1. Take your free self-assessment
   Before booking your consultation, take a quick self-assessment to find out if treatment care could benefit you. It takes less than 60 seconds.
2. Sign up for your $99 intro offer
   Sign up for the new patient intro offer and book your consultation at least one to two weeks out to give yourself enough time to get your labs done.  Once you sign up then we can order your labs through Labcorp.
3. Get Your Labs Done
   After we have submitted your lab request to Labcorp, you will receive a text and email that labs have been ordered. Call LabCorp to make an appointment or walk in at least one week before your consultation to provide enough time to review lab results. Thank you.
4. Your Initial Consultation
   We will review your self assessment, lab results, answer any questions you have, and build a personalized plan customized to your goals Patient-approved.
5. Prescriptions ship to you
   We will order your personalized prescriptions from our preferred compound pharmacy. Delivered 5-10 business days to your door.
6. Ongoing care
   We will monitor your symptoms every month. Labs can be reordered for follow-up in 2-3 months.

Perfect Balance Health offers an all-in-one pricing structure that is easy and affordable. Low prices and no insurance required. A monthly membership includes all standard labs, hormones, and unlimited consultation time with your medical provider that you need to achieve your health and wellness goals. Pricing is based on the number of hormones you are prescribed and starts as low as $149 a month. Our licensed professionals will spend as much time with you as you need to feel comfortable and understand your treatment plan.

Yes, baseline panels are necessary to complete a comprehensive and personalized treatment plan. We look at your labs initially to determine what hormones are best for you. We then do labs periodically to track progress.

Labs are drawn initially before a treatment plan is created and then every 3–6 months, depending on individual needs and outcomes.

The prescription membership starts at $149/month and includes standard labs, your hormone prescription, and consultations.

Unfortunately, most insurance providers do not cover bioidentical hormones from compounding pharmacies due to certain restrictions. We do not bill insurance but can provide receipts for submission to your FSA or HSA.

Hormones are shipped discreetly to your home, typically within 5–10 business days after your prescription is sent to the pharmacy.

Recurring payments are made via credit card and processed automatically on the day the membership started. So, if your membership started on the 15th, recurring payments will be processed on the 15th of each month.

Recurring billing occurs automatically on the day the membership starts.

We accept HSA and FSA accounts. By not accepting traditional insurance, we are able to keep prices lower.

Yes, we offer monthly, 6-month, and yearly membership options. If you’d like to save on your plan, our longer memberships come with built-in discounts:

• 6-month membership: 10% off your monthly rate
• 12-month membership: 15% off your monthly rate

See Membership Plans

Unlimited consultations are included in your monthly membership at no extra charge.

This is based on individual patient needs and medical necessity. We do not specialize in the treatment of hormones for the transgender community. For the safety of patients, anyone who has been diagnosed with the following may not be eligible for the program: breast cancer, ovarian cancer or womb (uterus) cancer, prostate cancer, heart disease, stroke, liver disease, or are pregnant, breastfeeding, or trying to conceive. A provider will discuss your medical history and determine the risk and eligibility.

We accept patients 18 years and older, depending on personal goals and medical necessity. However, all prescriptions are determined on a case-by-case basis.

Last Updated: March 2025

California

Perfect Balance Health is continuously expanding its network of licensed professionals and increasing coverage areas every month. If your current state of residence is not yet covered, please check back periodically to find out when our services will become available in your area.

There are no contracts or obligations. We simply ask that you give a 30-day notice to end your program.

Step 2: Verify Your Credentials

At a high-quality compounding pharmacy that uses wild yam and personalizes every prescription.

Bioidentical hormones are molecules synthesized by a compounding pharmacy to match the body’s natural hormones. These compounds are absorbed and recognized by the body as natural. Once in the bloodstream, they travel to target organs and bind to receptors on the surface of cells.

It means the body recognizes the hormone as identical to the one it naturally produces.

These are hormones custom-blended by a compounding pharmacy based on a clinician’s prescription and your personal needs.

Anyone experiencing perimenopause, menopause, or andropause. People who suffer from migraines, heavy menstrual cramps, insomnia, or painful intercourse may also benefit. We also support athletes aiming to achieve peak performance.

Our providers evaluate all medications and supplements to ensure your treatment plan is safe and effective. Occasionally, certain medications or supplements may reduce the effectiveness of hormone therapy. In such cases, we may recommend alternatives to be discussed with your primary care provider.

Prescriptions include estrogen, progesterone, testosterone, thyroid hormones, and peptides such as semaglutide/tirzepatide for weight loss and sermorelin for anti-aging.

Compounding pharmacies in the U.S. are regulated by the State Board of Pharmacy and the FDA. They follow strict rules to ensure safety and drug quality. While compounded hormones are not technically FDA-approved, the ingredients used are pharmaceutical grade, and the facilities are FDA-registered. These medications are closely monitored and considered safe.

The ideal time to begin HRT is when hormone levels begin to decline. It is not necessary to wait for symptoms or related health issues such as weight gain, low libido, or osteoporosis to appear.

Yes, though not for contraception. Birth control pills contain higher doses of estrogen and sometimes progesterone. However, some women may benefit from additional progesterone or testosterone to address specific health concerns.

Pellets require minor surgical procedures, which we do not perform. As a general rule, we don’t believe pellets are the best route of administration for most patients.

Indefinitely, as long as you are under the care of a licensed medical professional. Your health should be assessed regularly, as your treatment needs may change over time.

Symptoms such as low energy, weight gain, low libido, and irregular periods are common indicators of hormone imbalance. Lab testing can also be used to diagnose menopause, andropause, or thyroid issues.

Common symptoms include fatigue, weakness, loss of muscle mass, changes in sexual function or desire, and weight gain. Testosterone levels should always be confirmed with bloodwork to rule out other potential causes.

Most or all symptoms typically improve—some may even resolve completely. The goal of HRT is to enhance your quality of life and may even contribute to greater longevity.

Yes. Estrogen in women plays a key role in body fat distribution and metabolism. Testosterone in both men and women stimulates muscle development, and since muscle is more metabolically active than fat, increased muscle mass can help raise your metabolism.

We always address nutrition when consulting patients for HRT, weight loss, and longevity. We also offer lifestyle and fitness coaches as part of your membership in the weight loss program, along with close monitoring of your progress.

Most people wanting or needing to lose body fat may benefit from Semaglutide or Tirzepatide. We work closely with you to address all contributing factors, such as hormone imbalance, thyroid deficiency, and lifestyle choices as they relate to your weight concerns.

Semaglutide and Tirzepatide are peptides that bind to receptor sites throughout the body, including the brain, stomach, intestines, and pancreas. They help decrease appetite by signaling certain hormones in the brain and create a feeling of satiety, or reduced hunger. Our goal is not only to help you lose weight, but to keep it off through a sustainable plan that includes exercise, proper nutrition, and hormone balance.

Most people can lose up to 20% of their body fat after approximately 3 to 6 months.

Side effects are mostly gastrointestinal and may include loss of appetite, a sense of fullness or satiety, constipation, diarrhea, GERD, and bloating. Some people may also experience fatigue, though this is often due to inadequate nutrition or lack of exercise.

Yes. Semaglutide and Tirzepatide are generally considered safe for adults and for children over age 12.

Yes, although it’s important to consume enough protein and include strength training to avoid losing muscle mass while reducing fat.

1. An extensive discussion
2. Tracking of specific longevity medicine labs and procedures
3. Specialty labs, medications, and imaging studies (may include an additional fee)

For an existing Hormone Replacement Therapy patient: an additional $50 per month
For new patients (not currently on HRT): $250 per month

Visit our Pricing Page for more details.

Our team consists of medical doctors, nurse practitioners, LCSWs, and lifestyle medicine coaches.

Meet your team here!

Yes, everyone on our team is a licensed professional.

A nurse practitioner (NP) receives at least two more years of education and clinical experience beyond that of a registered nurse. NPs are trained to practice medicine and play a critical role in your healthcare team.

A “regular” nurse may be a medical assistant (with about a year of post-high school education), a Licensed Vocational Nurse (LVN, with approximately two years of education), or a Registered Nurse (RN, with approximately 3–4 years of post-high school education).

An InBody Scan is a scale that measures % body fat, % lean body mass, and BMI, and assesses visceral fat. It is a great way to track how your hormones or weight loss drugs are working.

We recommend you get one at the beginning of your program and then every 3 months. If you are not a member, you can have it done for $45 (includes a printout).

View Membership Options.

It is included in your membership. Otherwise, it is $45 for non-members.

View Membership Options.

Traditional health insurance does not recognize patients’ quality of life as a medical condition. It is also limited in its ability to prevent or slow the onset of early chronic diseases such as osteopenia, prediabetes, weight gain, or low libido.

Our goal is to make hormone therapies accessible and affordable for everyone. As a Perfect Balance Health member, you get access to a variety of common hormone and wellness treatments—without the hassle of insurance.

• NO DEDUCTIBLE
• NO CO-PAY
• NO HIDDEN COSTS
• NO INSURANCE RESTRICTIONS

No. We offer excellent pricing through Labcorp, and most medical insurance plans do not cover labs used to detect early signs of disease.

Not as a rule, but there may be exceptions. Insurance companies typically do not cover bioidentical hormones from compounding pharmacies or over-the-counter medications due to specific restrictions.

Yes. We will provide you with a receipt to submit for reimbursement.

Hormonal imbalance refers to a disruption in the normal balance of hormones in your body. Common examples include perimenopause and menopause in women, and low testosterone in men.

If left untreated, hormonal imbalances can lead to more serious health conditions such as obesity, diabetes, heart disease, osteoporosis, cancer, and dementia.

Early intervention with HRT aims to prevent or slow the development of these chronic conditions and improve overall quality of life.

Progesterone is a hormone primarily found in women. It helps regulate your menstrual cycle and balances the effects of estrogen in the body.

Estrogen is a hormone predominantly found in women. It affects mood, sleep, and libido, and helps maintain bone density, weight, and healthy skin.

Yes. These hormones work in tandem and are especially important in women’s health. Estrogen supports mood, sleep, libido, bone health, weight, and skin. Progesterone balances estrogen’s effects and regulates your menstrual cycle.

Perimenopause is the transitional phase before menopause when estrogen and progesterone levels fluctuate. Symptoms can include irregular periods, hot flashes, insomnia, weight gain, and mood changes.

It can begin in the late 30s or early 40s and may last over a decade, though the average duration is about four years. Early treatment with HRT is recommended to improve quality of life and potentially prevent chronic disease.

You may see a variety of different terms (HRT, MHT, BHT/BHRT, TRT) used to describe hormone replacement therapy. This can be confusing, but while all of these terms are accurate, they have slightly distinct uses:

• HRT (Hormone Replacement Therapy): A general term that applies to both men and women and includes non-sex hormones like thyroid replacement.
• MHT (Menopause Hormone Therapy): Refers specifically to hormone therapy for women going through perimenopause or menopause.
• BHT/BHRT (Bioidentical Hormone Therapy / Replacement Therapy): Specific types of HRT using hormones that are bioidentical to those naturally produced by the body.
• TRT (Testosterone Replacement Therapy): Refers specifically to testosterone treatment, usually for men experiencing hormonal imbalance or andropause.

Menopause is defined as having no menstrual period for 12 consecutive months, with blood tests confirming low estrogen and progesterone levels, and elevated LH and FSH.

Symptoms are often similar to perimenopause but tend to be less erratic. Without treatment, symptoms can last an average of seven years. HRT can help manage symptoms, and there is no time limit on its use—though it should be monitored regularly for safety.

Hormone levels fluctuate throughout the day and the menstrual cycle. For example, progesterone peaks in the morning, while FSH and LH typically peak in the afternoon.

Hormone testing is typically done during the luteal phase—on days 19, 20, or 21 of the menstrual cycle. This is the best time to measure estrogen, progesterone, and testosterone levels.

Out of respect for our medical team, we ask that you cancel or reschedule at least 24 hours in advance. Otherwise, you may be subject to a fee. We understand that emergencies happen—in those cases, please contact us at care@perfectbalance.health.

She is an internal medicine doctor who has specialized in BHRT for over 25 years. She believes integrative medicine is the best approach to healthcare and is passionate about early detection and prevention of conditions that impact longevity.

Dr. Gray believes BHRT is a critical part of a longevity program and must be combined with lifestyle choices such as good nutrition, exercise, stress management, quality sleep, avoiding excessive toxins (like alcohol and tobacco), and maintaining mental health.