Bioidentical Hormone Therapy at Vance Medical

If you’ve been feeling persistently tired, foggy, moody, or just not like yourself — and you’ve been told your labs are ‘normal’ — your hormones may be telling a different story. Declining or imbalanced hormones affect virtually every system in the body, and the symptoms are often dismissed as ‘just getting older.’ At Vance Medical, we don’t accept that.

Dr. Vance understands the very real health risks associated with suboptimal hormone levels — including increased risk of heart disease, stroke, Alzheimer’s disease, osteoporosis, and fractures. His approach is backed by the latest peer-reviewed research, and his goal is to help men and women not just feel better today, but age healthier for years to come.

Schedule Your Hormone Evaluation — Call Vance Medical Today

1001 N. Meridian Rd · Meridian, ID 83642 · Tue–Thu 9am–5pm

Are You Experiencing Hormone Imbalance?

The following symptoms may indicate declining or imbalanced hormone levels in both men and women:

Persistent fatigue and low energy

Weight gain — especially around the midsection

Brain fog, poor concentration, or memory issues

Low libido or sexual dysfunction

Mood changes, irritability, or depression

Poor sleep or insomnia

Hot flashes or night sweats (women)

Decreased muscle mass or strength (men)

Hair thinning or loss

Dry skin

Anxiety or unexplained emotional changes

Reduced motivation or drive

Why Bioidentical — Not Synthetic?

Bioidentical hormones are derived from plant sources and are molecularly identical to the hormones naturally produced by the human body. Unlike synthetic, pharmaceutical hormones — which are patented modifications that differ structurally from your own hormones — bioidentical hormones are recognized and metabolized by the body exactly as natural hormones are.

At Vance Medical, we use only bioidentical methods. This approach eliminates many of the side effects and risks associated with synthetic hormone therapy, while delivering the genuine biological benefit of optimized hormone levels.

Our Hormone Therapy Options

We specialize in conditions that conventional medicine often struggles to fully resolve — chronic pain, complex illness, hormonal imbalance, and mental health. Every treatment plan is individualized to you.

Hormone Pellet Therapy

Pellet therapy is one of the most convenient and consistent ways to deliver bioidentical hormones. Tiny, custom-compounded pellets — about the size of a grain of rice — are inserted just beneath the skin in a quick, simple in-office procedure. Once inserted, pellets dissolve gradually and release hormones consistently over three to five months, eliminating the peaks and troughs that occur with other delivery methods. Because pellets are custom-compounded to your specific hormone needs, each patient receives exactly the dose their body requires — no guesswork, no daily medication.

Oral Bioidentical Hormone Replacement Therapy (BHRT)

Bioidentical hormones are plant-derived and identical in molecular structure to the hormones naturally found in the human body. For patients who prefer oral administration, they can be prescribed in custom-compounded capsule form. Oral BHRT is taken daily and can be adjusted easily as your levels change over time, offering a flexible delivery method to suit your lifestyle. BHRT can help balance low hormone levels, improve energy, and support long-term health.

Topical Bioidentical Hormone Therapy

Topical bioidentical hormones are applied to the skin as a cream or gel, where they are absorbed directly into the bloodstream. This method avoids first-pass liver metabolism and allows for easy dose adjustments. Many patients prefer topical delivery for its simplicity and flexibility.

Testosterone Replacement Therapy (TRT) for Men

Low testosterone affects a significant portion of men over 40 — often causing fatigue, low libido, decreased muscle mass, mood changes, and cognitive decline. Vance Medical offers comprehensive testosterone evaluation and bioidentical TRT for men, with ongoing monitoring to ensure levels remain optimized safely.

The Process at Vance Medical

The following symptoms may indicate declining or imbalanced hormone levels in both men and women:

Comprehensive Hormone Panel

We begin with a thorough blood draw that evaluates your full hormone profile — including testosterone, estrogen, progesterone, DHEA, cortisol, thyroid hormones, and others as indicated. This gives us a precise, complete picture of where your levels stand.

Personalized Protocol Design

Based on your lab results, symptoms, health history, and goals, Dr. Vance designs a fully individualized hormone replacement protocol. No two patients receive the same protocol — because no two patients are the same.

Treatment & Monitoring

Once treatment begins, we monitor your response at regular intervals, adjusting doses as needed to keep your hormone levels consistently in the optimal range. Our goal is not just to bring you within ‘normal’ limits — it’s to optimize your levels for how you feel and function.

Conditions & Symptoms We Address

Menopause and perimenopause
Andropause (male hormone decline)
Adrenal fatigue and cortisol imbalance
Thyroid dysfunction (see also: Wilson’s Syndrome)
Low testosterone in men and women
Estrogen dominance
Progesterone deficiency
Hormone-related depression and anxiety
Post-hysterectomy hormone needs

Frequently Asked Questions

Are bioidentical hormones safe?

Bioidentical hormones have an excellent safety profile when properly prescribed, monitored, and adjusted. Because they are molecularly identical to your body’s own hormones, they are metabolized naturally. Dr. Vance monitors all hormone patients regularly to ensure levels remain in the optimal and safe range.

Is This Backed by Research?

Yes — this approach is informed by the latest research published in peer-reviewed journals, and includes a full hormone panel evaluation to ensure treatment is based on your specific levels, not a generalized protocol.

How Is This Different from Synthetic Hormones?

Bioidentical hormones are derived from plant sources and are molecularly matched to your body’s own hormone structure. Synthetic hormones, by contrast, are drugs that differ in structure and frequently carry different risks and side effects. Bioidentical hormones tend to have a much higher safety profile.

How Does Pellet Therapy Work?

Small pellets are inserted under the skin in a minor in-office procedure. They dissolve gradually over 3–5 months, releasing hormones at a constant rate that mirrors the body’s natural production — eliminating the peaks and valleys of other delivery methods.

How long until I feel results from hormone therapy?

Most patients begin noticing improvement in energy, sleep, and mood within two to four weeks. Full optimization — including body composition improvements and cognitive benefits — typically takes three to six months of consistent treatment.

Do you treat men as well as women?

Yes. Hormone optimization is equally important for men. We provide comprehensive testosterone and hormone evaluation for male patients alongside our services for women.

What is the difference between pellets and other hormone delivery methods?

Pellets provide the most consistent hormone delivery — releasing a steady stream of hormones over three to five months without the peaks and troughs of daily oral or topical methods. However, all three delivery methods are effective, and the best choice depends on your individual lifestyle and preference.

Is a referral needed to see Dr. Vance for hormones?

No referral is required. Contact our office directly to schedule a new patient hormone evaluation.

Ready to Feel Like Yourself Again? Call Vance Medical to Schedule Your Hormone Evaluation