Frequently Asked Questions
Answers to the most common questions about BHRT, aesthetic services, and your wellness journey with Vigour—so you can feel confident, informed, and empowered in your care.
BIO-IDENTICAL HORMONE REPLACEMENT THERAPY FAQ
Hormone imbalance can affect everything—your energy, mood, sleep, weight, focus, and overall sense of well-being. At Vigour, our medical team uses a comprehensive, data-driven approach to Bio-Identical Hormone Replacement Therapy to help you understand what’s really happening inside your body and restore balance safely. Whether you’re navigating perimenopause, menopause, testosterone decline, or unexplained symptoms that don’t match your lab results, we tailor every plan to your individual needs. These FAQs will guide you through what BHRT is, how it works, and what you can expect on your journey back to feeling like yourself.
What is Bio-Identical Hormone Replacement Therapy (BHRT)?
BHRT is a treatment that uses hormones that are molecularly identical to the ones your body naturally produces. These hormones help restore balance, reduce symptoms of hormone decline, and support overall wellness. Because they match your body’s chemistry, many patients find BHRT to be a more natural and better-tolerated option.
How do I know if I need BHRT?
You may be a candidate if you’re experiencing symptoms such as low energy, weight gain, brain fog, poor sleep, irritability, anxiety, decreased libido, hot flashes, or changes in strength and metabolism. The first step is a consultation and lab work to determine whether hormone imbalance is the cause.
Is BHRT safe?
When medically supervised, BHRT is considered safe and effective for most adults. At Vigour, your treatment is based on comprehensive lab analysis, personalized dosing, and ongoing monitoring to ensure both safety and optimal results.
What is the difference between BHRT and synthetic hormones?
BHRT uses hormones that have the same molecular structure as the ones your body produces. Synthetic hormones are structurally different, which can lead to different effects and side effects. Many patients choose BHRT because it is more physiologic and typically better tolerated.
How long does it take to feel results from BHRT?
Most people begin noticing improvements within 2–4 weeks. More significant changes—such as improved metabolism, mental clarity, mood stability, and sexual function—typically occur within 8–12 weeks. Your timeline may vary based on your starting hormone levels and your treatment plan.
What symptoms can BHRT help improve?
BHRT may support improvements in:
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Fatigue
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Low mood or irritability
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Hot flashes and night sweats
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Brain fog
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Low libido
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Weight changes
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Poor sleep
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Muscle loss
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Anxiety or mood swings
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Irregular menstrual cycles or PMS
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Age-related changes in strength, stamina, and recovery
How is BHRT administered?
Your provider will discuss the best option for your lifestyle and goals. BHRT may be delivered through pellets, injections, creams, or other medically appropriate forms depending on your treatment plan.
Do I need lab testing before starting BHRT?
Yes. Lab testing is essential to understand your current hormone levels and tailor your treatment safely. Labs are also repeated throughout your treatment to ensure balanced, effective dosing.
Is BHRT only for women?
No—men benefit from BHRT as well. Testosterone decline is common in men over 35–40 and can cause symptoms such as fatigue, weight gain, muscle loss, and decreased motivation or libido. BHRT helps restore healthy levels safely.
Will BHRT help with weight loss?
BHRT is not a standalone weight-loss program, but balanced hormones can make weight loss easier by improving metabolism, sleep quality, insulin sensitivity, energy, and motivation. Many patients find that weight management becomes more achievable once hormones are stabilized.
Are there side effects with BHRT?
Side effects are usually mild and temporary, especially during early dose adjustments. Your provider will monitor your labs and symptoms closely to ensure the safest, most effective outcomes.
How long do I need to stay on BHRT?
This varies from person to person. Some patients choose to continue long-term for sustained benefits, while others use BHRT temporarily to stabilize symptoms. Your provider will help guide what makes sense for your goals.
AESTHETIC & PLASTIC SURGERY SERVICE FAQ
What aesthetic services does Vigour offer?
Vigour provides a curated selection of aesthetic treatments designed to enhance natural beauty and support confidence, including injectables, skin rejuvenation, body contouring options, and consultations for surgical procedures with our board-certified partners.
Do I need a consultation before treatment?
Yes. A consultation ensures we understand your goals, medical history, and treatment expectations. It also helps us recommend the most effective, safest options tailored to your needs.
Are the treatments performed by licensed professionals?
Absolutely. All services are performed by trained, licensed, and experienced medical providers or by board-certified surgeons through our trusted referral network.
How long do aesthetic treatments take?
Most non-surgical treatments take 15–45 minutes, depending on the service. These are often called “lunchtime treatments” because patients can return to normal activities shortly after.
What is the recovery time for aesthetic procedures?
Recovery depends on the treatment:
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Injectables: Little to no downtime
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Skin treatments (peels, resurfacing): Mild redness for 1–3 days
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Body contouring: Usually minimal downtime
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Surgical procedures: Varies significantly and will be discussed in detail during consultation
Your provider will explain exactly what to expect.
Are aesthetic treatments painful?
Most treatments are well tolerated. Many services include numbing agents, cooling technology, or gentle techniques to increase comfort. Your provider will discuss options to make your experience as comfortable as possible.
How soon will I see results?
It depends on the treatment:
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Injectables (Botox/Dysport): 3–7 days
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Fillers: Immediate with refinement as swelling settles
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Skin rejuvenation treatments: Within days, with continued improvements over weeks
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Body contouring: Several weeks to months as the body responds
Your provider will explain your specific timeline.
How long do results last?
Duration varies by treatment type:
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Neurotoxins: 3–4 months
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Dermal fillers: 6–24 months depending on the product
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Skin treatments: Months to years with proper skincare
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Body contouring: Long-lasting with stable weight
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Surgical procedures: Many years or permanent results
Are aesthetic treatments safe?
Yes—when performed by trained medical professionals using FDA-approved techniques and products. Vigour prioritizes safety, proper dosing, sterile technique, and patient education before and after every treatment.
Can I combine treatments?
Absolutely. Many patients receive a customized combination of injectables, skin treatments, and contouring services to achieve natural, balanced results. Combining services often enhances overall outcome and efficiency.
How much do aesthetic services cost?
Pricing varies depending on treatment type, the amount of product used, and your goals. You’ll receive a personalized treatment plan and pricing during your consultation so you can make an informed decision.
How do I maintain my results long-term?
Consistency matters. Your provider may recommend:
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Routine maintenance treatments
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A physician-guided skincare regimen
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Healthy lifestyle habits
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Protecting your skin from sun damage
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Annual or semi-annual follow-up visits
This ensures your results stay fresh, natural, and aligned with your goals.
The Vigour Team
Dr. Bradley Bobbitt
Medical Director, Vigour
Dr. Bobbitt is the medical director of Vigour, specializing in bio-identical hormone replacement therapy and plastic surgery. He graduated cum laude from Harvard University and received his medical degree from the University of Cincinnati where he earned the Christian R. Holmes Award. He completed his residency training at University of Cincinnati where, during his Chief Resident year, he was presented the Gerson Lowenthal Award in recognition of outstanding microsurgical skills. In 2003, he became board certified from the American Board of Otolaryngology in General Otolaryngology, Otology, Facial Plastic Surgery, Head and Neck Surgery, and Pediatric Otolaryngology.
The Vigour Team
Dr. Bradley Bobbitt
Medical Director, Vigour
Dr. Bobbitt is the medical director of Vigour, specializing in bio-identical hormone replacement therapy and plastic surgery. He graduated cum laude from Harvard University and received his medical degree from the University of Cincinnati where he earned the Christian R. Holmes Award. He completed his residency training at University of Cincinnati where, during his Chief Resident year, he was presented the Gerson Lowenthal Award in recognition of outstanding microsurgical skills. In 2003, he became board certified from the American Board of Otolaryngology in General Otolaryngology, Otology, Facial Plastic Surgery, Head and Neck Surgery, and Pediatric Otolaryngology.

