5.0 ★ Google Rating • Compounded by Licensed 503A Pharmacy • In-Person Inland Northwest Clinic
Bioidentical hormone replacement therapy (BHRT) uses hormones that are molecularly identical to the ones your body naturally produces — estradiol, progesterone, and (in many cases) testosterone. At Prime Body Solutions, BHRT is delivered through pellets, transdermal cream, or oral capsules depending on your symptoms, lifestyle, and labs. Compounded by a licensed 503A pharmacy. Brand-name Estrace, Vivelle-Dot, or Prometrium available on patient request.
Common signs include hot flashes, night sweats, irregular or skipped periods, mood swings, anxiety, brain fog, low libido, vaginal dryness, weight gain (especially abdominal), insomnia, joint aches, and fatigue that won't lift. If three or more of these sound familiar — and you're between 35 and 65 — your hormones are almost certainly involved. Lab testing is the only way to know what's actually shifting.
Women in perimenopause (typically 35–50, with irregular cycles and emerging symptoms), menopause (12+ months without a period), or post-menopause are all candidates after a comprehensive medical evaluation. Dr. Belkoff reviews your full health history, symptoms, and 8-marker baseline lab panel before prescribing. BHRT is also appropriate for younger women with documented hormonal deficiency, low libido, or ovarian insufficiency.
No 90-second telehealth surveys. No mystery dosing. Every step is built around your labs, your symptoms, and direct access to Dr. Belkoff.
Book a complimentary visit with Dr. Belkoff at our Liberty Lake clinic. We review your symptoms, cycle history, family history, and any prior bloodwork. You'll discuss what you're hoping to feel like again and leave with a clear next-step plan — no pressure, no rush, no commitment.
Baseline blood draw at our Liberty Lake clinic. We measure estradiol, progesterone, total testosterone, DHEA-S, FSH/LH, full thyroid panel, CBC, and CMP — plus optional add-ons like hsCRP, vitamin D, or HbA1c when clinically indicated. Results in 3 to 5 days.
Dr. Belkoff reviews your labs with you and prescribes a BHRT protocol matched to your biology — pellets (3 to 4 month dosing), transdermal cream, or oral capsules. Progesterone and testosterone added based on your panel. Compounded by licensed 503A pharmacy; brand-name available on request.
Quarterly labs every 90 days to track hormone levels, symptom resolution, and safety markers. Dose and delivery method get adjusted as your body responds. Direct access to Dr. Belkoff between visits — no gatekeepers, no rotating providers. Real medicine, managed long-term.
Most BHRT clinics quote a per-visit fee, then bill medication, lab work, and pellet insertions on top — usually adding up to $400–$600 per month. Here's the difference, line by line.
Injections, transdermal cream, or oral capsule options
Compounded by licensed 503A pharmacy
Quarterly labs-(CBC, CMP, Estradiol, Progesteorone, Total Testosterone, Free Testosterone)
Direct physician access — text or message Dr. Belkoff
In-person clinic visits in Liberty Lake
Brand-name Estrace, Vivelle-Dot, or Prometrium on request
⚠ Membership covers consults only — medication billed separately
⚠ Pellet insertions billed at $300–$500 per procedure (every 3–4 months)
⚠ Initial labs cost $150–$400 extra
✗ Quarterly comprehensive lab panel not included
✗ Limited to one delivery method (often pellets only or oral only)
✗ Often telehealth — no in-person physician visits
✗ Rotating NPs or PAs, not one named physician
✗ Brand-name often unavailable or premium-priced
✗ Compounded options frequently not offered
Source: Typical BHRT clinic and pellet specialty pricing as publicly published, 2026.