Feel like you’re running on empty? Struggling to sleep? Gaining weight around your midsection, no matter what you do, forgetting words mid-sentence, or losing interest in intimacy? The problem may not be just aging. It may be your hormone balance. At Rejuvenated – A Well Labs+ Medspa, we help women and men across Northwest Arkansas feel like themselves again through personalized hormone replacement therapy in Fayetteville, AR that addresses the underlying cause, not just the symptoms.
No cookie-cutter protocols. No pressure to buy products you don't need.
Care is led by Dr. Gentry and built around comprehensive lab testing, bioidentical hormones, and the delivery method that fits your body and lifestyle pellets, creams, or injections.
What is bioidentical hormone replacement therapy (BHRT)?
Bioidentical hormone replacement therapy uses hormones that share the same molecular structure as those the human body naturally produces. These hormones are derived from plant sources such as wild yam or soy and can be prescribed in two forms:
- FDA-approved bioidentical hormones: commercially manufactured products in standardized doses. Examples include estradiol patches, Estrace, and Prometrium (micronized progesterone).
- Compounded bioidentical hormones: customized formulations prepared by a licensed compounding pharmacy in specific doses, ratios, or delivery methods based on your individual needs and lab results.
Both forms are used in modern hormone therapy. The right choice depends on your hormonal picture, symptoms, and preferences. Current guidance from The Menopause Society and the Endocrine Society supports individualized hormone therapy for symptomatic patients, with treatment tailored to each person’s health history and goals.
At Rejuvenated, compounded hormones are prepared by a licensed compounding pharmacy, a licensed compounding pharmacy operating under state pharmacy board oversight. Dosing decisions are made based on your comprehensive lab results and clinical evaluation.
Signs your hormones are out of balance.
Hormone decline often begins as early as age 30 quietly, in ways many people mistake for stress, aging, or a bad night’s sleep. By perimenopause or andropause, the signals become harder to ignore. Common symptoms of hormone imbalance include:
- Trouble falling or staying asleep, even when exhausted
- Persistent fatigue and low energy through the day
- Brain fog, poor concentration, memory lapses
- Irritability, anxiety, low mood, or emotional volatility
- Stubborn weight gain especially around the belly
- Difficulty losing weight despite clean eating and exercise
- Loss of muscle strength or slow recovery from workouts
- Muscle and joint aches without a clear cause
- Reduced libido or sexual performance
- Hot flashes, night sweats, or other vasomotor symptoms
- Thinning hair, drier skin, brittle nails
Two or three of these together are worth investigating with a hormone panel. When most of them cluster, patients often arrive at our clinic saying, “I just don’t feel like me anymore.”
Why choose Rejuvenated for Hormones Therapy in Northwest Arkansas.
What sets our approach to hormone replacement therapy in Fayetteville, AR apart is who’s behind it and how we build your protocol.
Every hormone patient is evaluated by Dr. Gentry personally. Dr. Gentry has provided hormone therapy to Northwest Arkansas patients since 2010.
We test estradiol, progesterone, total and free testosterone, SHBG, DHEA-S, cortisol, and a full thyroid panel (TSH, free T3, free T4) before any prescription is written. Reliable dosing depends on comprehensive lab data.
Pellets, transdermal creams, injections, and oral options matched to your labs, lifestyle, and preference.
Patients consistently tell us the reason they stay is that we don’t upsell. If a supplement helps, we say so. If it doesn’t, we say that too.
Hormone needs shift with age, stress, and life stage. Follow-up labs and dose adjustments are built into every plan.
Patients drive to our Fayetteville clinic from Bentonville, Rogers, Springdale, Bella Vista, Siloam Springs, and Fort Smith.
Pellets, creams, and injections compared.
Bioidentical Hormone Pellets
Small compressed pellets of estradiol or testosterone (about the size of a grain of rice) are inserted just under the skin of the upper hip during a brief in-office procedure using local anesthetic. Pellets release hormones steadily for approximately 3–4 months in women and 4–5 months in men. Best for patients who want a "set it and forget it" option and steady levels without daily dosing.
Transdermal Creams
Compounded creams applied daily to thin skin inner arm or inner thigh. Best for patients who prefer fine-tuned daily control, are new to hormone therapy, or need highly individualized dose adjustments early in treatment.
Injections (Testosterone)
Weekly or twice-weekly intramuscular or subcutaneous testosterone injections. Best for men who want a cost-effective TRT protocol and are comfortable with self-administration after training.
Oral & Sublingual Options
Micronized progesterone capsules taken at bedtime are standard for women who still have a uterus. They also tend to support sleep a welcome secondary benefit.
Hormone replacement therapy for women.
For women, estrogen, progesterone, and testosterone all decline through perimenopause and menopause often starting in the late 30s or early 40s. The result is the symptom cluster many women recognize immediately: hot flashes, night sweats, sleep disruption, weight redistribution, brain fog, mood changes, and loss of libido.
Perimenopause & Menopause Symptoms We Treat
- Perimenopause (typically age 40–52): Cycles become irregular, PMS often worsens, sleep starts to fragment, and anxiety can spike. Progesterone support and modest estrogen balancing frequently make a meaningful difference.
- Menopause (12 months without a period): Full estrogen and progesterone replacement, often with low-dose testosterone for libido, muscle preservation, and mental clarity.
- Post-menopause: Continued support for bone density, cardiovascular health, and cognitive function, alongside symptom management.
Women need testosterone, too just at much lower doses than men. It plays a role in muscle tone, libido, motivation, and mental sharpness.
Hormone replacement therapy for men (TRT).
Research published in the Journal of Clinical Endocrinology & Metabolism has shown that total testosterone in men declines by roughly 1% per year after age 30. By the mid-40s, the drop is often significant enough to be felt every day as fatigue, softer physique, brain fog, low mood, and reduced sex drive. This is andropause, and it is dramatically underdiagnosed.
Symptoms of Low Testosterone in Men
- Persistent fatigue, especially in the afternoon
- Loss of muscle mass or difficulty building strength
- Increased body fat, particularly around the abdomen
- Reduced libido, weaker or less frequent erections
- Irritability, low motivation, mild depression
- Brain fog and slower recall
- Poor sleep quality and reduced morning energy
Testosterone replacement therapy is available as pellets, weekly or twice-weekly injections, or transdermal cream. Most men who complete treatment protocols and follow up regularly report meaningful symptom improvement within the first two months, though individual response varies.
For more, visit our dedicated men’s health clinic also lead by Dr. Gentry at Maverick Men’s Health
Your first appointment at Rejuvenated.
Consultation with Dr. Gentry
A full symptom review, medical history, and discussion of your goals. Expect 45–60 minutes.
Comprehensive lab work
A blood draw for the full hormone panel. Results typically return within 3–5 business days.
Personalized protocol
Dr. Gentry designs your program hormones, doses, delivery method, timeline based on your labs and symptoms.
Treatment initiation
Pellet insertion, first cream or injection, and instructions for use.
Follow-up at 6–8 weeks
Repeat labs to confirm dosing is on target; adjust if needed.
When patients typically feel the difference.
Individual response varies based on age, baseline hormone levels, and overall health. Common patterns include:
Some patients report improved sleep and mood.
Energy often begins to lift; hot flashes and night sweats may reduce.
Libido, mental clarity, and mood stability commonly improve. First follow-up labs.
Body composition changes may become visible leaner midsection, improved muscle tone.
Full benefits of optimized hormone levels typically emerge across energy, sleep, cognition, and physical function.
Cost of hormone replacement therapy in Fayetteville, AR.
Cost for hormone replacement therapy in Fayetteville, AR depends on your delivery method, lab frequency, and whether ongoing dose adjustments are needed. General pricing ranges at Rejuvenated:
$299
$300 – $500 every 3–4 months
$600 – $900 every 4–5 months
$40 – $150 per month
$100 – $300 per month (medication and supplies)
Most commercial insurance plans do not cover bioidentical hormone therapy or compounded hormones, though HSA and FSA funds are generally eligible for use. We provide superbills on request if you’d like to submit for out-of-network reimbursement. Exact pricing is confirmed at your consultation once Dr. Gentry has reviewed your labs.
Frequently Asked Questions
Some bioidentical hormone products are FDA-approved — for example, estradiol patches, Estrace, and Prometrium. Compounded bioidentical hormones, which are customized to individual patients, are prepared by licensed compounding pharmacies under state pharmacy board oversight rather than through FDA new-drug approval. Both are used in mainstream hormone therapy practice.
Yes. Comprehensive lab testing is required before any hormone prescription. We run a full sex hormone panel (estradiol, progesterone, total and free testosterone, SHBG, DHEA-S), thyroid panel (TSH, free T3, free T4), cortisol, and baseline metabolic markers. Ongoing labs guide dose adjustments over time.
Yes. Oral contraceptives can suppress your natural hormone production and shift baseline labs. Dr. Gentry will discuss whether to test while on the pill, pause it, or switch methods before starting hormone therapy.
Side effects are typically uncommon when dosing is properly matched to labs. Women may notice transient breast tenderness or spotting when starting estrogen. Men and women on testosterone may see mild hair growth or skin changes. Follow-up labs allow us to identify and adjust for these early.
Possibly — it depends on the type of cancer, hormone receptor status, and how long ago you completed treatment. This is a conversation Dr. Gentry will have with you individually, and often in coordination with your oncologist.
Typically 3–4 months for women and 4–5 months for men. High-intensity exercise, chronic stress, and certain medications can speed metabolism of the pellets. Your reinsertion schedule is set based on how your body responds and follow-up lab results.
No. Rejuvenated is an independent, physician-led practice. That gives Dr. Gentry the flexibility to choose the delivery method, compounding source, and protocol that best fits each patient — pellets when they’re the right tool, creams or injections when they’re not. Patients considering their options in Fayetteville often choose Rejuvenated for the individualized, non-templated approach.
Exhaustion, weight gain, and brain fog don't have to be permanent.
A conversation with Dr. Gentry supported by real lab data and a treatment plan built for your body is the first step. Most new patients are scheduled within the same week.
Rejuvenated – A Well Labs+ Medspa · 1438 E. Augustine, Suite 2, Fayetteville, AR 72703
Testimonials
Let's Build Your Custom Plan — Schedule a Consultation Now
Get expert advice, honest recommendations, and a plan tailored to your goals.
Visit Us
| Monday | 10 AM – 5 PM |
| Tuesday | 10 AM – 6 PM |
| Wednesday | 10 AM – 6 PM |
| Thursday | 10 AM – 6 PM |
| Friday | 10 AM – 6 PM |
| Saturday | Closed |
| Sunday | Closed |
