Hormone replacement therapy · Hyde Park, Tampa
Exhausted.
Foggy. On edge.
It may be your hormones.
If you’ve been told it’s “just stress” or “just aging,” you deserve a closer look. Physician-guided hormone therapy for women and men, built on comprehensive labs and careful follow-up.
01 · For her
Perimenopause
& menopause
Hot flashes, sleep, mood, libido and the shifts that come with them.
02 · For him
Low testosterone
& andropause
Energy, drive, strength and focus that have quietly faded.
Does this sound like you?
You’re not
imagining it.
And you don’t have to live with it.
These are things we hear every week from patients who were told nothing was wrong. Hormone shifts can quietly affect your sleep, mood, body, relationships and work.
“I’m exhausted all day, then wide awake at 3 a.m.
Sleep is often one of the first things hormone changes disrupt.
“I don’t recognize myself in the mirror anymore.
Shifts in muscle, fat and skin can follow changing hormone levels.
“I snap at the people I love, and I hate it.
Hormones influence mood, patience and stress resilience.
“I’m eating right and working out, but the weight won’t move.
Hormones, thyroid and blood sugar all play a role in metabolism.
“Intimacy feels like a chore, not a connection.
Low libido is common and often has a physical cause worth checking.
“I lose words mid-sentence and can’t focus at work.
Brain fog is a frequent, frustrating symptom of hormone change.
Told your labs are “normal”?
Routine checkups often measure one or two hormones, and “normal” ranges are wide. Feeling unwell with normal-looking results is common. We run a fuller panel and read it alongside your symptoms, history and goals, so nothing gets brushed aside.
Is it your hormones?
The signs are
easy to dismiss.
Many people are told it’s stress, age or “just how it is.” These symptoms have many possible causes, so we test before we treat.
Women
Perimenopause & menopause
Often begins in your late 30s to 40s
Hot flashes & night sweats
Poor or broken sleep
Mood swings or anxiety
Brain fog
Low libido
Vaginal dryness
Irregular cycles
Weight gain around the middle
Men
Low testosterone
Levels tend to decline gradually with age
Low energy & fatigue
Low sex drive
Erectile changes
Loss of muscle & strength
Irritability or low mood
Trouble focusing
Increased body fat
Slower recovery
Meet your hormones
Small messengers.
Big effects.
Hormones are chemical messengers that influence your sleep, mood, metabolism, libido and more. When levels shift, you feel it. Here are the ones we focus on most.
E2
Estrogen
Supports temperature control, sleep, mood, skin, bone strength and vaginal health.
Falls sharply around menopause
P4
Progesterone
Balances estrogen, supports calm and sleep, and protects the uterine lining.
Often the first to decline in perimenopause
T
Testosterone
Influences energy, libido, muscle, motivation and bone density in both men and women.
Declines gradually with age
T3 · T4
Thyroid
Sets your metabolic pace, affecting energy, weight, temperature and focus.
Imbalances can mimic other hormone symptoms
Test, don’t guess
It starts with
your labs.
Hormones work as a network. A single testosterone or estrogen number rarely tells the whole story, so we look at the bigger picture before recommending anything.
Fasting blood draw Timed to your cycle when relevant Reviewed with you, line by line
Sex hormones
Estradiol, progesterone, total & free testosterone, SHBG, DHEA-S
Thyroid
TSH, free T4, free T3 and thyroid antibodies
Pituitary signals
FSH and LH, which help show where an imbalance starts
Metabolic health
Fasting glucose, insulin, A1c and a lipid panel
Safety markers
CBC and hematocrit, metabolic panel, and PSA for men when appropriate
Key nutrients
Vitamin D, B12, iron and ferritin
How it works
A plan that keeps
adjusting with you.
Hormone therapy isn’t set-and-forget. We start carefully, recheck your labs and fine-tune until you feel like yourself.
Step 01
Consultation
Your symptoms, history, goals and family history with Dr. Lizardi.
Step 02
Comprehensive labs
A full hormone, thyroid and metabolic panel, reviewed together.
Step 03
Your plan
If therapy fits, we choose the hormone, dose and delivery method with you, plus nutrition, sleep and lifestyle support.
Step 04
Follow-up & fine-tuning
Repeat labs after starting, then regular check-ins to adjust and monitor safety.
What to expect
Change takes
a little time.
Everyone responds differently. This is a general picture of how many patients describe the first months, not a promise of specific results.
First weeks
Some people first notice better sleep and fewer hot flashes or night sweats.
1–3 months
Mood, energy and libido often start to shift. Follow-up labs guide any dose changes.
3–6 months
Changes in strength, body composition and overall well-being may build over time.
Ongoing
Regular check-ins and labs keep your plan safe and effective as your body changes.
Your options
Bioidentical,
explained honestly.
“Bioidentical” means the hormone has the same structure as the one your body makes. But not all hormone therapy is made or regulated the same way. Here’s how the three main types compare.
FDA-approved bioidentical
Compounded bioidentical
Synthetic hormones
FDA-approved bioidentical
- Structure
- Same as your body’s
- FDA-approved
- Yes
- Dosing
- Standard, tested strengths
- Quality
- FDA manufacturing standards
- Examples
- Estradiol patch or gel, micronized progesterone, testosterone gel or injection
Compounded bioidentical
- Structure
- Same as your body’s
- FDA-approved
- No
- Dosing
- Custom-mixed by a compounding pharmacy
- Quality
- Pharmacy-level; potency can vary
- Examples
- Custom creams, troches and combination formulas
Synthetic hormones
- Structure
- Different from your body’s
- FDA-approved
- Yes
- Dosing
- Standard, tested strengths
- Quality
- FDA manufacturing standards
- Examples
- Conjugated estrogens, progestins such as medroxyprogesterone
Creams & gels Injections Patches Oral capsules
Compounded hormones aren’t proven safer than FDA-approved ones. Your clinician will recommend what’s medically appropriate for you.
Safety first
Benefits and risks,
side by side.
Hormone therapy can help many people, but it isn’t right for everyone. Here’s what we review with you before starting and keep monitoring after.
For women
What we discuss
Personal or family history of breast cancer, blood clots, stroke or heart disease
Timing: starting near menopause is generally viewed differently than starting years later
Using progesterone to protect the uterus when estrogen is prescribed
Regular check-ins, plus recommended mammograms and screenings
For men
What we monitor
Hematocrit (red blood cell levels), which can rise on testosterone
PSA and prostate health
Fertility, since testosterone can lower sperm production
Blood pressure, lipids and overall cardiovascular health
Before you start
No surprises.
Just clear answers.
Here’s what’s included, how to get ready and what the commitment looks like.
What’s included
Your hormone program
Physician consultation and history review
Comprehensive lab panel and results review
A personalized treatment plan
Follow-up labs and dose adjustments
Nutrition, sleep and lifestyle guidance
Your first visit
How to prepare
Bring a list of medications and supplements
Bring any recent lab results
Note your symptoms and when they started
Women: track where you are in your cycle, if you still have one
Plan for a fasting blood draw if labs are scheduled
The commitment
Costs & time
Cash-pay clinic, with costs explained before you start
Consultation, labs and medication are priced separately
Expect a few visits in the first months while we fine-tune
You can adjust or stop therapy with your clinician’s guidance
The functional medicine difference
More than
a prescription.
Hormones affect, and are affected by, sleep, stress, blood sugar, gut health and thyroid function. That’s why our plans look beyond hormones alone.
✓ Physician-led by Dr. Jose Lizardi, MD
✓ Lowest effective dose approach
✓ Nutrition, sleep & stress support
✓ Ongoing lab monitoring
Questions
Hormone therapy, answered.
-
It starts with a consultation and comprehensive labs. Symptoms can have many causes, so we confirm what’s going on before recommending treatment.
-
“Bioidentical” describes the hormone’s structure. Some bioidentical products are FDA-approved. Custom-compounded hormones aren’t FDA-approved, and there isn’t strong evidence they’re safer. We’ll explain the options and trade-offs.
-
It varies. Some people notice changes in sleep or energy within weeks, while other effects take a few months. We adjust based on your symptoms and follow-up labs.
-
Risks depend on the hormone, dose, delivery method and your health history. We review them with you before starting and monitor with regular labs.
-
Usually a few weeks to a few months after starting, then periodically once you’re stable. Your clinician will set a schedule for you.
-
Yes. Some people use therapy for a few years, others longer. If you decide to stop, your clinician will usually taper the dose and monitor how you feel.
-
Earlier headlines raised concerns about hormone therapy. Since then, research has shown that risks depend a lot on age, timing, the type of hormone and your personal history. We’ll review where you fit and what the current evidence says.
-
Often, yes. Perimenopause can start years before periods stop, and we can evaluate and support symptoms during that time.
-
It can. Testosterone may reduce sperm production. If you’re planning to have children, tell us so we can discuss options that protect fertility.
-
Weight changes have many causes. Some people find balanced hormones make it easier to manage weight, especially alongside nutrition and exercise. We look at the whole picture, including thyroid and blood sugar.
-
No referral is needed. You can book a consultation directly.
-
We’re a cash-pay clinic. We can provide documentation you may be able to submit to your insurance, and we’ll explain consultation, lab and treatment costs up front.
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1209 W Swann Ave, Tampa, FL 33606, in Hyde Park, South Tampa. Call 813-210-9394 with questions.
OMNI LIFE Med + Wellness · Hyde Park, Tampa
Feel like yourself
again.
Start with a consultation and comprehensive labs. We’ll tell you what we find and whether hormone therapy makes sense for you.
This page is for education only and isn’t medical advice. Hormone therapy isn’t right for everyone and carries risks that should be discussed with your physician. Individual results vary.