Women's bioidentical hormone therapy
You optimize everything else. Now optimize the system.
The Domain
You invest in your performance, your skin, your nutrition, your fitness.
The single system that governs energy, sleep, mood, cognition, metabolism, and aging, your hormonal axis, is ready to be quantified and optimized.
This is that practice.
What We Optimize
- Hormonal balance
- Energy & fatigue
- Sleep quality
- Cognitive clarity & brain fog
- Mood & emotional resilience
- Libido & sexual function
- Body composition & weight
- Metabolic efficiency
- Hair thickness & growth
- Nail strength
- Skin elasticity & aging
- Bone density
- Fertility optimization
- Stress & cortisol management
- Postpartum recovery
- Preventive medicine & longevity
Conditions We Treat
- Perimenopause
- Menopause
- PCOS
- Endometriosis
- PMS & PMDD
- Postpartum depression
- Hypothyroidism & Hashimoto's
- Estrogen dominance
- Adrenal dysfunction
- Insulin resistance & type 2 diabetes
- Dyslipidemia
- Non-alcoholic fatty liver disease
- Metabolic syndrome
- Osteoporosis & osteopenia
- Growth hormone deficiency
Hormones We Prescribe
- Estradiol
- Progesterone
- Testosterone
- DHEA
- Thyroid (Desiccated, T3 & T4)
- Growth Hormone (HGH)
- Melatonin
- GLP-1 Agonists
Custom-compounded by our Ontario pharmacy partner. Individually dosed. Physician-titrated. Learn more about BHRT.
The Process
How It Works
I Discovery · 15-minute introductory call. No cost. We determine fit.
II Assessment · Comprehensive history, symptoms, goals. Advanced labs: full hormonal panel, estradiol, progesterone, testosterone, SHBG, thyroid, cortisol, insulin, inflammatory markers, micronutrients. Well beyond standard panels.
III Protocol · 60-minute consultation. Results reviewed. Vis Viva Score calculated. Individualized BHRT protocol prescribed.
IV Continuity · Follow-up labs at 4–6 weeks. Dosing refined. Quarterly reassessment. Score tracked over time. Direct physician access throughout.
Getting Started
Vis Viva Onboarding
$895
Visit 1 (60 min)
Comprehensive clinical assessment, full Sensus baseline, treatment initiation, Virtus testing plan.
Visit 2 (30 min, at 4–6 weeks)
Pulsus review (bloodwork results), first dose titration, early clinical response assessment.
Included
Custom blood requisition & review of blood analysis
Written prescription (no additional Rx fee)
Custom-compounded prescription & pharmacy concierge
Free delivery via FedEx / Purolator to your door
Billed Separately
Laboratory costs (bloodwork, OHIP where possible)
Compounded hormone medications (billed through pharmacy)
Functional testing (VO2 max, DEXA, external referrals)
This is a private medical practice. Consultations are not covered by OHIP.
Lab work ordered through OHIP where possible.
HSA-eligible. METC-eligible.
Annual
Continuity Program
$3,500 / year
Scheduled Consultations & Follow-Ups
Comprehensive assessments, quarterly reviews, and brief check-ins throughout the year.
Prescription Management
Year-round Rx management, pharmacy concierge, refills coordinated.
Blood Analysis
Custom requisitions and physician review at every reassessment.
Vis Viva Score Tracking
Ongoing optimization across Sensus, Pulsus, and Virtus domains.
HSA-eligible. METC-eligible.
Begin
Book a Discovery Call
A confidential conversation with our physician and founder.
inquiries@manussolis.com · Yorkville, Toronto