Hormone blood tests — testosterone, estrogen and progesterone

Hormone Replacement Therapy

What it is

Bioidentical hormone replacement therapy restores hormones your body already knows — supporting energy, sleep, mood, strength and vitality for both men and women as levels decline with age.

What to expect

Everything begins with comprehensive lab work: your protocol is dosed precisely for you, monitored with bloodwork every four months — which can be done in the United States — and your therapies ship directly to your door. Dr. Sibaja explains your results, your options and honest expectations at your assessment.

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Learn more about Hormone Replacement Therapy

Every answer is a starting point — your consultation goes deeper, personally.

What are bioidentical hormones?

Hormones that are molecularly identical to the ones your body produces — which is why the body recognizes and uses them naturally. This is different from older synthetic alternatives.

Is HRT for men too, or just women?

Both. Women often seek it for perimenopause and menopause symptoms; men for the gradual decline of testosterone with age — fatigue, lower drive, slower recovery. Protocols are designed completely differently for each person.

Is it safe? What about side effects?

When hormones are correctly dosed for your body — guided by lab work, not guesswork — therapy is well tolerated and side effects are uncommon. That is exactly why your protocol starts with comprehensive labs and is monitored continuously.

Do I need blood tests?

Yes — always. Labs come first, and your levels are rechecked every four months to keep your protocol precise. If you live in the United States, the follow-up bloodwork can be done there.

How does it work if I don't live in Costa Rica?

Your assessment and protocol design happen with Dr. Sibaja; your therapies ship directly to your door, and follow-up labs can be done near home. Care continues by WhatsApp wherever you are.

How soon will I feel a difference?

Many patients notice changes in sleep, energy and mood within weeks, with full benefits building over two to three months as levels stabilize. Results vary — your follow-up labs tell the objective story.

Often combined with

Many patients pair treatments into a single personalized protocol — ask Dr. Sibaja how these work together for your goals.

Hormone Replacement Therapy

Learn more about Hormone Replacement Therapy

Often combined with

Medical Weight Management

Peptide Therapy

Stem Cell Therapy