Hormone Replacement Therapy

Estrogen, progesterone, and testosterone decline as you age, and no amount of sleep or clean eating brings them back on its own. Michael Cherkassky, MD, Tammy Tyler, NP, and the team at Sensotherapy Weight Loss and Wellness in Fort Worth, Texas, prescribe hormone replacement therapy (HRT) to replace what your body has stopped producing. Call the Fort Worth office or book a consultation online to talk about whether HRT suits your situation.

What is hormone replacement therapy?

Hormone replacement therapy supplies hormones your body no longer makes in sufficient quantities. For women, that usually means estrogen and progesterone during perimenopause and after menopause, sometimes with testosterone added. For men, it centers on testosterone.

Hormones regulate far more than reproduction. They influence bone density, cholesterol, muscle mass, cognition, mood, sleep quality, and how your body distributes fat. Replacing them addresses the whole range of symptoms rather than one at a time.

Do I need hormone replacement therapy?

Your bloodwork measures your hormone levels against reference ranges appropriate for your age and sex, and the team pairs those numbers with what you describe during your consultation before recommending anything.

HRT works best for patients whose symptoms interfere with daily life and whose labs confirm a deficiency. If your results point elsewhere, such as a thyroid condition or a metabolic issue, the team may focus on a different treatment.

What can hormone replacement therapy improve?

Patients on HRT commonly report changes in the following areas:

• Energy levels throughout the day
• Mood stability and reduced anxiety
• Sleep quality and fewer night sweats
• Hot flashes and temperature regulation
• Libido and sexual comfort
• Muscle tone and body composition
• Mental clarity and focus
• Bone density over the long term

How quickly these shift varies widely, though most patients notice something within the first three months. Symptoms like hot flashes and night sweats may subside first, while changes in muscle tone and body composition take longer and depend on how you eat and train alongside treatment.

What risks come with hormone replacement therapy?

Your age, your health history, when you start relative to menopause, and which hormones you take all affect your risk profile. Some research links HRT to a higher risk of blood clots, stroke, and certain cancers, though those findings apply differently depending on your personal and family history.

The team reviews your history before prescribing, explains what the evidence shows for someone in your situation, and monitors you with follow-up labs throughout treatment. Nothing starts until you understand both sides of the decision. 

Your dose can change over time, and some patients taper off after their symptoms settle while others stay on treatment for years.

Call Sensotherapy Weight Loss and Wellness today or book your consultation online.