



Balance your hormones and feel like yourself again.
Your labs come back "normal," but your body is telling a different story.
You're not crazy. You're not lazy. You're likely experiencing hormone imbalance, and that's exactly where we come in.
Hormone optimization at Face Forward Wellness goes beyond standard reference ranges. We look at how your thyroid, sex hormones, adrenals, metabolism, gut health, and lifestyle are all playing together, not just one number on a lab slip. Then we create a personalized treatment plan using Bioidentical Hormone Replacement Therapy (BHRT) and targeted support to restore balance, boost energy, stabilize mood, and help you reclaim the life you deserve.
We offer multiple delivery methods for BHRT, including pellet therapy. Pellets are small, custom-compounded inserts placed just beneath the skin that release a steady, consistent dose of hormones over time. No daily pills. No fluctuating levels. Just smooth, sustained support that works with your body around the clock.
This isn't about masking symptoms. It's about addressing the root cause and giving your body what it needs to function at its best.

Evidence-Based Protocols
At Face Forward Wellness, hormone optimization goes beyond standard BHRT. Ashley Degrush, FNP is Evexipel-certified for hormone pellet therapy and uses cutting-edge diagnostics—comprehensive hormone panels, body composition analysis, and metabolic markers—to design protocols that restore balance at the cellular level. This is precision medicine tailored to your unique physiology.


What can Hormone Optimization Treat?
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Exhaustion that sleep doesn't fix
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Mental fog and trouble focusing
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Unwanted weight that won't budge
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Missing libido and intimacy concerns
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Temperature swings, night sweats, and disrupted sleep
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Irritability, anxiety, or feeling unlike yourself
If you're doing everything "right" but still feeling off or if your doctor keeps dismissing your symptoms, this is for you. We optimize what others overlook, so you can finally feel balanced, energized, and whole again.
Why You'll Love BHRT at Face Forward Wellness
Restored Energy and Vitality
Say goodbye to afternoon crashes and constant exhaustion. Hormone optimization helps restore consistent, sustainable energy so you can keep up with your life, and enjoy it.
Improved Mood and Mental Clarity
Brain fog, irritability, and mood swings often stem from hormonal imbalance. Balancing your hormones can dramatically improve focus, emotional stability, and overall mental well-being.
Better Sleep Quality
When your hormones are balanced, your body can regulate sleep cycles more effectively. You'll fall asleep easier, stay asleep longer, and wake up feeling rested.
Healthy Weight and Body Composition
Hormones play a huge role in metabolism, fat storage, and muscle maintenance. Optimization makes it easier to lose stubborn weight, build lean muscle, and maintain a healthy body composition.
Enhanced Libido and Sexual Wellness
Low libido isn't something you have to accept. Hormone therapy can restore sexual desire, performance, and overall intimate wellness for both men and women.
Personalized, Data-Driven Care
Your treatment plan is based on comprehensive lab work, symptom assessment, and body composition analysis—not guesswork. We adjust your protocol as your body responds and your needs change.
HORMONE OPTIMIZATION For Men
Restore Your Edge. Optimize Your Performance. Reclaim Your Vitality.
At Face Forward Wellness, we provide personalized testosterone replacement therapy (TRT) and comprehensive hormone optimization for men. We target the root causes of low energy, metabolic dysfunction, and declining performance with evidence-based treatment, regular monitoring, and support that helps you show up fully—in the gym, at work, and at home.
What Men's Hormone Optimization Treats
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Low energy and persistent fatigue
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Brain fog and difficulty concentrating
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Reduced muscle mass and difficulty building strength
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Increased body fat, especially around the midsection
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Low libido and erectile dysfunction
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Poor sleep quality and recovery
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Mood changes, irritability, or low motivation
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Declining athletic performance
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Hair thinning or loss
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Overall sense of "not feeling like yourself"
Comprehensive, individualized programs start at $997.
Pellets start at $675* for men.
*Price for men might be higher depending on dose.

HORMONE OPTIMIZATION For Women
Balance Your Hormones. Reclaim Your Energy. Feel Like You Again.
At Face Forward Wellness, we address hormonal imbalance with personalized BHRT, comprehensive lab work, body composition tracking, and ongoing support that evolves with you as your body changes. Whether you're navigating perimenopause, postpartum recovery, thyroid dysfunction, or metabolic shifts, we're here to help you feel balanced, energized, and like yourself again.
What Women's Hormone Optimization Treats
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Fatigue and low energy that doesn't improve with rest
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Brain fog, difficulty concentrating, and memory issues
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Weight gain or difficulty losing weight despite healthy habits
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Low libido and reduced sexual wellness
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Hot flashes, night sweats, and temperature regulation issues
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Irregular or heavy menstrual cycles
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Mood changes, anxiety, irritability, or depression
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Sleep disturbances and insomnia
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Hair thinning or loss
Comprehensive, individualized programs start at $997.
Pellets start at $375 for women.



Hormone Replaacaement Therapy Candidates
This treatment may be a great fit if:
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You're experiencing symptoms of hormone imbalance (fatigue, brain fog, weight changes, low libido, mood issues, sleep problems)
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Your labs keep coming back "normal" but you still don't feel normal
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You're navigating perimenopause, menopause, or postpartum hormonal shifts (women)
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You're experiencing low testosterone or age-related hormone decline (men)
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You've tried supplements, diet changes, and lifestyle modifications but still feel stuck
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You want a comprehensive, root-cause approach—not just symptom management
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You're ready to work with a provider who treats you like a partner, not a number
Who It May Not Be For
Hormone optimization may not be appropriate if:
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You have a history of certain hormone-sensitive cancers (we'll discuss your full medical history during consultation)
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You're pregnant, breastfeeding, or planning to become pregnant soon
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You're looking for a quick fix without lifestyle support
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You're not ready to commit to regular follow-ups and lab monitoring
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You have untreated medical conditions that need to be addressed first
We'll determine your candidacy during your Core Foundation Consult, where we review your complete health history, labs, symptoms, and goals to create a safe and effective treatment plan.
WHAT YOU CAN Expect
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Core Foundation Consult
We'll discuss your health history, symptoms, lifestyle, and goals. You'll complete targeted lab work (including comprehensive hormone panels) and a 3D Body Composition Scan to establish your baseline. Then, we'll review your results together and create a personalized treatment plan tailored specifically to you.
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personalized treatment
Hormone therapy is administered based on your individual needs and preferences. Options may include creams, injections, oral medications, or other delivery methods. We'll start with a carefully calculated dose and adjust gradually based on your symptoms and lab results. Throughout your program, you'll have regular follow-up visits to monitor progress, review labs, and make any necessary adjustments. This isn't just a prescription; it's comprehensive care that includes nutrition guidance, body composition tracking, supplement protocols, and ongoing accountability.
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maintenance
After completing your initial program (typically 12-16 weeks), you'll have the option to transition into a maintenance plan that provides ongoing prescription management, periodic lab monitoring, and check-ins to help you sustain your results for life.
Beyond the Labs: Real Patient Experiences
Frequently asked questions

