Hormone Optimization: Treated Based on What Your Labs Show.
Fatigue that sleep does not fix. Weight gain that exercise does not touch. Brain fog, mood swings, low sex drive. If a previous provider told you your labs were normal, the labs that were actually ordered may not have been the ones that were right. Hormone optimization in Greenville, SC, at Midtown Primary Care starts with a full panel.
Who This is For
Hormones Affect Everything. We Test Accordingly.
Most hormone complaints get dismissed because the right labs were never ordered. At Midtown, your nurse practitioner orders a full panel before recommending any protocol. Treatment follows the numbers, not a checklist.
For Women
Perimenopause, Menopause, and HRT
Estrogen and progesterone begin to decline years before menopause. According to the American College of Obstetricians and Gynecologists, perimenopause can begin in your 30s and 40s, and the hormonal shifts during that period affect sleep, weight, mood, memory, and energy in ways that are frequently dismissed or misattributed.
Our nurse practitioner orders a full hormone panel and recommends HRT, BHRT, or progesterone and menopause support in Greenville if the results support that direction. She does not prescribe based solely on symptoms. She prescribes based on the lab results.
This applies to you if you are experiencing:
- Hot flashes and night sweats
- Unexplained weight gain
- Brain fog and memory issues
- Sleep disruption and mood swings
- Low energy that does not improve with rest
For Men
Testosterone Optimization: What Low T Actually Feels Like
Low testosterone does not always announce itself with a dramatic symptom. It tends to arrive quietly: fatigue after a full night of sleep, loss of muscle despite consistent training, abdominal weight gain, low motivation, and low libido. Men often attribute these changes to aging or stress before anyone checks their levels.
Our nurse practitioner orders a full male hormone panel and manages the complete protocol if treatment is clinically supported. Male hormone optimization at Midtown is not a testosterone clinic. It is primary care with the clinical capacity to handle this work without a referral.
This is right for you if you are experiencing:
- Fatigue and low motivation that do not improve with sleep
- Loss of muscle mass despite consistent training
- Abdominal weight gain or low sex drive
- Mood changes or mental fog without an obvious cause
The Process
How Hormone Optimization Works at Midtown
No referral needed. No separate hormone clinic. The same provider who handles your primary care handles this work from start to finish.
01
Book Your Visit
No referral needed. Hormone evaluation starts at your first visit.
02
Full Panel Ordered
Based on your symptoms and goals, appropriate laboratory testing is ordered to help create a complete picture of your hormonal health.
03
Results Reviewed
Your nurse practitioner reviews results in a 30 to 60-minute appointment and recommends a protocol if the numbers support one.
04
Treatment Begins
HRT, BHRT, or testosterone therapy is prescribed and managed by your nurse practitioner.
05
Ongoing Monitoring
Hormone levels monitored at scheduled intervals. Protocol adjusted based on how your body responds.
Membership Pricing
What Is Included and What Is Not
Hormone care at Midtown is part of your Direct Primary Care membership. The clinical work does not cost extra.
INCLUDED IN YOUR $85/MONTH
Lab review appointment with your nurse practitioner
Treatment plan and prescribing
All follow-up monitoring visits
SEPARATE COST
Hormone medications (pharmacy price, no Midtown markup)
Hormone pellet insertion: separate supply fee for the procedure materials
Full hormone panel
No program fee on top of primary care.
Other hormone clinics in Greenville charge a separate monthly program fee on top of primary care. At Midtown, the clinical work and the monitoring are included in your $85/month. You only pay for the medication itself.
Common Questions
Frequently Asked Questions
Is hormone evaluation included in my DPC membership?
Yes. The clinical evaluation, lab panel, lab review appointments, and ongoing monitoring are all included in your $85/month. You pay separately for hormone medications at the pharmacy price, and for the supply fee associated with pellet insertion procedures.
What is the difference between HRT and BHRT?
Hormone replacement therapy in Greenville, SC, uses synthetically produced hormones that are chemically identical or similar to human hormones. BHRT uses plant-derived hormones that are molecularly identical to the hormones your body produces. Both are available at Midtown. Your nurse practitioner recommends the approach that fits your lab results, symptom profile, and preferences.
Do I need a referral to start hormone care at Midtown?
No. Hormone evaluation and treatment are part of your Midtown membership from day one. You book a regular appointment, your nurse practitioner orders the labs, and you review the results together at your next visit.
How long does it take to see results from hormone therapy?
Most patients notice changes in energy and sleep within 4 to 6 weeks of starting hormone therapy. Full symptomatic improvement often takes 3 to 6 months as levels stabilize. Your nurse practitioner monitors your response and adjusts at regular follow-up visits.
What does a hormone pellet insertion involve, and what does it cost?
A hormone pellet insertion is a short in-office procedure. Your nurse practitioner inserts small pellets under the skin, typically in the upper buttock area, that release a steady hormone dose over 3 to 6 months. The clinical care is included in your membership. The pellets require a separate supply fee. Confirm the current supply fee at your consultation.
Serving patients in Greenville, Mauldin, Simpsonville, Greer, Travelers Rest, and throughout
Upstate South Carolina.
DISCLAIMER: Membership with Midtown Primary Care is a direct primary care agreement between you and your provider. It is not health insurance, and it does not fulfill any insurance requirement under state or federal law. You should maintain separate health insurance coverage for specialist visits, hospitalizations, emergency care, and any services outside the scope of primary care. This membership is required by South Carolina law to carry this notice.
Ready to Find Out What Your Hormones Are Actually Doing?
HRT, BHRT, and testosterone therapy are evaluated and managed by the same nurse practitioner who handles your primary care, because your hormones do not operate separately from everything else in your chart. Midtown serves patients in Greenville, Mauldin, Simpsonville, Greer, Travelers Rest, and throughout Upstate South Carolina.
If you are ready to find out what your hormones are actually doing, hormone optimization in Greenville, SC, starts with a full panel and a provider who will not dismiss what you are feeling.
