Hormone Replacement Therapy
in Decatur & Roswell, GA

At MindBodySoul Mental Health & Family Practices in Decatur, GA, we offer comprehensive hormone replacement therapy (HRT) to help you regain balance and vitality. Our approach focuses on restoring optimal hormone levels to alleviate symptoms associated with hormonal imbalances in women, men, and gender-diverse individuals. We utilize advanced bioidentical hormones and personalized care plans to support your overall well-being. Discover how our expert team can help you feel like yourself again.

What Is Hormone Replacement Therapy?

Dr. Judith Ngulefac in a white lab coat, smiling in the hallway of the MindBodySoul practice

Hormone replacement therapy involves replenishing hormones like estrogen, progesterone, and testosterone that naturally decline with age or due to other factors. We specialize in Bioidentical hormone replacement therapy (BHRT) using the SottoPelle® method, which utilizes plant-based pellets. These tiny pellets are inserted just under the skin, providing a consistent, steady dose of hormones to your body, avoiding daily pills or creams.

The Hidden Connection Behind Your Symptoms

Illustration of a woman with grey curly hair sitting at a table by a window at sunset, hands resting on a journal

Maybe you described the fatigue, the mood swings and the weight that would not budge, and were told, “You’re going through menopause. This is normal.” No labs were drawn. Or your bloodwork came back “fine,” and you left with advice to sleep more, manage your stress or start an antidepressant, after a short visit where no one asked what had been changing in your body over the past two years.

If you still know something is wrong, you are right. Your mental health, your hormone levels and your metabolism are not separate systems. They run on the same infrastructure, and when one is off, the others feel it. Many women fall through the cracks because they are seen in pieces: the GYN looks at hormones, the primary care provider looks at part of the bloodwork, the therapist looks at mood, and nobody looks at all three together.

“Not everybody that is depressed needs an antidepressant. Somebody might be depressed as a result of their suboptimal testosterone level. Someone who is anxious might actually have a decline in their B12 or B6.”
Dr. Judith Ngulefac, DNP, APRN, PMHNP-BC, FNP-C

That is why most of our hormone replacement patients are also our mental health patients. An antidepressant does nothing for a testosterone problem, and a hormone protocol does nothing for a hard situation at home. The goal is to find the actual driving factor.

What We Check Before Prescribing

MindBodySoul exam room with a body composition analyzer, blood draw chair and provider desk

Hormones. Estrogen, progesterone and testosterone all shape how you feel emotionally, cognitively and physically. Estrogen affects mood, sleep and memory. Progesterone is calming and helps regulate sleep, and it starts declining years before menopause shows up on any test, which is why its drop is often diagnosed as anxiety or depression. Testosterone in women is not optional: it affects energy, motivation, mental clarity, libido and the sense of being yourself. When it runs low, women often say, “I just don’t care about anything anymore.” That is not a personality change. It is a hormone running low, and that can be treated.

Nutritional factors. Low B12 can present as depression, fatigue and brain fog. Low B6 affects the production of serotonin, your feel-good hormone. These are fixable problems that look identical to psychiatric symptoms if no one runs the right tests.

Thyroid. Standard care often checks one number, TSH, and stops there. TSH does not tell you whether your thyroid is producing enough hormone, whether that hormone is being converted to the active form your cells use, or whether your immune system is attacking thyroid tissue. You can have a normal TSH and still have significant thyroid dysfunction, so we look at the full thyroid picture.

The “normal labs” problem. A normal result means your number fell inside a range built from a broad population and designed to catch disease. A number at the bottom of normal and one in the middle are treated the same, but they are not the same. We read your results against your symptoms to answer the question you actually came in with: is my body doing well, for me?

Labs First, Then Your Personalized Plan

Before anything is prescribed, we want to know what is actually driving your symptoms, for you specifically. Not what we assume based on your age, your family history or what everyone around you seems to be going through.

Dr. Judith Ngulefac, DNP, APRN, PMHNP-BC, FNP-C, smiling in a lavender lab coat

“Every medication I give you needs to have a diagnosis attached to it. It needs to have a reason why I’m giving you that medication.”
Dr. Judith Ngulefac, DNP, APRN, PMHNP-BC, FNP-C

We start with your story. When things started to shift, what your life looked like before, what you have tried, what helped even a little and what made things worse. The full picture, not the abbreviated version you have been giving in 15-minute appointment slots.

We run the right labs first. Hormone levels that actually matter, nutritional markers, a full thyroid panel and inflammatory markers, chosen for your specific presentation rather than a standard panel handed to every woman over 40.

We find the root cause. If you are depressed because of low testosterone, the answer is testosterone support, not an antidepressant. If you are anxious because of a B12 decline, the answer is B12, not a benzodiazepine. If stress is keeping you from sleeping, that is the conversation we have first.

We treat you as an individual and keep reassessing. Your family history is a piece of information, not the reason for your prescription. When your labs come back, we explain what the numbers mean and cover your options, including ones that do not involve medication. Then we watch how you respond and adjust the plan as your body changes.

Body composition analyzer and blood draw chair in the MindBodySoul lab room

Your Hormone Replacement Therapy Journey

Your journey begins with a thorough initial consultation, often available via telehealth for convenience across Georgia. We conduct comprehensive hormone panels and review your complete medical history to understand your unique needs. This detailed assessment helps identify specific hormonal imbalances and their impact on your health.

Based on your lab results and symptoms, our expert team will develop a customized Bioidentical hormone replacement therapy plan tailored specifically for you. This plan outlines the precise hormones and dosages needed to address your imbalances and optimize your health goals. We prioritize a personalized approach for effective treatment.

Once your personalized plan is ready, you’ll visit our Decatur clinic for the SottoPelle® pellet insertion. This quick, in-office procedure involves placing small, bioidentical hormone pellets under the skin, typically in the hip area. The pellets then consistently release hormones into your bloodstream over several months.

After your pellet insertion, we provide continuous monitoring through follow-up visits and routine lab panels. This allows us to fine-tune your dosing, ensure treatment efficacy, and maintain your optimal hormone levels. Our goal is to ensure your long-term success and well-being with consistent, holistic care.

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Could Hormone Replacement Therapy Be Right for You?

Wondering if hormone replacement therapy could help with symptoms like fatigue, low libido, mood changes, weight gain, or hormonal imbalance? Take our free assessment, and our team will review your responses to determine whether you may be a good candidate. We’ll get back to you with personalized guidance and the recommended next steps.

Candidates for Hormone Therapy

Benefits of Hormone Balancing

Hormone balancing can lead to significant improvements in overall well-being and quality of life. Patients often report enhanced energy levels, improved mood stability, and sharper cognitive function. Many also experience a revitalized libido, better sleep patterns, and increased muscle strength.

It's Okay to Prioritize You

Illustration of two smiling women walking together on a tree-lined path

Some of what you are feeling is real, natural change. Your body at 45 is not your body at 25, and it should not be. But there is a difference between a healthy aging body and a body that is depleted and not getting what it needs. A depleted body is not inevitable. Aging is inevitable, but we can age gracefully.

If you are holding a household, a family, aging parents or a career together, you have probably been pouring from your cup for years. What you give to everyone else comes from what is already there. Seeking care now, while you can still catch underlying issues before they become crises, is one of the most responsible things you can do for yourself and for everyone who needs you. Self-care is self-love, not selfishness.

MindBodySoul is a safe, non-judgmental space. Everyone is welcome, and we especially love caring for Black and African-American, Latino and Hispanic, LGBTQ+, veteran and polyamorous patients. Care is available in English and Spanish, from your first call through your intake and follow-ups.

Questions to Ask About Hormone Care

Illustration of an open notebook with a pencil, glasses and lavender on a table

Whether you work with us or not, these questions will improve any clinical conversation about hormones, mood or fatigue.

  1. Did you draw labs before writing this prescription? If the answer is no, ask why not. A protocol without a baseline is a guess.
  2. What is the actual driver of my symptoms? Not a category or a diagnosis by demographic, but what specifically in my body is causing what I am experiencing.
  3. Is there a hormonal component we haven’t explored? This applies in primary care, mental health care and the GYN’s office alike. These systems talk to each other.
  4. Are you reading my results against my symptoms, or only against the reference range? A result within the range does not tell you whether your body is functioning well for you.
  5. Does my family history put me on the same path? It doesn’t. Your biology is your own, and the protocol should follow your labs, not your family history.
  6. What does follow-up look like? You should know before you leave when you are coming back and what will be measured to know if the plan is working.

Any clinician doing this work carefully will welcome every one of these questions.

Cost of Hormone Therapy
in Decatur & Roswell, GA

The annual cost for hormone replacement therapy in Decatur, GA typically ranges from $1,100-$1,800, depending on the specific treatment plan. Pricing can vary based on individual needs, the type of hormones required, and the frequency of pellet insertions. We offer various membership plans designed to provide comprehensive care and potential savings. A free BHRT consultation is available to discuss your personalized quote.

MindBodySoul care team: Dr. Judith Ngulefac and staff in the office, with headshots of Dr. Ngulefac and Delores Bedell, PMHNP-BC

Why Choose MindBodySoul Mental Health & Family Practice For Hormone Therapy?

Our practice is committed to a personalized and integrated approach to your health, combining mental and physical well-being. We utilize the clinically supported SottoPelle® method for bioidentical hormone delivery, ensuring consistent and precise dosing. With our hybrid care model, including telehealth evaluations and in-person treatments, we provide convenient, accessible, and safe hormone optimization.

Mental health, primary care, bioidentical hormone replacement, medical weight loss and IV therapy are all under one roof, in English and Spanish, so your hormones, labs and mood are read together.

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Testimonials

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I’m so grateful for MindBodySoul! They’ve given me the space to express myself and also helped me gain more knowledge and understanding about who I am and how I can improve my life.
-Corrinne G.

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