Hormone Therapy
Bioidentical Hormone Therapy in Denver: BHRT for Women 40+

If you're between 40 and 60 and noticing sleep changes, brain fog, hot flashes, mood swings, or stalled weight loss, you are not imagining it, and you are not alone. Bioidentical hormone replacement therapy (BHRT) is one of the most studied tools to help, when it's dosed right.
What 'bioidentical' actually means
Bioidentical hormones have the exact same molecular structure as the hormones your body produces. They are made from plant compounds and prepared by a compounding pharmacy in the strength your provider specifies, not a fixed mass-produced dose.
Why personalized dosing matters
Two women with identical lab results can need very different doses to feel like themselves again. We work directly with your provider to dial in estradiol, progesterone, testosterone, or DHEA, usually as a cream, capsule, or troche, and we adjust as your labs and symptoms evolve.
Questions to ask your provider
- Have you ordered a full hormone panel (estradiol, progesterone, testosterone, DHEA-S, cortisol)?
- Are you open to compounded, individualized dosing, not just commercial products?
- How often will we re-test and adjust?
- What lifestyle changes (sleep, strength training, protein intake) should I pair with therapy?
Bring this list to your next appointment. If your provider isn't familiar with compounded BHRT, we can recommend Denver-area providers we work with regularly.

Written by
Dr. Raisa Katanova is the founder and lead pharmacist at RxByDesign Compounding Pharmacy in Denver, Colorado. A graduate of the University of Colorado Skaggs School of Pharmacy, she has practiced pharmacy since 2002 and built her reputation on precision compounding, hormone therapy, and high-touch patient care, serving Denver, Aurora, Centennial, Englewood, Cherry Creek, Lakewood, and the greater Denver metro.

