Dr. Kathleen Behr is thrilled to introduce bioidentical hormone replacement therapy (BHRT) at her Central Valley offices! “Many of the symptoms of hormone decline and deficiency are mistakenly attributed to ‘normal’ signs of aging,” she explains. “With bioidentical hormone replacement, most patients feel so much better and have much more vitality. As a 62-year-old woman, BHRT has changed my life by increasing my well-being, energy, mental clarity, and libido. I brought BHRT into my practice to help my patients’ overall wellness. Because hormones directly influence skin health, collagen production, energy levels, and muscle tone, BHRT beautifully complements our aesthetic, wellness, and body treatments by helping patients feel their best from the inside out.”

For those new to the concept, “Bioidentical hormones are structurally identical to hormones our bodies naturally produce,” Dr. Behr elaborates. “Bioidenticals—typically sourced from plants like soy or yams—have fewer side effects and offer optimal results. Synthetic hormones, on the other hand, are man-made or derived from animals and are chemically different from our natural hormones. We prefer pellet administration of BHRT because it provides the most consistent hormone levels, customized dosing, improved safety, and best overall results. The testosterone and/or estrogen pellets are inserted into the fat on the outer hip or buttock area four times a year for woman and three times a year for men. This leads to a consistent level of hormone release with the least fluctuations.”

There are many common, often overlooked signs of hormonal imbalance. “Many women assume hormonal symptoms are simply part of aging and don’t realize how much better they could feel. Joint pain, poor sleep, brain fog, mood swings, low libido, weight gain, and even changes in bone density are all common signs of decreasing hormone levels,” she clarifies. “After treatment, we often hear, ‘I didn’t realize how bad I felt until I finally felt better’, which is a powerful reminder of how impactful hormone balance can be.”

The evaluation process for determining if BHRT will be a good avenue to pursue is relatively straightforward. “We begin with a one-on-one consultation to review symptoms, medical history, and any contraindications, such as hormone-sensitive cancers,” begins Dr. Behr. “We then order a comprehensive blood panel focused on hormone and thyroid levels. By combining lab results with how the patient is feeling day-to-day, we determine the appropriate dose. Most people over the age of 40 can benefit, but the key is truly understanding each individual’s biochemistry and needs.”

Speaking from Experience
Both women and men benefit greatly from BHRT, and couples often find it enhances their shared quality of life. After 35 years of marriage, my husband and I both began BHRT and have felt a renewed energy in every area of life. When both partners feel strong, rested, and vital, it elevates their relationship.

Common Misconceptions
Many people assume BHRT is the same as older synthetic hormone therapies—it’s not. Bioidentical hormones administered by pellets are much more effective and with fewer side effects. It is also important that patients are aware that a “normal” hormone levels are not optimal levels to achieve the best results. Another misconception is that therapy is only for getting through menopause. This is false—patients start benefiting during perimenopause all the way into their 80s. It’s never “too late,” and you don’t have to be postmenopausal to benefit. Another myth is that all hormone therapy is the same or that hormones inherently cause cancer, which are both untrue.

Tailoring Your BHRT Plan
Customization is essential. We evaluate symptoms, blood levels, lifestyle, and activity level—each influence how quickly the body metabolizes hormones. Some individuals are more sensitive to medication than others, so we use a personalized approach and a six-week follow-up to fine-tune dosing. Our goal is always to optimize hormone levels to give patients the highest degree of vitality and balance.

Safety is the Priority
Studies show no increased risk of breast, uterine, or prostate cancer with BHRT, and in 2025 the FDA removed black box warnings related to cardiovascular disease, breast cancer, and dementia. Regular monitoring—like mammograms and PSA levels—is still essential. But, research now demonstrates that BHRT may actually support cardiovascular health and help protect against Alzheimer’s and osteoporosis. Safety and oversight remain central to our approach.

What Patients Notice First
While every patient is unique, many notice improvements in sleep, energy, mental clarity, and sexual desire early on. Some feel a difference within a week of pellet placement, with the most significant results typically appearing around six weeks. These early changes often spark a renewed sense of vitality that continues to build as hormone levels stabilize.

Fast-Acting, Long-Term Benefits
Many patients begin to feel a difference within the first week, with peak improvement around six weeks when we repeat labs and determine whether an adjustment in dosing is needed at the next pellet insertion. We offer a year-long treatment plan to maintain optimal levels without fluctuation. Throughout the process, we stay closely involved to monitor progress and address any side effects.

Maximizing Patient Results
We encourage habits that support long-term vitality—balanced nutrition, higher protein intake, reduced processed foods, and regular fitness. At Behr Body, we also offer weight-loss support with GLP-1 therapies, which pair beautifully with BHRT. Hormone optimization improves muscle building, sleep quality, and overall resilience. We maintain ongoing communication to help patients manage stress and integrate wellness practices into daily life.

Be Empowered to Try it
Education is truly empowering. A personalized consultation allows us to review symptoms, answer every question, and help patients understand their options with clarity and confidence. The moment people realize they can take charge of their vitality at any age is transformative—and often the beginning of a healthier, more energetic chapter of life.

Behr Laser & Skin Care Center
1125 East Spruce Avenue, Suites 205 & 207
Fresno, CA 93720
Instagram: @behr_body_andskincare

Behr Body & Skin Care
2884 East Shepherd Avenue, Suite 104
Fresno, CA 93720
Instagram: @behr_laser_andskincare

(559) 435-7546
www.435skin.com