Bioidentical Hormone
Replacement Therapy

Bioidentical Hormone Replacement Therapy

We have helped many women and men throughout our area revitalize and rejuvenate with the help of bioidentical hormone replacement therapy (BHRT). Many people find it is the perfect solution for increased energy and improved vitality. Our membership programs provide the medical guidance you need for long-term success.

Our program is overseen by our board-certified cosmetic surgeons and managed by Mary Emma, a certified registered nurse practitioner with a wealth of experience in BHRT. Together, their caring commitment and patient-first approach can help you live the life you want.

What Are Bioidentical Hormones?

Bioidentical hormones are hormones that are biologically equivalent to the hormones produced by your body. In other words, the chemical structure is the exact same. Replacing the hormones in your body with bioidentical hormones can help resolve symptoms of imbalance such as weight gain, hot flashes, low libido, and many more.

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Dr. Koehler

Educated at the University of Alabama and in practice for over 20 years, Dr. Koehler is a board-certified cosmetic surgeon who is devoted to providing exceptional results.

Meet Dr. Koehler

Dr. Gardner

A triple-board-certified surgeon specializing in both cosmetic and venous procedures, Dr. Gardner brings a depth of expertise, compassion, and innovation to our practice.

Meet Dr. Gardner

Symptoms of Hormone Imbalance

Without proper hormone balance, many core systems in your body can become dysregulated. Many of the patients we help with BHRT have one or more of the following symptoms.

Acne
Headaches
Weight Gain
Menstrual Changes
Decreased Libido
Constipation
Low Energy/Decreased Stamina
Mood Changes

Hair Changes
Anxiety
Depression
Insomnia
Night Sweats
Hot Flashes
Skin Changes
Bloating

About Our Membership Plans

The Bioidentical Hormone Replacement Therapy program at our practice is centered around you. Our customized approach focuses on achieving balanced and healthy bodies that feel as great as they look. Our providers will work with you to create a customized wellness plan focused on hormone optimization. Our goal is to help you feel your absolute best.

Centered on evidence-based research, our team provides care that focuses on the patient as a whole. Plans are customized based on symptoms, not solely relying on laboratory values. We focus on optimizing each patient’s individual goals, lifestyle, and needs.

Membership Benefits

To ensure lifestyle changes can be long-lasting, we operate as a membership program only. As a member, you will receive concierge care. Our dedicated providers will ensure all needs have been met.

Customized Wellness Plan
One-on-One Messaging with a Skilled Provider
Follow-up Labs
B12 Injections
Discounts on Med Spa Services

We are excited to offer Pro-Nox pain relief that can be added to any of the in-office procedures we perform. Pro-Nox is an inhaled analgesic that gives our patients 100% control through self-administration. Get short-term pain, anxiety, and stress relief without having to “go under.”

Meet Your Provider

Mary Emma is a board certified nurse practitioner who joined our team in 2021. A native of Fairhope, Mary Emma graduated with honors from the University of Alabama with a Bachelor of Science in Nursing. Mary Emma then earned her MSN from the University of South Alabama as a Family Nurse Practitioner. Mary Emma is dedicated to ensuring each patient has an excellent experience through bioidentical hormone replacement therapy, weight loss, and beyond. Mary Emma is married to her husband, Clay Pitman. They are active members of St. Lawrence Catholic Parish in Fairhope. In their free time, they enjoy spending time at the beach or on the bay with friends and family.

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Getting Started

To get started with our bioidentical hormone replacement therapy program, we will perform a comprehensive laboratory panel, symptom evaluation and discussion, and in-depth consultation with a provider. Through this process, we can help decide if bioidentical hormone replacement therapy is right for you.

Written By: Dr. James Koehler

A board-certified cosmetic surgeon in Fairhope, AL, Dr. James Koehler earned his MD from the University of Alabama and completed several post-doctoral residencies, internships and fellowships. He returned to Alabama to be closer to family and serve patients in the local community with a full range of cosmetic surgery procedures for the face, breast and body.

More about Dr. James Koehler | Last Reviewed: October 14th, 2025