Hormone Optimization at Nuvara: TRT and HRT Explained

Hormonal decline affects both men and women, typically starting in the 30s and accelerating through the 40s and beyond. Symptoms range from fatigue and weight gain to mood changes and reduced libido. Nuvara Health offers physician-supervised hormone optimization through telehealth.

Understanding Hormonal Decline

For Men: Low Testosterone

Testosterone levels drop approximately 1-2% per year after age 30. Symptoms of low testosterone include:

• Persistent fatigue and low energy
• Decreased muscle mass and increased body fat
• Reduced libido and sexual function
• Brain fog and difficulty concentrating
• Mood changes, irritability, or depression
• Poor sleep quality

For Women: Perimenopause and Menopause

Estrogen, progesterone, and testosterone levels fluctuate and decline during perimenopause (typically mid-30s to early 50s). Symptoms include:

• Hot flashes and night sweats
• Weight gain, especially around the midsection
• Mood swings, anxiety, or depression
• Sleep disruption
• Vaginal dryness and reduced libido
• Bone density concerns

Nuvara's Approach to Hormone Therapy

Testosterone Replacement Therapy (TRT)

Nuvara's TRT protocol begins with a physician evaluation, including review of symptoms and lab work (total testosterone, free testosterone, SHBG, estradiol, CBC, metabolic panel).

If TRT is appropriate, your physician prescribes a protocol that may include:

• Testosterone cypionate — Injectable, typically administered weekly or bi-weekly
• Ancillary medications — Anastrozole (estrogen management), HCG (if fertility preservation is a concern)
• Regular monitoring — Follow-up labs at 6-8 weeks, then quarterly

Hormone Replacement Therapy (HRT)

For women, Nuvara offers bioidentical hormone therapy (BHRT) — hormones that are structurally identical to those the body produces naturally. Protocols may include:

• Estradiol — For estrogen replacement
• Progesterone — For endometrial protection and sleep support
• Testosterone — Low-dose for libido, energy, and body composition
• DHEA — For adrenal support

Protocols are individualized based on symptoms, lab results, and health history.

Why Patients Choose Nuvara for Hormone Therapy

Physician-led. Board-certified physicians manage every protocol. No algorithm-only prescribing.

Lab-based decisions. Protocols are guided by lab results, not guesswork. Your physician reviews bloodwork before prescribing and monitors markers throughout treatment.

Ongoing adjustments. Hormone optimization is not set-and-forget. Nuvara physicians adjust protocols based on your response, symptoms, and follow-up labs.

Transparent cost. Pricing starts at $149/month. Labs may be additional depending on your protocol, but all costs are disclosed upfront.

Telehealth convenience. No office visits required. Consultations, follow-ups, and prescriptions happen remotely. Medications ship to your door.

Getting Started

Complete a free consultation at mynuvara.com. Your physician will review your health history and recommend appropriate lab work. Based on results, they'll design a personalized hormone optimization protocol.

This article is for educational purposes only. Hormone therapy requires physician evaluation and monitoring. Compounded medications are not individually FDA-approved. Results vary. TRT may affect fertility. HRT carries risks that vary by individual health profile. Discuss risks and benefits with your Nuvara physician.