Key Benefits
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Improved energy and focus
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Boosted libido and sexual wellness
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Increased muscle strength and lean body mass
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Mood stability and emotional clarity
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Better sleep and mental sharpness
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Support for bone density and cardiovascular health
concerns treated
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Fatigue or low energy
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Low libido or erectile dysfunction
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Mood changes, brain fog, or irritability
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Difficulty building or maintaining muscle
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Weight gain, especially around the midsection
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Poor sleep and recovery
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Loss of motivation or mental clarity
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Symptoms of andropause (male menopause)
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Hormonal imbalance, including low testosterone, DHEA, or thyroid issues
what to expect
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Comprehensive hormone lab panel and medical evaluation
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Individualized treatment plan based on your unique needs and goals
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Ongoing monitoring and dose adjustments to optimize results
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Education on nutrition, fitness, and lifestyle for long-term success
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Expert-led care using bioidentical hormones in safe, effective forms
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A compassionate team committed to helping you feel your best
Your Hormones, Your Way
At Pura Vida Wellness, we offer Bioidentical Hormone Therapy in forms that are both convenient and customizable—because your body deserves a treatment plan that fits you.
We commonly prescribe:
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Injections (when appropriate)
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Topical creams
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Transdermal patches
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Oral capsules
These delivery methods allow us to adjust your dosing with precision and flexibility. In many cases, we can combine multiple hormones into a single cream, patch, etc. for ease and simplicity. This means fewer prescriptions to manage and more consistent results.
Why We Don’t Use Pellets
Pellets may seem convenient because they’re long-acting, but they come with limitations and risks. Once implanted, the dose can’t be adjusted, even if your symptoms change. Pellets can also lead to hormone spikes or imbalances over time—and carry a higher likelihood of unwanted side effects.
With the forms we offer, we can fine-tune your treatment regularly based on how you feel and what your labs show—giving you safer, more effective, and more responsive care.
Want to dive deeper into why we choose not to offer hormone pellets? Read our full blog post here.
Hormone Therapy Treatment Process
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labs & hormone panel
Prior to your first visit, our medical providers will order a comprehensive hormone panel to assess your current levels and identify any imbalances.
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First Appointment
Once your lab results are in, you’ll meet with one of our medical providers who will take the time to understand your symptoms, medical history, and health goals. They will walk you through your results, answer questions, and develop a personalized treatment plan tailored to your body’s needs.
03
Treatment
With your plan in place, you’ll begin BHRT using bioidentical hormones—most commonly delivered in one of the following: creams, transdermal patches, oral forms, or injections. We’ll closely monitor your progress and make adjustments as needed, ensuring you feel supported every step of the way.
Kelly Siegel, Certified Nurse Practitioner
Medical Provider
Kelly Siegel, CNP, is a dedicated medical provider at Pura Vida Wellness, specializing in medical weight loss, hormone therapy, and functional medicine. With nearly 40 years of experience as a registered nurse in Ohio and over 26 years as a Certified Nurse Practitioner, she takes a comprehensive, patient-centered approach to care. Kelly combines cutting-edge medical advancements with holistic wellness strategies to help patients achieve optimal health.
She attended Ursuline College for her undergraduate nursing degree and earned her Master of Science in Nursing/Nurse Practitioner degree from Case Western Reserve University. A lifelong resident of Lake and Cuyahoga counties, Kelly has practiced locally at Cleveland Clinic, Lake Hospitals, and University Hospitals in Cleveland. She has also held appointments to the faculty at Case Western Reserve School of Medicine, Frances Payne Bolton School of Nursing, and Ohio University’s Heritage College of Osteopathic Medicine. Her expertise has made her a sought-after lecturer at many medical conferences.
Kelly brings a wealth of experience in managing complex and chronic health conditions. She helps patients optimize hormone balance, address underlying metabolic concerns, and improve overall well-being through a functional medicine lens. By tailoring treatment plans to each individual, she empowers patients to regain control of their health and feel their best.
In her spare time, Kelly enjoys gardening and spending time with her family.
If your experiencing testosterone imbalance Pura Vida Wellness can help
Rather than fatigue and listlessness, you’re likely to feel invigorated and witness your energy level increasing along with your endurance.
If you’ve felt the effects of lower testosterone in the bedroom, you may find that your libido returns with TRT.
If your efforts at the gym weren’t providing the expected results, TRT may help. Weight and resistance exercises produce better results when your testosterone levels are balanced. As a bonus, TRT helps boost your metabolism.
More muscle mass, increased energy levels, and a boost to your metabolism combine to make it easier to lose excess weight — especially around your waist.
Once you begin TRT and your hormone levels reach a more optimal balance, you may find that you can think more clearly. You may also enjoy a more stabilized mood and better sleep!
Five improvements you’re likely to see
Bioidentical Hormone Therapy
for Men
Hormonal health isn’t just about testosterone—it’s about balance. At Pura Vida Wellness, we offer Bioidentical Hormone Replacement Therapy (BHRT) tailored specifically for men navigating the natural effects of aging and hormone imbalance. Whether you're experiencing fatigue, weight gain, brain fog, or changes in libido, our goal is to help you feel energized, focused, and like yourself again.
Unlike synthetic hormones, bioidentical hormones are chemically identical to those produced by your body—offering better absorption, fewer side effects, and more precise control over your treatment.
At Pura Vida Wellness, we specialize in evidence-based hormone therapy tailored to your unique needs, helping you feel like yourself again. With personalized dosing and ongoing support, we’re here to guide you every step of the way.
BIOIDENTICAL HORMONE THERAPY FAQ
BHRT uses hormones that are molecularly identical to those produced by your body. These hormones help restore balance and relieve symptoms caused by perimenopause, menopause, or general hormonal imbalances. Common symptoms include fatigue, weight gain, brain fog, mood swings, and low libido.
If you’re experiencing symptoms that interfere with your energy, mood, sleep, or quality of life—and conventional approaches haven’t helped—hormone testing may reveal an imbalance. We use comprehensive lab work and symptom assessments to determine if BHRT is right for you.
We offer custom-compounded creams, patches, oral forms, and injections—all carefully dosed to fit your individual needs. These forms allow us to make precise adjustments based on your symptoms and lab results, which is crucial for achieving optimal balance.
While hormone pellets are popular in some clinics, we do not offer them—and for good reason. Pellets are implanted under the skin and release hormones continuously for months, which can seem convenient at first. However, they come with significant downsides:
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They can’t be adjusted once inserted. If your dose is too high or too low—or your symptoms change—you’re stuck with that dose until the pellets wear off.
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They often lead to hormone spikes and crashes, rather than the smooth, balanced regulation your body needs.
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They carry higher risks of side effects, especially when doses aren’t tailored accurately.
We believe in a more responsive, personalized approach to care. The delivery methods we use allow us to fine-tune your treatment regularly, ensuring safer, more stable, and more effective results.
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Most patients begin noticing improvements within a few weeks, with full benefits developing over a few months. We’ll monitor your progress closely and adjust your treatment as your body responds and your needs evolve.