Hormone REplaclement Therapy


What is Bio-Identical Hormone Replacement Therapy (BHRT)?

Bio-Identical Hormone Replacement Therapy treats men and women who suffer from hormonal imbalance. Bio-Identical Hormones are artificial hormones that come from plant estrogens (mostly wild yams and soy plants). They are custom made to be chemically identical to the hormones produced by the human body. These hormones contain the exact molecular structure as those in our body and they produce the same physiologic response as those naturally produced in the body.


Who needs BHRT?


If you are considering hormone replacement therapy (HRT), you may be experiencing symptoms that may be keeping you from feeling like yourself. Those symptoms may be the earliest signs of aging, such as foggy thinking, sleeplessness, muscle loss, or low energy. Furthermore, conditions of aging like menopause in women can cause hot flashes, mood swings, and weight gain while even post-menopausal women experience symptoms including but not limited to hair loss and low libido. Aging also has an effect on men known as andropause, which is caused by fluctuation of testosterone levels.


Human hormones play a significant role in maintaining proper function of the body. Whatever the reason you are seeking ways to feel better, the first step in determining if your symptoms are the result of a hormonal imbalance and that you are a candidate for bio-identical hormone replacement therapy, is comprehensive lab testing.


Lab testing will assess blood, urine and sometimes saliva samples to measure the current status of your natural hormones. Our team will use the results of this lab testing along with your medical history and current symptoms to make a diagnosis and develop a treatment plan. Hormonal imbalances may be treated with bio-identical hormones.


How to begin treatment:


It can be difficult to determine the best solution for hormonal imbalance. You may have lived with the nuisance of low energy for years or the nagging discomfort of hot flashes for only a month. Regardless of your tenure with hormonal imbalance, you want to choose a treatment option that is effective and allows you to live a healthier, fuller life.


Your journey as a patient will begin with comprehensive lab testing. When your results are processed, they will be sent to your physician for review. At your first consultation, we will get to know you, your symptoms and medical history, as well as discuss the results of your lab testing. Together, we will discover the best treatment plan for your unique needs. Bioidentical hormone therapy is often part of a successful treatment plan, but it is not the only therapy. We may also prescribe supplements, offer nutritional guidance and suggest routine exercise as part of your treatment.


BHRT for women:


Hormones affect a multitude of pathways in the body. Women may experience fluctuations in their hormone levels throughout the lifespan. Imbalances can occur due lifestyle and environmental factors, as well as expected changes, such as onset of menses, pregnancy, childbirth, perimenopause, menopause, and post-menopause. Imbalances of hormones, including estrogen, progesterone and testosterone can lead to many uncomfortable experiences, like night sweats, hot flashes, mood swings, depression, and anxiety. The most common decline seen in menopausal and post-menopausal women is estrogen. When estrogen levels become unbalanced, women may experience symptoms such as low libido and bone loss. The bone loss that women experience due to declining estrogen levels can lead to osteoporosis and increase the likelihood of bone fractures. Adjustments to a woman’s hormone levels through bioidentical hormone therapy and lifestyle changes can reduce or eliminate these discomforts and improve overall health and well-being.


BHRT for men:


As men age, production of the hormone testosterone begins to decline and many men experience symptoms of low testosterone. Testosterone is the hormone that is responsible for maintaining mental focus, energy, metabolism, muscle mass, fat levels, and sex drive. By balancing a man's hormones with bioidentical hormone therapy, men can restore vitality and reduce the symptoms of low testosterone (also known as andropause).



A combination of factors can cause facial lines. It’s not just about the cellular changes that may occur, or reduction of collagen, or damage caused by free radicals from the sun and the environment.

Repeated muscle contractions from frowning, squinting, or raising eyebrows cause skin to furrow and fold, gradually resulting in the formation of facial lines. BOTOX® Cosmetic is a quick 10-minute treatment that works beneath the surface and temporarily reduces the underlying muscle activity that causes moderate to severe frown lines, crow’s feet and forehead lines in adults – to help them look better.

With patient request, Peak Performance Medical offers similar treatments with Dysport and Xeomin 



The active ingredient in KYBELLA® is synthetic deoxycholic acid. Deoxycholic acid is a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath the chin, KYBELLA® destroys fat cells, resulting in a noticeable reduction in fullness under the chin. Once destroyed, these cells can no longer store or accumulate fat, so further treatment is not expected once you reach your desired aesthetic goal.


Submental fullness, or fullness under the chin, is a common problem encountered by both men and women. There are a variety of factors that can contribute to this problem including genetics, aging, and weight gain. Many people with fullness of this area are not overweight and are unable to get rid of this stubborn fat despite diet and exercise. A shared question among patients is about the options for treating the common “double chin”.

 In 2015, Deoxyxholic acid or as it is commonly referred to as Kybella, was approved for use and has revolutionized treatment. In the past, the only options for treating this area were liposuction and surgery. However, we now have a minimally invasive agent that provides consistent, effective results. Kybella is unique and is an FDA approved agent that improves fullness associated with submental fat. Kybella is best for patients whose double chin is caused by excess fat and who have mild to moderate skin excess. It is not appropriate for patients with significant excess skin.

Kybella is administered in the office and is often tolerated well. Clinical studies showed the most common side effects include redness, swelling bruising, and numbness, all of which were temporary, lasting less than 4 weeks.


laser hair removal


Laser and light-based technology is effective for hair reduction and the removal of unwanted body hair. During laser hair removal, a laser beam passes through the skin to an individual hair follicle.

The concentrated heat of the laser damages the hair follicle, resulting in reduction of the number of follicles and the quality of hair. Hair will be less noticeable, finer, and possibly lighter. The degree of hair reduction depends on the number of treatments, which is determined during a consultation with the provider.




Dermal filler

Peak Performance offers non-surgical options to soften facial lines and restore volume and fullness in the face with the latest techniques in cosmetic injectable fillers. The use of cosmetic injectable fillers, also known as soft tissue augmentation, can plump thin lips, enhance shallow facial contours, soften facial creases and wrinkles, or improve the appearance of recessed scars.




Microneedling is a minimally invasive skin rejuvenation procedure that helps reduce the signs of aging, improve the appearance of acne scars and rejuvenate skin. The procedure is based on the skin’s natural ability to repair itself whenever it encounters physical damage such as cuts, burns and other abrasions. Microneedling allows for controlled induction of the skin’s self-repair ability by triggering new collagen synthesis. The result is smoother, firmer and younger looking skin. This procedure can be performed with or without Platelet Rich Plasma (PRP).



platelet Rich plasma

Platelet rich plasma (PRP) is a plasma concentrate derived from the patient's blood that comprises predominantly platelets. Numerous growth factors are present within platelet granules. The growth factors found in these blood components stimulate cell proliferation and differentiation leading to increased hair growth and increased collagen production. PRP was identified as having a beneficial effect on bone grafting with applications in oral and maxillofacial surgery, orthopedic and cardiac surgery over ten years ago. More recently, increasing interest is seen in the application of PRP in dermatology, for example, tissue regeneration; wound healing and fat grafting. It has also been shown to promote hair survival and growth, both in vitro and in vivo.





Dermaplaning uses a sterile medical blade to gently scrape away the superficial layers of dead skin cells. The benefits are much smoother skin – makeup will go on like never before and look flawless; removal of soft facial hair that traps dirt and oil in turn promoting better skin health. Skincare products or other treatments are more effective as products are able to penetrate the skin more deeply. Dermaplaning helps with fine lines and wrinkles, dull, tired skin and blocked pores.

Fractional co2 laser resurfacing


Fractional or “pixilated” carbon dioxide (CO2) lasers are one of the latest advances in non-surgical skin rejuvenation treatments. The CO2 laser has the longest wavelength of all the lasers on the market and can be used safely on darker skin types with appropriate adjustments in the settings.

Fractional CO2 lasers excel at treating deeper wrinkles, more severe textural changes from sun damage, wrinkles, blotchiness, acne scars, and surgical or traumatic scars. It can be used on the delicate skin, such as eyelids and around the mouth. It is also a very effective treatment for sun damage and precancerous growths.



Sclerotherapy effectively treats reticular and spider veins. It's often considered the treatment of choice for small spider and reticular veins.

Sclerotherapy involves injecting a solution directly into the vein. The sclerotherapy solution causes the vein to scar, forcing blood to reroute through healthier veins. The collapsed vein is reabsorbed into local tissue and eventually fades.

After sclerotherapy, treated veins tend to fade within a few weeks, although occasionally it may take a month or more to see the full results. In some instances, several sclerotherapy treatments may be needed.


8250 Kenwood Crossing Way Ste 201

(Next Direct Primary Care)

Cincinnati, OH 45236

Tel: 888-926-6398

Fax: 1-888-420-3481

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