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At-Home Hormone Replacement Therapy (HRT)

At-Home Hormone Replacement Therapy (HRT) services offered in San Antonio, TX

Hormone Replacement Therapy

Upfront and Transparent Pricing!
NO Long-Term Commitments. NO Subscription Model.

One-Time Initial Lab Investment: $325
This comprehensive panel allows Dr. Cash and PA Hamm to evaluate your full metabolic and hormonal health. The lab fee also includes your initial consultation. Labs Included:

  • CBC, CMP, A.M. Cortisol, FSH / LH, TSH, Free T3 & Free T4, Reverse T3, DHEA-s, Hemoglobin A1c, Prolactin, PSA (males), Progesterone (females), Total & Free Testosterone, Sex Hormone Binding Globulin (SHBG), Lipid Panel

Mens Testosterone Therpay 
$2300 per year
Includes all therapies, supplies, shipping, follow up labs and telehealth visits!


Womens Hormone Therpay
$2800+ per year
Includes all therapies, supplies, shipping, follow up labs and telehealth visits. 


Payment Options:
We accept debit, credit, HSA, and FSA.


Please Note:

We do not accept insurance. Most insurance providers do not cover in-depth lab analysis, telehealth visits, medication, or shipping. That’s why we keep our pricing simple, transparent, and all-inclusive—with no surprises.

Reclaim Your Vitality With Personalized Hormone Optimization — Delivered Fully Through Telehealth Across Texas & Louisiana

Hormone Optimization for Women and Men in Texas

A Personalized, Evidence-Based Path Back to Feeling Like Yourself

At HOOT HRT, we provide hormone optimization for women in perimenopause and menopause and men with low testosterone through secure telehealth across Texas and Louisiana.

Our approach is clinical, individualized, and evidence-based — combining comprehensive lab analysis, personalized bioidentical hormone therapy, ongoing monitoring, and real provider access.

If you’ve been told your labs are “normal” but you don’t feel normal, you’re not imagining things.
You deserve clear answers, thoughtful care, and a plan built around you — not a template.

Get Clarity on Your Hormones


Women’s Hormone Optimization

Perimenopause & Menopause Care That Listens, Tests, and Treats Thoughtfully

Many women reach a point where changes in sleep, mood, memory, libido, weight, and emotional resilience begin to affect daily life — yet are told this is “just aging” or something they must tolerate.

At HOOT HRT, we take your symptoms seriously.

We listen carefully, evaluate thoroughly, and design a plan based on both your labs and how you feel — because numbers alone never tell the full story.

What Your Care May Include

• Comprehensive telehealth evaluation
• Personalized dosing of bioidentical hormones, which may include:
– Estradiol and estriol creams
– Oral micronized progesterone
– Topical testosterone when appropriate
– Vaginal estradiol or vaginal DHEA when medically indicated
• Evidence-based supplement guidance
• Follow-up labs and thoughtful dose adjustments
• Ongoing text and email support
• Pay-as-you-go structure with no contracts

Your care is conservative, individualized, and continuously monitored for safety and effectiveness.


Transparent Value & Pricing (Women)

We believe you should understand both the value and the cost of your care upfront.

What’s Included Over the First Year

• Comprehensive hormone and metabolic labs — approximately $1,200
• Personalized hormone therapy plan — approximately $2,400
• Vaginal therapy option if needed — approximately $600
• Quarterly follow-up visits — approximately $900
• Shipping and supplies — approximately $150
• Direct provider support — approximately $500
• Lifestyle and metabolic guidance — approximately $250

Total estimated value: $5,400–$6,000

Your investment: $2,800–$3,000
Billed quarterly during the first year.
After year one, billing transitions to a convenient monthly structure.

Final recommendations and exact costs are confirmed after your initial evaluation to ensure safety and appropriateness.


How Women Often Feel After Optimization

• Sleep becomes deeper and more restorative
• Mental clarity and memory improve
• Mood steadies and emotional resilience increases
• Confidence and sense of self return
• Intimacy becomes comfortable and connected again
• Energy lasts throughout the day
• Strength, curves, and body response improve
• You feel present, grounded, and capable

Not “fixed.”
Aligned.


Why Timing Matters

Hormone decline is progressive. Waiting rarely brings relief it often prolongs uncertainty and discomfort.

There is no cost to learning more.
There is a cost to staying stuck.


Men’s Hormone Optimization

Testosterone Care Built Around Clarity, Safety, and Long-Term Health

Many men come to HOOT HRT after months or years of feeling unlike themselves fatigued, less driven, losing strength, withdrawing from intimacy, or feeling mentally flat.

These changes are common, but they are not something men have to simply “push through.”

We provide men with a clear, structured way to understand what’s happening internally and address it safely.

What Your Care May Include

• Full telehealth evaluation
• Comprehensive male hormone and metabolic panel
• Personalized bioidentical testosterone plan when appropriate
• Estradiol management when indicated
• Follow-up labs at 6 weeks, 6 months, and 1 year
• Ongoing dose adjustments based on labs and symptoms
• Shipping and supplies included
• Pay-as-you-go structure with no contracts

Our approach is conservative, evidence-based, and focused on long-term health not quick fixes.


Transparent Value & Pricing (Men)

What’s Included Annually

• Comprehensive labs — approximately $1,200
• Personalized testosterone therapy plan — approximately $2,300
• Follow-up visits — approximately $900
• Supplies and shipping — approximately $150
• Direct provider support — approximately $500
• Lifestyle and metabolic guidance — approximately $250

Total estimated value: $5,000–$5,500

Your investment: $2,300 annually
Billed quarterly.


How Men Often Feel After Optimization

• Energy and motivation return
• Strength improves in the gym and daily life
• Mood becomes steadier and more decisive
• Confidence stabilizes and grows
• Connection with your partner improves
• Body composition responds again
• You feel present, capable, and in control

Not aggressive.
Not artificial.
Balanced and grounded.


Why Waiting Rarely Helps

Testosterone decline typically does not reverse on its own. Most men spend years compensating without clarity.

Learning more costs nothing.
Staying stuck costs time you don’t get back.


Why HOOT HRT Is Different

We don’t rush visits.
We don’t dismiss symptoms.
We don’t rely on limited lab panels.
We don’t force subscriptions or contracts.

We do:
• practice certified bioidentical hormone therapy
• treat symptoms and data — together
• evaluate thyroid, adrenal, and metabolic health
• provide real access to your provider
• deliver care through efficient, secure telehealth

This model allows us to care for adults across Texas and Louisiana with respect, clarity, and consistency.


The HOOT HRT Philosophy

HOOT HRT was built for people who want to be heard, educated, and supported.

We believe:
• visits should never feel rushed
• answers should be clear and complete
• symptoms matter as much as lab values
• labs should be thorough, not minimal
• telehealth should be personal and efficient
• pricing should be transparent
• treatment should be individualized
• long-term wellbeing should always come first

This is hormone optimization done intentionally — with you at the center.


Serving Texas & Louisiana via Telehealth

Meet from home, work, or anywhere private.
No traffic.
No waiting rooms.
No unnecessary stress.

Just expert care delivered simply and securely.


Ready to Take the Next Step?

If you’re ready to understand your hormones and explore a personalized plan, the next step is simple.

This visit is designed to provide clarity — not pressure.

Schedule your private telehealth consultation below.Schedule My Consultation

Telehealth appointments available across Texas and Louisiana.