Picking a Legitimate BHRT Clinic vs. Hormone Mills Red Flags to Avoid ("Hormone Mills") Prescribe hormones without bloodwork or minimal testing One-size-fits-all dosing without individualization Heavy pressure sales tactics or expensive packages upfront No follow-up testing scheduled Primarily sell their own compounded products at high markups Telehealth-only with no physical exam option What Legitimate Clinics Do Comprehensive baseline labs (estrogen, progesterone, testosterone, thyroid, DHEA, cortisol) Follow-up testing at 3-6 months to adjust dosing Board-certified physicians overseeing care (endocrinology, OB/GYN, or internal medicine background) Discuss risks honestly, not just benefits Work with accredited compounding pharmacies (PCAB-accredited) Reputable Starting Points BodyLogicMD - network of board-certified physicians with standardized protocols Defy Medical - strong on lab-driven protocols, good transparency Your existing OB/GYN or internist - often the best option if willing Midi Health (telehealth) - specifically for women's midlife care, medically rigorous Best Approach Ask your primary care doctor for a referral, or look for physicians certified through AMMG (Age Management Medicine Group) or AARM. Would you like guidance on specific questions to ask during a consultation?
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