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 compounding pharmacy partner Trutina. Individually dosed. Physician-titrated. Learn more about BHRT.
The Process
How It Works
I Discovery · 15-minute introductory call. 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. Reassessment paced to your response. 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
Pickup at any pharmacy or free FedEx shipping Canada-wide via Trutina
Billed Separately
Laboratory costs (uninsured tests billed to you by the lab)
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 coverage depends on the test and your clinical indication.
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.
Questions
FAQ
When should I consider BHRT?
BHRT is appropriate when symptoms (disrupted sleep, mood changes, hot flashes, irregular cycles, brain fog, weight changes, low libido, vaginal dryness) emerge alongside hormonal shifts confirmed by bloodwork. Perimenopause typically begins in the late thirties to mid-forties, and many women benefit from intervention before menopause is formally reached. The decision is individual and based on labs, symptoms, and goals.
What is the difference between perimenopause and menopause?
Perimenopause is the transition phase, often lasting four to ten years, during which estrogen, progesterone, and testosterone fluctuate unpredictably. Menopause is the formal point twelve months after the final menstrual period. Symptoms can be most disruptive during perimenopause, when hormonal swings are largest. BHRT is appropriate in both phases, with protocols calibrated to where the patient is on the trajectory.
Is BHRT safe after a hysterectomy?
Yes, with appropriate physician supervision. Estrogen replacement is often appropriate after hysterectomy and is associated with cardiovascular and bone density benefits when initiated within ten years of surgical menopause. Progesterone may still be considered for sleep and mood support even without a uterus. The Women's Health Initiative findings have been substantially reinterpreted; current evidence supports individualized BHRT in appropriate candidates.
Are bioidentical hormones safer than synthetic?
Bioidentical hormones are structurally identical to those the body produces, which simplifies metabolism and receptor binding. The clinical evidence comparing bioidentical and synthetic preparations is nuanced: bioidentical progesterone (micronized progesterone) has more favourable cardiovascular and breast tissue data than synthetic progestins. The choice is made individually based on the patient's profile, response, and preference, with monitoring throughout.
Begin
Book a Discovery Call
A confidential conversation with our physician and founder.
inquiries@manussolis.ca · Toronto · Yorkville · Forest Hill · Rosedale