When hormonal imbalances leave you feeling exhausted, foggy, or unlike yourself, bioidentical hormone replacement therapy can help restore the energy and wellness you deserve.
Hormonal changes do not happen overnight, but their effects can feel sudden and overwhelming. You might notice your energy plummeting in the afternoon, sleep becoming restless, mood seeming more erratic, or your metabolism slowing down despite maintaining the same habits. Physiologically, you may be losing bone density, seeing your glucose and hemoglobin A1C rising, and watching blood pressure and cholesterol levels increase. These changes often begin in your 30s and 40s as your body's natural hormone production starts to decline.
For women, perimenopause and menopause create dramatic shifts in estrogen, progesterone, and testosterone. Men experience their own version of hormonal decline as testosterone levels gradually decrease with age. Your endocrine system, which includes your thyroid, adrenals, and reproductive organs, works like a finely tuned orchestra. When one hormone falls out of sync, it affects the entire symphony.
Bioidentical hormone replacement therapy helps restore this natural harmony by providing your body with hormones that are molecularly identical to what it produces naturally. Unlike artificial synthetic hormones, bioidentical hormones integrate seamlessly with your body's existing systems, supporting optimal function rather than overriding it.
Many patients begin noticing improvements within the first few weeks of starting bioidentical hormone therapy, though optimal results typically develop over three to six months as your body adjusts to its restored hormonal balance. Energy levels often improve first, followed by better sleep quality and mood stabilization. Physical symptoms like hot flashes, night sweats, or low libido generally resolve gradually as hormone levels reach their optimal ranges.
Many patients find they are able to reduce or even discontinue prescription medications such as anti-depressants, anti-anxiety medications, anti-inflammatories, headache prescriptions, blood pressure medications, sleep aids, bone-building medications, antacids, and cholesterol pharmaceuticals. Of course, this is done through the close supervision of our expert clinicians.
Hormone replacement therapy is not a one-size-fits-all solution, which is why our approach focuses on finding the precise combination and dosing that works best for your individual physiology. Most patients find that once their hormones are properly balanced, they feel more like themselves than they have in years, with sustained energy, mental clarity, and overall vitality that supports an active, vibrant lifestyle.
At Besana Health and Wellness, hormone replacement therapy is about more than symptom management. It is designed to support your overall wellness by addressing hormonal imbalances from the inside out. Our experienced nurse practitioners and physician assistants provide comprehensive, personalized care, using a collaborative approach informed by Dr. Tanya Atagi’s medical expertise and the latest evidence-based practices in hormonal health.
We use only high-quality bioidentical hormones and state-of-the-art testing to ensure precise, safe treatment protocols. Our integrative and functional approach means we do not just replace hormones. We help you optimize your entire metabolic health through nutrition support, lifestyle guidance, and complementary wellness services.
Located in Lone Tree's RidgeGate area on the Sky Ridge Medical Center campus, we serve patients throughout Douglas County, the greater Denver metro area, and beyond who are seeking root-cause solutions to hormonal imbalance. Our commitment to preventive, holistic care means we partner with you for the long term, supporting your wellness journey with the clinical expertise and personalized attention you deserve.

Schedule a consultation to discuss your hormone optimization journey with our physician-led team in Lone Tree, Colorado.
Women in perimenopause or menopause often find relief from hot flashes, night sweats, mood changes, and decreased libido through carefully calibrated estrogen and progesterone replacement. Many discover that symptoms they attributed to aging or stress were actually related to declining hormone levels. BHRT helps restore the hormonal balance that supports energy, bone density, cardiovascular health, and overall vitality throughout every stage of life.
Men with low testosterone may experience renewed energy, improved muscle mass, better sleep quality, and enhanced mental clarity through physician-supervised testosterone optimization. Andropause is real, and its effects on energy, mood, weight, and sexual health are treatable. Bioidentical hormone therapy for men is individually dosed and carefully monitored to restore optimal levels safely and effectively.
Hormonal imbalance is not limited to reproductive hormones or older adults. Patients of all ages can benefit when thyroid dysfunction, adrenal fatigue, or other endocrine issues are properly addressed through integrative hormone therapy.


Detailed lab testing and a thorough evaluation of your symptoms, medical history, and wellness goals establish your baseline. Testing typically includes estrogen, testosterone, thyroid hormones, and other relevant markers based on your symptoms.

Based on your unique results, a personalized bioidentical hormone therapy protocol is designed to match your specific needs and preferences. BHRT can be administered as pellets, creams, or other forms depending on your situation. Nutrient supplements such as DIM, K2D3, B12, and Omega 3 are often recommended to complement your hormone therapy.

Regular follow-up visits and lab work ensure your hormone levels remain optimized as your body responds and adapts to treatment. Initially, follow-up visits occur every 4 to 6 weeks. Once levels are stable, appointments typically occur every 3 to 6 months.

Hormone therapy is supported with nutrition guidance, stress management strategies, and other wellness approaches for comprehensive results that extend beyond the treatment itself.
The hot flashes, mood shifts, and sleep disruption that come with hormone imbalance are real and worth treating. But they are only the visible symptoms of a deeper physiological shift. Left unaddressed, hormonal imbalance over time increases the risk of bone loss, cardiovascular disease, and cognitive decline including dementia. At Besana, we treat how you feel today and protect your health for the decades ahead.

Optimize thyroid function for better energy, metabolism, and overall hormonal balance through comprehensive testing and personalized treatment.
Advanced diagnostic testing to uncover the root causes of hormonal imbalances and guide personalized treatment plans.
Physician-supervised metabolic support that addresses the hormonal factors affecting weight management and body composition.
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Marjorie Engle RealtorTrustindex verifies that the original source of the review is Google.
I can’t say enough good things about Besana Wellness. Dr. Atagi did my breast explant and she is compassionate, detailed, and actually listens. You don’t feel like a number here. Every visit feels thoughtful and unrushed. Heather has been managing my HRT for over two years since I started menopause early. She truly knows me, remembers my life, checks in on me, and genuinely cares. Thanks to her, I feel like myself again. This level of care is rare and I’m so grateful I found this practice. If I could give more starts to her, I would.Posted on Google![]()
D.Trustindex verifies that the original source of the review is Google.
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Michael StrongTrustindex verifies that the original source of the review is Google.
I can’t say enough good things about this place. The staff is always so helpful and friendly, and Susan is an absolute rock star. Her focus is 100% on what’s best for me, for my situation and for my well being. I love how it’s not only about what I could be doing to look and feel better, but she always educates me on the why as well. I’d give 10 stars if I could.Posted on Google![]()
Natashia PowerTrustindex verifies that the original source of the review is Google.
Hormone replacement therapy can help with a wide range of symptoms including fatigue, mood changes, hot flashes, night sweats, sleep disruption, low libido, weight gain, brain fog, and muscle loss. These symptoms often result from declining hormone levels during perimenopause, menopause, or age-related testosterone decline in men.
Bioidentical hormones are molecularly identical to the hormones your body naturally produces, while artificial synthetic hormones have different molecular structures. This means bioidentical hormones integrate more naturally with your body's systems and typically have fewer side effects than synthetic alternatives.
Most patients begin noticing improvements from bioidentical hormone therapy within the first few weeks, with optimal results typically developing over three to six months. Energy levels and sleep quality often improve first, followed by mood stabilization and resolution of physical symptoms like hot flashes or low libido. The timeline varies based on individual factors including hormone levels, overall health, and specific symptoms being addressed.
When properly prescribed and monitored by qualified healthcare providers, bioidentical hormone therapy is considered safe for most appropriate candidates. Safety depends on thorough initial evaluation, personalized dosing, regular monitoring through lab work and follow-up visits, and using high-quality bioidentical hormones from reputable sources. Physician-supervised care ensures careful oversight throughout the entire treatment journey.
Yes, men can significantly benefit from hormone replacement therapy, particularly testosterone replacement for age-related decline or clinically low testosterone levels. Male hormone therapy can improve energy, muscle mass, bone density, mood, cognitive function, and sexual health when appropriately prescribed and monitored.
Comprehensive hormone panels typically include testing for estrogen, testosterone, thyroid hormones (TSH, Free T3, Free T4), and other relevant markers based on your symptoms. Additional tests may include complete metabolic panels, lipid profiles, and specific markers to ensure safe treatment initiation.
Ready to restore your natural vitality? Schedule a consultation with our hormone therapy experts at Besana Health and Wellness. We are a private pay practice dedicated to providing you the time and attention your wellness deserves.
