Your symptoms are real. The standard workup missed the pattern.
If you have been told your labs are normal while experiencing fatigue, weight changes, mood instability, poor sleep, and declining quality of life, the issue is usually what was tested, not whether something is wrong. Delphi runs the full hormonal panel and correlates it with thyroid, metabolic, and inflammatory markers to find the pattern underneath. Care is managed by Kerrie Reynolds, NP-C, under the oversight of Dr. Ann Drayton, M.D.
Last updated: March 2026
What It Is
Hormonal changes can disrupt sleep, metabolism, mood, cognitive function, libido, and overall quality of life. These shifts can begin as early as your mid-30s during perimenopause and intensify through menopause. The symptoms are real, measurable, and treatable.
Bioidentical Hormone Replacement Therapy (BHRT) uses hormones structurally identical to the estradiol, progesterone, and testosterone your body naturally produces. Unlike synthetic alternatives, bioidentical hormones bind to your receptors the way your own hormones do. The result is generally a more physiologic response with fewer side effects.
We assess estradiol, progesterone, total and free testosterone, DHEA-S, full thyroid panel (TSH, Free T3, Free T4, Reverse T3, antibodies), cortisol, insulin, vitamin D, and metabolic markers. This complete picture shows what is out of balance and why.
Hormones do not exist in isolation. Thyroid dysfunction can mimic estrogen deficiency. Cortisol dysregulation can suppress progesterone. Low testosterone in women can cause fatigue, low libido, and difficulty maintaining muscle. We evaluate the full system.
Who It's For
What's Included
All protocols medically reviewed by Dr. Ann Drayton, M.D., Medical Director
The Process
Full Hormone Panel
Full hormone panel including estradiol, progesterone, testosterone, DHEA-S, thyroid (TSH, Free T3, Free T4, antibodies), cortisol, and metabolic markers.
Clinical Consultation with Kerrie Reynolds, NP-C
A thorough consultation to review your lab results, discuss your symptoms and goals, and design your personalized BHRT protocol.
Personalized Protocol Delivered to Your Door
Medications ship to you. We monitor symptoms and labs closely, adjusting as needed.
Regular Monitoring and Adjustments
Regular check-ins and lab work ensure your protocol evolves with your body's changing needs.
If this sounds familiar
A significant portion of our patients come to us after trying something similar somewhere else and not getting results. In most cases, the protocol was under-dosed, the labs were incomplete, or another condition (thyroid, cortisol, nutrient deficiencies) was never addressed alongside the primary one. We are used to untangling these situations. If you have been on a protocol that did not work, bring your old labs. There is almost always a reason.
What Patients Experience
Common Questions
Are bioidentical hormones safer than synthetic hormones?
Bioidentical hormones are structurally identical to the hormones your body naturally produces, which allows for more precise receptor binding. Many practitioners and researchers believe this results in fewer side effects and a more physiologic response compared to synthetic alternatives. We use evidence-based protocols, start conservatively, and monitor labs and symptoms closely to ensure safety and effectiveness.
I'm in perimenopause but not menopause yet. Can you help?
Absolutely, and perimenopause is actually when many women need the most support. During this transition, hormones fluctuate unpredictably rather than simply declining. You might have high estrogen one month and low the next, with progesterone dropping steadily throughout. This volatility is what causes the mood swings, sleep disruption, irregular cycles, and anxiety that make perimenopause so challenging. Thorough testing helps us identify the specific imbalances and address them proactively.
Will I need to take hormones forever?
This is highly individual and depends on your goals. Some women use BHRT for symptom management during the menopausal transition and taper off after a few years. Others continue long-term because of the quality-of-life benefits and the growing body of research suggesting protective effects on bone density, cardiovascular health, and cognitive function. We discuss the evidence openly and help you make the decision that is right for your body and your life.
Do you also address thyroid issues?
Yes, and this is critical. Thyroid dysfunction commonly coexists with other hormonal imbalances, especially during perimenopause and menopause. Low thyroid can mimic estrogen deficiency symptoms (fatigue, weight gain, brain fog, mood changes), and treating hormones alone without addressing thyroid will leave you feeling incomplete. We include a full thyroid panel in our standard workup precisely because these systems are so interconnected.
Do women need testosterone?
Yes. Testosterone is not just a male hormone. Women produce it naturally, and it plays an important role in energy, libido, muscle maintenance, bone density, and cognitive function. When testosterone levels decline (which happens gradually through the 30s and 40s), women often experience fatigue, reduced motivation, difficulty maintaining muscle tone, and low libido. We test for it and include it in your protocol when indicated.
What forms do the hormones come in?
We prescribe bioidentical hormones in several forms depending on what works best for you: topical creams, oral capsules (micronized progesterone), sublingual tablets, and injectable testosterone when indicated. The delivery method matters because different routes of administration affect how hormones are metabolized. We choose the form that best fits your clinical picture and lifestyle.
“It is common, but that does not make it normal. And it is not something you have to accept.”
Kerrie Reynolds, NP-C, Primary Clinician
What the first 90 days typically look like
Weeks 2-4
- ✓Hot flashes and night sweats begin to ease
- ✓Sleep quality starts improving
- ✓Mood stabilizes noticeably
- ✓Mental clarity begins returning
Months 2-3
- ✓Energy levels feel sustainable again
- ✓Weight management becomes easier
- ✓Libido and sexual wellness improve
- ✓Skin, hair, and overall vitality improve
Better answers start with better testing.
Schedule your free discovery call to discuss your symptoms and goals. If we're the right fit, we'll map out your path to optimization.
Book Free Discovery Call →30 minutes with our clinical team. No cost. No commitment. Just a clear conversation about what you are experiencing and what a real workup would reveal.