What is Bio-identical Hormone Optimization Therapy (BHOT)?

Bio-identical hormone replacement therapy (BHRT) is the standard technical term that most hormone clinics use, which is about simply replacing what your body is no longer able produce. This practice for some uses "average" suggested levels that may not be appropriate for each individual. Bio-identical hormone optimization therapy (BHOT) is our unique approach that goes much further than standard BHRT. We don't simply replace your hormone levels, we take a diagnostic and patient-centric approach to optimize your hormones at the levels they were when you felt best in your life.

We believe that feeling great is not a one-size fits all solution. Everyone wants to live better, everyone needs more energy – everyone should be optimized. With BHOT, you can feel better, look better, lose weight, and enjoy life to the fullest. You can Be HOT!


How can you feel better?

Your hormones are more than just numbers and blood tests. For true bio-identical hormone optimization therapy, we monitor patients very closely, ask behavioral questions and seek out root causes such as diet, how the hormones are administered, and possible related medical issues. 

How good did you feel in your teens? 20s? 30s?  Who wouldn’t want to feel that way again?  Did you know that when your body is optimized and properly supplemented, you have less risk of developing other conditions such as diabetes, Alzheimer’s, macular degeneration, bone loss, mental deterioration, heart disease, and stroke?  BHOT will not just help you feel better now, it will help you feel and live better for years to come.

How can you look better?

Hormones are like your body’s built-in conductors.  They orchestrate your body’s metabolism, protein synthesis, cellular repair and cell replication.  When hormones slow down, it can interfere with your body’s ability to heal and repair tissues.  Hair loss, decreased muscle mass, and fatigue are just some of the symptoms.  With hormone optimization, you can prevent the hormonal deficiencies and endocrine dysfunction that contribute to the signs and symptoms of getting older!

The biggest influence on how good you look is confidence.  When your hormones are out of whack, it can be hard to exercise or feel as sexy as you once did, and that can really shake your confidence.  Bio-identical hormone optimization is a safe, effective solution to give you the energy and motivation to get back to your best you. 


How can you lose weight?

As our bodies age, most people accept that they slow down, lose interest physical activities, and just don’t respond as well to exercise.  It doesn’t have to be that way! When your hormones are optimized, you’ll have more energy.  With that energy comes a greater interest in physical activity.  You’ll want to go for a walk, run, or hit the gym!  And, with your body operating in peak physical condition, you’ll notice greater returns on your efforts.

We’re not “fooling around” – regular and intense sex can strengthen bonds in a relationship, develop intimacy and be a very nice calorie-burning endeavor!  BHOT can give you back your sex drive and with it a whole host of physical benefits.  What better way to lose weight?

Hormone Myths

  • Hormones Cause Cancer

    This is the #1 objection regarding hormones. There is not one study in the world’s medical literature that concludes that Biologically identical hormones cause ANY harm. The overwhelming abundance of literature shows that when men and women are hormone balanced, they live longer, healthier and more vibrant lives.

  • BHOT is not an FDA approved therapy

    The FDA only regulates medications and medical devices. The standard of medical care is determined by the medical literature and community standards of medical practice. Worldwide, bio-identical hormones are recognized by many medical providers and professional associations as an acceptable and effective medical treatment.

  • BHOT is not “Natural”

    Indeed, BHOT is not “natural”, however the actual molecular structure of the hormones used in BHOT is identical to the molecule that exists in nature. The body sees the molecule as “the real thing” and uses it just as it would the molecule made in the body.

  • BHOT won’t help with weight loss

    Unequivocally, BHOT IS NOT A WEIGHT LOSS PROGRAM. However, a healthy physiology is essential for effective weight loss. Properly done BHOT can improve a person’s basic physiology making the traditional weight loss programs and recommendations more effective.

  • There is insufficient research supporting the use of BHOT

    The truth is that there is an overwhelming abundance of medical literature that supports the use of BHOT. Among the conclusions reached by this well-done research are that BHOT reduces the risk of heart disease; reduces the rate of osteoporosis; reduces the risk of dementia; reduces the risk of colon cancer; reduces the risk of breast cancer; improves sexual wellness and improves longevity and vitality.

  • My hormone levels are “normal”, so I don't need hormone therapy

    Particularly as people age, “normal” hormone levels may not be the best for health. The medical literature is fairly clear: Hormone “optimization” provides the best treatment for long term health, vitality and longevity.

We Help People Find Their Happy


I had a hysterectomy as a preventative measure and Dr John is great at balancing my hormones as well as including nutrition and supplements into my life to help me live healthier. One of the best things I am doing for myself. 

Amy Cervantes

I love Dr. Carrozella, he is passionate about helping people to experience a good healthy life. I am beginning my third year of BHRT and love my life. I love the staff at the center as well. Very well organized and professional. Thanks for doing what you do so well.

deborah belbey

Changed my life almost immediately! I was miserable when I went in for my consultation. Now I am feeling great! He totally understands what I am going through and genuinely wants to help me. Love him!!

stacie anderson