Verbatim response from Claude
Picking a Legitimate BHRT Clinic
Great question - this space has real quality variation. Here's what separates good clinics from hormone mills:
Red Flags to Avoid
- Prescribes hormones without bloodwork or after a 10-minute consultation
- One-size-fits-all dosing protocols
- Aggressive upselling of supplements and add-ons
- No follow-up testing scheduled
- Telehealth-only with no physical exam option
What Legitimate Clinics Do
- Comprehensive baseline labs (full hormone panel, thyroid, metabolic markers)
- Follow-up testing at 6-8 weeks after starting
- Board-certified physicians (not just "practitioners")
- Discuss FDA-approved options alongside compounded hormones
- Explain risks honestly, including breast cancer and cardiovascular considerations
Reputable Starting Points
- Midi Health - women's hormone specialist telehealth, physician-led, evidence-based
- Alloy - menopause-focused, good for straightforward cases
- BodyLogicMD - network of certified physicians, in-person options
- Your OB-GYN or internal medicine doctor - often the best starting point honestly
Key Credential to Look For
Physicians certified by NAMS (North American Menopause Society) or AARM have specific hormone training.
Getting a second opinion if something feels rushed is always worth it.