Bioidentical Hormone Replacement Therapy (BHRT)
Balanced Hormones. Better Energy, Sleep, and Life.
Nava Health uses plant-derived bioidentical hormones, personalized to your lab results, to restore balance and address the root cause of how you’re feeling.
What Is Bioidentical Hormone Replacement Therapy?
Bioidentical Hormone Replacement Therapy (BHRT) is a clinician-supervised treatment that uses plant-derived hormones chemically identical to those your body produces naturally. Because of this structural match, bioidentical hormones are absorbed more efficiently and tolerated better than conventional synthetic alternatives. At Nava Health, BHRT addresses the three hormones most commonly disrupted by age-related decline: estrogen, progesterone, and testosterone. Unlike synthetic hormone treatments, every Nava protocol is personalized to your individual biomarker results, never a one-size-fits-all prescription.
How It Works
We make the testing process simple, comprehensive, and actionable.
Getting started with Nava is straightforward. Four steps take you from symptoms to a personalized plan, whether you come into a center or connect with us online.
Schedule your labs
We analyze 70+ biomarkers through our national lab partner network to pinpoint exactly what’s driving your symptoms.
Consult with medical and nutrition experts
A medical provider and functional nutritionist review your results together and build a clear picture of your hormonal health.
Start your personalized treatment plan
Your care team creates a custom BHRT protocol based on your labs, goals, and biology. Nothing is templated.
Track your progress and optimize
Your BioAge score, lab history, and health dashboard live in the Nava app, and your care team adjusts your protocol as your body responds.
Signs You May Have a Hormone Imbalance
Hormonal decline is gradual, which means symptoms often build quietly before they become disruptive. In women, the most common signs include hot flashes, night sweats, brain fog, low libido, mood swings, unexplained weight gain, and sleep disturbances, often beginning in perimenopause but possible at any age. In men, declining testosterone from the mid-30s onward can cause low energy, muscle loss, poor concentration, reduced libido, and difficulty sleeping. These symptoms are common, but they are not inevitable. Properly diagnosed and treated hormone imbalance can be corrected, and most clients report meaningful improvement within weeks of starting treatment.
In-Person or Online: Care That Fits Your Life
Nava serves clients through physical wellness centers and via NavaLive, our HIPAA-secure telemedicine platform, and the quality of care is identical regardless of which path you choose. In-person centers offer on-site lab coordination and access to the full spectrum of Nava’s functional medicine services, including IV nutrition, peptide protocols, and weight management. NavaLive appointments work like any video call: you connect with your care team from your phone, tablet, or computer at your scheduled time, with medications and supplements shipped directly to your door. No injections are required at home. Telehealth is currently available in Arizona, Colorado, Delaware, Florida, Georgia, Illinois, Maryland, New Jersey, New York, North Carolina, Pennsylvania, Texas, Virginia, Washington D.C., and West Virginia.
What if your medical team actually helped you live a longer, healthier life?
Lives Improved
Client Satisfaction
Biomarkers Tested
Members Improved Biomarkers in 3 Months
Hormone Imbalance in Women
Hormonal shifts in women can begin as early as the mid-30s, well before menopause. Perimenopause, menopause, thyroid dysfunction, chronic stress, and other factors can all disrupt the careful balance of estrogen, progesterone, and testosterone that regulates daily health and vitality.
Common symptoms of hormone imbalance in women include:
- Hot flashes and night sweats
- Fatigue and low energy
- Unexplained weight gain or difficulty losing weight
- Brain fog and memory issues
- Mood swings, anxiety, or depression
- Low libido or discomfort during sex
- Irregular periods or menstrual changes
Signs of Low T and Hormone Health in Men
Testosterone levels in men begin declining as early as the mid-30s, a gradual shift that is frequently dismissed as normal aging. Low testosterone and broader hormonal imbalance can affect nearly every aspect of a man’s physical and mental health, and are often treatable with the right testing and clinical approach.
Common symptoms of low testosterone and hormone imbalance in men include:
- Low energy and chronic fatigue
- Weight gain and loss of muscle mass
- Reduced libido or erectile dysfunction
- Brain fog and poor concentration
- Mood changes, irritability, or mild depression
- Difficulty sleeping
- Decreased motivation and drive
Health Benefits of Hormone Therapy Beyond Symptom Relief
Most people come to Nava because they want to feel better. What they often discover is that properly optimized hormones do considerably more than resolve day-to-day symptoms.
Cardiovascular and Metabolic Health
Optimized estrogen and testosterone levels are associated with improved cholesterol balance, better vascular function, improved insulin sensitivity, and healthier body composition.
Bone Density and Cognitive Performance
Hormone therapy helps preserve bone mineral density and reduce fracture risk, while balanced hormone levels support memory, mental clarity, and protection against age-related cognitive decline.
Sleep, Mood, and Libido
Progesterone has a direct calming effect on the nervous system, improving sleep onset and depth. Estrogen and testosterone optimization directly address mood stability and sexual health in both men and women.
Longevity and Disease Prevention
BHRT at Nava is integrated into a broader preventive medicine strategy. By optimizing hormone levels in alignment with your overall health profile, we support heart health, brain health, and long-term vitality, not just short-term symptom relief.
Getting started
Your path to a longer, healthier life starts here.
It begins with comprehensive diagnostic testing and a personalized care plan designed around your unique biology, symptoms, and long-term health goals.
Nava advanced diagnostic labs and care plan
Start with advanced diagnostic labs and get a personalized plan for energy, hormones, weight, sexual health, performance, and long-term vitality.
and personalized treatment plan
Advanced biomarker testing
Comprehensive 70+ biomarker testing helps uncover what may be driving symptoms.
Meet with medical experts
Review your results with a medical provider and functional nutritionist to build a personalized plan.
Treatments tailored to you
Get personalized treatment recommendations based on your labs and goals, available directly through Nava.
Personalized plan and tracking
Your data guides a doctor-led plan including your BioAge score, and health dashboard access.
Our Hormone Therapy Physicians
Nava’s hormone therapy program is led by physicians with decades of specialized experience in integrative and functional medicine, representing the largest holistic medicine group on the East Coast. Dr. Douglas Lord, Founding Medical Director and 50-year OB/GYN, developed many of the advanced BHRT protocols that form the foundation of Nava’s clinical approach. Dr. LaKeischa Webb McMillan brings over 14 years of experience as an OB/GYN and integrative medical doctor, specializing in identifying root causes and eliminating symptoms rather than managing them indefinitely. All Nava hormone therapy is physician-supervised. Treatment plans are developed by board-certified clinicians, not algorithms, and adjusted based on your ongoing lab data and clinical response.
Douglas Lord, M.D.
Dr. Douglas Lord is the founding medical director of Nava Health and Vitality Center and one of the nation’s top women’s health experts. Dr. Lord has helped thousands of women struggling with the symptoms of menopause through his 50 year career as an OB/GYN and has developed some of the most advanced and successful protocols available today in integrative medicine.
LaKeischa Webb McMillan , M.D.
Dr. LaKeischa Webb McMillan has been helping women with menopausal symptoms as an OB/GYN and integrative medical doctor for over 14 years. She is one of the top experts in the country at identifying the root cause and treating her clients to eliminate symptoms, optimize their overall health and strengthen their immune systems.
What Our Clients Say
“Becoming a member of Nava Health & Vitality has been the best thing I’ve ever done. Every time I arrive I’m greeted by friendly people who are knowledgeable and professional.”
“I was always looking for a healthier life style and stay away from modern medicines with all there side affects. These years have been a great experience. I highly recommend this for everyone who wants better health.”
“The attention to my health needs has been a wonderful change from my PCP. I always look forward to meeting with my nutritionist, Ryan. Samantha has helped me reach some goals I thought I could not.”
“Since I made the decision to take my health into my own hands, I am feeling so much better. I went to Nava with no energy, brain fog, stomach issues and aches and pains. My regular doctors found nothing and haven’t addressed anything. I had complete blood work here and discovered hormone imbalances and other issues that are all being addressed. ”
Frequently Asked Questions About Hormone Therapy
Have questions about BHRT, telehealth care, or how to get started? Here are the answers our clients ask most.
Is hormone therapy safe?
BHRT is safe for most men and women when prescribed and monitored by an experienced physician. Research published in peer-reviewed journals has found that bioidentical progesterone, unlike synthetic progestin, does not increase breast cancer risk, and some data suggests a trend toward reduced risk. Every Nava protocol is based on your individual lab data and monitored throughout treatment.
How do I meet with my doctor online?
NavaLive, Nava’s telemedicine service, is much like any video conference you may have experienced through Skype or Apple FaceTime, but it is protected and secure under HIPAA standards.
You’ll receive the same services and benefits as our clients that visit our headquarters, except instead of consulting with a Nava practitioner face to face, you’ll do so over the video conference.
You schedule your NavaLive appointment just like any other doctor’s appointment, but instead of having to travel to a doctor’s office and sit in a waiting room, you simply activate the conference call on your phone or tablet when it’s time for your appointment. You are immediately connected to your doctor.
How soon will I start feeling better with hormone therapy?
Will I need to take hormones for the rest of my life if I start hormone therapy?
Not necessarily. Some clients benefit from long-term optimization; others reach a point where lifestyle changes sustain their results. Your Nava care team will assess your response over time and adjust accordingly. The goal is always the minimum effective intervention, not indefinite dependency.
Is telehealth hormone therapy as effective as in-person care?
Yes. The clinical process (lab testing, physician evaluation, personalized prescribing, and ongoing monitoring) is identical whether you’re seen in-person or via NavaLive. The primary difference is logistics, not quality of care.
How do I pay for treatment?
Nava is a cash-based clinic with transparent, upfront pricing. The Hormone Health Intake Bundle is $499. FSA and HSA funds are accepted for eligible services, and financing options are available to reduce out-of-pocket costs.
How Is BHRT Provided?
Get Started
Ready to Take the First Step?
Start with the data: 70+ biomarkers tested, expert clinical review, and a personalized plan built around your biology, all for $499.
