Hormone Replacement Therapy

Medical Spa & Hormone Replacement Specialist located in Yakima, WA

Hormone Replacement Therapy

Hormone Replacement Therapy services offered in Yakima, WA


As you get older, sex hormone production naturally declines causing a wide range of symptoms that can affect your physical and emotional well-being. At Fiamo Aesthetics in Yakima, Washington, Nawo K. Fiamo, ARNP, provides hormone replacement therapy to restore hormone balance and ease symptoms. The aesthetic medicine, anti-aging, and wellness center uses BioTE® hormone replacement therapy pellets to customize care. To find out more about hormone replacement therapy, schedule a consultation by phone or online today. 

Hormone Replacement Therapy Q & A

What is hormone replacement therapy?

Hormone replacement therapy is a treatment for hormone imbalance. Hormones are chemical messengers made by your endocrine system that travel in your blood, directing functions like your sleep cycle, mood, and libido.

When hormone levels are balanced, your body works as it should. However, hormone levels change as you get older. Both people of all gender expressions experience declines in sex hormone production with age, including testosterone and estrogen, and progesterone.

Changes in sex hormone levels cause many of the symptoms people dismiss as part of the aging process, like weight gain, fatigue, and hair loss. Hormone replacement therapy can restore levels and help you feel young again.

Am I a candidate for hormone replacement therapy?

If you’re experiencing symptoms of hormone imbalance and testing shows your hormonal levels are low, then Fiamo at Fiamo Aesthetics may consider you a candidate for hormone replacement therapy. 

Common symptoms of hormonal imbalance include:

  • Fatigue
  • Difficulty sleeping
  • Mood changes
  • Hot flashes and night sweats
  • Difficulty maintaining your weight
  • Hair thinning
  • Dry skin
  • Low libido
  • Erectile dysfunction (ED) in men
  • Vaginal dryness in women

The aesthetic medicine, anti-aging, and wellness center specializes in the health needs of people of color (POC) and people who identify as transgender. Research shows that POC and transgender individuals often have their health concerns dismissed, even though they’re more likely to experience serious diseases and have more severe symptoms. 

Fiamo is a provider who understands the unique health needs of his diverse patients and listens to and treats them appropriately. 

What happens during a hormone replacement therapy consultation?

Fiamo conducts a thorough evaluation when you come in for a hormone replacement therapy consultation. He reviews your symptoms and medical history and performs a physical exam. He also has you complete a symptom checklist and run lab work to test your hormone levels.

If your hormones are out of balance, he customizes your hormone replacement therapy using BioTE hormone pellets. These pellets contain bioidentical hormones — plant-based hormones modified to function like your hormones.

Fiamo places the pellet under your skin above your buttocks, keeping your hormone levels in balance.

What happens once I start hormone replacement therapy?

It takes about a month for hormone levels to rebalance after starting BioTE hormone replacement therapy. Fiamo schedules regular follow-up appointments to monitor your symptoms and recheck your hormone levels. He replaces your pellet as needed. 

For compassionate and attentive care, schedule a consultation at Fiamo Aesthetics by phone or online today.