blog

Hormone Replacement Therapy in Grand Rapids, MI

How Hormone Replacement Therapy Works at Revive Pain Solutions

Hormones and Pain Management

Hormone replacement therapy has become a hot topic, and for good reasons. A youthful hormone profile is intensely health-restorative. Our patients undergoing hormone replacement therapy (HRT) find that energy levels soar, inflammatory pains plunge, and a sense of youthful vim and vigor they thought lost forever returns.


Every doctor approaches HRT differently. I’ll explain my treatments in upcoming blogs, using fictional but typical patients to demonstrate. Keep in mind that each patient is unique, and what may be appropriate for one may not be advisable for another.


For now, I’d like you to remember a few key hormone points that will help you understand how HRT works.

All of us need free T3 thyroid hormone to feel alert, alive, and metabolically active. Very often, levothyroxine, aka Synthroid, does not produce adequate levels of free T3. If your doctors only measure TSH and T4, never measuring T3, I feel they are missing the boat.
All of us need testosterone to develop and maintain lean muscle, shed fat, build strong bones, maintain sexual desire, and fight the inflammation that causes pain. Men need roughly 10 to 20 times as much as women, but women need it too! Testosterone is measured as total testosterone and free testosterone, but FREE testosterone is what counts!!! If you’ve not had a FREE testosterone level taken, you are not being properly assessed.
All of us need estradiol (a subset of estrogen) to protect heart, vascular, and brain health. Women need estradiol to maintain the health of the pelvic floor and the vagina. Because estradiol is in part derived from testosterone, men rarely need to take additional estradiol.
Only women require progesterone. For women, progesterone is critically important. We’ll discuss this at length in future blogs.

Check back for much more on hormone replacement therapy and what it can do for you to fight pain and restore energy!

What symptoms can hormone replacement therapy help with?

Hormone replacement therapy may help when symptoms are tied to true hormone deficiency or imbalance. Common symptoms include low energy, brain fog, stubborn weight gain, low libido, and inflammatory aches or pain patterns. Proper evaluation is essential to determine whether hormones are contributing to these issues.

What lab testing is important before starting hormone replacement therapy?

At Revive Pain Solutions, treatment decisions are based on symptoms plus comprehensive hormone testing—not a single lab value. For example, thyroid testing often requires more than TSH and T4 alone, and testosterone evaluation should include free testosterone, not just total testosterone.

How long does it take to notice results from hormone replacement therapy?

Response timelines vary depending on the individual and which hormones are being addressed. Some patients notice early improvements in energy, sleep, or recovery within weeks, while other benefits take longer and may require follow-up testing and adjustments.

How do I get started with hormone replacement therapy at Revive?

The first step is scheduling a consultation at Revive Pain Solutions in Grand Rapids, MI. During the visit, we’ll review symptoms, discuss appropriate hormone testing, and determine whether hormone replacement therapy fits into your overall care plan.