What is PHRT?

Physiologic Hormone Restoration Therapy (PHRT) is a gentle, evidence-based approach to restoring the body’s natural hormone rhythms—honoring the intelligence that already exists within. Rather than forcing the body into balance, PHRT works in harmony with its innate design, supporting optimal function and vitality at every stage of life.

Hormones are the body’s messengers—subtle yet powerful signals that guide mood, metabolism, sleep, and cellular repair. When they are disrupted, we often feel disconnected from ourselves—tired, ungrounded, or out of sync. PHRT invites these rhythms back into coherence, helping the system remember its own equilibrium.

This therapy is more than numbers on a lab report; it’s a process of reconnection. By restoring physiologic balance, we create the space for energy, clarity, and presence to return—allowing the body and soul to move once again in symphony.

“The need for estrogen has been woven thread by thread through the genetic and molecular fabric of every woman’s being. Without it, the tapestry of her physiologic being becomes a landscape of disease and frailty devoid of feminine beauty, vitality, and the ability to enter into meaningful emotional connections with others.”

 FAQs

  • Approach to Hormone Levels

    • Traditional HRT: Often uses standard, fixed doses of hormones designed to reduce symptoms, rather than match your body’s natural rhythms.

    • PHRT: Focuses on restoring hormone levels to match your body’s own physiologic patterns, aiming for natural balance and optimal function rather than just symptom relief.

    2. Personalization

    • Traditional HRT: Typically follows a “one-size-fits-most” dosing schedule, with limited tailoring to your individual labs or lifestyle.

    • PHRT: Highly individualized, with dosing guided by lab results, symptoms, and personal goals. Adjustments are made as your body responds.

    3. Delivery Method

    • Traditional HRT: Often relies on oral or patch forms at standard doses.

    • PHRT: Uses multiple delivery methods (pellets, creams, sublingual drops, etc.) to mimic the body’s natural hormone release more closely.

    4. Scope of Care

    • Traditional HRT: Primarily focuses on replacing the missing hormones.

    • PHRT: Takes a holistic view, considering how hormones interact with metabolism, digestion, stress, sleep, and overall health to restore long-term balance.

    5. Philosophy of Healing

    • Traditional HRT: Symptom management is often the primary goal.

    • PHRT: Seeks to restore the body’s natural rhythm and optimize function, supporting both prevention and vitality over time.

  • PHRT can be beneficial for anyone experiencing symptoms related to hormonal imbalance or age-related hormonal decline. This includes individuals noticing changes in energy, sleep, mood, metabolism, or sexual health. People going through perimenopause, menopause, or those with a history of hormonal disruptions may particularly benefit. PHRT is designed to support overall vitality, resilience, and long-term wellness by helping the body regain balance naturally.

  • PHRT is individualized, and candidacy depends on your unique health profile, symptoms, and goals. People who may benefit often notice signs of hormonal imbalance such as fatigue, disrupted sleep, mood changes, low libido, weight shifts, or difficulty managing stress. The best way to determine if PHRT is right for you is through a personalized consultation. This typically includes a detailed health history, discussion of your symptoms and wellness goals, and, if needed, hormone testing. From there, your provider can design a tailored plan to safely restore balance, supporting vitality, resilience, and overall well-being.

  • Monitoring is an important part of PHRT to ensure safety and effectiveness. Typically, this includes regular check-ins with your provider to discuss symptoms, lifestyle, and overall well-being, along with periodic hormone testing and lab work. This helps tailor your therapy, track progress, and make adjustments as needed for optimal balance and long-term health.

  • Yes. While BHRT is a core component of therapy, we take a comprehensive approach to your health. This includes evaluating and addressing nutrition, exercise, sleep quality, stress management, gut health, metabolic and cardiovascular health, lab-based nutrient and hormone optimization, and other underlying factors that impact physiologic balance.

  • Coverage for PHRT varies depending on your insurance plan. Many plans do not cover physiologic hormone restoration therapy, as it is often considered elective or wellness-focused.