
bhrt+ wellness
You know your body. And you know when something feels off.
Maybe you're exhausted no matter how much you sleep. Your weight has changed even though your habits haven't. Your mood, motivation, sleep, sex drive, mental clarity, or simply the way you feel in your own body, doesn't feel like you anymore.
And maybe you've already asked for help, only to be told everything looks "normal."
BHRT + WELLNESS SERVICES
At Juniper + Sage Aesthetics, our physician led wellness program takes a personalized approach to hormone and overall health. We look beyond a single symptom or lab value, considering your health history, symptoms, lifestyle, goals and lab work to understand the bigger picture.
Your individualized treatment plan may include bioidentical hormone replacement therapy (BHRT), thyroid management, medication, supplementation, lifestyle recommendations, additional testing or a combination of therapies.
Our goal is simple: to help you understand what’s going on and find an approach that helps you feel your best.
WHAT CAN BHRT HELP WITH?
When hormones shift, you may feel it in ways you never expected. Your sleep, energy, mood, sexual health and overall quality of life can all be affected.
For the right patient, BHRT may help improve:
Hot flashes + night sweats | Sleep changes | Low libido + sexual health
Vaginal dryness or discomfort | Mood changes | Bone health
Overall quality of life
But hormones aren't always the answer. That's why we look at you as a whole, not just a hormone level.
DON'T FORGET ABOUT YOUR THYROID.
Fatigue. Brain fog. Feeling cold. Hair changes. Constipation. Weight changes. Sound familiar?
Thyroid dysfunction can cause symptoms that look a lot like hormone imbalance, which is why thyroid health is an important part of our comprehensive approach.
We look at your symptoms, history and labs together to determine whether your thyroid could be contributing to the way you feel.
Because "within range" and feeling your best aren't always the same thing.



WHERE DO I START?
WELLNESS DISCOVERY CONSULTATION
Not sure if BHRT or our wellness program is right for you?
This 15-minute consultation gives you an opportunity to discuss what you've been experiencing, learn more about our approach and determine whether our wellness program may be the right next step.
This appointment is for patients who are still exploring their options and is not the comprehensive initial appointment required to begin treatment.
If you decide to move forward, your $125 consultation fee will be applied toward your treatment.
15 Minutes | $125
WELLNESS OPTIMIZATION VISIT
Finding the right treatment plan isn't always one-and-done.
This focused visit is used when medication or hormone adjustments are needed based on your symptoms, labs and response to treatment.
Visits are scheduled as needed and may be recommended approximately every three months while we fine-tune your plan.
Because optimization means continuing to listen, evaluate and adjust.
15 Minutes | $125
ROAD TO WELLNESS
This is where your individualized wellness plan begins.
During this comprehensive physician consultation, we'll review your medical history, symptoms, medications, lifestyle, goals and laboratory findings to understand the bigger picture and develop a plan specifically for you.
Your plan may include BHRT, thyroid management, medication, supplementation, lifestyle recommendations, additional testing or a combination of therapies.
Lab work must be completed at least 2 days prior to your appointment so your provider can review your results beforehand and determine whether additional testing may be beneficial.
60 Minutes | $500 | NEW PATIENTS SAVE $100
WHAT CAN I EXPECT?
We want getting started to feel simple. Here's what your Road to Wellness looks like:
1. BOOK YOUR APPOINTMENT
Once you're scheduled, a member of our team will contact you to determine which baseline labs you'll need before your visit.
2. COMPLETE YOUR LAB WORK
Your baseline labs should be completed at least 2 days before your appointment so Dr. Nick can review your results ahead of time.
You can have your labs drawn:
At Juniper + Sage: approximately $150–$180, depending on the labs needed.
Through Quest Diagnostics: labs can be submitted through your insurance. Your out-of-pocket cost will depend on your individual coverage.
3. MEET WITH DR. NICK
Your Road to Wellness appointment is a full 60-minute consultation with Dr. Nick.
This isn't a quick look at your labs and a prescription.
You'll talk through your medical history, current symptoms, medications, previous treatments, lifestyle, sleep, nutrition, goals and lab results to get a more complete picture of what's happening.
Together, you'll develop a personalized plan that may include hormone optimization, thyroid management, medications, supplementation, lifestyle changes, further testing or a combination of approaches.
4. BUILD YOUR PLAN
If additional lab testing is needed, we can add testing to your existing blood draw whenever possible, saving you another trip to the lab.
If imaging or additional evaluation is appropriate, we'll get that ordered for you.
Any prescribed medications will be ordered and delivered directly to your home, along with clear instructions for how to use them.
5. OPTIMIZE + ADJUST
This isn't a "here's your prescription, see you next year" kind of program.
Initially, we'll typically see you every 3 months to evaluate how you're feeling, review your progress and make adjustments to your dosing as needed.
Once we've found what works well for you, follow-ups can be scheduled as needed.
Because the goal isn't just to start treatment. It's to get it right.
