Bioidentical Hormone Replacement Therapy in San Francisco

Hormones regulate nearly every system in the body — mood, energy, sleep, cognition, cardiovascular health, and bone density. When they decline or fall out of balance, the effects are rarely subtle. At Clarus Health, bioidentical hormone replacement therapy (BHRT) is one of the most powerful tools we use to restore that balance — not with synthetic analogues, but with hormones structurally identical to those your body produces naturally.

BHRT for Menopause, Perimenopause, and Beyond

The hormonal shifts of perimenopause and menopause — falling estrogen, progesterone, and testosterone — are linked to far more than hot flashes. Research consistently associates this transition with increased risk of depression and anxiety, cognitive decline, cardiovascular disease, and osteoporosis. When started at the appropriate time, hormone therapy is not just safe — the FDA has acknowledged it can be life-saving. At Clarus Health, protocols are built around your labs, your genomics, and your symptoms — not a one-size-fits-all prescription.

More Than a Patch and a Pill: The Clarus Difference

Most hormone prescriptions are written based on a handful of standard labs and a brief consultation. At Clarus Health, we take a fundamentally different approach. Before any prescription is written, Dr. Kaveh evaluates a comprehensive picture that most providers never assess — including estrogen metabolites, sex hormone binding globulin, adrenal function, thyroid physiology, fasting insulin, inflammatory markers like CRP and IL-6, and genomic variants that affect how your body processes and clears hormones. Hormones don't work in isolation — cortisol dysregulation suppresses progesterone, chronic inflammation blunts receptor sensitivity, and insulin resistance distorts estrogen metabolism. Giving a woman estrogen without understanding this broader context isn't optimization — it's guesswork. Our protocols treat the whole hormonal ecosystem, not a single number on a lab report.

Testosterone in Women: The Most Overlooked Hormone

Testosterone is rarely discussed in the context of women's health — but it should be. Low testosterone in women is associated with fatigue, low libido, brain fog, and mood instability. Pellet therapy, available at Clarus Health for both women and men, delivers a steady physiological dose that oral and topical forms cannot reliably replicate. Dr. Kaveh is certified through the Bioidentical Hormone Replacement Academy.

BHRT for PMS, PMDD, and Hormonal Depression

For many women, PMS and PMDD are not psychological — they are hormonal. Progesterone deficiency and estrogen fluctuation in the luteal phase are well-documented drivers of mood dysregulation, irritability, and depressive episodes. When depression and anxiety are rooted in hormonal imbalance, antidepressants alone rarely provide lasting relief. BHRT — paired where appropriate with IV Ketamine or Stellate Ganglion Block — addresses the root cause rather than masking the symptom.

If your mood, energy, or quality of life has shifted and conventional approaches haven't answered why, a free consultation with Dr. Kaveh is where we start finding out.