What is BHRT or Bio-Identical Hormone Replacement Therapy?

Bio-identical hormone replacement therapy (also known as natural hormone replacement therapy) is the treatment of depleted and imbalanced hormone levels in both women and men through the use of bio-identical hormones (as opposed to synthetic hormones). Bioidentical hormones have a molecular structure that is exactly the same as that of hormones produced by our bodies, which makes them biologically identical. Because bio-identical hormones are identical to those produced by the human body they offer valuable therapeutic advantages, and relief, from the symptoms of hormonal imbalance.

Our Hormone Optimization Program

Using a model of professional collaboration and care, Optimal Wellness Niagara is dedicated to support men and women through times of hormonal trouble.  A variety of integrated health services is used, designed to both replenish hormone levels, and help your body maintain its own proper balance.

Together with training and certification in advanced hormone balancing, our doctors use a whole person approach to address your hormone imbalance. Blood (or saliva) hormone level testing helps to understand the root of your symptoms, as well as develop a personalized and comprehensive treatment program. Dr. Tripodi, Naturopath, works collaboratively with the prescribing Medical Doctor, Dr. Burk-Vassallo, to ensure that each patient’s prescription is customized to their individual needs. All prescriptions are made by a high quality, compounding pharmacy.

Hormone Support For Women


This is a gradual process that happens when a woman’s ovaries make less estrogen and progesterone and her lifetime supply of eggs is depleted. A woman is considered to have reached menopause when she hasn’t menstruated for 12 months. Natural menopause typically occurs between ages 41 and 59.

Common symptoms of menopause: hot flashes, flushes, night sweats and/or cold flashes, clammy feeling, irritability, mood swings, sudden tears, trouble sleeping through the night, loss of libido, crashing fatigue, anxiety, depression and more.


This is the period of transition leading up to natural menopause during which the body undergoes changes resulting from declining ovarian hormone production. It is common for perimenopause to last from 4 to 6 years.

Common symptoms of perimenopause: irregular menstrual periods, hot flashes, vaginal dryness, insomnia, and mood swings.

Hormone Support For Men


This is the gradual process that happens when a man’s testes make less testosterone. Natural andropause typically occurs between ages of 45 and 55.

Common symptoms of andropause: changes in attitude and mood, weight gain, fatigue, loss or lowered sex drive, reduced physical agility and more. It is a phenomenon similar to the female menopause.

Hormone Support For Both Women and Men

Thyroid Imbalance

An imbalance of your thyroid hormone can affect nearly every function of your body. The thyroid gland is your body’s metabolic regulator. Thyroid hormones control the metabolism of carbohydrate, protein, and fat, along with a plethora of functions such as digestion, muscle and nerve activities, blood flow, hormone elimination, oxygen utilization, brain and sexual function.

Common symptoms of an underactive thyroid gland: feeling tired or sluggish, feeling cold hands and feet, easy weight gain, difficult or infrequent bowel movements, depression and lack of motivation, morning headaches that wear off as the day progresses, thinning outer third of eyebrow, thinning of hair on scalp, face, or genitals, or excessive hair loss, dryness of skin and/or scalp, mental sluggishness, and more.

Common symptoms of an overactive thyroid gland: heart palpitations, inner trembling, increased pulse rate even at rest, feeling nervous and emotional, insomnia, night sweats, difficulty gaining weight, and more.

Weight Loss

Multi system hormone irregularity is often the underlying cause of weight loss difficulties. Our body composition is greatly dependent on maintaining healthy hormone balance, as well as a healthy digestive system, a balanced diet and an active lifestyle.

Adrenal Fatigue

Adrenal fatigue is a stress-induced state characterized by a set of common symptoms that indicate decreased function of the adrenal glands. This condition is also known as hypoadrenia, adrenal exhaustion, adrenal insufficiency, adrenal gland fatigue, adrenal chronic fatigue, and non-Addison’s hypoadrenia. Adrenal Fatigue can affect every organ and system in your body.

Common symptoms of dysregulated adrenal glands: reduced capacity to handle stressful events, allergies, decreased cold tolerance, unexplained fears or anxieties, feeling unwell most of the time, restless or shaking hands and legs, reduced productivity, and more.

We encourage you to phone (905-988-9009) or email us to schedule an initial consultation to begin your program, or to learn more about this program with a no-cost, mini consult with one of our doctors.