Schedule Consultation
Bioidentical Hormones

When a small course correction makes a major difference.

Feel wiser – not older. Your body may be changing, but let’s put you ahead of the curve.

Pinnacle Bioidentical Hormones

Every one of us ages a little differently, but there’s one constant: change. Our hormones are already a complex and ever-evolving aspect of our bodies—then, as we navigate perimenopause, menopause, and everything beyond, a whole host of issues can emerge. You might experience hot flashes, brain fog, low libido, weight changes, painful sex, thinning hair, vaginal dryness, and other problems that are truly unpleasant to live with. But you do have a place where you’ll be heard and where your experience will be thoughtfully addressed—here.

We offer bioidentical hormone replacement therapy (BHRT) as a dynamic, highly personalized tool that can offer significant relief—and can even help you live longer. This therapy is not a simple process, and it demands the utmost care in management, both for the hormones you’re given and the risks that accompany aging and changing hormones. Complicating matters, it’s hard to get your treatment right the first time around—over 40% of women need some sort of adjustment as they go. But, if you’re willing to stick with it and experiment with a little trial and error, we can make a profound difference in your well-being and quality of life.

Together, we’ll address your symptoms— and also go deeper to gain an understanding of the underlying situation and treat it at its core. We want to help you feel better now and be your healthiest in the future, too.

We’ll help you feel comfortable as we candidly discuss what you’re experiencing. We’ll help you determine what factors are contributing. And we’ll craft a care plan that we fine-tune as we go so you can feel better than you imagined possible.

Schedule Consultation

Our approach

As with most things here at Pinnacle, we’ll start with an initial consultation visit and will order any labs needed to give us an incredibly thorough picture of the factors at play. (Have you ever had a blood panel and received a 30-second call from the doctor’s office with your results? That doesn’t happen here. We’ll provide a custom, multi-page written report explaining everything we found—and then you’ll have an in-depth one-on-one discussion with your doctor to break it all down.)

We’ll unpack your most bothersome symptoms, set goals for reducing them, and, incorporating insights from your test results, we’ll craft your treatment plan. It might include: 

  • Lab tests
  • Bioidentical hormones
    • (read below to understand a bit more about them)
  • Supplementation
  • Medication
  • Weight management support
  • A DEXA scan to learn your current body composition, including body fat, muscle, and bone density
  • Careful monitoring and follow-through to fine-tune treatment and manage risks

Pinnacle Bioidentical Hormones services

Bioidentical Hormone Therapy for Women: Separating Fact from Fiction

Bioidentical Hormone Therapy for Women: Separating Fact from Fiction

For too long, women’s hormone health has been clouded by conflicting information, leaving many suffering unnecessarily through perimenopause, menopause, and beyond. At Pinnacle, we’re committed to providing evidence-based information that empowers women to make informed decisions about their hormonal health.

The WHI Study: Setting the Record Straight

The 2002 Women’s Health Initiative study created widespread fear about hormone replacement therapy. However, subsequent analysis and newer research have revealed critical flaws in that study:

  • It primarily used synthetic hormones (Premarin and Provera), not bioidentical hormones
  • The average age of participants was 63, well past the optimal window for beginning hormone therapy
  • Many participants had pre-existing health conditions that affected outcomes

Dr. Kat Hudon, Pinnacle’s Medical Director, explains: “The WHI study has been misinterpreted for decades. When we look at the data for women who begin bioidentical hormone therapy within 10 years of menopause, we see significant benefits for heart health, bone density, cognitive function, and overall quality of life.”

The Bioidentical Difference

Bioidentical hormones have the exact same molecular structure as the hormones your body naturally produces, unlike synthetic alternatives. This distinction is crucial because it affects:

  • How the hormones bind to receptors in your body
  • The metabolic pathways they follow
  • The production of beneficial vs. harmful metabolites
  • Overall safety profile and side effect risk

Evidence-Based Benefits of Bioidentical Hormone Therapy

Recent research published in peer-reviewed journals demonstrates compelling benefits:

  • Cardiovascular Protection: A 2023 meta-analysis in the European Heart Journal showed a 32% reduction in coronary heart disease in women who began hormone therapy before age 60
  • Bone Health: Consistent 30-50% reduction in hip and vertebral fracture risk
  • Brain Health: Multiple studies indicate up to 70% risk reduction for Alzheimer’s disease when estrogen therapy is initiated during the critical window
  • Quality of Life: Significant improvements in sleep quality, mood stability, and sexual function

The Comprehensive Approach to Hormone Optimization

At Pinnacle, we recognize that hormone replacement isn’t just about estrogen and progesterone. Our approach includes:

  • Thorough Testing: Evaluating estradiol, estrone, estriol, progesterone, testosterone, DHEA, cortisol, and thyroid hormones
  • Personalized Delivery Methods: Determining whether transdermal, oral, or vaginal therapy is most appropriate for each individual
  • Nutritional Support: Identifying key nutrients that support hormone metabolism and detoxification
  • Lifestyle Integration: Creating sustainable habits that complement hormone therapy

Common Questions About Bioidentical Hormone Therapy

Q: Will hormone therapy increase my risk of breast cancer? A: When using bioidentical estrogen with progesterone (not synthetic progestins), studies show no increased risk during the first 5-7 years of use, and some studies even suggest a protective effect when properly administered and monitored.

Q: I’m still having periods but experiencing symptoms. Can I still benefit from hormone therapy? A: Absolutely. Perimenopause can begin 8-10 years before your final period and often causes more severe symptoms than menopause itself. Targeted hormone support during this transition can prevent years of unnecessary suffering.

Q: How long can I safely stay on hormone therapy? A: With proper monitoring and personalized adjustments, many women safely continue bioidentical hormone therapy for decades. The decision should be based on your individual health profile, risks, and benefits—not arbitrary time limits.

Taking the Next Step

Hormone optimization is not one-size-fits-all. At Pinnacle, we create customized protocols based on your symptoms, lab results, medical history, and personal goals. If you’re experiencing hormonal symptoms at any stage of life, don’t accept them as inevitable. Schedule a consultation to discover how our evidence-based approach to bioidentical hormone therapy can help you reclaim your vitality.

Learn more

What to know about your hormones in different phases of life:


Our hormones, including our estrogen and testosterone, impact our entire bodies in a mind-boggling number of ways. What happens when these major dials on our body’s control panel start vacillating wildly during perimenopause? To put it bluntly, everything feels like it’s going haywire.

During perimenopause, which can begin anywhere between your late thirties and early fifties, your ovaries start to run out of eggs and your follicles diminish in both number and quality. As a result, your estrogen levels erratically soar and plummet, until finally they drop off altogether. Meanwhile, your testosterone levels go down too (yes, women have testosterone in their systems), which can accompany an increase in body fat and decrease in muscle. 

Not only is this a wild ride, but it can also come with health risks, which range from heart attacks to bone fractures that stem from a dangerous combination of more brittle bones and less muscle to hold yourself steady.

We say all this not to scare you, but to inspire you to take proactive action. Bioidentical Hormone Replacement Therapy (BHRT) is one powerful way to do so. “Bioidentical” hormones are derived from plants but very similar chemically to the ones our bodies produce. They can be administered as pills, patches, creams, and gels. And, in the right combinations, timing, and doses, these hormones can radically improve how you feel while your own hormones are on a roller coaster.

Together, we can not only treat how you’re feeling right now, but can also anticipate risks and address them at their root. For instance, rather than worrying about broken bones, we’ll give you a supplement to support strong bones as well as the hormones to keep your muscles stronger. Together, we can keep you sailing through this period of life—and enjoying it, not just tolerating it.

Welcome to feeling better.

How Pinnacle works — without getting insurance involved.

We use a direct-care model that avoids the hassle and restriction of insurance, which means we can see patients as often as they need, take more time with them, and offer more thorough care. While we leave insurance out of the patient-doctor relationship, insurance still may cover your medications, or we may be able to connect you with coupons that keep the cost of medication to a minimum.

Book your consultation

It all starts with a phone consultation so we can get to know one another and make a plan.

Schedule Consultation