Bio-Identical Hormone Replacement Therapy (BHRT)

An Informational Overview with Heather King, MSN, FNP, APRN-BC

Therapies

Understanding Hormonal Health

Hormones play a vital role in regulating essential body systems, including energy levels,
metabolism, sleep, sexual function, and mood. As people age or experience health
transitions, hormone levels may fluctuate or decline, resulting in symptoms that impact
quality of life.
At Revitalize Health CDA, Heather King, a board-certified Family Nurse Practitioner with
over 20 years of clinical experience, provides evidence-informed education and care
strategies for individuals exploring hormone-related concerns.

Recognizing Signs of Hormonal Imbalance
Hormonal changes can affect both men and women. It’s important to understand common
symptoms and seek a qualified evaluation to determine if further testing or support may be
beneficial.

Hormonal imbalanace

Symptoms of testosterone imbalance include:

  • fatigue/low energy
  • decreased libido
  • irritability
  • depression
  • memory changes
  • sleep problems
  • weight gain
  • loss of muscle mass
  • erectile changes
Bio-Identical Hormone

Symptoms of estrogen imbalance include:

  • hot flashes/night sweats
  • mood swings/irritability
  • depression/anxiety
  • weight gain
  • vaginal dryness
  • palpitations
  • pain
  • urinary changes
  • sleep problems
  • muscle loss
  • fatigue/loss of energy
  • sleep problems
  • menstrual problems
  • memory changes
  • low libido
Young Woman Holding Head While Suffering From Headache
Young Woman Holding Head While Suffering From Headache

Symptoms of progesterone imbalance include:

  • irregular cycles
  • heavy cycles
  • fibrocystic breasts
  • anxiety/depression
  • mood swings
  • sleep problems
  • brain fog
  • bloating
  • hot flashes
  • low libido
  • headaches/migraines
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Cortisol & Thyroid Considerations:
- Stress-related fatigue (“wired but tired” feeling)
- Sleep difficulties
- Anxiety or depression
- Sugar or salt cravings
- Blood pressure changes
- Low motivation or apathy
Note: These symptoms can stem from a variety of health factors. A comprehensive
consultation and lab review are key to identifying root causes.

Understanding Hormonal Health

Bio-Identical Hormone Replacement Therapy (BHRT) uses plant-derived hormones that are
chemically similar to those naturally produced by the human body. BHRT may be
compounded into topical creams or delivered through pellet therapy, based on individual
needs and provider discretion.
While many patients report relief from symptoms like fatigue, low libido, or hot flashes,
BHRT is a medical approach that requires close monitoring and ongoing evaluation.
BHRT is not appropriate for everyone. A thorough review of health history, lab
testing, and goals is necessary to determine suitability.

estrogen, testosterone, compound, bioidentical hormones
Bioidentical hormones can be compounded into creams applied topically to the skin, once daily.
testosterone injectable

Cortisol and Thyroid Hormones

thyroid function and gland

Cortisol imbalance—whether too high or too low—can lead to a variety of symptoms that affect your overall well-being. Here’s a breakdown:

Symptoms of Cortisol Imbalance

  • Weight gain, especially around the abdomen
  • Anxiety and irritability
  • Trouble sleeping (difficulty falling or staying asleep)
  • High blood pressure
  • Blood sugar instability
  • Fatigue despite feeling wired
  • Muscle weakness
  • Frequent infections due to a weakened immune system
  • Extreme fatigue and lack of focus
  • Low blood pressure
  • Salt and sugar cravings
  • Apathy or depression
  • Memory problems
  • Dizziness or fainting
  • Low libido
  • Unexplained weight loss

Cortisol plays a crucial role in managing stress, metabolism, and immune function. If you suspect an imbalance, we can help you identify it and treat it naturally.

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Heather King's Approach to Hormonal Wellness

Heather King, FNP, combines functional medicine principles with conventional care to offer
personalized support for hormone-related symptoms. Her approach includes:
- Time to fully explore symptoms, lifestyle, and history
- In-depth lab review for hormonal and thyroid markers
- Educational conversations about available support strategies
- Risk/benefit discussions tailored to your unique situation
As someone with experience helping patients navigate hormonal transitions, Heather emphasizes a respectful and holistic process—not a one-size-fits-all solution.

Fill out the Male symptom checklist here
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Fill out Female symptom checklist here
Click Here
happy couple

Common Goals of Hormone Therapy (when appropriate)

Some individuals may experience improvements in the following areas when under medical
supervision:
- Energy and motivation
- Sexual function and libido
- Sleep quality and stress resilience
- Muscle preservation and body composition
- Mood stabilization and cognitive focus
Individual responses vary. BHRT is not a guaranteed solution and must be
considered carefully with a medical provider.

Schedule an Educational Consultation
If you are experiencing unexplained fatigue, mood changes, or other signs of hormonal
change, we invite you to start with a symptom checklist and schedule an educational
consultation. Heather King, FNP, will work with you to explore the potential role of
hormones in your wellness picture and recommend appropriate next steps.
Fill out the Male Hormone Checklist
Fill out the Female Hormone Checklist
Call (208) 763-8920 or Book online to begin your wellness journey.

Disclaimer
This page is intended for informational purposes only and does not constitute medical
advice or guarantee results. BHRT is not FDA-approved for all uses and is not suitable for
everyone. All therapies at Revitalize Health CDA are guided by a licensed healthcare
provider with appropriate medical evaluation and follow-up.