|---|---|---|---|---|---|---|
| Bioidentical HRT | Restores hormone levels with identical molecules | Yes | 2 to 6 weeks | Long term, monitored quarterly | None | Lab-confirmed hormone deficiency |
| Antidepressants (SSRI) | Modulates serotonin reuptake | No | 4 to 8 weeks | Long term | None | Mood symptoms when hormones are normal |
| Sleep Aids & Stimulants | Sedates or stimulates the nervous system | No | Same day | Short term, dependence risk | Drowsiness or jitter | Short term symptom suppression |
| Synthetic Hormones | Activates similar pathways with non-identical molecules | Sometimes | Weeks to months | Long term, monitored | None | Patients without access to bioidenticals |
Who Is a Good Candidate for HRT?
Personalized Candidacy Review
Hormone Replacement Therapy is appropriate for adults with lab-confirmed hormone deficiency or imbalance and symptoms that affect daily life. Dr. Farag confirms candidacy through a 60 to 90 minute consultation, comprehensive labs, and a review of your medical and family history.
Ideal Candidates for HRT
- Women in perimenopause or menopause with hot flashes, sleep loss, mood changes, low libido, or vaginal dryness
- Men age 35+ with low testosterone confirmed on labs and symptoms of fatigue, low libido, or loss of muscle
- Adults with thyroid imbalance presenting as fatigue, weight gain, hair thinning, or temperature intolerance
- Patients with adrenal or DHEA imbalance contributing to stress intolerance and burnout
- Health-engaged individuals committed to integrated lifestyle, nutrition, and follow up labs
Who Should Wait or Avoid HRT
- Active or recent estrogen-, progesterone-, or testosterone-sensitive cancers
- Untreated severe cardiovascular disease, recent stroke, or active blood clots
- Pregnancy, breastfeeding, or planning pregnancy in the near term
- Untreated severe liver disease or unexplained vaginal bleeding
- Patients unwilling to follow up with structured lab monitoring
Dr. Farag reviews absolute and relative contraindications during your consultation and may recommend additional imaging or specialist clearance before starting therapy.
What Happens During HRT Treatment
Lab Review
She walks you through your results, identifies imbalances, and discusses bioidentical options and delivery routes.
Personalized Protocol
Dr. Farag designs a starting dose, schedule, and lifestyle plan tailored to your labs and symptom severity.
Treatment Delivery
Pellet insertion, injection, or prescription for cream or troche is administered or dispensed in office.
Structured Follow Up
Recheck labs and symptoms at 6 weeks, 3 months, and every 3 to 4 months to refine dosing.
Side Effects & Safety Profile
Honest Risk Discussion
Bioidentical HRT is generally well tolerated when prescribed and monitored by a qualified physician. Common, transient side effects include mild breast tenderness, fluid retention, mood fluctuation in the first 2 to 4 weeks, acne or oily skin in some testosterone patients, and tenderness at pellet insertion sites for 24 to 72 hours.
Less common effects include hair changes, irregular bleeding in women restarting cycles, and elevated red blood cell count in men on testosterone (monitored via hematocrit). Rare but serious risks include blood clots, gallbladder issues, and hormone-sensitive tumor growth, which is why baseline screening, lab monitoring, and contraindication review are central to the RegalMed protocol.
Dr. Farag reviews all benefits, alternatives, and risks during informed consent. Lab follow up at 6 weeks and quarterly thereafter is non-negotiable. Patients with personal or family history of hormone-sensitive cancer require additional review and, when appropriate, oncology clearance before starting.
Cost of HRT in Fort Myers
Transparent Pricing
HRT pricing depends on your hormone profile, delivery route, and follow up frequency. Initial consultations include a comprehensive history, exam, and lab order. Pellet therapy is priced per insertion (women typically need 3 per year, men 2 to 3 per year). Creams, troches, and injections are billed monthly or quarterly through partner compounding pharmacies.
Typical Investment Ranges
- Initial consultation and lab review: included with first HRT plan
- Comprehensive hormone, thyroid, and metabolic labs: $300 to $600 (some panels covered by insurance)
- Pellet therapy (women): $400 to $550 per insertion, 3x per year
- Pellet therapy (men): $700 to $900 per insertion, 2 to 3x per year
- Bioidentical creams or troches: $50 to $150 per month
- Testosterone injections: $50 to $150 per month including supplies
- Follow up labs: $150 to $400 per recheck
Final pricing is confirmed during your consultation. RegalMed Clinic accepts CareCredit and Cherry financing for HRT plans. Final pricing is confirmed during your consultation.
Why Choose RegalMed Clinic
Fort Myers Hormone Care
Physician Led Protocols
Dr. Farag personally orders, reviews, and titrates every HRT plan
Comprehensive Lab Panels
Full hormone, thyroid, metabolic, and inflammatory testing at baseline and follow up
Functional Medicine Approach
Combines HRT with nutrition, gut, sleep, and lifestyle support for root cause results
Structured Follow Up
6 week recheck, 3 month titration, and ongoing quarterly reviews built into care
Complementary Care
View All Services →
Related Services
Medical Weight Loss
Advanced Diagnostic Testing
Hormone Replacement Therapy FAQ
What Patients Ask Dr. Farag
01 Is bioidentical HRT safer than synthetic hormones?
Bioidentical hormones are structurally identical to your body's own and metabolize through the same pathways. Most evidence suggests they are generally well tolerated, but risk profiles depend on your individual history, dose, and route. Dr. Farag reviews all risks during consent.
02 How quickly will I feel a difference?
Most patients notice early benefits like clearer thinking, better sleep, and improved energy within 2 to 4 weeks. Libido, mood, and body composition gains typically build over 3 to 6 months as receptors and tissues adapt.
03 Do I need labs before starting HRT?
Yes. Comprehensive baseline labs are required to confirm deficiency, rule out contraindications, and design a safe starting dose. Follow up labs at 6 weeks and quarterly thereafter guide titration.
04 What delivery method is best for me?
Pellets offer steady dosing for 3 to 6 months and are ideal for busy patients. Creams allow daily flexibility. Injections suit men who prefer self-administration. Dr. Farag recommends a route based on your labs, lifestyle, and goals.
05 Will HRT cause weight gain?
When dosed correctly, HRT typically improves body composition by supporting lean muscle and improving insulin sensitivity. Excess dosing or imbalance can cause fluid retention or weight changes, which is why structured follow up matters.
06 Can men benefit from HRT?
Yes. Testosterone replacement, often combined with thyroid optimization or DHEA support, is common for men 35+ with confirmed low testosterone and symptoms of fatigue, low libido, or loss of muscle.
07 Is HRT covered by insurance?
Some baseline labs are covered by insurance. HRT itself is generally a cash-pay service, with monthly costs ranging from $50 to $250 depending on protocol. RegalMed accepts CareCredit and Cherry financing.
08 How long do I stay on HRT?
HRT is typically a long-term protocol because hormones do not return to youthful levels naturally. Dr. Farag reviews benefits, risks, and goals annually and adjusts therapy as your body and life circumstances change.
Location15750 New Hampshire Ct, STE D
Fort Myers, FL, 33908
Fort Myers, FL, 33908
Phone(239) 395-2434
Schedule Your Hormone Replacement Therapy Consultation
References
- PubMed (PMID: 35586830) - Bioidentical hormone therapy in postmenopausal women shows favorable safety profile compared with conjugated equine estrogens in observational and randomized data.
- PubMed (PMID: 33617717) - Testosterone replacement therapy in men with confirmed hypogonadism improves sexual function, mood, lean mass, and quality of life across multiple trials.
- PubMed (PMID: 28640426) - Pellet therapy delivers stable serum hormone levels for 3 to 6 months with high patient adherence in long-term observational cohorts.
- PubMed (PMID: 31536763) - Estradiol therapy in early menopause is associated with cardiovascular and bone health benefits when initiated within the window of opportunity.
- PubMed (PMID: 30531983) - Comprehensive hormone, thyroid, and metabolic testing improves diagnostic precision and treatment outcomes in functional medicine practice.