HRT / TRT
Reclaim your vitality
through tailored hormone optimization.
Hormonal imbalances do not happen overnight, but their symptoms can dramatically alter your quality of life. If you are struggling with chronic fatigue, low motivation, unexplained brain fog, sudden loss of muscle mass, decreased libido, or an inability to manage your weight despite consistent exercise, your endocrine system may be out of balance.
For perimenopausal, premenopausal, and menopausal women, these imbalances frequently manifest as sudden mood disruptions, debilitating fatigue, severe sleep disturbances, and stubborn weight gain. We provide a scientifically rigorous, highly individualized approach to Bioidentical Hormone Replacement Therapy (BHRT) and Testosterone Replacement Therapy (TRT) to restore equilibrium and help you feel like yourself again.

Core Hormones & Biomarkers
Understanding your blueprint.
Testosterone
Regulates energy, lean muscle tissue, libido, and motivation. Deficiency leads to chronic fatigue, muscle loss, brain fog, and low sex drive.
Estrogen
Governs cardiovascular health, bone density, cognitive function, and temperature regulation. Imbalances cause hot flashes, sleep disruptions, and cognitive decline.
Progesterone
Promotes deep sleep, mood stability, and uterine health. Low levels cause heightened anxiety, severe insomnia, and unpredictable mood swings.
Thyroid
Dictates your body's baseline metabolic rate, cellular energy creation, and weight regulation. An underactive thyroid causes stubborn weight gain, fatigue, and sluggishness.
Our Treatment Journey
A step-by-step clinical process.
Designed to protect your safety and deliver predictable results.
Request Your Appointment
Choose your service and request a day and time that works for you. Have questions? Call or text us.
Quick Review & Next Steps
We will review your request and may contact you for a few brief details. Once your appointment is confirmed, you'll receive any needed intake forms and lab instructions to complete before your visit.
Lab Review & Initial Consultation ($250)
We order a comprehensive laboratory panel prior to this extensive appointment to measure your precise hormone markers and metabolic indicators. Available in person at our Vero Beach office, with virtual follow-up available for established patients. Your initial consultation fee includes the equivalent of your first month's supply of HRT or TRT medications.
Protocol Initiation & Seamless Delivery
Once your individualized treatment plan is established, your provider prescribes your individualized therapy following your clinical evaluation and lab review. Your prescription is then dispensed by a licensed compounding pharmacy, which ships the medication and supplies directly to you. Paired with targeted nutritional adjustments and direct access to professional-grade supplements through Fullscript.
Continuous Optimization Membership
Our plans ensure you are constantly supported without clinical gaps or unexpected administrative fees.
Continuous Optimization
Hormone management requires continuous oversight to remain safe and efficient. Our plans ensure you are constantly supported without gaps.
Membership Options
Specialized memberships.
For Men
Men's Hormone Optimization
$150/mo
Men experiencing decreased lean muscle mass, brain fog, fatigue, low libido, or complex weight management hurdles.
- Individualized bioidentical testosterone therapy (cream or injections), prescribed by your provider after evaluation, dispensed by a licensed compounding pharmacy and shipped by the pharmacy directly to you with all essential supplies
- Quarterly follow-up visits (3 per year) to track blood panels and clinical progress
- Continuous secure messaging and email with your provider — 24–48 hour response
- Full prescription management
- Discounted pricing on in-office wellness vitamin injections
For Women
Women's Hormone Optimization
$199/mo
Women navigating perimenopause, menopause, or cycle imbalances experiencing sleep disruption, fatigue, brain fog, mood changes, or weight shifts.
- Clinical management of up to three bioidentical hormones (estrogen, progesterone, testosterone) when clinically indicated
- Prescribed by your provider after evaluation, dispensed by a licensed compounding pharmacy, and shipped by the pharmacy directly to you with all necessary supplies
- Quarterly follow-up visits (3 per year)
- Direct, secure messaging and email — 24–48 hour response
- Full prescription management
- Discounted rates on all wellness vitamin injections
FAQ
Frequently asked questions.
Do you accept insurance?+
No. We utilize a direct cash-pay concierge model to bypass the restrictive parameters set by insurance networks, ensuring you receive longer, deeply personalized appointments and unhurried medical focus. Many patients successfully use their Health Savings Account (HSA) or Flexible Spending Account (FSA) cards to cover eligible clinical services and diagnostic lab panels.
Can I provide recent blood work from another physician?+
Yes. We are happy to evaluate external lab work if the panels are comprehensive, clinically relevant, and completed recently. If specific key biomarkers are missing, we will recommend targeted testing before finalizing your treatment plan.
How do I receive my ongoing medication refills?+
Refills are authorized by your provider based on your ongoing clinical evaluation and lab monitoring. Your prescription is dispensed by a licensed compounding pharmacy, and the pharmacy ships the medication and supplies directly to you. Fleurant Signature Health, PLLC does not sell or dispense medication.
