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← Wellness & Hormones
BHRT — Hormonal Imbalance
"I want a comprehensive hormonal evaluation — and a protocol built around my actual biology, not a standard dose."

Bio-Identical Hormone Replacement Therapy. Complete Reference.

A comprehensive clinical overview of all bio-identical hormones available at Iuventus Medical Center. Every protocol begins with comprehensive lab testing and is individually dosed based on your results — not a standard prescription.

Hormonal imbalance confirmed or suspected by symptoms or prior labs
Fatigue, mood changes, or brain fog that hasn't resolved with other treatments
Sleep disruption, low libido, or unexplained weight changes
Looking for a complete hormonal workup — not a partial assessment
Bio-identical hormone replacement therapy consultation at IUVENTUS Medical Center Las Vegas
BHRT hormones available
7
All individually dosed from your labs
Comprehensive hormonal panel
Required before any BHRT prescription
Do you recognize yourself?

Hormonal imbalance isn't a single symptom. It's a pattern.

The body's hormonal system is interconnected — and symptoms of imbalance often span multiple hormones simultaneously. A full panel is the only way to identify which specific deficiencies are driving your experience.

😴
Fatigue & Low Energy

Persistent exhaustion that doesn't respond to rest — often driven by DHEA-S decline, thyroid underfunction, or testosterone deficiency. These are measurable, correctable hormonal states, not inevitable aging.

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Sleep Disruption

Difficulty falling asleep, frequent waking, or unrefreshing sleep. Melatonin dysregulation is a primary driver — and medical-grade melatonin at precise physiological doses corrects circadian rhythm without suppressing natural receptor sensitivity.

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Mood Changes & Anxiety

Irritability, low mood, heightened stress response, or emotional flatness. Multiple hormones modulate mood — oxytocin reduces cortisol, progesterone activates GABA receptors, DHEA-S supports dopamine. A complete panel identifies which lever to address.

❤️
Low Libido & Sexual Wellness

Loss of interest in sex or difficulty achieving arousal in both men and women. Testosterone — at appropriate doses for each sex — addresses androgen-driven libido decline. Oxytocin supports intimacy and response through a separate neurological mechanism.

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Brain Fog & Cognitive Decline

Difficulty concentrating, word-finding problems, or mental slowness. Thyroid hormone, DHEA-S, and testosterone all play roles in cognitive function. Suboptimal levels in any of these correlate with measurable cognitive decline.

⚖️
Unexplained Weight Changes

Weight gain despite normal eating, or difficulty losing weight despite effort. Thyroid dysfunction and DHEA-S decline both affect metabolic rate and body composition — and are commonly overlooked in standard workups.

The right panel changes everything.

Most patients who come to us have seen their standard TSH or testosterone checked — and been told it's 'normal.' We test the complete hormonal picture because partial information leads to partial answers. A full panel at IUVENTUS gives you the complete picture in 24–48 hours.

Bio-identical hormones at IUVENTUS Medical Center
What is BHRT?

Hormones that are identical to what your body makes. Nothing synthetic. Nothing approximated.

Bio-identical hormone replacement therapy uses hormones that are molecularly identical — same structure, same receptor binding, same physiological action — to the hormones your body produces endogenously. This is a meaningful distinction from synthetic hormone formulations, which use structurally modified molecules that bind to hormone receptors differently and produce different — and sometimes less favorable — downstream effects.

BHRT at Iuventus is not off-the-shelf. Every protocol is designed based on comprehensive laboratory testing and individually dosed to bring your specific hormone levels into an optimal therapeutic range. The goal is not to 'normalize' your labs — it's to find the level at which your symptoms resolve and you feel well.

Bio-identical hormones are available in multiple delivery formats — oral, transdermal (cream, patch, gel), sublingual, pellet, and injectable. Delivery format affects absorption kinetics and peak levels; your physician will recommend the format best suited to your protocol, lifestyle, and goals.

7
bio-identical hormones available — all individually dosed from your specific lab results
Full panel
required before any prescription — not a single-marker assessment
6-8 wks
to first follow-up labs — we titrate based on your response, not a preset schedule
⚕️
What our full BHRT panel includes

Estradiol (E2), progesterone, FSH, LH, SHBG, total and free testosterone, DHEA-S, cortisol (morning), TSH, Free T3, Free T4, IGF-1 (if growth hormone is suspected), CBC, comprehensive metabolic panel, and lipid panel. This gives us a complete hormonal and metabolic picture before prescribing anything.

Treatment Options

All BHRT hormones. All individually dosed.

The three hormones shown above are those specific to the BHRT reference page. For Estrogen, Progesterone, and Thyroid see the Menopause & Women's Health page. For Testosterone see Men's Vitality. All protocols begin with a full lab panel.

Not sure which one? We'll guide you after reviewing your bloodwork.

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Adrenal Support
DHEA-S

Dehydroepiandrosterone is an adrenal hormone that serves as a precursor to testosterone and estrogen. Its levels peak in the mid-20s and decline by 80–90% by age 70. DHEA supplementation supports hormonal cascade production, adrenal function, bone density, mood, and immune competence.

Forms: oral, sublingual, or topical
Monitoring: serum DHEA-S at baseline and 6–8 weeks
Often added to comprehensive BHRT protocols for adrenal support
Benefits: mood, energy, immune function, bone density, libido (both sexes)
Precursor hormone — supports natural testosterone and estrogen production
DHEA-S
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Circadian & Sleep
Melatonin

Medical-grade melatonin at precise physiological doses for circadian rhythm regulation, sleep quality, and as a potent antioxidant with anti-aging properties. Unlike OTC supplements — commonly overdosed at 5–10mg — we prescribe at doses that restore natural function without impairing receptor sensitivity.

Dose: 0.3–1mg — far lower than typical OTC doses (often 5–10mg)
Forms: sublingual, timed-release oral
Supports circadian rhythm, sleep onset, immune function, and cellular antioxidant defense
Commonly added to BHRT protocols for patients with sleep disruption
Potent antioxidant — relevant in anti-aging and longevity protocols
Melatonin
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Bonding & Recovery
Oxytocin

The 'bonding hormone' — oxytocin plays roles beyond social bonding: it reduces cortisol, lowers anxiety, supports pain threshold, promotes tissue healing, and has been associated with improved sexual response in both men and women. Used as an adjunct in comprehensive wellness protocols.

Forms: sublingual troches or nasal spray
Reduces cortisol and anxiety — useful in stress-driven hormonal disruption
Supports sexual response and intimacy — adjunct in sexual wellness protocols
Pain threshold elevation — complementary to pain and recovery programs
Used as part of comprehensive BHRT rather than standalone in most cases
Oxytocin
Side-by-side comparison

Complete BHRT hormone reference at a glance.

All protocols require a comprehensive lab panel before prescribing. Delivery format and dosing are individualized based on your specific results.

Feature DHEA-S ⭐MelatoninOxytocin
Primary use Sleep, circadian rhythm Anxiety, sexual wellness
Delivery Sublingual / timed-release Sublingual / nasal spray
Monitoring Symptom assessment Symptom assessment
Sexes ✓ Both ✓ Both
Standalone use ✓ Yes ✗ Usually adjunct
Best for Sleep disruption, anti-aging Anxiety, stress, intimacy
The research is clear

BHRT is not a standard prescription. It's precision medicine.

Long-term safety depends on the specific hormone, dose, delivery method, and your individual health profile. Current evidence supports the long-term use of properly monitored bio-identical hormone therapy for most patients. We conduct regular lab monitoring, clinical assessments, and risk-benefit reviews at every stage of treatment.

Molecular
identity to endogenous hormones — same receptor binding, same physiological action as what your body produces
BHRT Clinical Foundation
Individual
dosing based on your specific lab values — not a standard prescription shared across patients
Iuventus Medical Center
Quarterly
lab monitoring to optimize your protocol as your body and hormonal status evolve over time
Iuventus Medical Center
How It Works

From your labs to your protocol.

01
💬
Consultation

We review your symptoms, health history, previous lab work, and goals. You describe what you're experiencing — we identify which hormonal systems to investigate.

02
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Comprehensive Hormonal Panel

Full panel: estradiol, progesterone, FSH, LH, SHBG, total and free testosterone, DHEA-S, cortisol, TSH, Free T3, Free T4, IGF-1, CBC, metabolic panel, and lipid panel. Results in 24–48 hours.

03
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Individualized Protocol

Your physician designs a hormone combination dosed to your specific lab results and symptoms. Delivery format selected based on your lifestyle, absorption preference, and clinical goals.

04
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Monitoring & Titration

Follow-up labs at 6–8 weeks. Protocol adjustments based on your response — both your symptoms and your numbers. Ongoing quarterly monitoring thereafter.

Why Choose Us

Medicine that
gets you.

Over 15 years of bio-identical hormone therapy in Las Vegas — with individual dosing, comprehensive panels, and physician oversight at every stage.

01

Full panel — not partial

We test 15+ hormonal and metabolic markers before prescribing anything. Partial information leads to partial — and often incorrect — conclusions.

02

Bio-identical only

Molecularly identical to what your body produces — for better receptor binding, more predictable effects, and fewer side effects than synthetic alternatives.

03

Individualized dosing

No standard doses. Your protocol is built around your specific lab values and symptom response — and adjusted as you respond.

04

Quarterly monitoring

Regular labs and physician review throughout your treatment. We optimize your protocol as your hormonal status evolves — because hormones are not static.

Patient Stories

Precision medicine.
Real results.

★★★★★

"I went from not sleeping, snapping at everyone, and feeling like a stranger in my own body — to feeling like myself again. The hormones made the difference, and the monitoring made it safe."

AR
Anne R.
BHRT — Estrogen & Progesterone · 51 yrs
★★★★★

"I was convinced I had something seriously wrong with me. Turns out my B12 and NAD levels were critically low. Two sessions of IV therapy later and the brain fog lifted. Remarkable."

TK
Thomas K.
NAD IV + Myers Cocktail · 44 yrs
★★★★★

"The DHEA-S was the piece I didn't know was missing. My physician added it to my TRT protocol and the energy and mood difference was noticeable within three weeks. A complete panel finds what a partial one misses."

MS
Michael S.
TRT + DHEA-S Protocol · 53 yrs
Common Questions

Everything you
want to know.

Our comprehensive hormonal panel includes: estradiol (E2), progesterone, FSH, LH, SHBG, total and free testosterone, DHEA-S, cortisol (morning), TSH, Free T3, Free T4, IGF-1 (if growth hormone is suspected), CBC, comprehensive metabolic panel, and lipid panel. This gives us a complete hormonal and metabolic picture before prescribing anything.
Dosing is entirely individualized — based on your lab results, your symptom severity, and your response over time. We do not use standard doses. We start conservatively, retest at 6–8 weeks, and titrate based on your levels and how you're feeling. The goal is the minimum effective dose that resolves your symptoms.
Some bio-identical hormones are FDA-approved (estradiol patches, micronized progesterone). Others are compounded by a licensed pharmacy to your physician's prescription — allowing individualized dosing and delivery formats not available in commercial products. We use both, depending on what's appropriate for your protocol. All compounding pharmacies we work with are PCAB-accredited.
Long-term safety depends on the specific hormone, dose, delivery method, and your individual health profile. Current evidence supports the long-term use of properly monitored bio-identical hormone therapy for most patients. We conduct regular lab monitoring, clinical assessments, and risk-benefit reviews at every stage of treatment. We'll be honest about your specific risk profile — not generic about hormones as a category.
We welcome physician referrals. Please send recent lab work if available (within 6 months), relevant medical history, and any specific concerns or contraindications. We'll conduct our own comprehensive hormonal panel and provide a detailed treatment summary for your records after the initial consultation.
Start Today

Ready to start?
Or have more questions?

Our physicians are available for a free consultation — whether you're a patient ready to begin, someone doing research, or a physician considering a referral. Bring your questions. We'll bring the answers.