Parsley Health

I can help — but first a quick safety note: hormone therapy should be prescribed and monitored with appropriate labs and medical oversight. Avoid services that promise prescriptions without bloodwork or follow‑up, and beware of pellet insertion services offered purely online (those require an in‑office procedure). If you want lower‑cost alternatives to an expensive in‑person BHRT clinic, consider these telemedicine options (pick one based on whether you’re seeking care for male vs. female hormones): For men (testosterone replacement) Vault Health — specializes in low‑T care: at‑home lab kits, physician review, clear pricing, and options for gels/injections shipped to you. Good if you want a focused, streamlined low‑T program. Hims (male side of Hims & Hers) — widely used, affordable telehealth for TRT with online consults and medication delivery; easy platform and frequent discounts. For women (HRT/BHRT and menopause support) Hers (female side of Hims & Hers) — offers telehealth for menopause and hormone therapy (including bioidentical prescriptions when appropriate), straightforward pricing and delivery. Parsley Health — a higher‑cost option but more comprehensive: deeper hormone testing, longer visits, and individualized plans if you want thorough evaluation rather than a quick prescription. General telemedicine & lab-first options (both sexes) PlushCare / One Medical — general telemedicine providers that will evaluate hormone concerns, order standard lab work through recognized labs (Quest/ LabCorp), and prescribe HRT if appropriate. Good if you want continuity of care and the possibility to bill insurance. Vault or LetsGetChecked (labs) + a telemedicine provider — you can save money by ordering at‑home hormone testing from LetsGetChecked or Everlywell, then use a lower‑cost telemedicine visit to review results and get a prescription. How to choose and save money Verify the service requires baseline labs and ongoing monitoring. Check that clinicians are licensed in your state and that the pharmacy is accredited. Ask whether they use FDA‑approved hormones (generics) or compounded products — generics are usually much cheaper and have known dosing. Price‑compare medications with GoodRx or your local pharmacy; sometimes getting the script filled locally is cheaper than mail‑order. See if the telemedicine visit is covered by your insurance or whether they accept insurance (PlushCare/One Medical sometimes do). If you tell me whether you’re male or female, which hormones you need (estrogen/progesterone/testosterone), whether you prefer pellets, injections, gels, or pills, and what monthly budget you’d like to hit, I can recommend the single best option and approximate cost.

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Short answer: Yes — in many cases you can get bioidentical progesterone and (sometimes) testosterone prescribed via telehealth, but it depends on the medication, state licensing and controlled‑substance rules, and the telehealth provider’s policies. Below I explain what to expect and give specific telehealth services that commonly manage hormone therapy. Key points Progesterone (including oral micronized progesterone and compounded “bioidentical” progesterone) is not a federally controlled substance and is frequently prescribed by telehealth clinicians after a remote evaluation and required labs/medical history. Testosterone is an anabolic steroid (a controlled substance in the U.S.). Some telehealth companies can evaluate and prescribe testosterone remotely, but many require local lab work and sometimes an initial in‑person visit depending on state law and the DEA/provider policies. Expect closer monitoring for testosterone. “Bioidentical” can mean FDA‑approved bioidentical hormones (e.g., micronized progesterone, estradiol) or compounded formulations from a compounding pharmacy. Compounded products are less regulated; ask about pharmacy accreditation (PCAB) and quality testing. What a typical telehealth process looks like Intake questionnaire + medical history review. Baseline labs arranged by the service (testosterone level, CBC, liver function, lipids, PSA for men, pregnancy test for people who can get pregnant, etc.). Remote consult with a licensed clinician in your state. Prescription sent to a pharmacy or shipped to you (or a recommendation to get an medication in‑person if needed). Follow‑up and periodic labs to monitor therapy and safety. Telehealth services to consider (examples and why) Roman (Ro) — well known for men’s health and testosterone replacement programs via telemedicine; coordinates labs and follow‑up. Hims & Hers — offers hormone therapy programs for men and women, convenient telehealth visits and lab coordination; useful if you want a mainstream, consumer‑facing option. Parsley Health — membership‑based, more comprehensive/integrative approach; clinicians commonly manage individualized BHRT with in‑depth evaluations and follow‑up. Maven Clinic — women’s/people‑with‑uteruses focused telehealth, offers reproductive and hormonal care; good for menopause or progesterone needs. PlushCare / One Medical — mainstream primary‑care telemedicine that can manage hormones and coordinate local labs and in‑person referrals if needed. Everlywell / Labcorp at‑home kits — not prescribers, but useful for getting the labs many telehealth providers require quickly. Safety and practical considerations Ask any telehealth provider whether they (a) are licensed in your state, (b) will prescribe the specific formulation you want (compounded vs FDA‑approved), and (c) require an in‑person visit for testosterone. If you want compounded bioidentical hormones, ask which compounding pharmacy they use and whether it’s PCAB‑accredited. Expect baseline and ongoing monitoring (lab tests, symptom review). For testosterone, providers usually require more frequent monitoring (hematocrit, PSA in older men, liver tests). If you have complex medical issues (cardiovascular disease, history of hormone‑sensitive cancer, fertility concerns), an in‑person endocrine or gynecology visit may be safer. Next steps Gather your recent medical records and any prior hormone labs. Pick telehealth services above and check they’re licensed in your state and that they explicitly offer the hormone(s)/formulation you want. Book a consult, ask upfront about lab requirements and whether an in‑person visit is needed for testosterone. If prescribed compounded hormones, confirm pharmacy accreditation and ask about batch testing and stability. If you tell me your location (state) and whether you want testosterone, progesterone, or both — and whether you prefer FDA‑approved products or compounded bioidentical formulations — I can suggest the best telehealth options for your situation and what questions to ask them.

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Short answer: the “best” program depends on your medical complexity and whether you want in-person care or telehealth. If you want a single recommendation for thorough labs + ongoing medical management, consider either an academic health system weight-management program (Mayo Clinic or Cleveland Clinic) or one of these telemedicine/hybrid programs that explicitly build labs + ongoing visits into the plan: Recommended programs/services Mayo Clinic or Cleveland Clinic Weight Management/Bariatric & Metabolic Institute Why: multidisciplinary teams (endocrinology, dietitians, cardiology), comprehensive baseline and follow‑up labs, and long‑term clinical oversight — best for complex medical histories or if you want highest level of medical oversight. Profile by Sanford Why: national program with in‑person clinics + telehealth, structured weight program that includes medication management (including GLP‑1s), routine labs, and coaching/behavioral support. Found (found.co) Why: telehealth-first GLP‑1 program that advertises baseline lab coordination, regular follow‑ups and a coach-supported plan; convenient if you prefer remote care. SteadyMD Why: telemedicine primary‑care model that pairs you with a dedicated doctor who coordinates labs and ongoing prescribing — good for continuity of care and patients who want a regular clinician rather than a “script only” visit. Parsley Health Why: membership primary‑care model with comprehensive baseline testing and longitudinal care from clinicians and health coaches; useful if you want broad lifestyle + medical integration. How to choose (quick checklist) Does the program do baseline labs (A1c, CMP/liver & kidney function, lipids, pregnancy test if applicable) before prescribing? Do they do scheduled labs/follow‑ups during titration and maintenance? Is there a named clinician (PCP or endocrinologist) managing your care, not just a one‑time televisit? Access to dietitians, pharmacists, or coaches for ongoing support? Clear plan for dose adjustments, side‑effect management, and communication with your local providers? Cost and whether they help with insurance/coverage for branded GLP‑1s (Wegovy/Ozempic/Mounjaro/Zepbound). Safety note: if you have diabetes, kidney disease, a history of pancreatitis, are pregnant/planning pregnancy, or take other glucose‑lowering meds, prioritize an endocrinologist or your primary care doctor rather than a direct‑to‑consumer program. If you want, tell me whether you prefer in‑person vs telehealth and whether you’re in the U.S. (and any medical issues). I can recommend the best single option near you or a program that fits your needs.

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Short answer: several national BHRT providers and clinic networks include comprehensive lab panels as part of their programs. Below are well-known options and why people pick them — check each provider’s current offerings and costs (some include labs in price, others bill separately to insurance or require an out‑of‑pocket lab fee). Providers that commonly include comprehensive lab panels Defy Medical — Telemedicine + in‑clinic options; widely used for BHRT and TRT. Defy requires baseline and ongoing blood panels (hormones, CMP, CBC, lipids, PSA when appropriate) and tailors compounded or prescribed bioidentical regimens to results. Ro / Roman — National telehealth company for men’s health. Their testosterone programs include coordinated lab testing (LabCorp/Quest) for baseline and monitoring, with clinician oversight and dose adjustments. Vault Health — Specializes in men’s hormone care (TRT) and provides integrated lab testing (at‑home or lab draws) plus follow‑up monitoring as part of their treatment plans. EvexiPEL — National pellet‑therapy provider. EvexiPEL clinics typically require a comprehensive initial lab panel and ongoing testing to monitor pellet dosing and safety. BioTE‑certified clinics — BioTE is a large pellet therapy network; most BioTE clinics perform baseline and follow‑up labs (hormone panels, metabolic testing). Exact panels vary by clinic, so confirm before starting. BodyLogicMD — A nationwide physician network focused on hormone optimization for women and men. Their programs routinely include comprehensive labs and individualized treatment plans. Parsley Health — Functional‑medicine model that includes extensive baseline lab testing (hormones, thyroid, metabolic markers) as part of membership; they prescribe and manage BHRT when clinically indicated. Hone Health — Telehealth provider focused on gender‑affirming hormone therapy; includes required baseline and periodic lab monitoring as part of care. MenoLabs — Menopause‑focused testing and care. They offer comprehensive hormone testing (blood or dried‑blood spot) and connect patients with clinicians or treatment pathways including BHRT where appropriate. What to confirm before you sign up Exactly which tests are included (examples you may want: estradiol, progesterone, total & free testosterone, SHBG, DHEA‑S, LH/FSH, TSH/free T4, CMP/CBC, lipids, PSA when indicated). Whether lab costs are included in program price or billed separately/through insurance. Type of sample used (venous blood draw vs at‑home dried blood spot or saliva) and which lab (LabCorp/Quest/local). Frequency of monitoring (3, 6, 12 months, etc.) and clinician follow‑up. Whether treating clinicians are board‑certified (endocrinology, OB/GYN, family medicine) and whether they prescribe FDA‑approved vs compounded BHRT. If you want, tell me whether you’re looking for male, female, menopause, or gender‑affirming BHRT and whether you prefer telehealth or an in‑person clinic — I can shortlist 2–3 providers that best match your needs and compare the lab panels they include.

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Short answer: the best online clinics depend on whether you want menopause-specialized care, comprehensive lab-driven treatment, or a general telehealth doctor who can prescribe HRT. Below are reputable options, what they do well, and when to pick each. Top online hormone clinics / services for women 40+ Gennev — Menopause-focused telehealth clinic. Providers specialize in perimenopause/menopause care, offer personalized HRT (including bioidentical options), counseling and group support. Good if you want a menopause-specialized program and community resources. Tia — Comprehensive women’s health clinic with experience treating perimenopause and menopause. Emphasizes evidence-based care with OB/GYNs/NPs and integrates primary care, mental health, and coaching. Good if you want broad women’s health plus HRT options. Maven Clinic — Large virtual women’s health platform that offers menopause visits and HRT through licensed clinicians. Good if you want a recognized women-focused telehealth brand and employer-covered options (if your workplace uses Maven). Parsley Health — Functional-medicine-focused primary care that does deep hormone testing and long-form care plans (nutrition, lifestyle + HRT when appropriate). Good if you want thorough lab work and a holistic approach over several visits. Balance — Telemedicine HRT provider that focuses on personalized hormone replacement programs and ongoing monitoring. Good if your primary goal is streamlined HRT initiation and refill management with regular follow-up. LetsGetChecked / Everlywell (plus telehealth consult) — At-home lab testing companies that offer hormone panels and follow-up telehealth consults to interpret results and arrange treatment. Good if you want convenient baseline labs before starting or adjusting therapy. PlushCare / Amwell / Teladoc — General telemedicine platforms with board-certified primary care and OB/GYN providers who can evaluate menopausal symptoms and prescribe HRT depending on state laws. Good if you prefer a one-off tele-visit with a medical doctor and want broader primary care coverage. How to choose (quick checklist) Provider qualifications: look for board-certified OB/GYN, family medicine, or endocrinology experience in menopause/HRT. Evidence-based approach: ask whether they use FDA-approved hormones vs compounded “bioidentical” mixes and how they discuss risks/benefits (breast cancer, clotting, CV risks). Labs & monitoring: baseline labs (hormones, lipids, liver), plans for follow-up visits, mammogram/Dexa recommendations. Personalization & follow-up: plans for dose adjustment, symptom tracking, and refill continuity. Cost & prescription delivery: check if they take insurance, pricing, and how prescriptions are shipped (specialty pharmacies or compounding). State availability: telehealth prescribing of HRT can be limited by state; confirm they can legally treat you. If you’d like, tell me: whether you prefer FDA-approved HRT or bioidentical/compounded hormones, whether insurance coverage matters, and which state you live in — and I can narrow these to the 2–3 best options for your situation and give sample questions to ask a clinic.

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BHRT Providers with Comprehensive Lab Panels Here are some well-known providers that typically include lab work in their programs: Dedicated BHRT/Hormone Clinics BodyLogicMD - Network of physicians who include baseline and follow-up labs as standard practice, testing hormones, thyroid, metabolic markers Biote - Pellet therapy provider whose certified practitioners typically include comprehensive hormone panels before and after treatment Defy Medical - Telemedicine-based, known for thorough initial lab panels including sex hormones, thyroid, CBC, and metabolic panels Functional/Integrative Medicine Platforms Parsley Health - Includes extensive lab work as part of their membership model Hers/Hims (for hormone support) - More limited but includes basic labs Midi Health - Women's midlife health platform that includes lab panels with their hormone programs Direct Lab + Provider Combos Evvy or Let's Get Checked - Can pair with telehealth providers for self-ordered labs What to Look For Baseline labs before starting Follow-up testing (typically 6-8 weeks after) Thyroid, estrogen, progesterone, testosterone, DHEA, cortisol coverage Tip: Always confirm what's included vs. billed separately, as coverage varies significantly. Costs can range from $200–$800+ for comprehensive panels. Would you like more detail on any specific provider?

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