Hormone Testing & Optimisation Program

A structured hormone testing and optimisation program at Next Health Bellevue, accessed through the Medicine 4.0 Membership ($99/month). Includes comprehensive quarterly biomarker testing covering 50+ markers, bioidentical hormone therapy options (pellets, creams, or pills), and one-on-one provider consultations to adjust protocols quarterly. Designed for both men and women seeking to address hormonal decline, fatigue, body composition changes, and performance goals.

Next Health Bellevue's Hormone Testing and Optimisation Program is a structured, membership-based approach to identifying and addressing hormonal imbalances that contribute to fatigue, body composition changes, cognitive decline, reduced libido, sleep disruption, and overall vitality loss. Accessed through the Medicine 4.0 Membership at $99/month, the program begins with a comprehensive intake consultation and baseline blood panel covering 50+ biomarkers, including the full hormonal axis: testosterone (total and free), estradiol, progesterone, DHEA-S, SHBG, IGF-1, cortisol, and the thyroid panel (TSH, Free T3, Free T4, reverse T3). From these results, a Next Health medical provider develops a personalised bioidentical hormone replacement therapy (BHRT) protocol. Bioidentical hormones — chemically identical to the body's own endogenous hormones, typically derived from plant sterol precursors — are available in multiple delivery formats at the clinic: subcutaneous pellets (inserted during an in-office minor procedure, lasting 3–6 months), transdermal creams or gels (applied daily to skin), or oral/sublingual formulations, each with distinct pharmacokinetic profiles suited to different patient preferences and physiological responses. The program incorporates quarterly lab retesting to track biomarker changes against targets, with follow-up provider consultations to titrate the hormone protocol based on lab results, symptom response, and treatment goals. Weight management and peptide therapy access are also included within the Medicine 4.0 framework. The program is designed as an ongoing engagement — members typically commit to 6–12 months of optimisation before assessing long-term maintenance needs. The Bellevue location is the first Next Health facility in Washington state, bringing this BHRT model to the Pacific Northwest market.