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

Question

Claude · Accepted Answer

# Picking a Legitimate BHRT Clinic

## Red Flags to Avoid ("Hormone Mills")
- Prescribes hormones **before** thorough bloodwork
- One-size-fits-all pellet protocols with no individualization
- **High-pressure sales** for expensive add-ons
- No follow-up testing after starting treatment
- Purely online with no physician oversight
- Promises that sound too good ("lose 30 lbs, feel 25 again")

---

## What Legitimate Clinics Do
- **Comprehensive baseline labs** (not just testosterone/estrogen - includes thyroid, metabolic panel, cortisol)
- **Board-certified physicians** overseeing care (endocrinologists, OB-GYNs, or fellowship-trained practitioners)
- Regular follow-up bloodwork (typically 6-12 weeks after starting)
- Discuss **risks honestly**, not just benefits
- Use accredited compounding pharmacies (look for **PCAB accreditation**)

---

## Specific Reputable Starting Points
- **BodyLogicMD** - network of certified practitioners with standardized protocols
- **Midi Health** - strong physician oversight, good for perimenopause/menopause
- **Defy Medical** - thorough lab work, transparent pricing
- Your **primary care doctor or OB-GYN** for a referral to an endocrinologist

---

## Practical Tip
Ask directly: *"What labs do you run before prescribing, and how do you monitor me after?"* A vague answer is a dealbreaker.

Want specifics on any particular hormone or condition?

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

Verbatim response from Claude

Picking a Legitimate BHRT Clinic

Red Flags to Avoid ("Hormone Mills")

What Legitimate Clinics Do

Specific Reputable Starting Points

Practical Tip

Brands mentioned in this answer

Is this answer wrong about your brand?

Is your brand missing from this answer?