Restore Hormonal Balance with

Bioidentical Hormone Replacement Therapy

Hormone optimization is essential for your health.

Your hormones affect how you feel, how you look and how you think.

The integration of Bioidentical Hormone Replacement Therapy (BHRT) into your healthcare plan can help create long-lasting hormone health.

Bioidentical hormones are effective for both men and women at reducing the symptoms caused by hormonal imbalance.

BHRT FAQs

  • Bioidentical hormone replacement therapy (BHRT) involves using custom compounded bioidentical hormones to relieve symptoms of hormonal imbalance.

    Bioidentical hormones are used in BHRT and have an identical chemical structure to the naturally occurring hormones which are produced in the body.

  • We are often asked about the safety of bioidentical hormones, particularly whether bioidentical hormones are safer than the synthetic versions commonly used in HRT. There have been many medical studies on bioidentical hormones; however, as they are officially not drugs they don’t require expensive, large-scale trials, but they are prescriptions.

    The clinical data available certainly suggests that bioidenticals are safer. In our experience, many women prefer bioidentical hormones as they feel much better on them and don’t experience the side effects associated with traditional HRT.

    As part of ongoing BHRT treatment reviews, we require blood tests, pap tests, mammograms, and pelvic ultrasounds so we can keep a close eye on the effectiveness of treatment and any potential side effects.

  • Some of the benefits you may notice are

    • Balanced mood Increased energy and focus

    • Regular menstrual cycles

    • Decreased perimenopausal symptoms such as hot flashes, insomnia and vaginal dryness

    • Improved sense of strength and endurance

    • Improved libido

  • Depending on your symptoms and the treatment provided, you may find benefit within the first 2 weeks to 3 months. We encourage you to be patient and if you have any questions, don’t hesitate to reach out to your nurse practitioner or your pharmacist at the compounding pharmacy.

Hormone Replacement Therapy For Women

BHRT can be beneficial to women dealing with a number of health concerns.

LEARN MORE about Women’s Health services available at Nature Doctors.

  • The transition to menopause and can begin to create havoc 10-15 years before menopause. Symptoms can be extremely uncomfortable for many women. But there is no need to struggle alone with your symptoms.

    Using bioidentical HRT (BHRT) to replenish and balance depleted hormone levels which will help to control your hormones and provide some relief.

    We believe that treatment should be as individual as you are because there is no ‘one-size-fits-all’ approach to treatment. An individualized, comprehensive treatment plan tailored to your needs to achieve hormonal balance will take into account your hormones, nutrition, and lifestyle.

    LEARN MORE

  • Officially menopause is when a woman has been period free for 12 months straight. Menopause results in lower levels of estrogen, progesterone, and testosterone. Most women experience menopause between the ages of 40 and 58 with the average age 51.

    Every women experiences this transition and the associated symptoms differently, and therefore treatment needs to be customized to you & your experience.

    LEARN MORE

  • Polycystic Ovary Syndrome (PCOS) is when the ovaries produce an abnormal number of androgens (male sex hormones) that are usually present in small amounts in women. The name polycystic ovary syndrome describes the numerous small cysts, or fluid filled sacs, that may form in the ovaries.

    This is one of the most common endocrine disorders found in women.

    It is important that women are screened, diagnosed, and treated at an early age to decrease the potential negative outcomes throughout the woman’s life.

    Symptoms:

    • Menstrual irregularities

    • Androgen excess (e.g., excess facial and body hair, adult acne or severe adolescent acne, male-pattern baldness)

    • Polycystic ovaries (enlarged ovaries that contain numerous small fluid-filled sacs which surround your eggs)

  • Endometriosis is a disorder involving the endometrium, the tissue that lines the uterus. The endometrium is the tissue that, throughout the menstrual cycle thickens, breaks down and bleeds.

    Symptoms:

    • Menstrual cramps

    • Pelvic pain

    • Heavy bleeding at menstrual periods

    • Bleeding between menstrual periods

    • Infertility

  • Premenstrual syndrome (PMS) is a common experience for women of childbearing age. It is estimated that three of every four women experience some symptoms of PMS.

    Symptoms:

    • Headaches

    • Acne flare-ups

    • Breast tenderness

    • Abdominal bloating

    • Constipation or diarrhea

    • Joint or muscle pain

    • Weight gain (from fluid retention)

    • Fatigue

    • Mood swings

    • Depressed mood

    • Anxiety

    • Irritability

    • Insomnia

    • Poor concentration

    • Social withdrawal

    • Appetite changes and food cravings

Hormone Replacement Therapy For Men

Andropause

Andropause is the male equivalent of menopause, can have a great impact on a man’s health, physique, sex drive, and general well-being. Research indicates that testosterone levels (and sperm counts) have been declining over the last few decades.

Typically men experience a slow decrease in testosterone as they age; however, we are seeing more men in their 20’s and 30’s who are experiencing low testosterone.

    • Erectile dysfunction

    • Reduced sexual desire

    • Fatigue or decrease energy levels

    • Muscle loss

    • Fat gain

    • Weight gain

    • Mood changes, apathy or depression

    • Irritability

    • Trouble sleeping

    • Lower motivation or drive

If your results show that you have symptoms and/or signs of low testosterone, consider having your testosterone level checked, which can be done by a simple blood test that our NP can order for you. Book an Initial Hormone/Thyroid Consult to discuss your findings and book for a personalized assessment and treatment plan.

Thyroid Treatment Support

Thyroid hormones are produced naturally in the body. Thyroid hormones can become less effective with age or due to other health concerns. Thyroid hormones support metabolism and energy. Standard laboratory thyroid tests are often insufficient to identify all cases of low thyroid function. Your lab results may show that TSH, T4 and T3 are ‘within normal limits’ even though you are experiencing symptoms of low thyroid.

 Within normal limits does not = optimal!

Comprehensive lab work will be ordered, reviewed, and monitored to ensure correct treatment is provided. 

Meet our NP

Important Update:
Annabelle will be leaving Nature Doctors as of May 1, 2025.

We are actively recruiting a new Nurse Practitioner to join our team. Important Update:
Annabelle will be leaving Nature Doctors as of May 1, 2025.

Stay in the loop—subscribe to our newsletter for all the latest updates!

Annabelle Reimer, NP
NURSE PRACTITIONER

FAQS

  • No, as our Nurse Practitioner is working in a private practice it is NOT covered by Manitoba Health.

    However, bloodwork requested by her IS covered by Manitoba Health (with a few exceptions).

  • It is unlikely to be covered, but we advise you to contact your insurance company directly to enquire.

    We will provide you with a detailed invoice that your NP’s license and information on it; it is your responsibility to submit the invoice to your insurance company.

  • We do not offer direct billing. You will receive a receipt upon payment with all the required information to submit to your insurance provider for reimbursement.

  • Yes, but patients who live outside of Manitoba have to be seen in-person. Bloodwork requested by our NP must be done in Manitoba.

  • They are NOT covered by Manitoba Health. You will have to contact your insurance provider directly to enquire about coverage.

  • You can book online or call the clinic at 204-943-6079.

  • Natural Supplements - Yes, you can fill out an order form online or give us a call to set them aside for in-person pickup.

    Prescription Medication - You will require an appointment to receive a refill on any prescription medication. If you will run out prior to getting an appointment, Annabelle can do a one-time refill for 30 days at the cost of $100.

  • For simple clarification question regarding a current treatment plan, you can email your doctor at clients@thenaturedoctors.ca.They get back to you through email if you are looking for a yes/no answer.

    If you need to speak with them about anything more involved, please book in for a phone consult.

    If your matter is urgent and we are unable to schedule you with your doctor, there are several other practitioners who are available and we will do our best to book you in.