Hormone Optimization is a treatment used to restore and optimize hormone balance in individuals experiencing hormonal decline or imbalance—most commonly due to aging, menopause, or other health conditions.

You may be a good candidate if you’re experiencing symptoms such as fatigue, weight gain, mood changes, low libido, hot flashes, sleep disturbances, or brain fog. Both men and women can benefit from Hormone Optimization.

We use hormones that are molecularly identical to the hormones naturally produced by your body. These may include estrogen, progesterone, and testosterone, depending on your individual needs.

At Vivana Wellness, we offer several delivery options including:

• Creams or gels

• Patches

• Injections

• Pellets (implanted under the skin)
  The best method depends on your lifestyle, symptoms, and treatment goals.

When prescribed and monitored appropriately, Hormone Optimization is generally safe for most individuals. We take a personalized approach assessing your personal health and family history to determine if it is right answer for you.  When appropriately prescribed and monitored, Hormone Optimization been shown in multiple studies to improve not just symptoms of hormone decline, but also overall health markers in both men and women.  See more details on this in our deep dive blog articles.

Yes. Comprehensive lab testing is essential to evaluate your current hormone levels and overall health before beginning Hormone Optimization. Follow-up labs are performed regularly to ensure optimization.

Some people start to notice improvements within a few weeks, while others may take a few months to feel the full benefits. Every body is different, and hormone optimization is a process. We closely monitor your progress and make adjustments as needed.

Some people start to notice improvements within a few weeks, while others may take a few months to feel the full benefits. Every body is different, and hormone optimization is a process. We closely monitor your progress and make adjustments as needed.

Some patients may experience mild side effects such as breast tenderness, acne, or mood swings early in therapy, which usually resolve as your body adjusts. Serious side effects are rare, especially when treatment is closely managed by a qualified provider. 

The length of treatment varies. Some patients choose to stay on Hormone Optimization long-term for continued symptom relief and wellness benefits, while others may only need it for a limited period. Your personal goals determine the best course for you.

Yes. Hormone balance can support healthy metabolism, energy levels, and lean muscle mass—making it easier to maintain a healthy weight. However, Hormone Optimization works best when combined with a healthy diet, physical activity, and stress management.

Coverage varies depending on your plan and the type of treatment. Some components, like lab work or certain medications, may be partially covered. We can provide documentation to submit for reimbursement, and we offer transparent pricing for those paying out of pocket.

Absolutely. Men can experience andropause—a gradual decline in testosterone—that causes fatigue, low libido, weight gain, mood changes, and more. Testosterone replacement therapy (TRT) can significantly improve quality of life when managed properly.

We carefully review your medical history and medications before starting therapy. In most cases, Hormone Optimization can be used safely alongside other treatments, but we’ll tailor your care plan to avoid potential interactions.