Hormone Replacement Therapy

Personalized, evidence-based care for men and women to restore energy, balance, and long-term wellness.

At TOWARD HEALTH, we have helped men & women navigate menopause, low-testosterone levels, and more with science-backed hormone therapy before FDA guidance changed. Hormones can restore quality of life, protect long-term health, and support whole-body wellness

This program is HSA/FSA eligible.

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When changes in energy, sleep, mood, or body composition need a fuller explanation

  • Symptoms are affecting how you feel or perform.
  • Your efforts are not producing the changes you expected.
  • You are unsure whether your history, symptoms, and laboratory findings support treatment.

Toward Health evaluates the full picture and provides individualized hormone care with ongoing monitoring when appropriate.

In the news

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  • USA TODAYVideo interview
  • MedscapeExpert commentary
  • FOX NationKennedy interview
  • NOLA.comLouisiana feature
  • Louisiana Public Broadcasting and PBSPublic TV interview
  • WWLTV, CBS New OrleansLocal news interview
  • Diet DoctorPhysician interview
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We Can Help If You’re Experiencing:

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Low energy
Reduced strength or endurance
Increased abdominal fat
Low libido
Brain fog or difficulty focusing
Trouble sleeping
Mood changes
Perimenopause or postmenopausal symptoms

Program Benefits, Powered by a Dedicated Team

  • Increased energy
  • Improved muscle mass and strength
  • Sharper focus and mental clarity
  • Better mood and emotional balance
  • Enhanced sexual function
  • Healthier metabolism and overall metabolic health

Dedicated Doctor

Dedicated Care Coordinator

Dedicated Health Coach

What Makes TOWARD HEALTH Different

Physician-led, metabolic-first, whole-person approach
Evidence-based protocols personalized to your labs, goals, and lifestyle
Bioidentical, physiologic dosing with careful monitoring
Integrated support: nutrition, sleep, stress, exercise, metabolic health
Long-term focus to restore, protect, and optimize wellness; not a quick-fix clinic

Hormones Are Connected to Your Whole Health

Hormones influence energy, sleep, mood, metabolism, body composition, sexual function, bone health, and brain health. We look at these connections together so your care plan reflects your symptoms, labs, goals, and whole health.

Metabolic disease shown in the roots of a tree, with thirteen connected conditions arranged along the branches Dyslipidemia Sarcopenia& arthritis Migraines Acidreflux Type 2diabetes Dementia Fattyliver Cancer Heartdisease High bloodpressure Stroke PCOS /ED Obesity

Personalized Hormone Care in the Context of Your Whole Health

Your Program and Care Team

Hormone Replacement Therapy

Annual Commitment of $250/Month
One-time $500 onboarding fee.

This program is HSA/FSA eligible.

Our Clinical Team

Every patient receives a dedicated doctor, dedicated health coach, and dedicated care coordinator, with real-time remote monitoring, hospitalization consultation, urgent issue escalation, and coordination with existing medical teams.

PA-C Mary Dugandzic

Dr. Laura Buchanan

Where our clinicians have trained, taught, researched, and led.

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  • Yale Training + invited lecture
  • Stanford Medicine IRB/Data Agreement
  • Wake Forest School of Medicine Coauthored research
  • Greenwich Hospital Grand Rounds
  • University of South Florida Education + research
  • UC Santa Barbara Invited lecture
  • University Hospitals Invited lecture
  • Virginia Commonwealth University Medical Grand Rounds
  • The Obesity Society Invited lecture
  • AAHPO Invited speaker
  • SMHP Founding board
  • Coalition for Metabolic Health Advisor
  • Montefiore Clinical experience

Get Started with Toward Health Today.

Every journey begins with a single step. Let us help you move toward a healthier, happier life with real care and expert support. Together, we’ll make your better life a reality.

This program is HSA/FSA eligible.

Frequently Asked Questions: Women

For most women, yes. Modern research shows that bioidentical estradiol and micronized progesterone are safe and effective when prescribed and monitored by trained clinicians. The major medical societies now support hormone therapy for appropriate candidates.
*Medicare, Medicare Supplement, and Medicaid are not eligible for superbills.

Current evidence shows that bioidentical estradiol combined with micronized progesterone does not increase breast cancer risk, and may even reduce overall cancer risk. We review your personal history and continue appropriate screening to keep you safe.

If you’re experiencing hot flashes, night sweats, sleep disturbance, brain fog, mood changes, low libido, vaginal dryness, or weight and energy changes – you may be a candidate. Most women can use hormone therapy safely.

Common improvements include relief from hot flashes, better sleep, clearer thinking, more stable mood, improved libido, easier weight control, and stronger energy for daily life.

Some improvements begin within a few weeks; while others may take a few months to fully feel the effects.

Your plan is tailored to your stage of menopause, symptoms, goals, labs, and your body’s response over time. We start physiologic, adjust gradually, and monitor for both results and safety.

We use symptom tracking, periodic labs, and routine check-ins. The goal is to relieve symptoms while maintaining healthy, evidence-based hormone levels.

Bioidentical refers to hormones that match your body’s own. These come in FDA-approved forms and, when needed, compounded forms for customized dosing. Not everyone needs compounded therapy, but it can be helpful in specific situations.

There is no required time limit. Many women choose long-term therapy because of improvements in quality of life, bone health, brain health, and metabolism. We reassess regularly and continue as long as benefits outweigh risks.

Yes. We offer evidence-based non-hormonal therapies, including lifestyle interventions, supplements, and prescription options for symptoms like hot flashes, sleep, and mood.

Frequently Asked Questions: Men

Yes — when dosed appropriately and monitored. The goal is to restore levels to a healthy physiologic range, not push them beyond normal.

Men with low energy, reduced libido, changes in strength, brain fog, mood swings, increased abdominal fat, or slow recovery may benefit. A simple evaluation and lab panel help determine fit.

Most men notice improved energy, strength, libido, mood, mental clarity, and body composition, some benefits within weeks, with full changes building over several months.

Testosterone can lower sperm production, so it matters if family planning is active or future. We have alternative medications that boost testosterone while protecting fertility — just let us know your goals.

Research does not show increased risk when therapy is managed responsibly. We monitor PSA and other markers based on age and risk factors.

We follow labs and symptom changes at scheduled intervals, adjusting your dose as your body responds. Monitoring helps ensure the safest and most effective outcome.

Many men stay on long-term because they feel stronger, clearer, and more resilient. We reassess regularly to ensure the benefits continue to outweigh any risks.

Absolutely — hormones create internal potential; lifestyle determines the results. Strength training, nutrition, sleep, and stress management enhance the impact of therapy.

Talk with our concierge team

Discovery calls are scheduled on our dedicated booking page.

View available times This is not a medical appointment.

Apply Now