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Bioidentical Hormone Replacement Therapy Overview.
Bioidentical Hormone Replacement
Costa Rica Doctors Perform Hormone Pellet Implants in Men & Women

Bioidentical Hormone Replacement Therapy

Bioidentical hormone replacement therapy (BHRT) is a type of hormone therapy that uses hormones that are chemically identical to those produced by the human body. It is typically used to treat symptoms of hormone imbalances or deficiencies that can occur due to aging, menopause, and other conditions.

BHRT is often used to replace hormones such as estrogen, progesterone, and testosterone, which can help alleviate symptoms such as hot flashes, night sweats, mood changes, and decreased libido. It may also be used to treat conditions related to hormonal imbalances, such as osteoporosis and low testosterone levels in men.

BHRT can be administered in a variety of ways, including oral tablets, skin creams, gels, and patches. It is important to work with a healthcare provider to determine the appropriate dose and delivery method for your individual needs.

While BHRT may be effective in relieving certain symptoms, it is not without risks. Like any medication, it can have side effects and may not be suitable for everyone. It is important to discuss the potential benefits and risks with your healthcare provider before starting BHRT.

What is Bioidentical Hormone Replacement Therapy?

Bioidentical hormone replacement therapy (BHRT) is a type of hormone therapy that uses hormones that are chemically identical to those produced by the human body. It is typically used to treat symptoms of hormone imbalances or deficiencies that can occur due to aging, menopause, and other conditions.

BHRT is often used to replace hormones such as estrogen, progesterone, and testosterone, which can help alleviate symptoms such as hot flashes, night sweats, mood changes, and decreased libido. It may also be used to treat conditions related to hormonal imbalances, such as osteoporosis and low testosterone levels in men.

BHRT can be administered in a variety of ways, including oral tablets, skin creams, gels, and patches. It is important to work with a healthcare provider to determine the appropriate dose and delivery method for your individual needs.

While BHRT may be effective in relieving certain symptoms, it is not without risks. Like any medication, it can have side effects and may not be suitable for everyone. It is important to discuss the potential benefits and risks with your healthcare provider before starting BHRT.

Benefit of Balanced Hormones

Balanced hormones help at ensuring we have what we need for a healthier more active life. As we age, our hormone levels decline. Some individuals experience a faster-than-normal decline. Hormone optimization can assist us with age-related disease prevention such as sarcopenia, osteoporosis, and muscle wasting. Bio-identical hormones contain the exact same molecular structure as our natural hormones, so this aids in preventing any unwanted side effects experienced from synthetic hormones developed and patented by big pharmaceutical companies. 

What to Expect - Pellet Implants

Dr Jeff Ugalde Anti-Aging Costa Rica at Momentum

Jeff Ugalde, M.D.

Medical Director

Pellet hormone therapy Costa Rica

This video shows an example of the pellet implant. The procedure usually takes only 20-30 minutes at our office in Escazú.

Bioidentical Hormone Replacement Therapy Near Me

Bio-identical hormone pellet implants

Bioidentical hormone replacement therapy is provided near San Jose, Costa Rica by Age Metrics Medical. We are an anti-aging and wellness clinic. Our medical team was established in Costa Rica in 2013, and we are one of the most experienced in bio-identical hormone replacement therapy, including HGH therapy, in all of Latin America. Costa Rica is known for its excellent healthcare system and is one of the top 5 medical tourism destinations in the world.

Costa Rica is easily traveled to from Miami, Boca Raton, Ft. Lauderdale, Atlanta, and many other US-based cities. The flights to Costa Rica are relatively short (an average of around 2.5 – 3 hours). Costa Rica is recognized as a leading adventure tourism destination in addition to medical tourism

Bioidentical Hormone Replacement Therapy Cost

The cost of bioidentical hormone replacement therapy (BHRT) can vary widely depending on a number of factors, including the specific hormones being replaced, the method of delivery (such as oral tablets, skin creams, gels, or patches), and the duration of treatment.

In general, BHRT can be more expensive than traditional hormone replacement therapy, which uses synthetic hormones that are similar, but not identical, to those produced by the human body. However, some people may prefer BHRT because they believe it is more natural and may have fewer side effects.

It is important to discuss the cost of BHRT with your healthcare provider and consider all of your options before starting treatment. Some insurance plans may cover the cost of BHRT, while others may only cover traditional hormone replacement therapy.

It is also important to note that the effectiveness of BHRT can vary among individuals, and it may not be suitable for everyone. It is important to discuss the potential benefits and risks with your healthcare provider before starting BHRT.

Bioidentical Hormone Replacement Therapy Side Effects

Bioidentical hormone replacement therapy (BHRT) may cause side effects in some people, although the specific side effects can vary depending on the specific hormones being replaced and the individual’s unique characteristics.

Some common side effects of BHRT may include:

  • Breast tenderness or swelling
  • Nausea
  • Headaches
  • Mood changes
  • Fluid retention
  • Weight gain
  • Skin irritation (if using a skin patch or cream)

In addition, BHRT may increase the risk of certain health conditions, including:

  • Blood clots
  • Stroke
  • Heart attack
  • Breast cancer
  • Uterine cancer

These side effects are very rare. It is important to discuss the potential benefits and risks of BHRT with your healthcare provider before starting treatment. Your healthcare provider will consider your individual needs and medical history when deciding whether BHRT is appropriate for you.

If you experience any side effects while taking BHRT, it is important to report them to your healthcare provider. They can work with you to adjust your dosage or choose a different treatment option if necessary.

What are Bioidentical Hormones?

Bioidentical hormones are hormones that are chemically identical to those produced by the human body. They are often used in bioidentical hormone replacement therapy (BHRT), a type of hormone therapy that is used to treat symptoms of hormone imbalances or deficiencies.

Bioidentical hormones can be used to replace a variety of hormones, including estrogen, progesterone, and testosterone. These hormones play important roles in the body and can affect a wide range of functions, including metabolism, growth and development, mood, and sexual function.

Bioidentical Hormone Replacement Therapy Doctors

Bioidentical hormone replacement therapy (BHRT) is typically administered by healthcare providers who are trained in hormone therapy and familiar with the appropriate use of bioidentical hormones. These may include doctors, nurse practitioners, and physician assistants.

Your healthcare provider will consider your individual needs and medical history when deciding whether BHRT is appropriate for you.

Is Bioidentical Hormone Replacement Therapy Safe

Bioidentical hormone replacement therapy is safe when it is supervised by a doctor trained properly in the therapy. You should not do bioidentical hormone replacement therapy without medical surpervision. You also should not be treated by a physician who has not gone through a recognized training program for bioidentical hormone replacemetn therapy. There are many modern board certifications like that of the American Academy of Anti-Aging and Regenerative Medicine (A4M).

General medical practitioners are generally not well trained for bioidentical hormone replacement therapy. They will tend to refer you to an endocrinologists. Many endocronologists have yet to fully embrace bioidentical hormone replacement therapy. They have been resisting it for a number of years, but more and more that attitude is changing as they see the drastic decline in well-being among modern populations suffering from the overweight / obesity epidemic.

For more than ten years our medical team has been successful at delivering hormone replacement therapy safely and effectively to patients around the world.

Types of Bioidentical Hormone Replacement Therapy

Bioidentical Hormone Replacement Therapy Pellets

Bioidentical hormone replacement therapy (BHRT) pellets are small, rice-sized pellets that are made from bioidentical hormones. They are inserted just under the skin, typically in the hip or buttocks, and slowly release hormones into the bloodstream over a period of several weeks.

BHRT pellets are often used to replace hormones such as estrogen and testosterone, which can help alleviate symptoms of hormonal imbalances or deficiencies such as hot flashes, night sweats, mood changes, and decreased libido. They may also be used to treat conditions related to hormonal imbalances, such as osteoporosis and low testosterone levels in men.

One advantage of BHRT pellets is that they can provide a consistent, steady dose of hormones over a longer period of time, which can be more convenient than taking a daily oral medication or applying a skin cream or patch. However, BHRT pellets may not be suitable for everyone, and it is important to discuss the potential benefits and risks with your healthcare provider before starting treatment.

Bioidentical Hormone Replacement Therapy Creams

BHRT creams are applied to the skin, typically on the arms, legs, or abdomen. They are absorbed into the bloodstream through the skin and can provide a consistent, steady dose of hormones over a longer period of time. However, the amount of hormone absorbed through the skin can vary depending on factors such as the individual’s skin type and the specific cream being used.

Like any medication, BHRT creams can have side effects and may not be suitable for everyone. It is important to discuss the potential benefits and risks with your healthcare provider before starting treatment. Your healthcare provider can help you determine the appropriate dose and frequency of use for your individual needs.

Bioidentical Hormone Replacement Therapy Injections

Bioidentical hormone replacement therapy (BHRT) injections are a type of hormone therapy that uses hormones that are chemically identical to those produced by the human body. They are typically used to treat symptoms of hormone imbalances or deficiencies that can occur due to aging, menopause, and other conditions.

BHRT injections can be used to replace hormones such as estrogen, progesterone, and testosterone, which can help alleviate symptoms such as hot flashes, night sweats, mood changes, and decreased libido. They may also be used to treat conditions related to hormonal imbalances, such as osteoporosis and low testosterone levels in men.

BHRT injections are typically given by a healthcare provider in a medical office or clinic. The injections may be given intramuscularly (into a muscle) or subcutaneously (just under the skin). The frequency of injections can vary depending on the specific hormones being replaced and the individual’s needs.

Like any medication, BHRT injections can have side effects and may not be suitable for everyone. It is important to discuss the potential benefits and risks with your healthcare provider before starting treatment. Your healthcare provider can help you determine the appropriate dose and frequency of injections for your individual needs.

Benefits of Bioidentical Hormone Replacement Therapy


Bioidentical hormone replacement therapy (BHRT) may provide a number of potential benefits for people with hormone imbalances or deficiencies. Some of the potential benefits of BHRT may include:

  • Relief of menopausal symptoms: BHRT can help alleviate hot flashes, night sweats, and other symptoms of menopause.
  • Improved mood: BHRT may help improve mood and reduce feelings of anxiety and depression.
  • Increased energy: BHRT may help increase energy levels and improve overall well-being.
  • Improved sexual function: BHRT may help improve sexual desire and satisfaction.
  • Improved bone density: BHRT may help improve bone density and reduce the risk of osteoporosis.
  • Improved muscle mass and strength: BHRT may help increase muscle mass and strength, particularly in men with low testosterone levels.

It is important to note that the potential benefits of BHRT may vary among individuals and may not be experienced by everyone.

Bioidentical Hormone Replacement Therapy Testosterone

Testosterone is a male sex hormone that plays an important role in a number of functions in the body, including sexual development, muscle mass and strength, and bone density. As men age, testosterone levels may decline, which can lead to symptoms such as decreased libido, fatigue, and decreased muscle mass.

Bioidentical hormone replacement therapy (BHRT) can be used to replace testosterone in men who have low testosterone levels. BHRT testosterone can be administered in a variety of ways, including oral tablets, skin gels, patches, and injections.

BHRT testosterone may help improve symptoms of low testosterone, such as decreased libido and fatigue, and may also help improve muscle mass and strength and reduce the risk of osteoporosis. However, BHRT testosterone is not without risks and may not be suitable for everyone. It is important to discuss the potential benefits and risks with your healthcare provider before starting BHRT testosterone.

Your healthcare provider will consider your individual needs and medical history when deciding whether BHRT testosterone is appropriate for you and, if so, what specific dosage and delivery method may be most beneficial.

Do Women Need Testosterone?

Yes, females do have testosterone, although in much smaller amounts than males. Testosterone is a male sex hormone that is produced by the testes in men and the ovaries in women. It plays an important role in a number of functions in the body, including sexual development, muscle mass and strength, and bone density.

In women, testosterone levels vary throughout the menstrual cycle and may be highest around the time of ovulation. Testosterone levels naturally decline with age in both men and women.

Low testosterone levels in women can cause symptoms such as decreased libido, fatigue, and decreased muscle mass. Bioidentical hormone replacement therapy (BHRT) can be used to replace testosterone in women who have low testosterone levels. However, BHRT testosterone is not without risks and may not be suitable for everyone. It is important to discuss the potential benefits and risks with your healthcare provider before starting BHRT testosterone.

Bioidentical Hormone Replacement Therapy Weight Loss

Hormone replacement therapy (HRT) may not necessarily cause weight loss, but it may have an effect on weight in some people. The specific effect on weight can vary depending on the specific hormones being replaced, the individual’s unique characteristics, and other factors.

In general, HRT may cause weight gain in some people, particularly if it is used to replace estrogen. Estrogen can stimulate the body to retain water and can cause an increase in appetite, which can lead to weight gain.

On the other hand, HRT may cause weight loss in some people, particularly if it is used to replace testosterone. Testosterone can help increase muscle mass and metabolism, which can lead to weight loss.

Bioidentical Hormone Replacement Therapy for Men

Bioidentical hormone replacement therapy (BHRT) can be used to treat symptoms of hormonal imbalances or deficiencies in men. BHRT involves replacing hormones that are chemically identical to those produced by the human body.

BHRT is often used to replace testosterone in men who have low testosterone levels, which can cause symptoms such as decreased libido, fatigue, and decreased muscle mass. BHRT testosterone can be administered in a variety of ways, including oral tablets, skin gels, patches, and injections.

In addition to testosterone, BHRT may also be used to replace other hormones in men, such as estrogen and progesterone. These hormones play important roles in the body and can affect a wide range of functions, including metabolism, growth and development, mood, and sexual function.

Bioidentical Hormone Replacement Therapy for Women

Bioidentical hormone replacement therapy (BHRT) is a treatment option for women experiencing symptoms related to hormonal imbalances, such as those that occur during menopause. BHRT involves the use of hormones that are chemically identical to those produced by the human body. These hormones can be prescribed in various forms, such as creams, gels, pills, and pellets, and are used to replace hormones that are no longer being produced in sufficient quantities.

BHRT is often used to treat symptoms such as hot flashes, night sweats, sleep disturbances, mood changes, and vaginal dryness. It may also be used to help prevent osteoporosis and other health conditions that are associated with hormonal imbalances.

There are potential risks and benefits associated with BHRT, and it is important to discuss these with a healthcare provider before starting treatment. BHRT is not appropriate for everyone, and it is not a one-size-fits-all solution. It is important to have regular follow-up visits with a healthcare provider to monitor the effects of treatment and make any necessary adjustments.

Bioidentical Hormone Replacement Therapy Pregnancy

It is generally not recommended to use bioidentical hormone replacement therapy (BHRT) during pregnancy. Pregnancy is a time when the body’s hormonal balance is naturally changing, and introducing additional hormones through BHRT could disrupt this balance. Additionally, the safety of BHRT during pregnancy has not been well studied, so there is not enough information available to determine its potential risks or benefits.

If you are pregnant or planning to become pregnant, it is important to talk to your healthcare provider about the best treatment options for you. In some cases, symptoms related to hormonal imbalances during pregnancy can be managed through lifestyle changes and other non-hormonal treatments. It is important to follow your healthcare provider’s recommendations for the best way to manage your symptoms and maintain your health during pregnancy.

Can Therapy Treat Hypothyroidism

Yes, therapy can be an important component of treatment for hypothyroidism, a condition in which the thyroid gland does not produce enough thyroid hormone. Therapy can help individuals with hypothyroidism manage their symptoms and improve their overall quality of life.

In addition to therapy, treatment for hypothyroidism typically involves taking daily hormone replacement medication to replace the missing thyroid hormone. This medication is usually taken in the form of a pill and is taken for life. It is important to take the medication as prescribed and to have regular follow-up visits with a healthcare provider to monitor thyroid hormone levels and ensure that the medication is effective.

Therapy can be particularly helpful for individuals who are struggling to adjust to the changes that occur with hypothyroidism or who are experiencing emotional or mental health issues as a result of the condition. A therapist can provide support, guidance, and coping strategies to help individuals manage their symptoms and improve their overall well-being.

Is Therapy Covered by Insurance

Generally, Bioidentical Hormone Replacement Therapy is not covered by insurance. In some cases, insurance will cover some or all of the blood tests, but rarely cover any of the medications and doctor visits. 

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Conveniently located to San Jose’s Juan Santamaria Airport (SJO) in Escazú, San Jose COSTA RICA.

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HGH, DHEA, Metformin prescribed based on the 2019 TRIIM Study.

Bioidentical Hormone Replacement Therapy Overview.

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Bioidentical hormone replacement therapies for men and women. 

Order your bioidentical hormone therapy blood testing in the USA.

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Brand name BOTOX and Fillers. BOTOX, Dysport, and approved facial fillers. 

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Bioidentical hormone replacement therapies for men and women. 

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Bio-identical hormone replacement with pellet implants. Women and men can benefit.

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