Bioidentical Hormone Replacement Therapy (BHRT)

Bioidentical hormone replacement therapy (BHRT) for men and women with quarterly monitoring, included in the Medicine 4.0 membership at Next Health Houston. A 50+ biomarker baseline test is included to establish current hormone levels. Protocols are personalised to each patient's lab results and symptoms. Functional medicine consult available at $500 per hour for standalone assessment.

Next Health Houston's Bioidentical Hormone Replacement Therapy (BHRT) programme offers personalised hormone optimisation for men and women seeking to address hormone deficiencies and imbalances associated with ageing, fatigue, reduced body composition, cognitive changes, and libido decline. Bioidentical hormones are chemically identical to the hormones produced naturally by the human body — including testosterone, oestradiol, progesterone, and DHEA — and are derived from plant sterol precursors; this structural identity distinguishes them from synthetic hormone analogues used in conventional hormone replacement. At Next Health Houston, the BHRT programme begins with a comprehensive baseline blood test (included in the membership) covering relevant hormonal biomarkers: total and free testosterone, SHBG, oestradiol, progesterone, DHEA-S, cortisol rhythm assessment, and thyroid panel. A physician reviews the results alongside the patient's symptom history and health goals to design a personalised protocol, which may include topical creams, injectables, sublingual formulations, or implanted pellets depending on the hormone indicated and the patient's preference. Quarterly monitoring with follow-up blood panels is built into the programme to ensure levels remain in the optimal therapeutic range and protocols are adjusted as needed over time. This quarterly rhythm is included in the Medicine 4.0 membership, making BHRT with ongoing medical oversight accessible at the $299 monthly membership rate alongside the other included services (IV drips, vitamin shots, cryotherapy, hyperbaric oxygen, infrared therapy, InBody, VISIA, baseline blood test). Patients not on membership can access a Functional Medicine Consult at $500 per hour for a standalone BHRT assessment and protocol design. Next Health's BHRT approach sits within a broader health optimisation context — hormone levels are reviewed alongside metabolic markers, nutrient status, and lifestyle factors rather than in isolation.