Bioidentical Hormone Optimization/Peptide Therapy

Restore Balance. Renew Vitality.

Hormones play a vital role in nearly every aspect of health — from energy, mood, and sleep, to metabolism, sexual wellness, and cognitive function. When hormones fall out of balance, whether from aging, stress, or other underlying conditions, you may not feel like yourself.

Bioidentical Hormone Optimization is a safe and effective approach to restoring balance. Unlike synthetic hormones, bioidentical hormones are chemically identical to the ones your body naturally produces. This means your body recognizes them as its own, allowing for more natural results and fewer side effects.

Peptide Therapy: A Targeted Approach to Healing and Optimization

Peptides are short chains of amino acids — the same building blocks that make up proteins in the body. They act as biological signaling molecules, helping cells communicate and carry out specific functions such as repair, metabolism, immune response, and hormone regulation.

In clinical practice, peptide therapy is used to support and restore natural physiologic processes that may decline with age, stress, illness, or chronic inflammation.

What Can Peptide Therapy Help With?

Depending on the specific peptide used, therapy may support:

  • Tissue repair and recovery from injury

  • Joint and musculoskeletal health

  • Gut integrity and digestive function

  • Immune system balance

  • Energy, stamina, and exercise recovery

  • Metabolic function and body composition

  • Sleep quality and cognitive clarity

Each treatment plan is individualized, based on your symptoms, medical history, and clinical goals.

How Does It Work?

Unlike medications that override normal physiology, peptides work by gently signaling your body to do what it is already designed to do — but more efficiently.

For example:

  • Some peptides support growth hormone signaling and recovery

  • Others help regulate inflammation or tissue healing

  • Some target gut lining repair or immune modulation

What to Expect

Peptides are typically administered as subcutaneous (under the skin) injections, though some are available in oral or topical forms.

  • Treatments are usually done in cycles

  • Many patients self-administer at home after proper instruction

  • Effects are often gradual and build over time

Safety & Considerations

Peptide therapy is generally well tolerated when used appropriately, but it is important to understand:

  • Many peptides are used off-label

  • They are often sourced from licensed compounding pharmacies

  • Treatment requires proper medical evaluation and monitoring

At Mary-Beth Charno, NP, PLLC Integrative Medicine, peptide therapy is approached with a strong emphasis on clinical appropriateness, safety, and individualized care.

BHRT Optimization

Who Can Benefit?

Hormone imbalance can affect both women and men, often beginning in the mid-30s to 40s, but sometimes earlier. Common symptoms include:

  • Fatigue or low energy

  • Weight gain or difficulty losing weight

  • Brain fog or memory issues

  • Mood swings, irritability, anxiety, or depression

  • Low libido or sexual dysfunction

  • Hot flashes, night sweats, or sleep disturbances

  • Loss of muscle mass or increased body fat

  • Thinning hair or changes in skin tone

If you recognize yourself in these symptoms, hormone optimization may help you regain balance.

My Approach

I use an integrative and functional medicine perspective to evaluate and restore hormone health.  This means we look at the whole person, not just lab numbers. Your care includes:

  • Comprehensive assessment of your health history, symptoms, and lifestyle

  • Advanced lab testing to evaluate hormone levels and related markers

  • Personalized treatment plan, which may include bioidentical hormones alongside nutrition, lifestyle, and botanical therapies

  • Ongoing monitoring to ensure your plan continues to meet your needs safely and effectively

The goal is not just symptom relief, but true optimization — helping you feel well, age vibrantly, and maintain resilience for the long term.

Why Bioidentical Hormones?

  • Natural match: Identical in structure to your body’s own hormones

  • Individualized dosing: Tailored to your unique needs and metabolism

  • Evidence-based: Supported by decades of clinical use and research

  • Holistic integration: Works alongside lifestyle and functional approaches for optimal health

Let’s Work Together

I offer bioidentical hormone optimization for both women (late perimenopause, menopause and post menopausal) and men seeking a more natural, personalized approach to hormone balance. Together, we’ll design a plan that supports your energy, mood, and longevity — so you can thrive at every stage of life.

Initial Hormone/Peptide Consultation – $300 (45 minutes)

Includes a comprehensive review of your medical history and intake forms, along with ordering of initial hormone laboratory testing.

Follow-Up Visits – $250 (30–40 minutes)

Typically scheduled 2–3 weeks after the initial consult to review laboratory results. This visit may include:

  • Initiation and prescribing of bioidentical hormone replacement therapy (BHRT)

  • Peptide therapy, GLP therapy, if indicated and being utilized

  • Targeted supplement recommendations

WORK WITH ME