Bioidentical Hormone Replacement Therapy
What Is Bioidentical Hormone Replacement Therapy (BHRT)?
Bioidentical Hormone Replacement Therapy is a medically guided treatment designed to restore hormonal balance using hormones that mirror the body’s natural chemistry. As men and women age, testosterone and other key hormones often decline, leading to changes in energy, mood, strength, sleep, and overall wellbeing.
BHRT uses personalized dosing informed by advanced lab testing to rebalance hormone levels, support optimal physiological function, and help patients feel more like themselves again—stronger, clearer, and more energized.
BHRT Can Help With:
Low energy or persistent fatigue
Decreased strength or muscle loss
Brain fog or reduced focus
Mood changes or irritability
Declining libido or performance
Poor sleep or recovery
Metabolic slowdown or unexplained weight changes
Symptoms of age-related hormonal decline
What to Expect During Treatment
Your BHRT experience begins with a comprehensive wellness evaluation and advanced lab testing to identify your hormone patterns and key imbalances.
Once your results are reviewed, Dr. Kendall Wagner designs a customized plan using bioidentical hormones tailored to your physiology, symptoms, and goals.
Treatment may include topical, injectable, or pellet-based hormone delivery. Adjustments are made over time based on follow-up labs, symptom tracking, and your overall progress.
Most patients begin noticing improvements within weeks, with optimal balance developing over several months as hormone levels stabilize and the body responds.
Personalized Hormone Optimization
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 chemical 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 begin as early as the 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 the fluctuations common with 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
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As men age, testosterone levels naturally decline — typically starting in their early 30s. While gradual, this decline can impact enery, 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, typically decreasing by one to two percent per 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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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
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.
Your Path to Hormone Optimization
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 wellness.
Your Treatment Begins Here
At Aspire Medical Aesthetics, every service begins with a brief personalized intake to ensure your care is safe, precise, and tailored to your individual needs. We take the time to understand your goals, assess your skin concerns, and recommend the treatment best suited for you. Complete the consultation form to begin your experience, receive a customized plan, and enjoy elevated, thoughtful care.