hrt in mount juliet, tn
If you have been feeling off or not like yourself, but your doctor has told you that all your levels are “normal,” you’re not alone. Men and women across Tennessee struggle every day with brain fog, weight gain, fatigue, poor sleep, low libido, mood changes, night sweats, and even anxiety with no explanation. This is because routine lab work often misses the root cause of these symptoms.
At Vytal Living, our team of hormone specialists, led by Lisa Fournace, DNP, APRN, and Britany Bates, MSN, APRN, take the time to understand your complete health story. We take into consideration your nutrition, stress, gut health, thyroid function, inflammation, insulin resistance, sleep, and lifestyle along with your hormones influence to not just treat symptoms, but to understand and heal the root cause of your issue.
Hormone Replacement Therapy is a medical treatment used to restore hormones that naturally decline with age or as a result of certain medical conditions. Hormones act as your body’s chemical messengers, helping regulate:
Hormonal changes often develop gradually less energy, a stubborn few pounds, trouble concentrating, or restless sleep and it’s easy to attribute these to stress or getting older. Common signs include hot flashes, night sweats, brain fog, mood changes, low libido, and fatigue in women, and low energy, reduced muscle mass, low libido, and poor recovery in men. Because thyroid dysfunction, insulin resistance, chronic stress, and nutrient deficiencies can cause similar symptoms, we don’t assume hormones are automatically the cause.
For a complete symptom list and how to tell hormone changes apart from other causes, see our full guide:
Signs and Symptoms of Hormone Imbalance.
Hormones are powerful medications that deserve thoughtful evaluation, appropriate monitoring, and individualized care. We don’t believe in quick fixes or cookie-cutter protocols. Instead, we perform a comprehensive evaluation to understand the factors influencing your health before recommending treatment.
Lisa Fournace, DNP, APRN, is the owner and a practicing nurse practitioner at Vytal Living, and has spent more than two decades caring for women through every stage of life—from reproductive health to perimenopause, menopause, and healthy aging. Britany Bates, MSN, APRN, brings additional expertise in hormone optimization for both women and men. One lesson has become clear over the years: symptoms rarely have a single cause. That’s why our team looks beyond the obvious and evaluates the whole person, not just one lab value.
Many patients come to us after being told their labs are “normal” despite continuing to struggle with symptoms. Sometimes hormones are the primary issue. Sometimes they’re only part of the picture. If hormone replacement therapy is appropriate, we’ll explain your options and carefully monitor your progress. If hormones aren’t the right answer, we’ll help you identify what is.
Your care may include hormone replacement therapy, nutrition and lifestyle recommendations, targeted supplements, advanced laboratory testing, thyroid optimization, or metabolic support, guided by your unique health story, not a standard protocol.
Your first visit is comprehensive. We’ll review your symptoms, medical history, medications, nutrition, sleep, and health goals. When appropriate, we perform laboratory testing that looks beyond hormones alone including thyroid function, metabolic health, and nutritional status, because these systems often interact.
From there, we build a personalized treatment plan and monitor your progress together, adjusting as your body and goals change. For a full walkthrough of each step, see What to Expect: Your First Visit at Vytal Living.
For most appropriately selected patients, hormone replacement therapy is considered safe. As with any medical treatment, the decision should account for your symptoms, medical history, family history, and individual risk factors. At Vytal Living, every patient receives a personalized evaluation to determine whether hormone therapy is appropriate and we monitor and adjust treatment over time. For a full discussion of safety, risk factors, and common concerns, see Is Hormone Replacement Therapy Safe?
Many women and men experiencing symptoms of hormonal change are candidates, but it depends on your medical history, symptoms, and lab findings. A comprehensive evaluation is the only way to know for sure.
For most appropriately selected patients, yes. Safety depends on choosing the right patient, hormone, dose, and route of administration, with ongoing monitoring.
Vytal Living is a functional medicine medical practice. We perform comprehensive evaluations that look beyond hormone levels alone, rather than offering hormones as a standalone service.
Yes. We offer hormone evaluation and treatment for women navigating perimenopause and menopause, and for men experiencing symptoms of low testosterone.
Not necessarily. Treatment is reviewed regularly, and duration depends on your symptoms, goals, and ongoing risk-benefit assessment with your provider.
We’re proud to serve patients throughout Mt. Juliet and the surrounding Middle Tennessee community, including Lebanon, Hermitage, Old Hickory, Gallatin, Hendersonville, Donelson, Wilson County, and Nashville.
Schedule Your Consultation