Hormone Replacement Therapy (HRT) in Fayetteville, NC

Are you feeling tired, gaining weight, losing motivation, or just not feeling like yourself? You may be experiencing the effects of hormonal imbalance. At Elan Med Spa in Fayetteville, we offer Bioidentical Hormone Replacement Therapy (BHRT) to help men and women restore hormonal balance, reclaim their energy, and feel their best again.
We offer FREE consultations to anyone interested in learning whether HRT is right for them. As a physician-owned practice led by Medical Director Dr. Eric Bishop MD, your care is always medically supervised and personalized to your unique needs.
What Is Hormone Replacement Therapy?
Hormone Replacement Therapy (HRT) is a medically supervised treatment that restores declining hormone levels to optimal ranges. As we age, our bodies naturally produce less of the key hormones—estrogen, progesterone, and testosterone—that regulate energy, mood, metabolism, sleep, libido, and overall wellbeing.
Rather than accepting these changes as inevitable, HRT addresses the root cause—helping you look better, feel better, and live better at any age.
Bioidentical Hormone Replacement Pellets
At Elan Med Spa, we specialize in Bioidentical Hormone Replacement Therapy (BHRT) pellets—widely considered the most effective and convenient form of hormone therapy available.
Unlike traditional injections or synthetic hormones, BHRT pellets are:
- Bioidentical — chemically identical to the hormones your body naturally produces
- Long-lasting — a single treatment lasts up to 6 months
- Consistent — deliver steady, 24/7 time-released hormones with no peaks or crashes
- Convenient — a small pellet inserted just under the skin in a simple, quick office procedure
- Better tolerated — fewer side effects compared to synthetic hormones or injections
BHRT pellets replicate exactly what your ovaries or testicles did when you were younger—providing the same steady, low-dose hormones your body once made naturally. However, our physician team will recommend the delivery method—whether pellets, oral medications, topical applications, or intramuscular injections—that best suit your lifestyle, medical history, and treatment goals.

HRT for Women
Around age 40, women begin experiencing a natural decline in estrogen, progesterone, and testosterone. This hormonal shift—which accelerates during perimenopause and menopause—can cause a wide range of disruptive symptoms including:
- Hot flashes and night sweats
- Fatigue and low energy
- Weight gain, especially around the abdomen
- Mood swings, anxiety, or depression
- Decreased sex drive and vaginal dryness
- Brain fog and difficulty concentrating
- Sleep disturbances and insomnia
- Thinning hair and dry skin
- Loss of bone density
BHRT for women replaces these lost hormones with bioidentical alternatives, bringing levels back into balance and providing significant relief from these symptoms—often dramatically improving quality of life.
HRT for Men — Testosterone Replacement Therapy (TRT)
Men experience a gradual decline in testosterone beginning around age 30, losing approximately 1% per year. Known as Low T or andropause, this hormonal decline can significantly impact quality of life with symptoms such as:
- Chronic fatigue and low energy
- Decreased motivation and drive
- Weight gain and loss of muscle mass
- Low libido and erectile dysfunction
- Depression, irritability, or mood changes
- Poor concentration and memory problems
- Reduced physical performance
Testosterone Replacement Therapy (TRT) with BHRT pellets restores testosterone to optimal levels, helping men regain their energy, strength, focus, and confidence. Many men notice dramatic improvements in overall wellbeing within weeks of starting treatment.
What to Expect at Your Free Consultation
Your HRT journey begins with a complimentary consultation with our medical team. To get the most from your visit, please bring:
- A list of all current medications
- Your most recent medical records
- Recent lab work (if available)
To evaluate your hormone levels and determine the best treatment plan, the following lab work should be completed 2 weeks before your appointment through your primary care provider (PCP) or at Labcorp:
For Women:
Estradiol
FSH
Testosterone
TSH
For Men:
H&H
Lipid Profile
TSH
Total Testosterone
Free Testosterone
PSA
Estradiol
FSH
Women should also bring documentation of a current Pap smear and mammogram.
Men should bring recent prostate examination documentation if age-appropriate.

No PCP?
We recommend Labcorp Fayetteville for convenient lab testing:
📍 705 Keystone Ct., Fayetteville, NC 28304 | 📞 (910) 483-1135
We are happy to meet for a free consultation without labs, but treatment cannot begin until lab results are reviewed.
If approved at your consultation, we may begin your first treatment the same day.
Who Is a Good Candidate for HRT?
You may benefit from Hormone Replacement Therapy if you are experiencing symptoms of hormonal decline and are in generally good health. HRT is appropriate for both men and women, typically beginning in their 30s, 40s, 50s, or beyond. The best way to know if HRT is right for you is through a consultation and lab evaluation.
Ready to Feel Like Yourself Again?
Don’t let hormonal imbalance hold you back from living your best life. Elan Med Spa serves patients from Fayetteville, Fort Bragg, Pinehurst, Southern Pines, Hope Mills, Raleigh, Durham, and Cary with expert, concierge-style hormone replacement care.
Schedule your FREE consultation today:
📞 (910) 484-3526
📍 6415 Brookstone Ln #103, Fayetteville, NC 28314
🌐 Book Online at elanmedspa.com
Eric Bishop MD | Medical Director | Elan Med Spa

