Hormone Replacement & Optimization Program
Feel Like Yourself Again with Customized Hormone Care
At Ultimate Wellness, we understand the profound impact hormonal imbalances can have on your health and quality of life. That’s why our Bioidentical Hormone Replacement Therapy (BHRT) and Hormone Optimization Program are designed to restore balance, enhance vitality, and help you feel your best at any stage of life.
We specialize in hormone optimization to help prevent health issues commonly associated with aging. Our personalized approach to identifying hormonal imbalances allows us to create a plan that focuses on each individual’s needs, improving symptoms and restoring physiological levels through the use of bio identical hormones.
Whether you’re experiencing testosterone deficiency, thyroid dysfunction, estrogen dominance, PMS, perimenopause, menopause, or andropause, your treatment plan will be based on cutting-edge protocols tailored specifically to you.
Bioidentical Hormone Therapy Doctors In Maryland
Ultimate Wellness is a physician-led health optimization clinic founded by Dr. Jason Giffi, DO, serving patients across Maryland. Dr. Giffi is a board-certified physician specializing in Obesity Medicine and Bioidentical Hormone Replacement Therapy (BHRT), fitness, and preventive medicine.
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Why Choose Our Hormone Optimization Program?
Our approach to bioidentical hormone replacement therapy (BHRT) is grounded in comprehensive testing, clinical interpretation, and individualized treatment – not one-size-fits-all protocols.
Unlike many medspas and online hormone clinics, we integrate hormone care with metabolic health, nutrition, fitness, and long-term accountability. Every plan is designed and monitored by a board-certified physician with a focus on sustainable improvement, not quick fixes
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Physician-led hormone evaluation with full clinical oversight
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Advanced hormone labs interpreted by a real provider, not software
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Individualized dosing guided by symptoms, labs, and metabolism
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Integrated metabolic, nutrition, fitness, and lifestyle support
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Ongoing monitoring with structured follow-ups
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Local, trusted hormone specialists serving Maryland patients
Schedule Your FREE Video Visit with Dr Giffi!
Common Hormonal Imbalance Symptoms
Many patients come to us after months or years of feeling “off,” without clear answers. Common symptoms often include:
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Persistent fatigue or low energy levels
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Unexplained weight changes or stalled progress
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Brain fog, poor focus, or memory issues
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Mood swings, irritability, or anxiety
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Low libido or sexual health concerns like vaginal dryness
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Sleep disruption, night sweats, or hot flashes
Learn about our Medical Weight Loss Program and how hormone evaluation fits into a sustainable approach to weight management.
What to Expect With Our Hormone Optimization Program
Our hormone optimization program is structured, thorough, and personalized. Every step is designed to identify contributing hormonal factors, guide treatment decisions, and support long-term stability, not just short-term symptom relief.
Consultation With a True, Experienced Hormone Specialist
Your initial visit includes an in-depth discussion of symptoms, medical history, lifestyle factors, and goals. This conversation helps us, as your provider, understand how hormone changes may be affecting your daily life and guides appropriate testing and next steps.
Comprehensive Hormone Testing
We use advanced lab panels to assess key hormone levels and related biomarkers, including estrogen, progesterone, testosterone, SHBG, DHEA, thyroid markers, and cortisol patterns. We assess balance, ratios, and bioavailability – not just whether a number falls within range.
Personalized Treatment Plans
Treatment plans are individualized based on lab findings, symptoms, body composition, metabolic factors, and hormone-binding dynamics such as SHBG. When clinically appropriate, your therapy may include bioidentical hormones, thyroid or DHEA support, and coordinated nutrition, fitness, sleep, and stress recommendations.
Convenient, Trusted Pharmaceuticals
When hormone therapy is prescribed, medications are sourced through carefully vetted, licensed pharmacies. Options may include FDA-approved formulations or compounded therapies when appropriate. Prescriptions can be delivered discreetly to your home for convenience.
Ongoing Physician-Led Monitoring and Support
Hormone therapy requires ongoing assessment and our care remains physician-directed at every stage. Patients are monitored with regular follow-ups and repeat labs to evaluate response, manage side effects, and make adjustments over time.
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HRT Programs for Men and Women
Women's Hormone Therapy (BHRT)
Hormonal shifts during perimenopause, menopause, or other life stages can affect your energy, mood, sleep, metabolism, and overall well-being.
Some women also experience ongoing challenges such as PMS, cycle irregularity, or hormone-related symptoms that don’t resolve with lifestyle changes alone, especially when symptoms persist despite “normal” labs.
Our treatment options for women’s bioidentical hormone replacement therapy are designed to evaluate hormone balance in context and provide individualized care that supports daily function and long-term overall health.
Potential Benefits of Bioidentical Hormone Replacement for Women
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Improved energy, mood, and mental clarity
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Better sleep quality and stress resilience
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Reduction in hot flashes and night sweats
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Improved metabolic stability and body composition
Low testosterone can affect physical energy, mental focus, mood, libido, and body composition.
Our testosterone replacement therapy programs are designed for men with clinically confirmed hormone deficiency and emphasize careful evaluation, appropriate dosing, and ongoing monitoring.
Treatment plans also consider overall hormone balance, including estradiol levels and symptom response, to support safety and tolerance over time.
Potential Benefits of Testosterone Replacement Therapy
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Improved energy and motivation
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Enhanced mental clarity and mood
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Improved sexual health and libido
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Support for healthy body composition
Testosterone therapy is prescribed only for clinically confirmed hormone deficiency and is not provided for bodybuilding, performance enhancement, or cosmetic purposes.


Bioidentical Hormone Replacement Therapy FAQs
What are bioidentical hormones?
Bioidentical hormones are chemically identical to the natural hormones produced by the body. Some bioidentical hormones are available in FDA-approved forms, while others may be prescribed through licensed compounding pharmacies when clinically appropriate.
Is hormone replacement therapy HSA or FSA eligible?
In many cases, hormone replacement therapy and related lab testing may be eligible for HSA or FSA reimbursement. Eligibility depends on your specific plan. We recommend checking with your benefits administrator for confirmation.
How long does a consultation typically take?
In-office initial hormone consultations typically last about 45 minutes and include blood tests, EKG, body composition analysis, and a comprehensive provider consultation.
Can I schedule a virtual (telehealth) HRT consultation, instead?
Yes. Telehealth hormone consultations are available for patients who are residents of Maryland, Pennsylvania, West Virginia, or Virginia, when clinically appropriate.
Start Your Hormone Replacement Therapy With Ultimate Wellness
If you’re ready to better understand your hormones and explore whether hormone therapy may be appropriate for you, we’re here to help.
Schedule a Consultation to Take the First Step Today
