Personalized Hormone Therapy with Pellets, Creams, Pills & Troches
At The Hormone Upgrade in La Jolla, San Diego, we specialize in Bioidentical Hormone Replacement Therapy (BHRT) for women using a variety of delivery methods—pellets, creams, pills, and troches—tailored to your lifestyle and symptoms. Whether you’re struggling with perimenopause, menopause, or general hormone imbalance, Deborah Wainwright, DNP, ANP-BC, APRN, offers a comprehensive and individualized approach to hormone optimization rooted in functional medicine.
What Is BHRT for Women?
BHRT uses plant-derived hormones that are chemically identical to those produced by the body. Unlike synthetic hormones, bioidentical hormones are designed to work seamlessly with your system for better absorption, fewer side effects, and more natural results.
BHRT can help relieve a wide range of symptoms, including:
- Hot flashes and night sweats
- Mood swings and anxiety
- Weight gain and slowed metabolism
- Brain fog and memory lapses
- Low libido and sexual discomfort
- Sleep disturbances
- Vaginal dryness and thinning skin
- Fatigue and loss of motivation
By replenishing key hormones like estradiol, progesterone, and testosterone, BHRT supports your body’s natural rhythm and helps restore vitality from the inside out.
Delivery Methods We Offer
Every woman is unique—which is why we offer multiple delivery options for BHRT at our La Jolla clinic:
Pellets
Inserted under the skin, hormone pellets provide steady, long-lasting hormone delivery for 3–5 months. They’re low-maintenance and ideal for women seeking consistency.
Creams
Topical hormone creams are applied to the skin and absorbed into the bloodstream. They allow for flexible dosing and are often used for estrogen and progesterone therapy.
Pills (Oral BHRT)
Easy to take and familiar to many patients, BHRT pills are often used for progesterone therapy and certain estrogen combinations.
Troches
Troches (sublingual lozenges) dissolve under the tongue for fast absorption. They’re a great option for women who want a non-invasive alternative to creams or pellets.
We’ll help you choose the method that aligns with your body’s needs and your preferences.
Why Choose The Hormone Upgrade in La Jolla?
Deborah Wainwright, DNP, ANP-BC, APRN, is La Jolla’s trusted provider for women’s hormone health and a leading expert in BHRT. Since 2014, she has guided thousands of women through successful hormone balancing using a holistic, root-cause medicine approach. Her practice blends clinical precision with one-on-one support in nutrition, wellness, and lifestyle transformation.
What sets The Hormone Upgrade apart:
- 10+ years of experience in women’s hormone therapy
- Board-certified DNP with specialty training in BHRT
- Customized treatment plans with multiple delivery options
- Functional medicine framework for total wellness
- Ongoing lab monitoring and dose adjustments
- Boutique, concierge-style care in La Jolla, CA
Frequently Asked Questions
At our La Jolla clinic, we tailor your BHRT plan based on lab work, symptoms, and lifestyle. Some women do best with pellets, while others prefer creams or troches—it depends on your body and preferences.
Yes. Bioidentical hormones are structurally identical to those your body naturally produces, leading to better tolerance and fewer side effects compared to synthetic hormone therapy.
Absolutely. We offer flexibility in your treatment plan and can adjust the delivery method if you experience side effects or want a more convenient option.
Most women in La Jolla begin noticing improvement within a few weeks. Full results may take 8–12 weeks as hormone levels stabilize.
Yes. We conduct comprehensive lab testing at your initial consultation to determine your current hormone levels and develop a customized plan.
Some components of BHRT may be eligible for reimbursement through HSAs or FSAs, but coverage varies. We can provide documentation for insurance claims if requested.