Learn About Hormone Replacement Therapy

What is Hormone Replacement Therapy?

Bioidentical hormone replacement therapy is comprehensive. Hormones such as estrogen, progesterone, testosterone, DHEA, triiodothyronine (T3), and thyroxine (T4) are essential in maintaining optimal health. BHRT is used to treat both men and women when their hormone levels drop or become unbalanced during menopause, andropause, general aging, or disease-related conditions. Bioidentical hormones are derived from plant-based ingredients, carrying fewer risks than synthetic options. Estrogen, progesterone, and testosterone are among those most commonly used in treatment.

Hormone Replacement for Women

Women who are experiencing perimenopause/menopause, often struggle with changing sleep patterns, mood changes, including anxiety and depression, hot flashes, night sweats, weight gain, loss of lean muscle mass, and loss of interest in sex or painful intercourse. BHRT using estrogen, progesterone, testosterone and DHEA (alone or a combination), can help regulate your sleep, give you more energy, and stabilize your mood.

Testosterone therapy has been shown to have benefits for some women. This treatment offers the body a natural testosterone boost which can protect your bones, cardiovascular and nervous system, and cognitive function; relieve vasomotor symptoms of menopause, regulate menstruation, help with PCOS, and improve libido.

Hormone Replacement for Men

Testosterone Replacement Therapy can improve general health and overall quality of life. Specifically for men, an adequate testosterone level is crucial for energy, focus, lean muscle mass, and libido. Just as women go through menopause, men can go through andropause. Andropause may be experienced by middle-aged and older men.p>

The decrease in testosterone may cause fatigue, reduced libido, muscle loss, weight gain, sleep issues, mood swings, irritability, and depression. Our team will monitor your testosterone levels throughout your treatment and provide you with additional methods on how to improve them.

Hormone Replacement Benefits
Hormone Replacement New Jersey

What are the Benefits of Hormone Replacement Therapy?

At Absoulute Vitality, we believe Hormone Replacement Therapy has many benefits, especially being used to ease perimenopause, menopause, and andropause symptoms. It may also treat conditions such as adrenal and thyroid disorders, osteoporosis, and fibromyalgia.

Aging affects all of us differently; therefore, BHRT is a customizable treatment that addresses individuals’ needs based on laboratory results and symptoms patients may be experiencing. Optimizing your hormones can improve diminished sex drive, weight management challenges, brain fog, and difficulty with sleeping and energy.

Who are the Best Candidates for Hormone Replacement Therapy?

Any male or female could be a great candidate for HRT if they have been experiencing the following symptoms:

  • Hot flashes/excessive sweating
  • Sensitivity to heat or cold
  • Fatigue
  • Mood swings/depression/anxiety
  • Menstrual irregularities
  • Decreased libido/sex drive
  • Hair loss
  • Weight gain and weight loss resistance
  • Poor quality of sleep
  • Diagnosis of hypothyroidism
  • Symptoms of hypothyroidism such as dry skin, cold intolerance, weight gain
  • Difficulty gaining muscle
  • Consistent absence of spontaneous morning erections in males

What type of Hormone Replacement Therapy Does Absoulute Vitality Recommend?

Dr. Kalika uses bioidentical/natural hormones only to balance your endocrine/reproductive system because synthetic hormones pose a greater risk to female health. If you are interested in other options of HRT available, please discuss and inquire about them during your consultation.

Bioidentical hormones might be compounded by compounding pharmacies, as well. They are NOT FDA-approved because compounding pharmacies are under the jurisdiction of and are regulated by The Pharmacy Compounding Accreditation Board (PCAB) instead of the FDA.

Dr Kalika will be happy to explain the difference as well as all the pros and cons of compounded vs. non-compounded BHRT during your visit with her.

What’s the First Step?

The first step in getting help with Hormone Replacement Therapy in New Jersey is to contact Absoulute Vitality to schedule your consultation. When you come into our boutique Medical Spa in Manalapan, you will get the chance to meet with Dr. Sanna Kalika and discuss which HRT method will be best for you. To determine this, Dr. Kalika will ask you questions regarding your medical history and lifestyle, ask what your goals for the treatment are, answer any questions you may have, and discuss the pros and cons of each type of treatment we offer.

Once the two of you decide on how to achieve your proper hormone levels, she will create your treatment plan to move forward to the next step. If you like the plan she creates, we will start administering the proper tests to learn more about your current hormone balance and how to optimize it to make you feel your “absoulute” best.

What to Expect from Hormone Replacement Therapy

If you are a candidate for hormone replacement therapy, you will receive and sign a consent form that will elaborate on all possible side effects. You will get clear instructions on how to apply hormones and what to expect.

Throughout your treatment, you might have routine blood, urine, or saliva tests to check and adjust your hormone levels as needed. You will be routinely followed by and meet with Dr. Kalika to monitor your progress and review the lab results. The frequency of these visits will be discussed during your visit and will depend on your needs and your progress.

How Much Does Hormone Replacement Therapy Cost in New Jersey?

The cost of Hormone Replacement Therapy in New Jersey will vary on a number of factors, including the dose and constituents of your hormone protocol. The best way to get an accurate cost is to schedule a constitution with Dr. Kalika. After your appointment, we will provide you with a full breakdown of the costs.

Please note that we are OUT OF NETWORK with all insurances, however, FSA is welcome.

Why Choose Absoulute Vitality?

Sanna Kalika, M.D. is a board-certified Internal Medicine physician who focuses on providing her patients with the most attentive, comprehensive, integrative care. Dr. Kalika has extensive experience working with bioidentical hormones and continuously updates her knowledge of the subject through the courses offered by IFM and A4M.

With over two decades of experience in traditional and integrative medicine and a strong interest in functional medicine, Dr. Kalika can utilize knowledge from both disciplines of medicine and combine them into one comprehensive approach to disease. Dr. Kalika has the best interest of her patients in mind and loves to offer patients active participation in their care, a true partnership.

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While Absoulute Vitality is located in Manalapan, New Jersey, we can also see patients from all over the country online, as Dr. Kalika is board-certified in multiple states. If you are looking to get your health back, we welcome you to schedule a consultation with Dr. Sanna Kalika. You can call Absoulute Vitality or use our website to request an appointment.

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It has been fantastic to have a physician so dedicated to partnering with me in my health journey.


Dr. Kalika's approach to functional medicine is not only innovative but incredibly personalized. She took the time to understand my unique situation and crafted a treatment plan that addressed my specific needs.


Been loving all my visits at Absoulute Vitality! Had multiple service's and have more on my radar!

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We believe that everyone, no matter what they suffer from, can and will get better when they find the answer to their underlying root cause health imbalances.

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Patient Resources

We’re here to help, with a number of patient resources designed to make your experience as comfortable as possible. Read through the materials below, and don’t hesitate to reach out and set up your consultation to learn more about what we can do for you.