Bioidentical Hormone Replacement Therapy
Medical precision meets holistic wellness to support balanced living at every stage of life.
Rebalance Your Hormones. Reclaim Your Health.
A personalized, physician-led approach to hormone health and total well-being.
At Aspire Medical Aesthetics and Wellness, Bioidentical Hormone Replacement Therapy (BHRT) is designed to restore hormonal balance, enhance energy, and support total well-being. Led by Dr. Kendall Wagner, each program uses bioidentical hormones that mimic your body’s natural chemistry to help ease symptoms such as fatigue, brain fog, mood changes, and decreased libido.
Through advanced lab testing and personalized treatment plans, Aspire ensures every patient receives care that is safe, precise, and deeply tailored to their unique needs. The result is renewed vitality, improved clarity, and balance that radiates from within — helping you look and feel your best at every stage of life.
Medical Precision, Personalized Care
When it comes to your health, experience matters. As an EvexiPEL® Certified Provider, Dr. Kendall Wagner combines medical precision with compassionate care to deliver results you can trust.
Lab-Guided Precision
Comprehensive testing ensures treatment accuracy.
Bioidentical Hormones
Plant-based formulas that mimic your body’s natural chemistry.
Sustained Release
Pellets deliver consistent results for 3–6 months.
Physician-Led Care
Every plan is overseen by Dr. Kendall Wagner for safety and success.
Monitored Progress
Follow-up labs and check-ins optimize ongoing results.
Personalized Guidance
Every patient receives one-on-one education and support.
Personalized
Hormone Balance
For Her
Hormonal changes are natural — but they shouldn’t diminish your quality of life. Aspire helps women navigate every stage of hormonal transition with personalized, physician-guided care that restores balance and vitality.
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A hormone imbalance occurs when the body produces too much or too little of essential hormones such as estrogen, progesterone, testosterone, or thyroid hormone. Because these messengers influence everything from mood and metabolism to sleep and sexual wellness, even subtle shifts can lead to noticeable changes in energy, weight, focus, or emotional balance.
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Fatigue
Hot flashes or night sweats
Unexplained weight gain
Brain fog or memory issues
Low libido
Mood swings or anxiety
Sleep disturbances
Dry skin or thinning hair
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Hormone decline due to perimenopause or menopause
Chronic stress and elevated cortisol
Thyroid dysfunction
Insulin resistance or blood sugar imbalance
Polycystic ovary syndrome (PCOS)
Poor sleep or nutritional deficiencies
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While menopause is the most recognized hormonal transition, changes often begin much earlier. Many women experience fluctuations and gradual declines in progesterone and testosterone during perimenopause, which can start as early as their late 30s or early 40s.
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While hormonal decline is a natural part of aging, the disruptive symptoms that often accompany it—such as fatigue, hot flashes, anxiety, or discomfort during intimacy—are not something you have to accept. These are signs of an imbalance that can be safely and effectively treated. Hormone optimization focuses on restoring balance and enhancing your quality of life, so you can feel healthy, confident, and fully yourself again.
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Absolutely. Chronic stress elevates cortisol, which can suppress progesterone and disrupt the body’s natural hormonal rhythm. Likewise, nutrient deficiencies—particularly in B vitamins, magnesium, and healthy fats—can impair your ability to produce and regulate hormones effectively. This is why the EvexiPEL® Method takes a comprehensive, whole-body approach to restoring balance and long-term wellness.
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EvexiPEL® Bioidentical Hormone Pellet Therapy uses plant-based hormones designed to match your body’s natural chemistry. Tiny pellets are placed just beneath the skin, where they release a consistent dose of hormones over time — supporting stable mood, energy, and well-being without daily medication.
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Your treatment begins with comprehensive lab testing and a consultation to review your goals and symptoms. The procedure is simple and completed in-office, with minimal downtime. Most women begin to notice improvements in mood, energy, and focus within weeks, with optimal balance achieved over several months.
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Improved energy and sleep
Balanced mood and mental clarity
Enhanced libido and sexual wellness
Reduced hot flashes and irritability
Healthier skin, hair, and metabolism
Personalized
Hormone Optimization
For Him
At Aspire, we help men reclaim energy, focus, and performance through evidence-based hormone optimization tailored to their individual needs. Because feeling strong and confident shouldn’t fade with age.
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As men age, testosterone levels naturally decline — typically starting in their early 30s. While gradual, this drop can impact energy, strength, mental focus, and overall vitality. Lifestyle stress, poor sleep, or certain medical conditions can accelerate the imbalance, leading to symptoms that are often mistaken for “just getting older.”
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Low energy or motivation
Decreased muscle strength or endurance
Brain fog or trouble concentrating
Mood changes or irritability
Low libido or erectile dysfunction
Increased body fat, especially around the midsection
Sleep difficulties
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Natural testosterone decline with age
Chronic stress and elevated cortisol
Poor sleep quality or shift work
Nutrient deficiencies or poor diet
Sedentary lifestyle
Medications or chronic illness
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Testosterone levels in men often begin to decline gradually in the late 20s to early 30s, decreasing by about one to two percent each year. This gradual change, known as andropause, becomes more noticeable in the 40s and 50s as energy, focus, and physical performance begin to shift.
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While hormonal decline is a natural part of aging, the symptoms that accompany it—such as fatigue, low libido, and muscle loss—are not something you have to accept as “normal.” These are signs of an imbalance that can be safely and effectively treated. Hormone optimization is about restoring vitality and improving quality of life, so you can feel strong, focused, and confident at every stage.
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Absolutely. Chronic stress raises cortisol levels, which directly suppress testosterone production and disrupt hormonal balance. Likewise, nutrient deficiencies—particularly in zinc, vitamin D, and healthy fats—can reduce the body’s ability to produce and regulate hormones effectively. This is why the EvexiPEL® Method takes a comprehensive, whole-body approach to restoring optimal health and performance.
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EvexiPEL® Bioidentical Hormone Pellet Therapy uses plant-based testosterone designed to replicate your body’s natural hormone structure. Tiny pellets are placed under the skin during a quick in-office procedure. Over time, they release a steady, consistent dose — avoiding the hormonal highs and lows common with injections or gels.
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While andropause is common, several other factors can contribute to or worsen hormonal imbalance in men. Thyroid dysfunction, metabolic syndrome (including insulin resistance and abdominal weight gain), adrenal fatigue from chronic stress, and key nutrient deficiencies can all play a role. At Aspire, Dr. Kendall Wagner carefully evaluates these underlying causes to create a treatment plan that addresses the full picture of your health.
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Your experience begins with a consultation and lab testing to evaluate testosterone and related hormone levels. The pellet procedure takes just minutes, and most men resume normal activity the same day. Improvements in energy, focus, and mood typically begin within weeks, with full results developing over 4–6 months.
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Increased strength and stamina
Improved mental clarity and motivation
Balanced mood and emotional stability
Healthier libido and performance
Faster recovery and fat loss
Overall vitality and confidence
Your Path to Hormone Balance
At Aspire Medical Aesthetics and Wellness, Dr. Kendall Wagner uses the EvexiPEL® Method to uncover the root causes of imbalance and restore lasting vitality through personalized, evidence-based care.
Consultation
Your journey begins with a one-on-one consultation with Dr. Wagner. Together, you’ll review your symptoms, lifestyle, and goals to determine if hormone optimization is right for you. You can start the consultation now by filling out our virtual consultation form.
Comprehensive Testing
Advanced lab testing reveals how your hormones interact with each other and key body systems. Your panel may include estrogen, progesterone, testosterone, thyroid, adrenal, metabolic, and nutrient markers — providing a complete picture of your health.
Results & Personalized Plan
Once results are in, Dr. Wagner reviews your findings in clear, approachable language. Your treatment plan is fully customized and may include EvexiPEL® bioidentical hormone pellet therapy, nutritional support, and lifestyle recommendations..
Pellet Placement
During a quick in-office procedure, tiny hormone pellets are placed just beneath the skin for consistent, steady release over several months. The process is comfortable, requires minimal downtime, and offers lasting results.
Balance & Optimization
You’ll begin to notice improvements in energy, focus, mood, and sleep within the first few weeks. Regular check-ins and follow-up labs ensure your treatment remains safe, balanced, and effective over time.
Ongoing Support
Dr. Wagner and the Aspire team continue to monitor your progress, fine-tuning your therapy as needed. This ongoing partnership ensures lasting results and long-term wellnes.
A Unified Approach to Care
At Aspire Medical Aesthetics and Wellness, your care is led by Dr. Kendall and Kathie Wagner — a husband-and-wife team combining medical expertise and compassionate understanding. Together, they bring balance to every treatment, blending science, experience, and empathy to help you look and feel your best.