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Helping to Balance Hormones through Bioidentical Hormone Replacement Therapy

What to expect?

Bliss Health and Wellness , Karen Quaynor MD, blisshealthmd, Bliss Health and Wellness is Washington’s Premiere Aesthetic Des

Bliss Health and Wellness is a Biote Certified Provider

Biote Certified Provider Seal - Web Optimized (1).webp

What is Hormone Optimization?

Hormones are important for regulating most major bodily processes. Hormonal imbalances occur when there is too much or too little of a hormone in the bloodstream. Because of their essential role in the body, even the smallest hormonal imbalance can cause side effects throughout the body. As we age, our bodies naturally start to reduce the amount of hormones like testosterone and estrogen they produce. Hormones such as these are incredibly important to how many areas of your body function – such as your brain, heart, bones, reproductive organs, and more. When these hormones are out of balance, people can experience a number of different symptoms. Most women see a significant drop in estrogen and testosterone during menopause, while many men may experience a similar phenomenon relating to testosterone, known as andropause or more commonly as Low T (low testosterone). Through menopause, women experience symptoms including fatigue, mood swings, trouble sleeping, hot flashes, vaginal dryness, and more. This is due to significant hormone fluctuation; in particular, low testosterone levels can contribute to these issues. Men also experience declining testosterone levels as they age, resulting in fatigue, weight gain, moodiness, body aches and even decreasing muscle strength. Hormone optimization is a method of restoring the balance of your hormones and aiming to relieve these symptoms, using compounded hormones that are identical in structure to those your body naturally produces. It is especially beneficial for patients dealing with symptoms of hormonal imbalance due to the natural aging process. That way, your body recognizes and uses these replacement hormones in exactly the same way it would hormones it produces naturally.

Bliss Health and Wellness , Karen Quaynor MD, blisshealthmd, Bliss Health and Wellness is Washington’s Premiere Aesthetic Des

The pellet is administered under the skin and remains there to supply necessary hormones as needed to maintain a natural balance.

  • Increased mental clarity

  • Higher energy levels and decreased fatigue levels

  • Better ability to lose weight

  • Reduced muscle and joint pain

  • Improved muscle tone and strength

  • Reduced hot flashes

  • Greater ease of getting to sleep and staying asleep

  • Increased libido and sexual stamina

  • Improved mood and overall well being

  • Improved overall quality of life

Why Hormone Optimization?

Throughout the aging process, both men and women can experience a decrease in natural hormone production.  With Biote, Bliss Health and Wellness  can help bring back vitality in your life.


Hormone Imbalance Symptoms for Women:

• Fatigue
• Night sweats
• Hot flashes or flushes
• Decreased sex drive
• Weight gain
• Trouble sleeping
• Irritability
• Anxiousness
• Mood swings
• Brain fog
• Low mood
• Decreased bone mass
• Discomfort during intercourse

Hormone Imbalance Symptoms for Men:

• Low sex drive
• Fatigue
• Loss of muscle mass
• Increased body fat (especially in the waist area) 
• Mood changes
• Irritability
• Elevated blood sugar
• Feelings of stress or anxiety
• High cholesterol

Happy Mature Man
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Let's Get Started

Getting started with hormone optimization is easy! 


  • Contact us at Bliss Health and Wellness today to discuss if you may be a good candidate for hormone optimization – you will fill out a simple health assessment and schedule bloodwork to evaluate your current hormone levels.

  • Your Bliss Health and Wellness Biote Certified Provider will review your lab results with you and develop a personalized care plan based on your results and health goals.


  • Most people see results after their first round of pellets, however it many take up to two pellet insertions before experiencing their desired results. Have questions?  See FAQ'S

  • How long does it take for Botox to take effect?
    You should start noticing changes in 2-3 days after your treatment, but it takes 2 weeks to see the full effect. I recommend that first time patients follow up 2 weeks after their treatment to assess the response/effect of the treatment as each person’s anatomy is different.
  • What are the different areas that Neurotoxin can be used to treat?
    - Forehead - Crow’s feet - The 11’s in between the eyebrows - TMJ - Excessive sweating - Migraines - Muscle tension
  • Will the Neurotoxin treatment hurt?
    The procedure involves injection with a needle so that will be the extent of the pain. I use a small needle to minimize discomfort.
  • What are the side effects of the Neurotoxin treatment?
    -Eyelid droop -Headache -Pain -Bruising - Muscle weakness
  • What should I avoid prior to treatment?
    If you are on medications that thin the blood (increase bleeding/bruising risk), you should consult with prescribing physician before treatment. Examples of medications that thin the blood include Aspirin, NSAIDs e.g. Ibuprofen, Advil, Motrin, Aleve, Naproxen, Meloxicam etc. Alcohol can also thin the blood so you should avoid this before treatment.
  • What are contraindications to Neurotoxin treatment?
    - Antibiotics – aminoglycosides - Skin infections on the face - History of neurological/neuromuscular conditions e.g. myasthenia gravis - Dental procedures - Skin procedures
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