Two women lying on the grass, facing each other and smiling, with one resting her head on the other's shoulder.

Hormone Optimization

What is Hormone Optimization?

Hormone optimization is a science-based, personalized approach to balancing the hormones that regulate your mood, metabolism, energy, skin, sleep, libido, and more. At Kaluminous, we specialize in helping women make sense of their symptoms, whether you’re dealing with perimenopause, PCOS, PMDD, or menopause, or simply not feeling like yourself.

We use bioidentical hormone replacement therapy (BHRT), advanced lab testing, and tailored treatment plans to support your body in finding its natural rhythm again. Hormone optimization goes beyond “replacement.” It means restoring your body to a personalized, functional hormonal balance — so you can feel like yourself again, not just “normal on paper.

Hormones are the body’s messengers, impacting everything from mood and metabolism to libido, energy, and skin. When they're out of balance, you feel it. Whether you're in your 40s and feeling "off," entering perimenopause, or deep into menopause, we’re here to help you reconnect with your body and feel like yourself again.

A field of pink and blush-colored cosmos flowers under a bright sky.

Personalized Care

During your personalized virtual visit, we take time to explore your full health picture, including symptoms, labs, and lifestyle factors to determine whether hormone therapy is the safest and most effective option for you. Our care is rooted in evidence-based protocols, but always guided by how you feel, not just lab numbers. You’ll never be rushed or overlooked. Instead, we partner with you every step of the way to ensure your treatment is as unique as you are.

Common Conditions

Two women practicing meditation, seated cross-legged on yoga mats with eyes closed, in a bright, minimalist room.

Peri|Menopause

Perimenopause can start as early as your late 30s and last up to 10 years. Menopause is the natural decline of estrogen, progesterone, and testosterone production in women, typically occurring between ages 45–55.

    • Fatigue and brain fog

    • Irregular or absent periods

    • Weight gain or bloating

    • Night sweats or hot flashes

    • Low libido or vaginal dryness

    • Anxiety, depression, or irritability

    • Hair thinning or dry skin

    • Bioidentical hormone prescriptions (patches, troches, creams, or orals)

    • Local vaginal estrogen for dryness or discomfort

    • Natural supplements

    • Lifestyle coaching, sleep hygiene

    It’s not just about hot flashes — it can affect mood, sleep, weight, bone health, and libido

Group of five smiling women of diverse ethnicities closely gathered in a friendly pose.

Polycystic Ovary Syndrome

PCOS is a hormonal condition characterized by irregular ovulation, insulin resistance, and elevated androgens. It affects up to 1 in 10 women of reproductive age.

    • Irregular or absent periods

    • Acne or oily skin

    • Weight gain (especially abdominal)

    • Excess hair growth (hirsutism)

    • Difficulty getting pregnant

    • Fatigue or mood change

    • Nutrition coaching and insulin-stabilizing diet

    • Natural support

    • BHRT if needed for cycle support

    • Stress management and movement

Women lying on a couch, clutching her stomach, appears to be in pain or discomfort.

PMS | PMDD

PMS is a group of physical and emotional symptoms that occur in the luteal phase. PMDD is a more severe, hormone-sensitive mood disorder.

    • Irritability, anger, or sadness

    • Bloating, breast tenderness

    • Fatigue, cravings, sleep disturbance

    • Anxiety or depression

    • Natural options

    • BHRT if hormone deficiency is diagnosed

    • Mood support during luteal phase

    • Discuss cycle tracking and stress reduction

Memberships Available

〰️

Memberships Available 〰️

A woman with long blonde hair sitting on a round textured cream-colored stool, holding and looking at a tablet, smiling. Behind her is a wall with a large, colorful abstract art piece, and on a ledge is a closed laptop and a mirror.

Virtual Hormone Care

We don’t do rushed 10-minute visits. Your first hormone consult is at least 30 minutes long with some being an hour. We review your full history, symptoms, lifestyle, and goals. Our providers work closely with you to create a custom hormone optimization plan with natural and medical options.

✔ Comprehensive lab panels (drawn locally or have a phlebotomist come to you)

✔ Options: Creams, Gels, Patches, Vaginal Creams

✔ Supplement + lifestyle guidance included

✔ Available statewide across Florida via secure video visits

How It Works

  • Book Online

    Schedule your consultation to discuss your symptoms, health goals, and learn whether hormone optimization is right for you. Booking is simple and done entirely online.

  • Complete Forms

    After booking, you’ll receive your medical forms and consents via email. These help us screen for eligibility and ensure your treatment is both safe and effective.

  • Attend Virtual Visit

    Join your provider for a secure video consultation through our patient portal. We’ll review your symptoms, health history, and treatment options in detail.

  • Get Labs Done

    Depending on your symptoms and history, labs may be required. You can use your preferred local lab, or we’ll help you coordinate mobile phlebotomy if needed.

  • Start Your Plan

    Your provider will create a customized plan just for you. Medications are shipped directly to your door, and ongoing support is available through your portal.

✺ Frequently Asked Questions ✺

  • Yes, many women have hormone levels within the “normal range” but still suffer from classic hormone imbalance symptoms like fatigue, weight gain, brain fog, and low libido. Most lab reference ranges are based on a wide population (including women of different ages and health statuses), not on optimal or functional levels for symptom relief. At Kaluminous, we combine labs with your symptoms, cycle history, and goals to personalize your BHRT plan, not just chase numbers.

  • BHRT uses bioidentical hormones that are structurally identical to what your body naturally produces. They’re typically safer, better tolerated, and more customizable than synthetic versions found in traditional HRT.

  • Yes. Many women benefit from BHRT in their late 30s or 40s when progesterone begins to drop, even if they’re still cycling. It can ease PMS, anxiety, fatigue, and irregular bleeding before menopause fully sets in.

  • No — this is a common myth. In fact, properly balanced hormones can help reduce fat storage, improve metabolism, and curb cravings. Estrogen, progesterone, and testosterone all play key roles in weight regulation.

  • Many women feel improvements in sleep, mood, and energy within 2–4 weeks, but full results can take 8–12 weeks as your body adapts and reaches a new balance. Adjustments are made as needed to find the right sweet spot.

  • Options include creams, patches, oral capsules, sublingual tablets, vaginal suppositories, and pellets. Your treatment is customized based on your symptoms, lifestyle, and absorption needs.

  • No, this is one of the most misunderstood myths about hormone therapy. The belief that all hormone therapy increases breast cancer risk comes from the 2002 WHI (Women’s Health Initiative) study — but that study used synthetic hormones (Premarin and Progestin), not bioidentical hormones.

    Recent, higher-quality studies show that bioidentical estrogen (especially transdermal) and micronized progesterone do not increase breast cancer risk, and may even offer protective benefits when used correctly.

    At Kaluminous, your care is based on evidence, not fear, and your risk factors are always assessed before treatment begins.

Not Sure What You Need?

Take our quick Hormone Symptom Quiz to see if you may benefit from BHRT or hormone support.