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Many telemedicine companies and specialty hormone clinics now evaluate and prescribe bioidentical hormone replacement therapy (BHRT). Below are several well-known options and why people pick them. Availability, exact products (pellets, creams, injections, pills), and whether they use compounded vs. FDA‑approved bioidentical hormones vary by provider and by state, so check details before signing up.
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Defy Medical — specialty hormone/anti‑aging clinic that provides individualized BHRT (men and women), labs, ongoing monitoring, and options including injections/creams/pellets. Good if you want a hormone-focused practice with detailed follow-up.
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Vault Health — focuses on men’s health/low‑T via at‑home testing and telemedicine; prescribes testosterone replacement (bioidentical forms such as gels or injections) with lab monitoring. Good for straightforward TRT care remotely.
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Hims & Hers — direct‑to‑consumer telehealth with easy enrollment and subscription options; offers testosterone therapy for men and some menopause/HRT services for women. Convenient and consumer‑friendly, but more limited customization than specialty clinics.
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Parsley Health — membership functional‑medicine practice (MDs/NPs) that provides comprehensive evaluation and individualized HRT/BHRT for menopause and other hormonal issues. Good if you want broad, integrative care and in‑depth workups.
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PlushCare — general telemedicine/primary care platform whose clinicians can evaluate and prescribe HRT/BHRT when appropriate. Good if you want primary‑care continuity plus telehealth convenience.
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Lemonaid Health — telemedicine platform that offers testosterone therapy and some HRT services depending on state; faster, lower‑cost option for common hormone prescriptions. Simpler pathways and quicker starts, with limits on individualized compounding.
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LetsGetChecked / Everlywell (testing + clinician follow-up) — primarily at‑home lab testing companies that also offer clinical follow‑up and can connect you to prescribers who may recommend BHRT based on results. Useful for getting baseline labs remotely and linking to treatment.
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BioTE (network of providers) — known for bioidentical pellet therapy; many affiliated clinics offer telemedicine consults plus local in‑office pellet placement. Choose this if you’re specifically interested in pellet BHRT (often requires an in‑person procedure).
Quick safety/selection tips
- Confirm the provider is licensed in your state and uses board‑certified clinicians (MD/DO/NP/PA).
- Ask whether they use FDA‑approved hormone formulations or compounded products, and which compounding pharmacies they use (look for PCAB accreditation).
- Make sure baseline labs are done and there is a plan for follow‑up monitoring (testosterone, estradiol, lipids, CBC, PSA when indicated).
- Pellets often require an in‑person procedure; not all telehealth services can do pellet insertion.
- BHRT isn’t inherently safer than conventional HRT — discuss risks/benefits with a clinician.
If you tell me whether you’re seeking treatment for menopause, low testosterone, or another issue — and which U.S. state you live in (or if you’re outside the U.S.) — I can narrow this list to the providers that serve you and match the specific BHRT formats you prefer.