
How Hormone Therapy Works
Hormone levels fall with age, and the effects show up long before anyone connects them to hormones: fatigue that sleep does not fix, loss of muscle despite training, weight that will not move, low mood, poor concentration, reduced libido.
Bioidentical hormones are structurally identical to the hormones your body produces. Replacing what has declined, guided by your own lab values, aims to return levels to a healthy range rather than push them artificially high.
The Evexias method uses pellet-based delivery, which releases hormone steadily rather than in the peaks and troughs that come with creams or weekly injections. Confirm the delivery method that applies to you at consultation.
Who Hormone Therapy Is For
Both men and women are candidates. Patients typically come in reporting:
- Persistent fatigue and low energy
- Difficulty losing weight or maintaining muscle
- Low mood, irritability or brain fog
- Reduced libido
- Poor sleep
- For women, symptoms associated with perimenopause and menopause
Eligibility depends on your labs and your medical history. Hormone therapy is not appropriate for every patient, and the evaluation exists to determine that honestly.
What to Expect
Treatment begins with comprehensive lab work and a consultation covering your symptoms, history and goals. Dr. Besnoff reviews your results and determines whether hormone therapy is appropriate and at what dose.
If you proceed, dosing is individualized to your labs. Follow-up testing confirms that levels have reached the target range and allows adjustment before the next cycle.
Ongoing Care
Hormone therapy is not a one-time treatment. It is an ongoing relationship built on periodic lab work and dose adjustment, because the right dose for you now may not be the right dose in a year.
Most patients begin noticing changes in energy and sleep within the first weeks, with fuller effects on body composition, mood and libido developing over the following months.
Session Length
Initial consultation and labs, then brief follow-up visits
Downtime
Initial consultation and labs, then brief follow-up visits
Session Count
Ongoing program with periodic lab work and dose review
Results Timeline
Energy and sleep within weeks, fuller effects over months
Results Duration
Maintained with ongoing therapy and monitoring
Device or Brand
Evexias bioidentical hormone therapy
FDA Status
Prescribed by a physician following lab evaluation

Frequently Asked Questions
Is hormone therapy only for women?
No. Men are treated as often as women, most commonly for declining testosterone presenting as fatigue, loss of muscle mass, low mood and reduced libido.
How do I know if I need it?
Symptoms point toward it, but lab work confirms it. Treatment is never started on symptoms alone.
How often will I need follow-up?
Periodic lab testing and dose review are part of the program. Your physician will set the interval based on your results and how you respond.
Can hormone therapy help with weight?
Hormone balance affects body composition, energy and how you respond to training. It is not a weight loss treatment on its own, but it can remove an obstacle for patients whose levels are genuinely low.

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Dr. Todd A. Besnoff, MD
Medical Director
Top Doctor in Tampa Bay
Dr. Besnoff has been referred to as one of the Top Doctors in Tampa Bay (as seen in the recent Tampa Bay Magazine Top Doctors issue) and Top 100 Aesthetic Provider in America! Dr. Besnoff has assisted and/or performed hundreds of thousands of surgical procedures since 1995 in specialties such as plastic surgery, gynecology, tissue donation and life-saving emergency treatments. In fact, Ultimate Image has been known to have performed more BOTOX® / Dysport® treatments in Tampa Bay than any other provider.
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