Women's Hormone Replacement Therapy (HRT) in Fort Worth.

Bioidentical hormones have the same chemical and molecular structure as hormones produced by the body. FDA-approved bioidentical estradiol and progesterone products are available. Compounded bioidentical products are not FDA-approved and have not been shown to be safer or more effective than FDA-approved hormone therapy.

For appropriately selected patients, menopause hormone therapy can effectively treat symptoms and help prevent bone loss. Benefits and risks vary with age, time since menopause, route, dose, whether a patient has a uterus, and personal medical history. We screen for contraindications and reassess response, risks, and treatment preferences over time.

Some women benefit, depending on their symptoms and labs. Women produce testosterone too — just in smaller amounts than men — and levels decline with age. Low testosterone in women can cause fatigue, decreased libido, brain fog, and mood changes. When appropriately dosed (much lower than men), testosterone therapy can address symptoms of clinical deficiency; it is not prescribed for bodybuilding, athletic performance, or weight loss.

Many patients notice changes over weeks to months, and it varies from person to person. We fine-tune your protocol based on your response.

HRT is prescribed to treat menopausal symptoms, not as a weight-loss therapy. Research has reported variable effects on metabolic markers in postmenopausal women on HRT, but these observations should not be interpreted as treatment claims for weight loss. Weight management is best addressed through nutrition, activity, sleep, and evaluation of any underlying medical conditions.

At Highland Longevity, HRT consultations are free. The cost of bioidentical hormone therapy depends on your protocol (pellets, creams, injections, or patches) and the labs you need. Your plan includes your personalized prescription and ongoing monitoring, and your provider reviews every cost with you at your free consultation — no hidden fees or surprise lab bills.

A quality HRT clinic should review symptoms, health history, contraindications, and personal risk factors; explain FDA-approved options and the limitations and risks of compounded products; use shared decision-making; and provide ongoing follow-up. At Highland Longevity, our physician-led team, under medical director Dr. Joshua Lindsley (dual board-certified in Obesity Medicine and Emergency Medicine), creates individualized plans based on symptoms, medical history, labs, preferences, and response to treatment.

Yes. Highland Longevity offers telehealth HRT consultations for patients across Texas. After your initial labs and evaluation, many follow-up visits can be done virtually. Prescriptions are sent to your local pharmacy or shipped directly. However, we recommend in-person visits periodically for comprehensive evaluations.

Highland Longevity provides physician-led, individualized care with risk review, shared decision-making, and multiple treatment options rather than a single delivery method. Evaluation can include thyroid, metabolic, and inflammatory markers when clinically appropriate, and your clinician adjusts treatment based on symptoms, medical history, labs, preferences, and response over time. We also offer complementary services like DEXA scans, medical weight loss, and peptide therapy to support whole-person care.