Bioidentical Hormone Replacement Therapy (BHRT)

Restoring Balance, Renewing Vitality

Join the Hormone Restoration Club

Take the guesswork out of Bioidentical Hormone Replacement Therapy (BHRT) with concierge-level care designed just for you.

Our team of experts will guide you every step of the way—from understanding your options to optimizing your results. We’ve done the research, read the studies, and tailored the solutions, so you don’t have to.

It’s time to move from questioning to confident.
We’re here to help you balance your hormones, reclaim your vitality, and feel like yourself again.

Your journey starts here.

Step One: Join today and gain instant access to the RHL Collective. Your membership includes:

  • Access to book additional appointments.

  • LIVE group Q&A calls with experts.

  • Online trainings, exclusive guides, recipes, workout plans, and more.

  • A community of like-minded women for support and connection.

Step Two: Complete a comprehensive hormone panel.*


Step Three: Meet 1:1 with our team practitioner for a hormone consultation. Our practitioner specializes in women’s hormones and takes a holistic, personalized approach to your needs.*


Step Four: Got questions? Get unlimited private messaging with our practitioner team through our secure platform.


Step Five: Enjoy periodic check-ins with April or our team of experts to fine-tune your BHRT journey.


Step Six: Attend ongoing quarterly meetings with our team doctor for adjustments and refills.*

*Labs and medication costs are not included

Common Symptoms BHRT Can Relieve


  • Menopausal and Perimenopausal Symptoms:

    • Hot flashes, night sweats, and irregular periods.

    • Vaginal dryness and painful intercourse.

    Emotional and Cognitive Symptoms:

    • Mood swings, anxiety, depression, and brain fog.

    • Irritability and memory issues.

    Sleep Disturbances:

    • Insomnia or difficulty staying asleep.

    Physical Symptoms:

    • Fatigue, sudden weight gain (especially in the abdomen).

    • Loss of skin elasticity, dry skin, and hair loss.

    • Headaches and joint pain.

    Sexual Health Issues:

    • Decreased libido and reduced satisfaction.

    • Painful intercourse.

    Bone and Muscle Health:

    • Reduced bone density and osteoporosis.

    • Joint stiffness and discomfort.

Ready to Feel Like Yourself Again?

Join the Hormone Restoration Club today and take the first step toward balance, vitality, and confidence.

*Labs and medication costs are not included

Your Team

April Miller

Founder of RHL, Board Certified Functional Nutritional Therapy Practitioner

Katie Hart

Medical Doctor

Marie-Lise Levesque

Nutritional Therapy Practitioner

Anna Allen

Functional Diagnostic Practitioner

A Healthy 28-Day Menstrual Cycle

Estrogen (specifically, Estradiol) and Progesterone naturally fluctuate during a healthy 28-Day menstrual cycle.

Health Benefits of BHRT

Bioidentical Hormone Replacement Therapy (BHRT) can provide many health benefits beyond relief of the symptoms too commonly experienced by women entering menopause or perimenopause.

  1. Bone Health: BHRT helps in maintaining bone density and reducing the risk of osteoporosis and fractures. Estrogen plays a crucial role in bone health, and its decline during menopause can lead to bone loss.

  2. Cardiovascular Health: Some studies suggest that BHRT started near the onset of menopause may reduce the risk of cardiovascular diseases, though this benefit varies and depends on the timing and type of therapy.

  3. Improved Mood and Mental Health: BHRT can help alleviate mood swings, anxiety, and depression associated with hormonal fluctuations. Some women report improved overall mood and mental well-being.

  4. Enhanced Sexual Health: By addressing vaginal dryness and discomfort, BHRT can improve sexual function and reduce pain during intercourse. It can also help increase libido.

  5. Skin and Hair Health: Estrogen has beneficial effects on the skin's elasticity, thickness, and moisture, which can help reduce wrinkles and improve skin appearance. It may also contribute to healthier hair.

  6. Urinary Health: BHRT can help with urinary symptoms such as frequency, urgency, and incontinence, which can be exacerbated by decreased estrogen levels.

  7. Cognitive Function: Some evidence suggests that BHRT may help maintain cognitive function and reduce the risk of dementia when started early in menopause, although this is still a topic of ongoing research.

  8. Preventive Health: In certain cases, HRT can be part of a strategy to prevent long-term health issues related to hormonal decline, such as metabolic syndrome.

Our Approach

Rhythmic Physiologic BHRT

The idea behind Rhythmic BHRT is that hormones in the body don't remain constant throughout the day or month, but rather follow a natural rhythm or cycle. For example, cortisol levels typically peak in the morning and decrease throughout the day, while melatonin levels increase in the evening to promote sleep.

Rhythmic BHRT aims to mimic these natural hormonal patterns by administering hormones in a way that corresponds to the body's own rhythms. This may involve adjusting the timing, dosage, or type of hormone administered to match the body's natural hormone fluctuations.

While both Rhythmic BHRT and Physiologic BHRT aim to restore hormonal balance by utilizing bioidentical hormones and individualized treatment approaches, the primary difference lies in their approach to mimicking the body's natural hormone production and rhythms.

Physiologic BHRT focuses on achieving hormone levels within ideal ranges for an individual's age and sex, while Rhythmic BHRT emphasizes replicating (as closely as possible) the patterns of hormone secretion as they would naturally fluctuate in a healthy 28-day menstrual cycle.

Hormone FAQ’s

What is HRT?

Hormone Replacement Therapy (HRT) is a medically prescribed treatment that attempts to restore your body’s natural levels and ratios of estrogen, progesterone, and testosterone.

What is BHRT?

While basic HRT uses synthetic hormones, Bioidentical Hormone Replacement Therapy (BHRT) uses hormones that are derived from plant sources that are chemically identical to the ones naturally produced by your body.

What is Rhythmic BHRT?

Rhythmic BHRT (A/K/A Biomimetic BHRT) is a specialized approach to hormone replacement therapy that takes into account the natural rhythmic fluctuations of hormones in the body, where different doses are given at different times of the month to replicate the natural hormonal fluctuations of a healthy menstrual cycle.

What is Physiologic BHRT?

Physiological dosing of hormones also seeks to mimic the body's natural hormone production, but attempts to keep hormone levels within ideal physiological ranges, rather than giving high doses that may lead to imbalances or side effects.

What are the Symptoms BHRT can relieve?

  • Sudden weight gain

  • Brain fog

  • Excessive mood swings

  • Low sex drive

  • Hair loss, dry skin

  • Painful intercourse

  • Headaches

  • Insomnia

What States are we licensed in?

  • Arkansas

  • Virginia

    *If your state is not listed, we will find an appropriate practitioner in your area.

What are the costs for BHRT?

Costs to order Bioidentical Hormone Replacement Therapy (BHRT) online via telemedicine.

*does not include labs or medication cost.