Bioidentical Hormone Therapy (BHRT) Compounding in Central Florida

Pharmique Pharmacy provides customized bioidentical hormone therapy (BHRT) compounding services for patients throughout Central Florida. Our licensed pharmacists work directly with healthcare providers to prepare personalized hormone formulations tailored to each patient's individual prescription requirements.

Hormone balance plays a vital role in overall health and well-being. When your healthcare provider determines that hormone therapy may benefit you, compounding offers the flexibility to create formulations specifically designed for your unique needs. That is not always possible with commercially manufactured medications.

What Are Bioidentical Hormones?

Bioidentical hormones are compounds that are chemically identical to the hormones naturally produced by the human body. The term "bioidentical" refers to the molecular structure of the hormone, which matches what your body produces naturally.

Common bioidentical hormones prepared at compounding pharmacies include:

  • Estradiol: The primary form of estrogen in the body
  • Estriol: A weaker form of estrogen
  • Progesterone: Essential for reproductive health and hormonal balance
  • Testosterone: Important for both men and women
  • DHEA (Dehydroepiandrosterone): A precursor hormone
  • Pregnenolone: A precursor to other hormones
  • Thyroid hormones: T3, T4, and combinations

How BHRT Compounding Works

The Personalization Advantage

Unlike commercially manufactured hormones that come in standardized doses, compounded bioidentical hormones can be prepared in:

Custom Strengths

Your provider can prescribe exact dosages based on your laboratory results and symptoms, allowing for precise adjustments that may not be available in commercial products.

Multiple Delivery Methods

Topical creams and gels, sublingual troches or drops, capsules, vaginal preparations, and transdermal preparations.

Combination Formulations

When appropriate, multiple hormones can be combined into a single preparation, potentially simplifying your regimen as determined by your healthcare provider.

Hormone Pellets

We provide hormone pellet therapy when prescribed by your healthcare provider.

Who May Benefit From BHRT

Your healthcare provider may consider bioidentical hormone therapy for various situations:

For Women

Perimenopause and Menopause Support: As women approach and enter menopause, natural hormone production changes significantly.

Hormonal Imbalance: Various conditions can affect hormone levels.

Post-Hysterectomy Care: Women who have undergone hysterectomy may require hormone support.

For Men

Age-Related Hormone Changes: As men age, testosterone levels naturally decline.

Hormonal Evaluation: Men experiencing symptoms that may be related to hormone levels should consult with their healthcare provider for proper evaluation and testing.

Hormone Testing and Pharmacist Consultation

Hormone testing gives your prescriber a baseline to work from. Pharmique Pharmacy can supply a testing kit you complete at home and return to the laboratory in the pre-paid mailer provided. The laboratory issues a report, and one of our pharmacists can then go through it with you.

Hormone Testing Kits

We can supply a hormone testing kit for you to complete at home. Return it to the laboratory in the pre-paid mailer included with the kit, and the laboratory issues a report on your results.

Certified BHRT Consultant Pharmacist

Our certified BHRT consultant pharmacist can go through the report with you and explain what it covers. Diagnosis and treatment decisions remain with your prescriber.

Working With Your Doctor

Our pharmacist works directly with your doctor on dosing, covering dosage forms, strengths and excipient restrictions alongside your results. Your prescriber writes the prescription and sets the monitoring schedule, and we prepare what is written.

Our BHRT Compounding Services

Formulations We Prepare

Topical Preparations

Creams and gels applied to the skin allow hormones to absorb transdermally.

Sublingual Troches

Small lozenges that dissolve under the tongue for alternative to topical application.

Oral Capsules

Traditional capsules in custom strengths for hormones appropriate for oral administration.

Vaginal Preparations

Localized preparations compounded as prescribed by healthcare providers.

Quality Standards

  • Pharmaceutical-Grade Ingredients: We source bioidentical hormones from verified, reputable suppliers
  • USP Compliance: Our compounding follows United States Pharmacopeia guidelines
  • Proper Storage: Hormone preparations are stored according to stability requirements
  • Accurate Compounding: Every prescription is carefully measured and prepared
  • Documentation: Complete records maintained for regulatory compliance

Related Compounding Services

Hormone preparations are not the only patient-specific strengths we compound. If your prescriber has also written for thyroid medication, thyroid compounding sets out the T3, T4 and combination formulations we prepare. Everything else we make is listed on our compounding services page.

Hormone preparations are compounded at our Lake Mary pharmacy for patients across Seminole County, Orange County and the rest of Central Florida; the communities we serve are listed on our areas we serve from Lake Mary page.

Frequently Asked Questions

Local prescription delivery is free, and we ship statewide anywhere in Florida.

Bioidentical hormones have the same molecular structure as hormones produced naturally by your body. Synthetic hormones have different molecular structures. Your healthcare provider can discuss which type may be most appropriate for your situation.

Most healthcare providers require comprehensive hormone testing before prescribing BHRT. Testing helps establish baseline levels and guides treatment decisions. Your provider will determine what testing is needed.

Response to hormone therapy varies significantly between individuals. Some patients notice changes within weeks, while others may take several months. Your healthcare provider can discuss realistic expectations based on your specific situation.

Yes, men may be prescribed bioidentical hormones, particularly testosterone, when clinically indicated. Your healthcare provider will determine if hormone therapy is appropriate through proper evaluation and testing.

Compounded medications, including bioidentical hormones, are not FDA-approved. They are prepared by licensed pharmacies pursuant to individual prescriptions from licensed healthcare providers. Your provider can discuss the considerations involved in choosing compounded versus commercially manufactured hormones.

They are produced in a laboratory, most often starting from plant sterols found in soy or wild yam, and then converted into hormones molecularly identical to the ones the body makes. The plant origin is why they are sometimes described as natural, but the finished hormone is a pharmaceutical ingredient, not a herbal extract.

There is no single best form; it depends on which hormone, what dose, and how your body handles it, and your prescriber chooses. Broadly: creams and gels are applied to the skin, troches dissolve in the mouth, capsules are swallowed, and vaginal preparations act locally. We prepare all of these and are glad to discuss the practical differences with your provider.

A troche is a small lozenge that dissolves in the mouth rather than being swallowed, usually held between the cheek and gum. Follow your label for how long to hold it and how often to use it. Do not chew or swallow it whole unless your prescriber tells you to, because that changes how the dose is absorbed.

Apply it where your prescriber directed, and yes, the location matters. Absorption differs between areas of skin, so changing where you apply it can change your effective dose. Rotate only within the area your provider specified, apply to clean dry skin, and wash your hands afterwards. If your label is unclear, call (407) 610-9090 before guessing.

Yes, and it is worth taking seriously. Skin-to-skin contact at the application site can transfer hormone to another person, including children, and to pets. Let the site dry fully, cover it with clothing, wash your hands after every application, and do not let anyone else touch the area. Ask your provider what applies to your specific preparation.

Bi-Est is a compounded combination of two estrogens, estradiol and estriol, in a ratio your prescriber specifies. A plain estradiol preparation contains one. Which is appropriate for you, and in what ratio, is entirely your prescriber's decision. We prepare what is written and do not recommend one over the other.

Mainly how often you use them and how steady the levels stay. A cream is applied on a schedule your prescriber sets, an injection is given at intervals, and a pellet is inserted by a provider and releases over a period of months. We compound creams and provide other forms on prescription. Which suits you is your prescriber's decision.

Either. Your prescriber can order hormone testing as part of your evaluation, and Pharmique can supply a testing kit you complete at home and return to the laboratory in a pre-paid mailer. The laboratory issues a report. One of our pharmacists can then go through that report with you and work with your doctor on dosing. Your prescriber writes the prescription.

We quote each prescription individually rather than publishing a price, because cost depends on which hormones, at what strengths, in which dosage form, and how much your prescriber ordered. A month of daily cream and a month of troches are not the same preparation. Call (407) 610-9090 with the details and we will price it before compounding.

Yes. Any licensed prescriber in Florida may write for compounded hormones; it does not require a special certification or a dedicated hormone clinic. Some primary care providers are comfortable doing so and others prefer to refer. If yours would like to discuss a formulation before writing it, our pharmacists take those calls on (407) 610-9090.

Call us on (407) 610-9090 and tell us roughly where you are. We work with providers across Seminole and Orange counties who prescribe compounded hormone therapy and can point you toward practices near you. We cannot recommend one clinically or book an appointment for you. The choice of provider is yours to make.

Contact Pharmique Pharmacy

Have questions about BHRT compounding?

(407) 610-9090
1210 S International Pkwy, Suite 166
Lake Mary, FL 32746
Mon-Fri: 9:00 AM - 5:00 PM
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Important Information

About Compounded Medications: Compounded bioidentical hormone preparations are made by our licensed pharmacy pursuant to a prescription from a licensed healthcare practitioner. Compounded medications are NOT FDA-approved. They have not undergone FDA review for safety, effectiveness, or quality.

Prescription Required: All hormone therapy medications require a valid prescription from a licensed healthcare provider. The decision to prescribe hormone therapy should be made by your healthcare provider based on comprehensive evaluation of your individual health situation.

Medical Supervision: Hormone therapy should only be used under the supervision of a qualified healthcare provider who can monitor your treatment, order appropriate testing, and make adjustments as needed.