Hormone Replacement Therapy

Take control of your energy & performance with our Bio-Optimized Protocol. Physician-supervised bioidentical hormone optimization for men and women.

Medical consultation at Zen Regenerative Wellness

The Hormonal Decline

Beginning in your early-to-mid 30s, your body's production of key hormones begins a steady, progressive decline. For men, testosterone drops approximately 1-2% per year after age 30. By 50, many men have lost 30-50% of their peak levels. For women, estrogen, progesterone, and testosterone all decline in the late 30s, accelerating through perimenopause and plummeting during menopause.

These aren't just "sex hormones." Testosterone, estrogen, progesterone, DHEA, and thyroid hormones regulate virtually every system in your body — and when they decline, the effects are widespread and cumulative:

Persistent fatigue & low energy
Brain fog & declining mental clarity
Muscle loss & stubborn weight gain
Low libido & sexual dysfunction
Mood swings, anxiety & irritability
Poor sleep quality & insomnia
Thinning hair & accelerated aging
Joint pain & decreased bone density
Weakened immune function

Our HRT Process

STEP 01

Comprehensive Labs

Full hormonal panel including testosterone (free & total), estrogen, progesterone, DHEA-S, thyroid (TSH, free T3/T4), cortisol, SHBG, and metabolic markers.

STEP 02

Personalized Protocol

Your physician designs a customized HRT plan based on labs, symptoms, health history, and goals — not a one-size-fits-all prescription.

STEP 03

Ongoing Monitoring

Regular lab checks (typically every 8-12 weeks initially, then quarterly) to optimize dosing and ensure safety. Direct physician access throughout.

Explore Your Protocol

The Zen Difference

Hormone therapy is not one-size-fits-all. A "normal" lab range and an "optimal" lab range are very different things. Conventional medicine often tells patients their levels are "normal" when they're actually at the bottom of the reference range — technically within bounds but far from where they need to be for vitality and function.

At Zen, we don't treat lab ranges — we treat patients. Every protocol is designed by Dr. Kris Shewmake based on your unique labs, symptoms, goals, and lifestyle. We use only bioidentical hormones — molecules that are structurally identical to what your body naturally produces — sourced from licensed compounding pharmacies.

We monitor aggressively, adjust precisely, and maintain direct physician access throughout your optimization journey. This is not a testosterone mill or a cookie-cutter protocol. This is precision medicine.

Real Results

Hormone Therapy Patient Stories

Real patients who reclaimed their vitality through physician-supervised hormone optimization.

RB

Robert B.

Male, 47 | CEO

Concern

Chronic fatigue, brain fog, 25 lbs of weight gain, declining libido, and poor sleep for over 2 years. Primary care doctor said his testosterone was "normal" at 310 ng/dL. Felt dismissed and frustrated.

Zen Protocol

Testosterone CypionateAnastrozoleDHEACJC/IpamorelinQuarterly Labs

Result

Total testosterone optimized to 850 ng/dL within 8 weeks. Energy returned by week 3. Lost 18 lbs over 4 months with consistent exercise. Sleep quality improved dramatically with the CJC/Ipamorelin addition. Described feeling "20 years younger."

"My doctor told me 310 was "in range." Dr. Shewmake told me range and optimal are two different things. Within a month of starting TRT, I felt like a different person. My wife noticed before I did — she said I was smiling again."

— Robert B.

Noticeable improvement by week 3, optimal by month 3

KL

Katherine L.

Female, 51 | College Professor

Concern

Severe perimenopause symptoms for 3 years: hot flashes (8-10/day), insomnia, anxiety, brain fog, joint pain, and vaginal dryness. Her gynecologist suggested "waiting it out." She was miserable and couldn't concentrate during lectures.

Zen Protocol

Bioidentical Estradiol (patch)Micronized ProgesteroneLow-dose Testosterone CreamThyroid Optimization

Result

Hot flashes reduced by 90% within 2 weeks of starting estradiol. Sleep improved immediately with progesterone. By month 2, anxiety had resolved, joint pain was gone, and she described her cognition as "back to normal." The testosterone addition restored her libido and energy to levels she hadn't felt in years.

"I spent 3 years being told this was "just menopause" and to deal with it. Zen changed my life in 2 weeks. Two weeks. I sleep through the night, I can think clearly, and I feel like a woman again. I'm angry no one offered this to me sooner."

— Katherine L.

Symptom relief within 2 weeks, full optimization by month 3

Names have been changed to protect patient privacy. Individual results may vary.

HRT Pricing: Starting at $250/month (Female) | $450/month (Male) — Includes physician oversight, lab monitoring, and medication management

Frequently Asked

HRT Frequently Asked

The questions our hormone-therapy patients ask most often, answered honestly by Dr. Shewmake and the Zen clinical team.

Reclaim Your Vitality

Schedule your hormone evaluation and comprehensive lab work today.