
Estrogen drops roughly 60% by 40. Nobody tells you that.
Hormone replacement therapy tailored to your labs and your symptoms, not to an average. Restoring balance addresses sleep, mood, energy and body composition together.
- Treatment from $199/mo if prescribed
- Unlimited visits, no long-term contract

Not one symptom at a time. The system underneath them.
Sleep
Night waking, temperature swings and the sleep debt that makes everything else harder.
Mood and stability
Emotional volatility and the anxiety that often arrives with perimenopause.
Energy
The kind of fatigue that does not respond to more sleep or more caffeine.
Body composition
Weight distribution changing while your training and diet stay the same.
Menopause symptoms
Hot flushes, night sweats and the symptoms most often dismissed as inevitable.
Bone and muscle
Preserving density and lean mass, which matters more each decade after 40.
Libido
Addressed directly, as part of the protocol rather than an afterthought.
Not sure yet?
Start with your numbers. A full panel shows whether it is hormones, thyroid or metabolism.
See bloodwork
You weren’t supposed to just get used to it.
It starts with comprehensive bloodwork, then a personalized treatment plan under physician-guided care. Visits are unlimited and there is no long-term contract.
- A baseline hormone panel at any Quest location, with your consult: $149 (normally $249)
- A video visit with a licensed provider to go through your results
- A treatment plan built on your labs, from $199 a month if prescribed
- Adjustments as you go, with unlimited provider visits
Labs first. Then a plan that fits.
Order your panel
Buy your hormone panel online and get your blood drawn at any Quest location.
Meet your provider
Review your results with a licensed provider by video, along with your symptoms and goals.
Included in your consultStart your protocol
If HRT is right for you, your treatment ships to your door and your provider adjusts it as you go.
From $199/mo
Dr. Jim Bowen
Recently rated the #1 Longevity Physician in Florida, Dr. Bowen built the #1 rated longevity clinic in the world. Over a 40-year career he served as Chief of Staff of the United States Navy and personally tended to the Royal Family of the UAE during his time at the Mayo Clinic.
As the leading innovator in longevity medicine, Dr. Bowen oversees all 1,000 Apex MD physicians and is the lead programmer of Apex MD AI.
Frequently asked
Am I too young for HRT?
Hormonal decline starts well before menopause, and perimenopause commonly begins in the late thirties. Treatment is based on your labs and symptoms rather than your age.
What does the panel test?
Estradiol, progesterone, testosterone, FSH and thyroid, plus metabolic and inflammatory markers, so your provider can separate a hormone problem from a thyroid or metabolic one.
Can I combine HRT with a GLP-1 protocol?
Commonly, yes. Hormonal balance and metabolic health are closely linked, and many patients run both. Your provider designs the combined protocol.
How long until I feel different?
Sleep and mood often shift within the first few weeks. Body composition and energy typically take two to three months as your dose is refined. Results vary.
Am I locked into a contract?
No. Treatment is month to month, and you can adjust or stop with your provider at any time.
More from Apex MD.
Apex MD physicians treat weight, hormones, recovery and healthy aging for Misfits Fitness members. Pick what you want to change.

Feel like yourself again.
It starts with one blood draw. Order your hormone panel today.

