Hormone Therapy for Men and Women
Personalized hormone therapy guided by your labs, not guesswork.
We start by testing your full hormone panel including 70+ biomarkers. Then a physician and functional nutritionist review every result with you and build a personalized treatment plan for your body. We use plant-derived bioidentical hormones, personalized to your lab results, to restore balance and address the root cause of how you’re feeling.
What is hormone therapy, and is it right for you?
Hormone therapy is a clinician-supervised approach to restoring the hormones your body produces less of as you age. At Nava, every protocol is built from your individual lab results across 70+ biomarkers, including estradiol, progesterone, testosterone, DHEA, thyroid (TSH, T3, T4), cortisol, and insulin. Treatment is never one-size-fits-all.
Nava uses bioidentical hormones, meaning hormones that are chemically identical in structure to those your body produces naturally. Unlike compounded hormone creams sold without FDA oversight, Nava protocols are physician-prescribed, lab-monitored, and adjusted over time based on your results and how you feel.
The Hormones Nava Tests for & Treats
Your Nava hormone panel includes the biomarkers most commonly linked to the symptoms that bring people to us. Testing covers:
Estradiol and estrone
The two primary estrogen markers. Low levels are behind most hot flashes, night sweats, mood shifts, and vaginal dryness in women. Estradiol is also relevant for men at certain levels.
Progesterone
Works alongside estrogen to regulate cycles, support sleep quality, and stabilize mood. Low progesterone is one of the most commonly missed contributors to anxiety and poor sleep in perimenopause.
Total and free testosterone
Relevant for both men and women. Drives energy, libido, muscle tone, and mental sharpness. Free testosterone is what your body can actually use, and it often tells a different story than total testosterone alone.
DHEA-S
A hormone produced by the adrenal glands that serves as a building block for estrogen and testosterone. Declining DHEA-S is an early indicator of adrenal stress and overall hormonal aging.
TSH, free T3, free T4, and reverse T3
A full thyroid picture, not just the single TSH test most doctors run. Free T3 is the active thyroid hormone your cells use. Reverse T3 can block it. Testing all four reveals thyroid dysfunction that a TSH alone routinely misses.
Cortisol
Your primary stress hormone, produced by the adrenal glands. Chronically high or low cortisol disrupts sleep, drives weight gain around the midsection, and throws off every other hormone on this list.
Fasting insulin and glucose
Measures how well your body manages blood sugar and insulin. Insulin resistance often develops silently for years before showing up as a diabetes diagnosis, and it directly worsens hormone imbalance.
hs-CRP (high-sensitivity C-reactive protein)
A marker of systemic inflammation. Chronic low-grade inflammation accelerates hormonal disruption, weight gain, and aging. Most hormone panels skip it entirely.
How It Works
More than testing. A complete plan.
Three simple steps from test to treatment to ensure you get the answers you deserve.
Schedule Labs
Start with advanced lab testing that analyzes over 70 biomarkers to uncover hidden imbalances and guide your personalized care.
Consult with Experts
Meet with a board-certified physician and functional nutritionist to review your results and create a clear, personalized plan based on your goals.
Treatment and Optimization
Based on your labs and goals, we’ll create a custom plan with targeted treatments and lifestyle strategies to help you feel your best.
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.
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. A 2022 review published in Climacteric found that estrogen therapy is associated with reduced cardiovascular risk, improved bone mineral density, and cognitive benefits when initiated in early menopause. For men, research published in the Journal of Clinical Endocrinology and Metabolism has linked testosterone optimization to improved insulin sensitivity, body composition, and mood. At Nava, hormone care is integrated into a broader preventive strategy, not a standalone prescription.
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.
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
Meet the providers supporting your hormone health.
Nava clinicians take a personalized approach to hormone health, considering your symptoms, lab results, metabolism, lifestyle, and goals to create a care plan built around you.
Soraya Salehi, FNP-C
Soraya Salehi, FNP-C takes a root-cause approach to hormone health, with clinical focus areas including hormonal imbalance, thyroid and adrenal optimization, nutrition, and sustainable weight management.
Madhavi (Mod) Rao, MS, CNS, LDN
Mod Rao, MS, CNS, LDN provides personalized nutrition guidance for metabolic and hormone health, helping clients translate lab results, symptoms, and goals into sustainable daily habits.
Gina Cushenberry, MS, CNS, LDN
Gina Cushenberry, MS, CNS, LDN supports nutrition strategies for hormonal changes, menopause, weight management, and metabolic health.
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 lifestyle and stay away from modern medicines with all their side effects. 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 hormone therapy, BHRT, telehealth care, or how to get started? Here are the answers our clients ask most.
Is hormone therapy safe?
Hormone therapy is safe for most men and women when prescribed and monitored by an experienced physician. A 2019 analysis published in Climacteric found that micronized progesterone does not carry the same breast cancer risk as synthetic progestins, and some data suggests a trend toward reduced risk with bioidentical estradiol. Nava uses physician-prescribed, lab-monitored protocols adjusted over time based on your individual biomarker results, not a fixed compounded formula.
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-pay clinic with transparent, upfront pricing. Getting started costs $299 (discounted from $499) and includes advanced lab testing across 70+ biomarkers, a 60-minute consult with a board-certified physician or nurse practitioner, a 60-minute consult with a functional nutritionist, and a personalized treatment plan. FSA and HSA funds are accepted. Ongoing membership plans are available starting at $199 per month.
How Is Hormone Therapy Provided?
Hormone therapy at Nava can be delivered as creams, gels, patches, injections, or pellets, depending on the hormone being replaced and your individual needs. Your Nava physician reviews your lab results and health history to recommend the most appropriate delivery method. No single format works for everyone, which is why Nava builds each protocol from your specific biomarker data rather than a standard formula.
What is the difference between BHRT and standard HRT?
Standard hormone replacement therapy (HRT) typically uses synthetic hormones that approximate but are not chemically identical to those your body produces. Bioidentical hormone therapy (BHRT) uses hormones that match your body’s own molecular structure exactly. At Nava, BHRT protocols are also distinguished by being guided by comprehensive lab testing rather than symptom-based prescribing alone.
What hormones does Nava test for?
Nava’s panel covers estradiol, progesterone, total and free testosterone, DHEA-S, a full thyroid panel (TSH, free T3, free T4, reverse T3), cortisol, fasting insulin, and inflammatory markers including hs-CRP. Most standard labs only test TSH and total testosterone. Nava’s panel is designed to find the imbalances those tests typically miss.
How is Nava different from my regular doctor for hormone care?
Most primary care physicians run a limited hormone panel and prescribe based on whether results fall within a broad “normal” range. Nava tests 70+ biomarkers, pairs every client with both a physician and a functional nutritionist, and builds a personalized plan based on your symptoms, goals, and lab results together. The goal is optimization, not just avoiding a diagnosis.
Can I do hormone therapy online without visiting a clinic?
Yes. Nava’s NavaLive telehealth platform allows you to complete your initial consultation, follow-up appointments, and ongoing care entirely online. Lab testing is done at one of 2,000+ local draw sites nationwide. Medications and supplements are shipped directly to your door. Telehealth is currently available in 15 states including Maryland, Virginia, Florida, Texas, New York, and more.
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.
Medically reviewed by Douglas Lord, MD | Corporate Director of Integrative Wellness | Last updated October 2026