How do I pick a legitimate BHRT clinic and avoid the hormone mills?

Picking a Legitimate BHRT Clinic

Red Flags to Avoid ("Hormone Mills")

• Prescribes hormones before any bloodwork
• One-size-fits-all pellet doses with no individual adjustment
• Pushes expensive supplements aggressively
• No follow-up testing scheduled
• Online-only with no physician oversight

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What Legitimate Looks Like

Look for these credentials:

• Physicians board-certified through AMMG (Age Management Medicine Group) or A4M (American Academy of Anti-Aging Medicine)
• Pharmacists compounding through PCAB-accredited compounding pharmacies

Reputable clinic networks/services to consider:

• Winona – physician-supervised, good testing protocols, women-focused
• Midi Health – specifically for perimenopause/menopause, staffed by trained clinicians
• BodyLogicMD – network of practitioners with standardized protocols
• Defy Medical – thorough lab-based approach, good for both men and women

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Key Questions to Ask Any Clinic

1. What baseline labs do you require before prescribing?
2. How often do you retest levels?
3. Will I see an actual physician or just a nurse practitioner with minimal oversight?
4. What compounding pharmacy do you use and is it PCAB-accredited?

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Bottom line: If they'll prescribe without labs, walk away immediately.