Verbatim response from Claude
Picking a Legitimate BHRT Clinic
Red Flags to Avoid ("Hormone Mills")
- Prescribe hormones after a brief online questionnaire only
- One-size-fits-all pellet dosing without individual testing
- Push expensive proprietary supplements alongside hormones
- No follow-up testing scheduled
- Aggressive upselling during consultations
What Legitimate Clinics Do
- Start with comprehensive bloodwork (not just one or two markers)
- Follow up with labs 6-8 weeks after starting/adjusting
- Have a physician or NP with specific hormone training oversee care
- Discuss risks honestly, including breast tissue and cardiovascular considerations
- Adjust doses based on your results, not a standard protocol
Recommended Options to Research
BodyLogicMD - Network of physicians with formal BHRT training, good standardization
Midi Health - Telehealth focused on women's midlife health, evidence-based approach
Winona - Telehealth, physician-supervised, transparent about their protocols
Local academic medical centers - Endocrinology or OB/GYN departments often have menopause specialists
Verification Tips
- Check if the provider is a NAMS-certified menopause practitioner (find one at menopause.org)
- Verify the compounding pharmacy is PCAB-accredited
- Confirm the prescribing doctor has an active, clean license
Would you like more detail on any specific aspect?