At Sierra Advanced Medicine, hormone optimization begins with a comprehensive, whole-person approach. Every BHRT patient starts with our Foundational Integrative Assessment, where we evaluate your overall health, lifestyle, and baseline hormone levels to determine whether hormone therapy is appropriate and aligned with your goals.
Bioidentical hormone replacement therapy is designed to support balance in both men and women experiencing symptoms related to hormonal changes or decline. Rather than treating hormones in isolation, we assess the full picture, including metabolic health, nutrition, stress, sleep, and other key factors that influence how your body functions and responds to treatment.
Bioidentical hormones are structurally identical to those naturally produced by the body. When indicated, therapy is prescribed based on your individual laboratory findings and clinical presentation. Each treatment plan is carefully tailored and monitored to maintain physiologic hormone levels, improve quality of life, and support metabolic, cognitive, and long-term health outcomes.
Our approach is precise, personalized, and rooted in safety, focused not only on symptom relief, but on supporting long-term health, optimizing function, and proactively supporting long-term health and resilience as you age.
30 Minutes | $150
Our Hormone Optimization Consult is designed for individuals who would like to meet with Anji and gain a deeper understanding of bioidentical hormone replacement therapy (BHRT), including the evaluation process and what to expect. This visit is educational in nature, and no medical advice or treatment recommendations will be provided during this appointment.
90 Minutes | $650
This is the starting point for all hormone optimization patients. Your assessment begins with an in-office blood draw, to establish your baseline health and hormone levels.
You will then return for a 90-minute follow-up appointment, where your results are reviewed in detail. Together, you and your provider will determine whether BHRT is appropriate and develop a personalized plan based on your goals, physiology, and overall health.
Men and women experiencing symptoms such as fatigue, low libido, weight changes, mood shifts, or cognitive changes related to hormone decline may benefit from evaluation.
When prescribed appropriately and monitored regularly, bioidentical hormone therapy is designed to maintain physiologic hormone levels while prioritizing long-term safety.
Hormone optimization begins with a comprehensive, integrative approach—not a one-size-fits-all protocol. Led by Anji Ruppert, certified in both menopause and andropause, BHRT is personalized through advanced diagnostics and clinical expertise to support your health, performance, and longevity.
