Personalized Hormone Replacement Therapy (HRT),
Conveniently Online
Care Across Texas — From the Comfort of Home
Personalized Hormone Replacement Therapy, Conveniently Online!
Virtual care for women and men, guided by advanced, up to date medical training and evidence-based treatment.
Restore balance, improve how you feel, and get back to your BEST!
Comprehensive hormone evaluation with individualized therapy for estrogen, progesterone, and testosterone; designed to support energy, mood, metabolism, and long-term wellness.
Women’s Hormone Optimization
Perimenopause · Menopause
Comprehensive evaluation of hormonal and metabolic health with personalized, evidence-based treatment plans designed to restore balance, improve symptoms, and support long-term wellness.
Are you experiencing fatigue, mood changes (anxiety, depression, or irritability), weight gain, brain fog, low libido, joint pain, or new-onset symptoms such as dizziness, headaches, or heart palpitations?
These symptoms are often linked to hormonal imbalance—commonly seen in perimenopause and menopause.
At ReNuMi Medical Wellness, we take a personalized, evidence-based approach to hormone therapy—focused on restoring balance, improving symptoms, and helping you feel like yourself again.
​
Our Approach to Hormone Therapy
-
We use FDA-approved, evidence-based hormone therapy—no pellets and no unnecessary compounded therapies
-
Transdermal options (such as patches) are often preferred for safety and lower risk of side effects
-
We follow a gradual, stepwise “hormone optimization” approach—introducing one hormone at a time
-
Your treatment is carefully adjusted based on both your symptoms and your lab results
-
Initial labs are completed prior to treatment (or recent labs within the last 1–2 months may be used)
Our goal is simple: safe, personalized care that helps you feel better—without over-treatment.
​
PCOS & Hormone Care
A comprehensive, individualized approach to PCOS. We look beyond symptoms to evaluate underlying hormonal and metabolic imbalances, creating a targeted plan focused on lasting results.
​
Men’s Hormone & Testosterone Optimization
Low energy, decreased libido, and changes in mood or weight may be signs of hormonal imbalance.
We provide comprehensive testing and personalized treatment plans to restore testosterone balance, improve performance, and support long-term health.
ReNuMi Medical Wellness brings expert, personalized hormone therapy directly to you through convenient virtual care—delivered in the comfort and privacy of your home.
Sara Dowran, MSN, NP-C has completed advanced hormone therapy training and courses with nationally recognized experts, including Dr. Mary Claire Haver, Dr. Rachel Rubin, and Dr. Heather Hirsch. This ensures your care is aligned with the latest clinical evidence, safety standards, and modern treatment approaches.
We are committed to transparent, affordable care—with no hidden fees or unnecessary markups. When appropriate, we prioritize evidence-based, FDA-approved therapies to ensure safety, quality, and convenience.
Medications and laboratory tests are not included in the visit fee.
Prescriptions are sent to your preferred pharmacy, where JUST offer FDA approved medications (no pelletes, or compounded HRT medications)
Our approach prioritizes transparencyallowing you to access appropriate treatment options without bundled programs or unnecessary markups.
Hormone Replacement Therapy FAQs
1-What is Hormone Replacement Therapy (HRT)?
Hormone Replacement Therapy (HRT) is a medical treatment that restores hormones your body may no longer produce in adequate amounts, such as estrogen, progesterone, or testosterone.
This may occur during perimenopause, menopause, or after surgical removal of the ovaries (with or without hysterectomy), when hormone levels become imbalanced.
HRT can help relieve symptoms and improve overall quality of life.
At ReNuMi Medical Wellness, we use evidence-based, FDA-approved therapies to provide safe, personalized care.
​
2-What are the benefits of Hormone Replacement Therapy (HRT)?
Hormone Replacement Therapy (HRT) may help improve multiple aspects of your health and well-being, including:
-Increased Energy: Reduce fatigue and improve daily vitality
-Mood Stability: Support emotional balance and reduce anxiety or irritability
-Improved Sleep: Help restore more consistent, restful sleep
-Enhanced Libido: Support sexual wellness and intimacy
-Mental Clarity: Improve focus and reduce brain fog
-Bone & Muscle Health: Support bone density, strength, and muscle preservation
-Cardiovascular Support: May support heart and metabolic health when appropriately prescribed
-Skin Health: Improve skin hydration, elasticity, and overall appearance
When guided appropriately, HRT can significantly enhance quality of life and overall well-being.
​
3-How Quickly Will I See Results?
Many patients begin to notice improvements within the first few weeks, with full benefits developing over several months depending on your individualized treatment plan.
At ReNuMi Medical Wellness, we use a gradual, stepwise approach to hormone therapy—often referred to as “hormone stacking.” Rather than starting all treatments at once, hormones are introduced carefully and adjusted over time based on your symptoms, history, and tolerance.
For example, someone who entered menopause within the past year may respond differently than someone who has had low hormone levels for several years. Because of this, each treatment plan is uniquely tailored, and dosing is introduced gradually to ensure your body adjusts safely and effectively.
Some patients may begin to notice early improvements within the first 1–2 weeks.
​
4-Are Hormone Replacement Therapy (HRT) Medications Safe?
Hormone Replacement Therapy (HRT) has been extensively studied, and more recent research has helped clarify earlier concerns. Updated evidence now shows that, for many women—especially when started at the appropriate time—the benefits of HRT can significantly outweigh potential risks.
These updated findings have led to a shift in how hormone therapy is understood and used today, with a focus on individualized, evidence-based care.
At ReNuMi Medical Wellness, we carefully evaluate your medical history, family history, and laboratory results to determine if HRT is appropriate for you. Treatment is personalized, introduced thoughtfully, and closely monitored to ensure safety, effectiveness, and long-term health.
​
5-Who Can Benefit from Hormone Replacement Therapy (HRT)?
HRT may benefit adults experiencing symptoms of hormonal imbalance, including those related to perimenopause, menopause, or andropause. It may also be helpful for individuals with symptoms such as fatigue, mood changes, low libido, sleep disturbances, or other hormone-related concerns.
​
6-Do You Accept HSA & FSA?
Yes, we accept HSA and FSA payments for eligible services.
​
7-Are HRT Medications and Visits Covered by Insurance?
HRT medications prescribed through ReNuMi Medical Wellness are FDA-approved and sent directly to your preferred pharmacy, where you may use your insurance for coverage. Depending on your plan and medication, many patients pay approximately $50–$100 per month, though costs can vary.
​
ReNuMi Medical Wellness operates on a transparent, self-pay model for visits. We do not bill insurance; however, you may use HSA or FSA funds for eligible services. The consultation fee is $299, which includes comprehensive evaluation and ordering of appropriate laboratory testing.
​
Kind Words from Our Patients
“
“
“
“
Sara didn’t just prescribe a GLP-1 medication—she coached me through nutrition, exercise, and managing side effects. I’ve lost over 20 pounds without losing muscle and feel stronger than ever. She’s an amazing provider and teacher.
I booked a telehealth visit for a cold, but during the appointment I mentioned I had been feeling tired for years. Sara really listened and decided to run some tests. She found a thyroid issue and started me on the right treatment. Now I have my energy back and can finally exercise again.
I sought care for hormone replacement therapy, and Sara’s thorough evaluation revealed underlying thyroid dysfunction. With the right treatment plan, I feel like myself again. She understands women’s health deeply and provides holistic, personalized care. I’m incredibly thankful for her expertise.
I’m two years postmenopausal and had seen two providers before finding Sara. I felt confused and overwhelmed by different medication options. Sara carefully reviewed my labs, explained everything clearly, and started me on an affordable, FDA-approved hormone replacement therapy. Her visit fees were significantly more reasonable than what I had been quoted elsewhere. I’m so thankful my friend introduced me to her.
Emily R.
adam t.
Michelle s.
Jessica L.