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Physician-led BHRT in Georgetown, Ohio. A4M-trained care for men and women who have been told their labs look fine but still do not feel like themselves.
If you have been told your labs look fine but you still feel exhausted, foggy, heavier than you should, and less like yourself than you did five years ago, you are not wrong, and you are not alone.
I am Dr. Consuela Alley, a board-certified family physician in Georgetown, Ohio, with specialized training in bioidentical hormone therapy through the American Academy of Anti-Aging Medicine (A4M). I see men and women across Brown County every week who have been dismissed, undertreated, or handed a prescription that did not address the real problem.
Hormone imbalance is one of the most under-recognized causes of how you are feeling. My job is to find it, measure it, and fix it, with a plan built for your body, not a protocol from a franchise manual.
Bioidentical hormones are compounds that are molecularly identical to the hormones your body naturally produces, including estrogen, progesterone, DHEA and testosterone. Unlike synthetic hormones, which have slightly different molecular structures, bioidentical hormones are designed to fit your body's receptors the way a key fits a lock.
BHRT can be delivered through several methods including creams, injections, or oral capsules. At RPC Integrative Family Medicine, we select the delivery method based on your individual physiology, lifestyle, and treatment goals, not a one-size-fits-all protocol.
Learn more about our Bioidentical Hormone Replacement Therapy service at RPC.
Hormone imbalance affects both men and women, often beginning in the mid-30s and accelerating through perimenopause, menopause, and andropause. You may be a candidate for BHRT if you are experiencing any of the following.
Most men who come to us were never told their hormones could be the problem. They were told to sleep more, exercise harder, or just accept that this is what getting older feels like. It is not. Low testosterone and hormonal imbalance in men are real, measurable, and treatable, and optimization often produces results men describe as life-changing.
If several of these symptoms resonate with you, a comprehensive hormone panel is the right next step. We do not prescribe hormones based on symptoms alone. We test first, then treat with precision.
One of the most common things I hear from patients in their 30s and early 40s is that their labs came back normal, but they still feel terrible. Standard lab reference ranges are built for averages, not for optimal function. Perimenopause can begin a decade before menopause. Testosterone decline in men often starts in the early 30s. If your conventional doctor has cleared you but you still feel off, a functional hormone evaluation looks at the full picture, not just whether your numbers fall inside a reference range.
My A4M training specifically focuses on this distinction: the difference between a lab value that looks acceptable on paper and a hormone level that is actually optimal for how you feel and function. That is the standard we work toward.
Our approach to hormone therapy is grounded in functional medicine, meaning we look for root causes, not just symptom relief. Here is what the process looks like.
We begin with a thorough hormone panel that evaluates estrogen, progesterone, testosterone, DHEA, cortisol, thyroid function, and other key markers. We also look at how these hormones interact with your metabolic health, inflammation levels, and nutritional status, because hormones do not work in isolation.
Based on your labs, symptoms, health history, and goals, Dr. Alley designs a treatment protocol specific to you. Dosing is individualized. We do not use standardized starter doses. Your body is unique, and your treatment plan should be too.
Hormone needs change over time. We schedule follow-up labs and consultations to ensure your levels remain in the optimal range and adjust your protocol as your body responds. This is not a set-it-and-forget-it approach. It is active, attentive care.
Because we practice integrative family medicine, your hormone care does not exist in a silo. We consider how your hormones connect to your gut health, nutrition, sleep, stress levels, and skin, and we address the whole picture. When your hormones are right, almost everything else gets easier. Your energy, your weight, your skin, your mood, your relationships. We work to get you there and keep you there.
I drove past three clinics in Cincinnati to come here. I wish I had found Dr. Alley two years earlier.
Patient, Georgetown OH
National bioidentical hormone networks like BodyLogicMD and BioTE operate on franchise models. That means your care is often provided by a rotating roster of practitioners following a corporate protocol, not a physician who has been your doctor, who knows your full health history, and who you can call directly.
Happy Hormone Cottage and similar regional providers offer hormone programs, but they are not physician-led practices with full integrative medicine capability. They cannot order and interpret the same comprehensive functional labs, they cannot manage complex interactions with thyroid disease or metabolic conditions, and they do not have physician-level A4M training in hormone optimization.
At RPC, Dr. Alley, a board-certified family physician with advanced A4M training in bioidentical hormone therapy and functional medicine, will be overseeing your care. You are not a number in a franchise system. You are a patient in a community practice that has been serving Brown County for years.
Our practice is located in Georgetown, Ohio, the heart of Brown County, and we serve patients from throughout the region, including:
If you are tired of driving to Cincinnati or Northern Kentucky for hormone care, or tired of feeling like a number in a large system, we are here, and we are close.
When properly prescribed and monitored by a physician, BHRT has a strong safety profile. The key is individualized dosing based on comprehensive lab testing, regular follow-up, and a physician who understands the full picture of your health. The American Academy of Anti-Aging Medicine (A4M), through which Dr. Alley has received specialized hormone training, and the North American Menopause Society (NAMS) both recognize bioidentical hormone therapy as a legitimate and evidence-supported treatment option for appropriate candidates.
Synthetic hormones such as Premarin (derived from mare urine) and Provera (a synthetic progestin) have molecular structures that differ from the hormones your body produces. Bioidentical hormones are chemically identical to human hormones. Many patients report better tolerability and a more natural response with bioidentical formulations, though individual results vary.
Most patients begin noticing improvements in energy, sleep, and mood within four to six weeks. Full optimization, including changes in body composition and skin quality, typically takes three to six months as your body adjusts to properly balanced hormone levels. Many patients tell us that within the first two months they feel more like the person they were five or ten years ago, and that is the point.
Hormone testing is often covered by insurance, depending on your plan. Compounded bioidentical hormones and provider management are typically not covered by insurance. During your consultation we will walk through exact costs before any treatment begins. Most patients find the investment is far less than they expected, and we are transparent about pricing from the start so there are no surprises.
Absolutely. Testosterone optimization is one of the most impactful interventions we offer for men experiencing fatigue, weight gain, low libido, and mood changes associated with declining testosterone levels. We test comprehensively before recommending any protocol, including checking for conditions that could affect treatment eligibility.
Pellet therapy is one delivery method for bioidentical hormones. Tiny pellets are inserted under the skin and release hormones steadily over several months. We offer multiple delivery options but we do not offer pellet therapy, as this method creates a wide variation of testosterone throughout the months it is implanted, often leading to high levels initially, followed by low levels toward the end. We prefer a more natural approach with more steady-state delivery systems.
Not necessarily. Some patients use BHRT for a defined period to restore balance and then taper with close monitoring. Others find that ongoing optimization is what keeps them feeling their best long-term. We make this decision together based on your labs, how you feel, and your goals, and we revisit it regularly.
This is one of the most important questions we address in your initial consultation, and the honest answer is: it depends on your individual history, the type and dose of hormones, and how we monitor you. Some histories are contraindications. Others are not as limiting as patients have been told. The use of BHRT within 10 years post menopause has been found to decrease cardiovascular risk by about 25 percent. We will review your full medical and family history before recommending any protocol.
Yes, and this is one of the most under-addressed issues in conventional medicine. Perimenopause can begin ten years before menopause. Testosterone decline in men often starts in the early 30s. If your labs have been called normal but you still do not feel right, a functional hormone evaluation may reveal what a standard panel missed. Dr. Alley's A4M training specifically addresses optimization for this age group, not just menopause management.
You do not have to accept fatigue, weight gain, low drive, or mood changes as the price of getting older. Hormone imbalance is measurable and treatable, for both men and women. Dr. Alley and her team will test first, listen carefully, and build a plan designed for you specifically.
Your next step is simple. One conversation with Dr. Alley. We will review your symptoms, order the right labs, and tell you honestly whether BHRT is right for you. No pressure. No protocol until the data supports it.
RPC Integrative Family Medicine is Brown County's only physician-led integrative medicine practice offering comprehensive BHRT with A4M-trained hormone expertise, right here in Georgetown, without the Cincinnati drive.