Hormone Replacement Therapy Maryland

Hormone replacement therapy is a form of medication that can treat hormonal imbalances and restore the natural level of hormones to a healthy state in the body. Our hormone therapy doctors work with you to identify the cause of your hormonal imbalance and design the right hormone replacement treatment for you.

Piece of paper with Hormone Replacement Therapy Services written on it

Hormone Replacement Therapy 

Hormonal imbalances can be caused by a variety of medical circumstances, including menopause, thyroid disorders, chronic fatigue syndrome, insulin resistance, autoimmune diseases, birth control, pregnancy, abuse of anabolic steroids, certain medications, and much more.

Hormone replacement therapy has historically been used to treat the side effects of shifting hormone levels caused by menopause. Bioidentical hormones have since been developed as a type of hormonal replacement therapy that can treat various causes of hormonal imbalances in both men and women. Using a hormone replacement treatment can help improve moderate to severe symptoms of hormonal imbalances and allow a person to take control of their health and get back to living a healthy, happy life.   

A computer button that says Hormone Replacement Therapy

Hormones In Men and Woman

Hormones are created by the endocrine system and distributed to the different organs and tissues to help regulate bodily processes. When hormone levels dip then the processes that hormones support, like sleep and sexual function, can be disrupted. In these cases, hormone replacement therapy may be recommended to try to replace the hormones that have been lost so the body can regulate itself again properly. 

If you believe you are suffering from hormone imbalances then you are in the right place. At Shakthi, we will run comprehensive tests to diagnose your condition then develop a personalized treatment plan to address your symptoms at their root cause.

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Frequently Asked Questions

Hormone Replacement Therapy FAQ's

Who is a candidate for hormone replacement therapy?

HRT is typically recommended for individuals who are experiencing symptoms of menopause or andropause, but can also be used for other medical conditions. Your doctor will be able to determine if you are a candidate for HRT based on your individual medical history and needs.

What types of hormones are used in hormone replacement therapy?

The most commonly used hormones in HRT are estrogen, progesterone, and testosterone. However, other hormones may be used depending on the individual's needs.

What are the benefits of hormone replacement therapy?

The benefits of HRT include relief of menopausal symptoms, such as hot flashes and vaginal dryness, improved bone density, and reduced risk of certain diseases such as osteoporosis.

What are the risks of hormone replacement therapy?

HRT has been associated with an increased risk of breast cancer, stroke, blood clots, and heart disease. However, the risks and benefits of HRT can vary depending on the individual and their medical history.

How is hormone replacement therapy administered?

HRT can be administered in various forms, including pills, patches, creams, gels, and injections.

What is an Integrative Medicine Approach?

Integrative medicine combines conventional medicine and alternative therapies to enhance a patient’s vitality, focusing on whole body wellness. An Integrative Medicine physician will address the root cause of your illness and not just treat the symptoms. By determining what the root is, you and your practitioner can devise a health plan to successfully treat the disease. At Shakthi, we take into account other factors in your life that may be preventing the root cause of your illness or disease from fully healing. We work closely with our patients to address their immediate health needs while developing a personalized wellness plan that encourages whole body wellness. You can learn more here.

What are the benefits of integrative medicine?

Integrative medicine’s biggest benefit is the fact it looks at the patient as a whole individual and addresses the root causes of illnesses by doing so. I went along with this though integrative medicine promotes a symbiotic and collaborative relationship between the doctor and the patient. This means that there is better communication. Another great benefit is that it utilizes every therapy possible to ensure that the patient gets the treatment that is perfect for them.


Where are you located?

We have two locations in Mount Airy and Elkridge Maryland.

Why is integrative medicine not covered by insurance?

Over the past decade or so, integrative medicine has been becoming more and more popular. Because of this popularity, there has been an increase in doctors that practice it. But even with all this popularity unfortunately insurance does not cover integrative health care. The lack of coverage from insurance companies is solely because integrative medicine often encompasses treatments that these health insurance companies degenerative treatments. Because these treatments like acupuncture, massage therapy, infrared sauna, and many others are all deemed alternative they are not covered.

What costs are involved? 

We offer two options:
• Yearly Membership
• A La Carte

How do I make an appointment?

You can expect your first visit with Dr. Rao and our team to be more comprehensive than anything you have ever experienced. Our practice is not a revolving door, we won't just visit with you for 5 minutes, hand you a prescription and send you on your way. You can expect the initial visit to last approximately 60 minutes. In that time, Dr. Rao will spend time with you, listen to your history, ask questions, hear your concerns. We put great emphasis on the listening and hearing part of the consult. It is vital in developing a strong doctor, patient relationship and is the only way we can help you get on the right path to healing. After your consult, we will order your testing. Depending on your specific needs a number of tests will be administered. Testing is tailored to each individual. Schedule Appointment Here.

What are five alternative medicines?

There are many different types of alternative medicines but many of them can fall under one of the five main alternative categories. These categories are homeopathy, eastern medicine, naturopathy, and Ayurveda. Within these five types so there are many variations and so choosing one that works for you all relies on what exactly you're looking to gain from choosing alternative medicines.

What does Shakthi Mean?

Shakthi (Shuk-thee) means Strength, Empowerment, and Agent of Change.

Shakthi Digital Guide

At Shakthi Health and Wellness we offer a la carte and yearly plans that are more comprehensive and often cheaper than traditional insurance plans.

What To Expect

Hormone Replacement Specialists

Meet Our Doctors 

Our team is composed of board certified medical doctors who are highly knowledgeable in the practice of holistic integrative therapies. Our Specialized Health Care model provides patients with in depth consults with each appointment without the restrictions of time limits and jumping through insurance hoops. 

Jyothi Rao


Dr. Jyothi Rao has been practicing medicine for over 20 years. She received her Doctorate of Medicine (MD) from the University of Medicine and Dentistry of New Jersey and completed her internship and residency at the prestigious New England Medical Center (Tufts) in Boston. Before opening Shakthi Health & Wellness Center, Dr. Rao practiced medicine in New York and Maryland.

Sudhir Rao


Dr. Sudhir Rao obtained his Medical Doctorate from St. George's University School of Medicine, and is the founder of Pain and Spine Specialists. Despite Dr. Rao's years of training focusing on traditional medicine, he developed a strong interest in Functional and Integrative Medicine to treat chronic illness with alternative methods after a personal experience with limitations in traditional medicine.

What Is Hormone Replacement Therapy

Hormones are the natural chemicals that the body produces that are involved in multiple functions, such as the regulation of the metabolism and reproduction. Some notable hormones are cortisol, estrogen, progesterone, testosterone, melatonin, insulin, and T3 and T4 (hormones created by the thyroid). Certain hormones typically decrease with age, such as in cases of menopause, and other hormones can easily be affected by numerous issues. Hormone replacement therapy is a manmade medication that replicates the hormones that naturally occur in the body. Bioidentical hormones are a more natural option, compared to traditional synthetic hormones that are usually composed of Premarin. These natural hormones are molecularly identical to the hormones in the body and are typically derived from plant materials. Estrogen, progesterone, and testosterone are some of the most common hormones that are replicated for hormone replacement therapy.  

How Is Hormone Replacement Therapy Administered

Bioidentical hormones come in several different forms, including pills, creams, injections, gels, patches, and sprays. However, many consider the best way to administer hormone replacement therapy is through implanted pellets. Hormone pellet therapy involves implants that are placed under the skin so that bioidentical hormones are released consistently and absorbed directly into the blood. This means that the hormones are ingested more quickly than through other methods.  

Hormone replacement therapy is fairly common in women, with an estimated 1.4 million women using bioidentical hormone replacement therapy and 40% of all HRT prescriptions for women experiencing menopause being for BHRT. The length of treatment will also vary per person. Some people will need hormone replacement therapy for life and others will only need HRT until their hormone levels go back to normal and symptoms subside. This is something that will be determined by your doctor and how you are feeling.  

How Is Hormone Replacement Therapy Made

Bioidentical hormones are either produced by a drug company or can be custom made in a pharmacy at the direction of the patient's doctor. The hormones created at a pharmacy are known as compounded bioidentical hormones, as compounding is the process of collaboration between the pharmacy and the doctor. The benefit of compounded bioidentical hormones versus ones made by drug companies is that they can be tailored for individual patients. Bioidentical hormones are also generally considered to be safer than traditional synthetic hormones because they so closely mimic the body’s natural hormones. 

Your hormone replacement specialist will be able to conduct diagnostic testing to identify which of your hormones are out of balance. They will then be able to create the correct bioidentical hormones and dosage for your individual needs. Once you begin treatment your specialist will continue to monitor you to ensure your hormone levels even out and watch out for any side effects, along with making adjustments as needed. 

Ways Hormone Replacement Therapy May Help You 

Men and women can present different symptoms associated with a hormonal imbalance, usually due to a drop in estrogen, progesterone, and testosterone. Women most commonly experience hormonal imbalances because of menopause, perimenopause, early menopause (also known as primary ovarian insufficiency), cancer treatments, stress, and eating disorders. Men most commonly experience hormonal imbalances because of adrenal fatigue, hypothyroidism, and hyperthyroidism.  

Hormone replacement therapy can help with the multiple effects of low hormones in women, such as by reducing hot flashes, increasing libido, reducing mood swings, getting rid of constant fatigue, lessening the chances of night sweats, improving problems with sleep, increasing energy levels, increasing muscle mass, reducing pain during intercourse, fighting against hair loss, and promoting better thinking and memory. HRT can help men who are dealing with the signs of low hormones, such as combating weight loss, low libido, moodiness, low energy levels, sensitivity to temperature, blood pressure changes, osteoporosis, and erectile dysfunction.  

Potential Side Effects and Risks 

It is important to be aware of any side effects and discuss them with your hormone replacement therapy doctor so they can make changes to your treatment as necessary to keep you healthy and living a fully functioning life. These side effects can happen after the first dose of HRT, as the body is not used to the sudden influx of hormones and needs to adjust. Certain hormone mixtures can also trigger side effects.

Some of the common side effects of hormone replacement therapy are:

  • Weight Gain 
  • Bloating 
  • Acne 
  • Blurred Vision 
  • Fatigue 
  • Mood Swings 
  • Headaches 
  • Increased Facial Hair in Women 
  • Breast Tenderness 
  • Indigestion 

There are also some known risks of HRT and research suggests certain conditions and diseases can potentially occur from using HRT, which are:

  • Blood Clots 
  • Stroke 
  • Gallbladder Disease 
  • Heart Disease 
  • Breast Cancer 

Get Started:  

If you find yourself dealing with any signs of a hormonal imbalance and think you might need hormone replacement therapy, call Shakthi Health and Wellness Center today! Speak with our dedicated staff to schedule your consultation with Dr. Jyothi Rao and begin optimizing your body’s vitality. If you would like more information about hormone replacement therapy in Maryland, please call us at (301) 703-5067. 

About Us

We believe in practicing medicine that focuses on whole body health. As integrative medicine doctors we focus our on root cause of your condition with comprehensive treatments that actually heal the body rather than just masking the symptoms of your illness. 

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March 14

Hormone Replacement

Hormone Replacement

Digital Guide

A comprehensive guide to our services, providers, and locations.

Patient Testimonials

Patient Testimonials

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Susan Doyle

I started by seeing Dr. Sudhir Rao for my Reflex Sympathetic Dystrophy (RSD) Syndrome. I had an accident in July 2010 that caused nerve damage in my ankle. After treatments and surgery, it spread up the entire left side of my body. The only way to describe how you feel is by saying you’re a human pinball machine ? you just never know where the pain is going to be that minute. I had asked about acupuncture because someone had told me that it worked for them. I was at the point of trying anything to lessen the pain because it was getting worse every day.

Anonymous Patient

I am actually a relatively healthy 50-year-old woman. I try to eat well and exercise, but I (like many) felt the creep of age in the form a subtle pounds and decreasing energy. Dr. Rao helped point me in the direction of the correct detox program for me (Core Restore!) as well as the supplements I needed to boost my metabolism and increase my energy! I still need to eat what works for me and avoid the things that don't, and I still have to exercise every day, but my clothes fit better and I have more energy!!

- Shakthi Patients

Anna Smoot

I came to see Dr. Rao with symptoms of chronic fatigue, abdominal pains, depression, and weight gain. I had seen a couple other doctors and they had found that I had very high inflammation levels and over 15 food allergies/sensitivities. They wanted me to just take prescription drugs, but I wanted more than a quick fix. I wanted my health and my life back! When I scheduled the appointment, I was surprised how by helpful Kelly was on the phone. I didn’t know the details of my insurance coverage and Kelly offered to call my insurance for me. I’ve never had anyone at a doctor’s office do that before.

Debbie Helman

After visiting the Shakthi website and reading other patient testimonials, I was curious about the wide variety of treatments that were available. I have a very slow metabolism, was fatigued, had insomnia, back pain, and just didn’t feel as well as I wanted to in general. I had more allergic reactions and respiratory issues in the preceding months before coming to see Dr. Jyothi Rao. I had completed three courses of prednisone while under the treatment of my traditional doctor and was fed up with that cycle and was looking for another path.

- Debbie Helman

Linda J.

I was given the gift of Dr. Rao's integrative specialty care for Christmas in 2016. I didn?t take advantage of it until March of 2017. My mindset at the time was negative. I had heard about changing eating habits and I felt that I liked the foods I was eating and I was nearly 70, so why change now? After meeting with Dr. Rao and hearing her suggestions, I said I would take it one small step at a time and see what happens.

I was in the worst shape of my life

I was in the worst shape of my life with depression and anxiety. I had given up. Shakthi provided me with a manageable plan that included supplements, diet, and an exercise program that has transformed my body and given me a new outlook on life. Perhaps the most surprising outcome was learning how to be healthy and have a good relationship with my body. I am now more productive, energetic, and focused. The fog that had been clouding my thoughts has lifted.

- Shakthi Patient

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What To Expect

How Treatment Works

Our doctors and staff take time to get invested in your health and well-being. We've taken a step back from mainstream medicine and are challenging the norm. Everyone's healthcare needs are different. You are different. We believe patients shouldn't settle. Our practice is not a revolving door. We listen, and most importantly, we hear you.


Appointments are conducted on an as-needed basis. Patients can expect appointments to be more thorough and focused on their needs. As Integrative speciality care doctors, we see a limited number of patients which means each of our patients receives dedicated care without the concern of being “rushed” our of an appointment.

Diagnostic Testing

We offer patients scientifically backed health assessments to better understand the root causes of their health conditions. We evaluate any disruptions to your health and body to develop effective wellness plans to optimize your vitality. To learn more about the specific tests we offer visit this page here

Costs Involved

Patients receive personalized and tailored care in exchange for a flat fee. Overall cost will be discussed during your initial consultation. Each subsequent appointment will not need to be individually paid for. All patients receive unlimited access to their physicians which leads to better overall health and wellness.

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Our Locations

Mt Airy

2702 Back Acre Circle, Mt. Airy, MD 21771


6816 Deerpath Rd Elkridge, MD 21075

6816 Deerpath Rd Elkridge, MD 21075

Contact Us


(301) 703-5067



Fax Us

(301) 703-8880