HRT in Boise, ID
Hormone Replacement Therapy at Spa 35
Revitalize Your Energy and Confidence
Struggling with low energy, weight gain, or hormonal imbalances? At Spa 35 – Boise’s Best Med Spa since 2006 – our functional wellness approach uncovers root causes and restores your vitality through personalized hormone replacement therapy (HRT), medical weight loss, and more. No more "normal" labs that miss the big picture – get real results with a seasoned Nurse Practitioner in Idaho.
Low energy, mood swings, hot flashes? Supplementing your declining hormones with bioidentical hormones can restore your quality of life and improve your relationships.
What Are Bioidentical Hormones?
Bioidentical hormones are compounds that are structurally identical to the hormones your body naturally produces. They are often used in Hormone Replacement Therapy (HRT) to help restore balance when hormone levels decline due to age, stress, or other factors.
Unlike synthetic hormones, bioidentical hormones are designed to “fit” your body’s hormone receptors in the same way as your own natural hormones, which may lead to fewer side effects and a more natural response.
Benefits may include:
• Improved energy and mood
• Better sleep
• Support for weight management and metabolism
• Increased mental clarity and focus
• Relief from hot flashes, night sweats, and other menopausal symptoms
• Support for bone, heart, and sexual health
Spa 35 has medical providers on the team to help you with more than cosmetic issues. We are also experts in hormone replacement therapy. Nurse Practitioner Elizabeth Hingley will use in depth questions and extensive blood and testing to create a personalize plan to help you maximize your mood, energy and sex drive! Balancing women’s hormones is essential for overall well-being and health maintenance. Supporting women in optimizing their health not only significantly improves their quality of life but also positively enhances their relationships with others. Investing in hormonal balance is truly a game-changer for achieving a healthier, happier life and emotional stability.
For men, hormone replacement therapy serves as an effective method to restore vitality by improving energy levels, physical strength, mental clarity, and overall well-being. As testosterone and other key hormones naturally decline with age, optimizing hormones plays a crucial role in helping to maintain muscle mass, libido, mood stability, and long-term health. It’s a powerful tool for aging with strength, resilience, and confidence, allowing individuals to embrace life’s challenges..
Revitalize Your Energy and Confidence
Struggling with low energy, weight gain, or hormonal imbalances? At Spa 35 – Boise’s Best Med Spa since 2006 – our functional wellness approach uncovers root causes and restores your vitality through personalized hormone replacement therapy (HRT), medical weight loss, and more. No more "normal" labs that miss the big picture – get real results with a seasoned Nurse Practitioner in Idaho.
Low energy, mood swings, hot flashes? Supplementing your declining hormones with bioidentical hormones can restore your quality of life and improve your relationships.
About Our Wellness Expert
At Spa 35, we're more than a medical spa – we're your partners in lifelong wellness. Our licensed nurse practitioner and medical professionals, with over 10 years of experience, specializes in hormone optimization and metabolic health. Led by an expert certified in functional medicine principles, we blend advanced diagnostics with aesthetic expertise to address thyroid issues, hormone imbalances, gut health, and inflammation.
Why We Are Different
Tired of quick fixes that don't last? Here's how Spa 35 stands out:
Comprehensive Testing: Beyond standard labs – we check full thyroid panels (Free T3/T4, Reverse T3, antibodies), hormone levels, gut microbiome, and metabolism markers like insulin and HbA1c.
Personalized Plans: Combine HRT with GLP-1 weight loss injections, CoolSculpting, or skin rejuvenation for holistic transformation.
No Pressure, Transparent Pricing: Free consultations include honest advice, clear costs, and no forced memberships or year-long contracts.
Proven Results: Proactive hormone therapy boosts energy, mood, and prevents age-related decline, turning one-time visits into lifelong relationships.
What to Expect in your Journey
Free Consultation: Discuss symptoms, review history, and order tests – in-person or via telemedicine.
Lab Review & Plan: Analyze results, explain root causes, and create a tailored protocol (meds, supplements, diet tips).
Follow-Ups: Monitor progress, adjust as needed, and celebrate wins.
Ongoing Support: Easy refills, and collaborative care with your HRT provider.
No obligation – just empowerment to feel your best.
Meet Elizabeth Hingley, Family Nurse Practitioner – Your Hormone Expert at Spa 35 Medical Spa
When it comes to your health and beauty, trust matters. At Spa 35 Medical Spa in Boise, Elizabeth Hingley brings a wealth of expertise and a passion for helping you feel your absolute best. As a highly skilled Nurse Practitioner,Elizabeth leads our Hormone Replacement Therapy (HRT) and Medical Weight Loss programs with GLP-1 therapies, delivering transformative results with a personalized touch. With her extensive background and advanced certifications, she’s the professional you can count on to guide you toward vibrant wellness and confidence.
A Proven Expert in Your Corner
Elizabeth is a Functional Medicine Nurse Practitioner specializing in thyroid, hormone, gut health, metabolism and inflammation regulation. With a personalized, holistic approach, Elizabeth empowers individuals to achieve optimal wellness and vitality.
Elizabeth holds an MSN from Georgetown University (2013) and is a certified Functional Medicine Practitioner (IFMCP), Certified Diabetes Educator (CDE) and completed the Functional Nutrition Academy Mentorship in 2024.
With a background in endocrinology, she focuses on addressing the root causes of persistent symptoms through lifestyle management, lab testing, medication and supplements as well as partnering with patients to empower them on their health journey.
Why Trust Elizabeth?
Elizabeth is not just a provider—she’s a partner in your wellness journey. Her Endocrinology background means she understands your overall health and how hormones impact your mood and health. Elizabeth pays attention to every detail, ensuring your safety and satisfaction. At Spa 35, Elizabeth is committed to personalized care in every consultation, injection, and treatment plan she crafts.
Take the First Step Today
Ready to reclaim your vitality and confidence? Elizabeth and the Spa 35 team are here to make it happen. Call now to schedule your free consultation for Hormone Replacement Therapy and discover how her expertise can work for you. Elizabeth can help you unlock a healthier, more radiant you—because you deserve nothing less.
Hormone Replacement and GLP-1 Peptide story from Spa 35 Customer. A testimonial about her weight loss journey at Spa 35 Medical Spa
Customer story - Spa 35 is focused on outstanding results for your customers
About Hormone Replacement Therapy
Hormone Replacement Therapy (HRT) is a medical treatment designed to restore hormone levels that naturally decline with age or due to specific health conditions. For aging individuals HRT can offer a range of benefits that improve quality of life. Here’s a breakdown of the key advantages:
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Increased Energy and Vitality
As hormone levels (like testosterone or estrogen) drop, fatigue often sets in. HRT helps replenish these hormones, boosting energy levels and making you feel more vibrant and active.
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Improved Mental Clarity
“Brain fog"—that frustrating mix of forgetfulness and lack of focus—is a common complaint as we age. HRT can stabilize hormone fluctuations, sharpening cognition and enhancing mental focus.
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Restored Sexual Libido
Declining hormones can dampen sex drive and performance. By balancing levels of testosterone, estrogen, or progesterone, HRT often revives libido and improves sexual satisfaction for both men and women.
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Better Mood and Emotional Balance
Hormonal imbalances can lead to irritability, anxiety, or even depression. HRT helps regulate these hormones, promoting a more stable, positive mood.
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Enhanced Physical Health
HRT can support muscle mass, bone density, and skin elasticity—countering some physical signs of aging. For example, testosterone therapy in men can maintain strength, while estrogen therapy in women can reduce osteoporosis risk.
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Customizable Relief
Under the care of professionals like Spa 35’s Nurse Practitioners, HRT is tailored to your specific needs, ensuring safe and effective results—whether you’re combating hot flashes, sleep issues, or other symptoms.
Common HRT Myths
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The Truth: This myth stems from a fundamentally flawed study that's been largely reversed.
The Women's Health Initiative (WHI) study, published in 2002, sent shockwaves through the medical community. The preliminary findings suggested that HRT increased cancer risk in women. Providers and medical schools immediately reacted—understandably trying to protect their patients by abandoning HRT recommendations.
But here's what happened next: groupthink took over. The medical establishment jumped on the fear bandwagon so quickly that critical evaluation of the study design and results got buried. Few questioned the findings. Even fewer looked closely at the methodology.
The problem? The study was flawed. The results were misinterpreted. And the conclusions were miscommunicated to both providers and patients.
What the updated evidence shows: When we use bioidentical hormones—meaning hormones that are molecularly identical to what your body naturally produces—they are not only safe but actually cancer-preventive in many cases. Bioidentical hormones serve as a strong foundation for preventing the comorbidities of aging, not causing them.
The WHI study primarily used synthetic hormones that the body doesn't recognize the same way. That distinction matters enormously.
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The Truth: Symptom relief is the least important reason to consider HRT.
Yes, hormone replacement therapy can be highly effective at minimizing the uncomfortable symptoms of declining hormones:
Hot flashes and night sweats
Sleep disturbances
Decreased sexual desire
Vaginal dryness
Not feeling like yourself
Anxiety and depression
Joint pain
Irritability and a short fuse
Brain fog and memory issues
These symptoms are real, disruptive, and deserve treatment. But they're not the main story.
The more critical reason for HRT: protecting your brain, bones, and heart from degenerative disease.
Declining estrogen significantly increases your risk for:
Dementia and cognitive decline - Estrogen is neuroprotective
Osteoporosis and fractures - Bone density loss accelerates dramatically after menopause
Cardiovascular disease - Heart disease risk rises sharply in postmenopausal women
Here's the dangerous part: these disease processes are largely asymptomatic. You don't feel dementia creeping in. You don't feel your bones becoming porous. You don't notice early cardiovascular changes.
By the time symptoms appear, you're often at a diagnosable disease state. Prevention is far more effective than trying to reverse established disease.
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The Truth: Earlier intervention during perimenopause yields better long-term outcomes.
The standard recommendation has been to wait until you're "fully menopausal"—typically defined as one year without a menstrual cycle, which averages around age 51.
But emerging evidence shows that this approach misses a critical window of opportunity.
What the research now indicates: Initiating bioidentical HRT earlier in perimenopause—often in the mid-40s—produces better long-term outcomes for brain health, cardiovascular protection, and bone density preservation.
Why does timing matter?
Estrogen receptors in the brain, heart, and bones are most responsive when estrogen hasn't been absent for extended periods. Starting HRT while you still have some natural hormone production creates a smoother transition and may offer more robust protective effects.
Additionally, many perimenopausal symptoms are significantly lessened by starting low-dose HRT earlier, rather than white-knuckling through years of sleep disruption, anxiety, and cognitive changes.
The approach needs to be individualized based on your symptoms, risk factors, and personal health history. But the blanket recommendation to wait until full menopause?
That's outdated
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The Truth: You need adequate hormone levels to actually protect your brain, bones, and heart.
The "lowest effective dose" philosophy sounds reasonable on the surface. After all, we want to minimize any potential risks, right?
But here's what this approach misses: there's a therapeutic threshold. Your body needs a certain level of hormones in the blood and tissues to derive protective benefits for your brain and bones. (We're still acquiring more data on the precise levels for cardiovascular protection, but the pattern is similar.)
Taking a dose so low that it barely touches your symptoms might make you feel slightly better, but it's unlikely to provide the neuroprotective, bone-preserving, and cardiovascular benefits that make HRT so valuable.
This is why follow-up matters. Proper HRT management requires:
Comprehensive lab testing to establish baseline hormone levels
Personalized dosing based on your individual sensitivity and starting levels
Regular monitoring and adjustment as your body responds
Evaluation of symptoms alongside objective lab markers
Some women are highly sensitive to hormones and need lower doses. Others require more to reach therapeutic levels. Cookie-cutter dosing doesn't work because hormone metabolism varies significantly between individuals.
In short, HRT can be a game-changer, helping people not just feel younger, but live with more confidence and zest. It’s always best to consult with a qualified provider to see if it’s right for you!
Balancing women’s hormones is essential for overall well-being and health maintenance. Supporting women in optimizing their health not only significantly improves their quality of life but also positively enhances their relationships with others. Investing in hormonal balance is truly a game-changer for achieving a healthier, happier life and emotional stability. For men, hormone replacement therapy serves as an effective method to restore vitality by improving energy levels, physical strength, mental clarity, and overall well-being. As testosterone and other key hormones naturally decline with age, optimizing hormones plays a crucial role in helping to maintain muscle mass, libido, mood stability, and long-term health. It’s a powerful tool for aging with strength, resilience, and confidence, allowing individuals to embrace life’s challenges.
Customized Hormone Replacement Therapy at Spa 35 Medical Spa – Tailored Wellness with Expert Care
At Spa 35 Medical Spa in Boise, we understand that hormone imbalances can dim your vitality, disrupt your focus, and affect your quality of life. That’s why our Hormone Replacement Therapy (HRT) program, led by Nurse Practitioner Elizabeth Hingley Functional Medicine Nurse Practitioner (IFM-CP), is designed with medical precision and a deep commitment to your well-being. With over a decade of advanced nursing experience, including critical care and personalized medicine, Elizabeth brings unparalleled expertise to every customized HRT plan. Our serious, results-driven approach ensures you receive a hormone therapy solution as unique as you are—optimized for effectiveness and safety.
Your Path to Hormonal Balance: A Proven, Personalized Process
Hormone Replacement Therapy at Spa 35 isn’t a one-size-fits-all fix. We combine Elizabeth’s extensive medical background with a meticulous, step-by-step process to restore your energy, clarity, and zest for life. Here’s how we craft and deliver your custom HRT plan:
Step 1: Personalized Plan Development
Your journey begins with a comprehensive initial assessment. Elizabeth, with her years of patient care expertise, evaluates your symptoms—whether it’s fatigue, brain fog, low libido, or mood swings. This is followed by advanced laboratory testing to pinpoint your hormone levels. From there, we develop a supplementation plan tailored specifically to you, maximizing benefits like renewed vitality and minimizing potential side effects. At Spa 35 Medical Spa, your personalized HRT plan is built to deliver real, lasting results.
Step 2: Extensive Evaluation of Current Hormone Levels
Improving your joy in life starts with understanding where you stand. Spa 35 employs a thorough measurement of your current hormone levels, utilizing precise laboratory analysis of your blood and saliva in most cases. Elizabeth’s training in endocrinology and personalized medicine ensures these tests are interpreted with clinical accuracy. Whether it’s testosterone, estrogen, progesterone, or other key hormones, we assess every detail to optimize your therapy and address imbalances effectively. This rigorous evaluation sets the foundation for your hormone optimization.
Step 3: Ongoing Monitoring and Expert Coaching
Hormone Replacement Therapy is a journey, not a quick fix. At Spa 35, we’re with you every step of the way. Elizabeth and our team provide continuous support, monitoring your progress with follow-up evaluations and additional hormone testing as needed. We adjust your plan to ensure it keeps pace with your body’s response, fine-tuning dosages or methods to enhance outcomes. Beyond adjustments, you’ll receive expert coaching to manage symptoms and embrace the benefits—think sharper focus, better sleep, and a revitalized sense of self. Our commitment to ongoing care makes Spa 35 a leader in HRT in Boise.
Why Choose Spa 35 for Hormone Replacement Therapy?
Under Elizabeth’s leadership, Spa 35 Medical Spa stands out for its medical competency and patient-first philosophy. With a Master's from Georgetown University and certification as a Functional Medicine Practitioner, With a background in endocrinology, she focuses on addressing the root causes of persistent symptoms through lifestyle management, lab testing, medication and supplements as well as partnering with patients to empower them on their health journey.
Our modern facility, conveniently located with ample parking, has been a trusted destination since 2006. Whether you’re exploring HRT for menopause, andropause, weight management, or overall wellness, Spa 35’s customized hormone replacement therapy offers a science-backed path to feeling your best.
Take Control of Your Hormones Today
Don’t let hormonal imbalance hold you back. Spa 35 Medical Spa, is here to create your personalized HRT plan with the expertise you can trust. Call or text us today at (208) 367-0700 to schedule your free consultation and start your journey to optimized hormone health. Discover why Boise chooses Spa 35 for Hormone Replacement Therapy—because your vitality deserves the best.
Disclaimer: Individual results may vary.
What Are The Potential Long Term Benefits Of Hormone Replacement Therapy?
Stronger Bones – Prevents osteoporosis by maintaining bone density
Heart Health Support – Can reduce the risk of cardiovascular disease when started in early menopause.
Cognitive Protection – May lower the risk of Alzheimer’s and cognitive decline.
Muscle Mass Maintenance – Helps preserve lean muscle mass, which declines with age?
Metabolic Support – Reduces risk of insulin resistance and weight gain, particularly around the abdomen.
Improved Joint And Tissue Health – Reduces joint pain and stiffness.
Here's the dangerous part: these disease processes are largely asymptomatic. You don't feel dementia creeping in. You don't feel your bones becoming porous. You don't notice early cardiovascular changes.
By the time symptoms appear, you're often at a diagnosable disease state. Prevention is far more effective than trying to reverse established disease.
Hormone Replacement Therapy FAQs
Hormone Replacement Therapy (HRT) can be a transformative solution for those experiencing hormone imbalances. Below, we’ve compiled answers to common questions about HRT, including specifics on testosterone, estrogen, progesterone, delivery methods, and monitoring schedules. Led by Nurse Practitioner Elizabeth Hingley at Spa 35 Medical Spa in Boise, our goal is to provide clarity and confidence as you explore this treatment.
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HRT is a medical treatment that replenishes hormones—such as testosterone, estrogen, or progesterone—that decline due to aging, menopause, andropause, or other conditions. It helps alleviate symptoms like fatigue, brain fog, low libido, and mood swings, restoring balance and vitality. At Spa 35, we customize each plan to your unique needs for optimal results.
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Men and women with low testosterone levels may benefit. For men, it’s often used to address andropause symptoms like low energy, reduced muscle mass, and decreased sex drive. Women may use it in smaller doses to improve libido, mood, and bone health. Symptoms are confirmed with blood tests, and Melissa McClain tailors therapy to avoid side effects like excess hair growth or aggression.
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Estrogen therapy is commonly prescribed for women during menopause to relieve hot flashes, night sweats, vaginal dryness, and mood instability. It also supports bone density, reducing osteoporosis risk. At Spa 35, we assess your estrogen levels carefully to ensure safe, effective dosing that enhances your quality of life without unnecessary risks.
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Pellet Hormones: Small, rice-sized pellets are inserted under the skin (typically in the hip or buttock) every 3–6 months. They release a steady dose of hormones, mimicking the body’s natural rhythm, and are ideal for those seeking convenience and consistent levels without daily application.
Topical Hormones: Creams, gels, or patches are applied daily to the skin. They offer flexibility to adjust doses quickly but require regular use and can sometimes transfer to others through skin contact.
At Spa 35, Melissa McClain discusses your lifestyle and preferences to recommend the best option—pellets for low maintenance or topicals for adaptability.
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If you’re experiencing symptoms like low energy, poor concentration, weight gain, or reduced libido, you might be a candidate. We start with an extensive evaluation, including blood and saliva tests, to measure your testosterone, estrogen, progesterone, and other hormone levels. Melissa’s expertise ensures an accurate diagnosis and a plan tailored to your specific imbalances.
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Hormone levels are typically checked 4–6 weeks after starting HRT to assess how your body responds. For topical hormones, follow-ups may occur every 3–6 months initially, then annually once stable. At Spa 35, we adjust your treatment based on these results and your symptoms to keep you feeling your best.
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Adjustments depend on your response. After the initial check (4–6 weeks), we fine-tune dosages if needed—raising testosterone for more energy or tweaking estrogen to ease hot flashes. Ongoing monitoring every 3–6 months ensures your plan evolves with your body. Melissa’s ongoing coaching at Spa 35 means your therapy stays precise and effective.
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When properly managed, risks are minimal. Overuse can lead to acne, hair growth, or, in men, prostate issues. That’s why Spa 35 uses lab testing and Melissa’s medical oversight to keep testosterone levels safe and balanced, avoiding side effects while maximizing benefits like strength and libido.
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Yes, if you’ve had a hysterectomy (no uterus), progesterone isn’t needed with estrogen. For those with a uterus, combining them is standard to protect uterine health. We customize your HRT based on your medical history and hormone profile for safety and efficacy.
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Many notice improvements within 2–4 weeks—energy from testosterone, fewer hot flashes from estrogen, or better sleep from progesterone. Full benefits, like mood stability or muscle gains, may take 2–3 months. We monitor your progress closely to ensure steady improvement
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With proper monitoring, HRT can be safe and effective for years. Risks—like breast cancer with estrogen or heart issues with testosterone—are minimized with personalized dosing and regular checkups. Melissa’s extensive nursing background ensures your therapy aligns with the latest medical standards.
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To get started with Hormone Replacement Therapy your cost is $1,299. This includes your sessions with the Nurse Practitioner and your laboratory analysis.
You will purchase your hormones at a local compounding Pharmacy, Portico on Overland and Eagle Road. Portico can mail your prescriptions and you can also pick them up from their office. Prices for the hormones vary by the type and the dosage. We can provide estimates of the monthly cost as part of your planning sessions.
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Yes. As with most medical treatments there are some risks. Estrogen therapy may increase your risk of heart attack, stroke, blood clots, dementia, breast cancer, endometrial cancer, and gallbladder disease. Do not use if you have unusual vaginal bleeding, breast cancer, blood clots, or liver problems. Estrogen should be used at the lowest dose for the shortest time. Discuss with Missy to see if HRT is right for you.
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Other Services to Consider
Spa 35 has a broad set of treatments that can help maximize the benefits of hormone replacement. Here are a few to consider.
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GLP-1 Peptides
GLP-1 Peptides may help alleviate symptoms of aging, such as low energy and excessive stress hormones. Spa 35 offers customized peptides and unique dosages customized to your needs
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Intima & O Shot
If low sex drive is on your list of concerns ask about Feminine Rejuvenation options.
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CoolSculpting Fat Removal
A way to fast track the removal of body fat - CoolSculpting contours your body and helps clothes fit better. A world leading non surgical, no downtime way to loose unwanted fat.
