Hormone Replacement Therapy
Clinical hormone replacement therapy you can trust in Miami
With 40 years of experience serving Miami-Dade County, Miami Health Center approaches hormone therapy the way endocrinology-trained teams do: test first, treat what the labs and your symptoms actually show, and monitor over time. We evaluate and treat hormone changes in both women and men, from menopause symptoms to low testosterone.
Hormones affect sleep, mood, weight, energy, and long-term bone and heart health, so this is medical care, not a wellness package. Care is offered in English and Spanish, and your plan is reviewed at regular visits rather than sold in a bundle.
Looking for hormone therapy in Miami from a medical practice, not a franchise? Our team has treated hormone conditions for four decades, with the lab in the same office. Schedule your evaluation today.
What We Provide
Our hormone replacement therapy services
Hormone therapy done right starts with knowing your numbers. Because endocrinology and primary care share this office, your evaluation, lab work, prescriptions, and follow-up all happen with one team that sees the whole picture, including how hormones interact with your weight, heart, and bones.
-
Hormone Evaluation & Lab Testing A symptom review and in-office blood work to measure exactly where your hormones stand.
-
Menopause & Perimenopause Care Relief for hot flashes, sleep problems, and mood changes, with hormone therapy when appropriate.
-
Testosterone Therapy For Men Lab-confirmed diagnosis and medically supervised treatment for men with genuinely low testosterone levels.
-
Thyroid & Metabolic Balance Thyroid and metabolic hormones checked alongside treatment, so nothing gets managed in isolation.
-
Bone & Heart Health Planning Long-term risk planning for bone density and cardiovascular health as your hormones change.
-
Medication Management Regular reviews of your prescriptions to keep everything safe, effective, and simple to follow.
-
Care Coordination & Referrals Specialist referrals and care coordination, with endocrinology available right here in our own office.
-
Ongoing Monitoring & Support Regular lab work and follow-up visits, with doses adjusted as your body responds.
Why Choose Us
Why patients trust Miami Health Center
Miami is full of hormone clinics selling packages before they draw a single lab. We work in the opposite order: evaluation first, treatment only when it is medically right for you, and honest conversations about benefits and risks at every stage of your care.
Serving Miami Since 1987
Our physicians and providers have practiced in South Florida for decades, earning the trust of patients through quality care.
Experienced Clinical Team
Our clinical team is led by dedicated physicians, nurse practitioners, and physician assistants who provide personalized care and support for your health journey.
On-Site Testing & Diagnostic Partners
Blood draws and EKGs are done in our office, plus a trusted network of diagnostic center partners for imaging and specialty testing.
Bilingual English/Spanish Care
Our team speaks English and Spanish. Ask questions and fully understand your care in whichever language you prefer.
Same-Day & Flexible Scheduling
We offer quick appointment availability and minimal wait times so you can prioritize your health without putting your busy routine on hold.
Seamless Digital Access & Telehealth
Easily message your clinical team, access test results, request prescriptions, or book virtual follow-ups through our secure patient platform.
Insurance Navigation & Managed Care Experience
We work with Original Medicare, Medicare Advantage, Commercial, Marketplace, and Medicaid plans, and help you use your coverage.
Your Care Team
Meet your team supporting your health
Our care team includes skilled, compassionate doctors and healthcare providers dedicated to long-term patient care and overall wellbeing. They work collaboratively to address both immediate concerns and preventive health goals for your entire household.
Dr. Barbara M. Muina, MD
Internal Medicine & Endocrinology
Dr. Jeffrey A. Loman, MD
Internal Medicine
Giselle Pastrana
Practice Administrator
Behind every visit is a care team that works to support your health goals. Get to know our physicians and providers.
Commonly asked questions and answers
Have questions about scheduling or what to expect? Here are answers to common inquiries to help you feel fully prepared.
For many people, yes, when it is prescribed for the right reasons and monitored properly. For women in early menopause with significant symptoms, hormone therapy is a well-established, effective option. For men with confirmed low testosterone, supervised treatment is safe for most good candidates. Safety depends on your personal and family history, which is exactly why we start with an evaluation and labs, review the benefits and risks that apply to you specifically, and monitor treatment at regular visits.
Symptoms alone can be misleading, because fatigue, weight changes, poor sleep, and low mood have many causes. That is why we test rather than guess. Blood work drawn in our office measures your hormone levels directly, and your provider reviews them alongside your symptoms and health history. Sometimes the answer is hormone therapy, and sometimes it is a thyroid issue, a medication side effect, or something else entirely.
Hormone clinics sell hormone therapy. We practice medicine. That means an endocrinology-trained team, lab work before any prescription, treatment only when the evidence supports it, and monitoring that looks at your whole health, not just one number. It also means that if your symptoms turn out to be caused by something other than hormones, we can diagnose and treat that too, in the same office, often under your existing insurance plan.
Often, yes. Because we treat hormone conditions as medical care, evaluation visits, lab work, and many hormone medications are covered by insurance when they are medically indicated, which is a real difference from cash-only hormone clinics. Coverage varies by plan and medication. Our front desk works with Original Medicare, Medicare Advantage, Commercial, Marketplace, and Medicaid plans daily and can verify yours before you start.
It varies by person and treatment. Some patients notice improvements in sleep or hot flashes within weeks, while energy, mood, and body composition changes tend to build more gradually over a few months. We will not promise a timeline, but we will check your labs and symptoms at regular intervals and adjust your treatment until it is working the way it should.
No, not necessarily. Treatment length depends on your goals, your age, your health risks, and how you respond. Some patients use hormone therapy for a few years through menopause, while others benefit from longer treatment with regular re-evaluation. Your provider revisits the decision with you at follow-up visits, and treatment can be adjusted or stopped whenever that is the right call.
Connect With Us
Reach out and learn more
If you have any questions or want to learn more about our services, don't hesitate to contact us. We look forward to hearing from you.
Our Services
Request An Appointment
Reserve your spot with our medical team in just minutes.
