Hormone Replacement Therapy (HRT)
Comprehensive, Physiology-Based Care
Experience relief with hormone replacement therapy near you at Stages of Life Medical Institute in Longwood with Dr. Klein. Say goodbye to hot flashes, poor sleep, improved cardiovascular health, and more.
Our clinic has treatments to improve everyday life for both men and women. This includes therapy for TRT (Testosterone Replacement Therapy), which is a subset of HRT specifically tailored for men.
How Natural Hormone Replacement Therapy Helps
HRT is considered the "gold standard" of managing hot flashes and night sweats, along with improving bone health. A 2025 National Library of Medicine (NIH) Study found 55% of the participants are getting HRT, indicating the therapy is growing rapidly in popularity.
A different NIH study found that testosterone replacement therapy (TRT) can improve sexual function in men who have low testosterone, among other benefits.
Primary HRT Benefits:
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Improved energy levels and reduced fatigue
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Enhanced mood stability and psychological well-being
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Improved sleep quality
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Increased libido and sexual function
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Increased lean muscle mass and improved body composition
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Preservation of bone mineral density and reduced fracture risk
Why You Should Choose Stages of Life to Start HRT
Our hormone replacement services and in-office laboratory are built on a comprehensive, physiology-driven model of care rather than a symptom-only approach.
We recognize that hormonal balance is inseparable from thyroid function, adrenal health, metabolic status, immune regulation, and organ function. For this reason, treatment decisions are guided by extensive laboratory evaluation and careful clinical interpretation.
This approach allows us to move beyond isolated laboratory values and toward meaningful, personalized medical care.
What to Expect During Your HRT Lab Test
Our in-office laboratory supports a comprehensive model by providing thorough hormonal, metabolic, renal, hepatic, and immune system evaluation.
Blood and urine samples are collected on site, with many chemistries, urinalyses, toxicology studies, and screening tests performed in-office for efficiency and accuracy. When specialized testing is required, specimens are couriered to trusted reference laboratories.
Laboratory evaluation typically includes assessment of the adrenal glands, thyroid, parathyroid, pancreas, gonads, and pituitary, allowing us to evaluate both upstream regulatory hormones and downstream target hormones. Renal and hepatic function are assessed concurrently to ensure that hormone therapy and supportive treatments can be prescribed and monitored safely.
HRT Costs at Stages of Life
Initial hormone consultation: $495*
Laboratory testing: $200 to $495* (Pricing depending on the scope of evaluation)
Follow-up visits: $160* (Focuses on reviewing laboratory results, evaluating clinical response, and refining treatment plans)
*All fees listed are effective December 1, 2025, and are subject to change. Our goal is to provide thoughtful, individualized, and vigilant care that prioritizes safety, precision, and long-term well-being.
Hormone Replacement Therapy Timeline
Learn about Dr. David Klein's HRT timeline at Stages of Life, from the initial evaluation to ongoing monitoring.
Initial Consultation & Evaluation
The initial HRT consultation includes a detailed medical history, discussion of symptoms and goals, and determination of appropriate laboratory testing. Blood and urine samples are collected on site, with many chemistries, urinalyses, toxicology studies, and screening tests performed in-office. If an outside laboratory is preferred, a written laboratory order will be provided.
Medication Arrives
The HRT medication will be mailed directly to you by a licensed compounding pharmacy. Costs for compounded medications are paid directly to the pharmacy and vary based on formulation and dosage.
HRT Treatment Starts
Therapy is typically initiated two to four weeks after the initial consultation, once results have been thoroughly reviewed and interpreted. Treatment plans are individualized and based on objective data rather than symptoms alone. Hormone therapy is never static; it is adjusted based on lab findings and patient feedback.
Ongoing Monitoring & Follow-Up
Ongoing monitoring is a central component of safe and effective hormone therapy. Blood work is commonly repeated at 90-day intervals. This schedule allows us to assess therapeutic response, monitor safety, and identify trends over time. Nutritional supplementation and selected supportive or “natural” therapies may be recommended or dispensed based on laboratory findings and patient response.
Best HRT Services at Stages of Life
Choose a practice that specializes in pain management and hormone replacement therapy to start living your life comfortably.
In-Office Labratory for HRT
Stages of Life has in-office laboratory services for HRT, cutting down unnecessary appointments and giving you fast answers. You're not waiting months to get the answers and guidance you deserve.
Comfort In Nationwide Access
You can use any lab in the U.S. for the blood draw and have specimens shipped to Stages of Life for processing and physician-guided interpretation.
Transdermal Hormone Delivery Philosophy
We use transdermal hormone therapy almost exclusively, as it most closely reflects normal human physiology. Injectable hormones often produce unnaturally high peak levels shortly after administration, followed by low troughs before the next dose.
HRT Specialist Doctor
Dr. David Klein has over 35 years of experience treating patients in the Longwood and Central Orlando area. Choose someone local with a focus on HRT.
A Comprehensive Approach
Our approach allows us to move beyond isolated laboratory values and toward meaningful, personalized medical care focused on energy, cognition, sleep, mood, metabolic health, bone integrity, immune function, and overall quality of life.
Secure Privacy
For an additional $150, Dr. Klein can keep your report confidential and off insurance records (a private pay service so results aren't visible to insurers or employers).
HRT FAQs
Can hormone testing explain mood changing?
Yes. Conditions such as PMS, menopausal depression, anxiety, and irritability are frequently hormonally mediated.
What does sex hormone testing evaluate?
Sex hormone testing measures hormones that influence libido, but more importantly, they are essential for the proper evaluation of thyroid and adrenal function. These include testosterone, estradiol, progesterone, DHEA, and related markers that influence energy, mood, metabolism, cognition, sleep, immune function, and bone health.
Are hormone tests done fasting?
Some hormone panels require fasting. Dr. Klein will give patients specific instructions beforehand, depending on which tests are ordered.
Why would a man need hormone testing?
Hormone testing evaluates fatigue, low libido, muscle loss, mood changes, metabolic concerns, sleep disturbance, and cognitive changes. These hormones are also critical to understanding thyroid and adrenal disorders and their downstream effects on immune function and bone health.
How do I get my HRT medication?
Hormone replacement medications are prescribed individually and prepared by a licensed compounding pharmacy. These medications are mailed directly to you.
Why would a woman need hormone testing?
Hormone testing assesses menstrual irregularities, menopausal symptoms, mood changes, bone health, sleep disruption, and unexplained weight gain. Men and women require evaluation of the same hormones for the same physiologic reasons, although normal ranges differ substantially between genders.
Does Stages of Life use testosterone injections?
Generally, no. Testosterone injections produce wide hormonal fluctuations and can suppress normal testicular function. This can lead to testicular atrophy and may increase conversion to estradiol, contributing to breast enlargement.
How much is HRT at Stages of Life?
The fee for the initial hormone consultation is $495. When laboratory testing is performed, costs typically range from $200 to $495, depending on the scope of evaluation required. Follow-up visits are $160 and focus on reviewing laboratory results, evaluating clinical response, and refining treatment plans as needed.
Does Stages of Life use hormone pellets for HRT?
We do not utilize hormone pellets. Pellet therapy is difficult to adjust once implanted, offers limited control over-dosing, and may expose patients to prolonged periods of excessive hormone levels. Pellets are also typically more expensive.
How does transdermal hormone therapy work?
Transdermal hormone therapy delivers hormones through the skin (via patches, gels, or creams), allowing them to enter the bloodstream directly and maintain more stable hormone levels. This route bypasses the liver’s first-pass metabolism, which can reduce systemic side effects compared with oral therapy.
Is hormone testing done with blood work?
Yes. Blood testing is the most precise and clinically meaningful method for hormone assessment. Salivary testing measures hormone levels only in saliva and is not considered reliable for clinical decision-making.
Do I have to use Stages of Life's onsite lab for HRT testing?
No, if an outside laboratory is preferred, a written laboratory order will be provided.