Feel like yourself again.

HORMONE OPTIMIZATION

Comprehensive hormone optimization for women and men, designed around how you actually feel.

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When your hormones are off, everything is.

  • Exhaustion that sleep doesn’t fix.

  • Weight that won’t budge.

  • Mood swings, irritability, anxiety.

  • A libido that has gone quiet.

  • Brain fog and forgetfulness.

  • Sleep that no longer feels like sleep.


These aren’t just signs of getting older. They’re signs that something in the system needs attention.

You’re not crazy. You’re not just getting older. Your hormones might be the answer. When your hormones are out of balance, it can feel like you are out of balance, which affects your energy, sleep, mood, and even how you show up every day.

Whole-picture hormone care,  not just one number on a panel.

We don’t look at hormones in isolation. We assess thyroid, adrenals, sex hormones, cortisol, and the systems that support them because hormones don’t work alone, and neither does the rest of you.

Bio-identical hormone replacement therapy (BHRT) offers a safe, natural way to restore that balance so you can feel like yourself again: vibrant, clear-minded, and empowered. Bio-identical hormones are molecularly identical to what your body naturally produces, which means they work with your system rather than against it.

There’s no one-size-fits-all in hormone care at Essence. Together, we’ll choose the format (pellets, creams, injections, or oral) that fits your lifestyle and your goals. Then we monitor, adjust, and support you with labs and follow-up so the plan keeps evolving with you.

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ABOUT THE PROGRAM

12-Week Vitality Foundation Intensive

  • Hormone optimization at Essence is delivered through our 12-Week Vitality Foundation Intensive, starting with comprehensive labs, a 60-minute consult, and a personalized plan that may include BHRT, supplements, and lifestyle support. Structured checkpoints, lab rechecks, and ongoing messaging access are all included.

    Explore the Health Optimization Program →

  • FOR WOMEN:

    Your symptoms are not “just part of being a woman.” We see you… the fatigue, the mood changes, the sleep struggles, and all the little signs your body is asking for balance. You don’t have to push through or settle for feeling “off.” At Essence, we help women understand what’s really going on inside, supporting hormone health, energy, and overall well-being so you can feel like yourself again.

    Especially helpful for: perimenopause, menopause, PCOS, postpartum, and the in-between years where nothing feels quite right.

    FOR MEN:

    Low testosterone, andropause, fatigue, weight gain, lost edge… none of it has to be the new normal. We test comprehensively and treat thoughtfully, so you can show up the way you want to.

    FOR ANYONE:

    If you feel “off” and no one has been able to explain why, your hormones are worth a closer look.

Ready to take the next step?

Complete the form below to schedule your consultation and begin your personalized journey.

Recognizable. Sustainable. Real Results.

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    Haylee Piehl

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    Haylee Piehl

  • This is a client testimonial. This is a client testimonial. This is a client testimonial. This is a client testimonial. This is a client testimonial. This is a client testimonial.

    Haylee Piehl

Frequently Asked Questions

  • When prescribed thoughtfully, monitored with labs, and matched to the right patient, BHRT has a strong safety profile. We test before we treat, and we adjust as your body responds. Safety and personalization are inseparable in our protocol.

  • Synthetic hormones are chemically altered and not an exact match for your body, which can sometimes create unwanted side effects. Bio-identical hormones, on the other hand, are molecularly identical to what your body naturally produces. That means they work in harmony with your system, helping you experience results that feel more natural, comfortable, and truly you.

  • Most patients begin to notice shifts within the first 4–6 weeks, often in energy, sleep, or mood first. Deeper changes (body composition, libido, longer-term resilience) typically build across the 12-week program and beyond.

  • Not necessarily. Some patients optimize for a defined window; others choose long-term maintenance through our Collective. Either way, the plan stays personalized and adjustable.

  • Yes. Hormone optimization at Essence is for both.

  • All of our health optimization offerings at Essence are self-pay. Most insurance plans classify advanced hormone, thyroid, and metabolic panels as "not medically necessary" and decline coverage, which often leaves patients with retail-rate lab bills several times higher than self-pay pricing. To protect you from that experience, we draw your labs in-clinic at transparent, negotiated rates, with no surprise billing.

  • Yes, most patients are able to use HSA or FSA funds. We recommend confirming eligibility with your plan administrator.