Las Vegas, NV · Mia LoPreiato, NP · Biote-Certified
Hormone Optimization
Las Vegas
Medically supervised hormone optimization for men and women at a LegitScript-certified clinic in Summerlin — TRT, BHRT, Biote-certified pellet therapy, and integrated wellness care. In-person, not a telehealth prescription.
LegitScript-CertifiedMedical Practice
Program at a Glance
ProviderMia LoPreiato, NP
CertificationBiote-Certified
Who We ServeMen & Women
Labs RequiredAfter First Visit
First Results2 – 4 Weeks
Delivery OptionsPellets · Injections · Creams
LegitScript-Certified
Biote-Certified Provider
Men & Women
In-Person · Summerlin, Las Vegas
Ongoing Lab Monitoring
Why It Matters
Hormone Optimization —
Not Just Managing Symptoms
Hormones regulate nearly every system in the body — metabolism, mood, energy, libido, sleep, bone density, and cardiovascular health. When levels decline with age, the effects ripple across daily life in ways that are frequently misattributed to stress, aging, or burnout.
Hormone optimization is a clinical approach that identifies and corrects imbalances across multiple hormone axes — testosterone, estrogen, progesterone, thyroid, and others — and calibrates delivery method and dose to achieve physiological balance tailored to your body. It's evidence-based medicine, not symptom masking.
Bioidentical hormones are structurally identical to hormones produced by the human body, interacting with receptors and metabolic pathways the same way your own hormones do. Observational data suggest that bioidentical options like micronized progesterone and transdermal estradiol may carry more favorable risk profiles than certain synthetic alternatives — though all hormone therapy requires individual risk evaluation and ongoing monitoring.
Cardiovascular Safety — TRAVERSE Trial (Men's TRT): The largest randomized controlled trial on testosterone therapy confirmed TRT did not increase major cardiovascular risk in appropriately selected hypogonadal men. The FDA removed its cardiovascular black-box warning for testosterone in February 2025. Full data: New England Journal of Medicine.
What Patients Commonly Notice
01
Restored Energy
Relief from persistent fatigue, low motivation, and poor recovery that interferes with daily life and work.
02
Improved Sleep
Better sleep quality, reduced nighttime disruptions, and improved recovery from physical and cognitive demands.
03
Mental Clarity
Reduced brain fog, improved focus, and sharper recall — frequently affected by declining sex hormones and thyroid function.
04
Metabolic Support
Improved body composition, healthier fat distribution, and metabolic function that responds better to diet and activity.
05
Mood Stability
Reduction in irritability, mood swings, and low mood connected to hormonal fluctuations in both men and women.
06
Libido & Sexual Health
Renewed sexual health and function — one of the most consistently reported areas of improvement with hormone optimization.
Recognize the Signs
Hormone Imbalance Doesn't Always
Look Like What You'd Expect
Symptoms develop gradually and are frequently dismissed as normal aging. A blood panel is the only way to confirm what's actually happening hormonally — but these patterns are worth recognizing.
Women's Hormone Symptoms
Hot Flashes & Night Sweats
Vasomotor symptoms driven by declining estrogen — frequently the first sign of perimenopause.
Mood Swings & Irritability
Estrogen and progesterone fluctuations directly affect serotonin and GABA pathways, producing emotional instability.
Sleep Disruption
Progesterone has sedative properties; declining levels commonly produce insomnia and fragmented sleep in perimenopause.
Weight Gain & Body Changes
Hormonal shifts alter fat distribution toward the abdomen and slow metabolic rate, resisting diet and exercise changes.
Low Libido & Vaginal Dryness
Declining estrogen and testosterone both affect sexual health and comfort in women at every life stage.
Cognitive Changes
Brain fog, poor recall, and reduced mental sharpness are common in perimenopause and menopause — and are often hormonally driven.
Men's Hormone Symptoms
Persistent Fatigue
Chronic low energy and poor recovery — even after adequate sleep — is one of the most consistent symptoms of low testosterone.
Loss of Muscle Mass
Training consistently but not progressing — or losing muscle mass — signals a hormonal environment that can't support protein synthesis.
Stubborn Abdominal Fat
Visceral fat accumulation that resists diet and exercise is strongly associated with declining testosterone and insulin sensitivity.
Low Drive & Libido
Reduced sexual desire and changes in erectile function are hallmark symptoms of declining testosterone in men.
Brain Fog & Poor Focus
Mental dullness, slow recall, and reduced cognitive performance are common in men with clinically low testosterone.
Mood Changes
Shorter fuse, reduced motivation, low mood, and anxiety without clear cause — all connected to testosterone and cortisol balance.
Symptoms overlap with many conditions. A comprehensive lab panel — not symptoms alone — is how hormone imbalance is confirmed and treated. Lab work is coordinated after your first evaluation at Body Balance Medical. No labs required to book.
Our Hormone Services
Hormone Optimization for
Men & Women in Las Vegas
Body Balance Medical offers hormone optimization for both men and women — with the same provider, the same LegitScript-certified clinic, and the same commitment to clinical precision over generic protocols.
Men's Hormone Optimization
Testosterone Replacement Therapy
Male hormone decline typically begins in the late 30s to early 40s — fatigue, low libido, muscle loss, brain fog, increased body fat, and mood disturbances. TRT is FDA-approved for men with confirmed hypogonadism and is available at BBM via injections, Biote hormone pellets, and other delivery methods selected based on your lab results and lifestyle.
We monitor cardiovascular markers, hematocrit, PSA, and liver function throughout treatment. See the dedicated TRT service page for full program details, process, and candidacy.
Primary hormoneTestosterone
Delivery optionsInjections · Pellets · Gels
Lab testingAfter first visit
Virtual availableYes — Nevada patients
Women's Hormone Optimization
Bioidentical Hormone Therapy
Women's hormone optimization addresses the complex hormonal shifts of perimenopause and menopause — estrogen, progesterone, and often-overlooked testosterone. Bioidentical hormone therapy can alleviate hot flashes, night sweats, mood instability, sleep disruption, weight changes, and cognitive shifts that accompany declining hormone levels.
Mia coordinates estrogen, progesterone, and low-dose testosterone for women as part of an integrated protocol. Biote-certified pellet therapy provides consistent hormone levels for 3–5 months without daily dosing.
Hormones addressedEstrogen · Progesterone · Testosterone · Thyroid
Biote pellet duration3 – 5 months
Biote-certified providerMia LoPreiato, NP
Delivery Options
Five Ways to Deliver
Hormone Therapy
The right delivery method depends on your hormone levels, lifestyle, medical history, and treatment goals. Your provider will explain the options and recommend what fits your situation.
01
Biote Hormone Pellets
Tiny pellets inserted under the skin in a quick in-office procedure. Releases hormones steadily over 3–5 months — no daily dosing, no peaks and valleys. Biote's standardized protocols ensure consistent, evidence-based dosing.
02
Testosterone Injections
Weekly or biweekly self-administered injections with precise, adjustable dosing. The most widely used method for men's TRT — cost-effective with reliable delivery, though some peak-and-trough fluctuation between doses.
03
Bioidentical Creams & Gels
Daily topical application for non-invasive, adjustable hormone delivery. Works well for women's estrogen and testosterone protocols. Care required to avoid transference to partners or children.
04
Hormone Patches
Replaced every few days for steady absorption that avoids first-pass liver metabolism. Favorable for patients with clot risk concerns and those who prefer a low-maintenance option with predictable delivery.
05
Sublingual Tablets
Dissolved under the tongue for rapid systemic absorption — non-invasive and easily titrated. Absorption can vary between patients, so monitoring is important with this method.
Getting Started
What to Expect When
You Come to Us
Hormone optimization at Body Balance Medical begins with a thorough evaluation and continues with lab review, treatment planning, and ongoing monitoring.
01
Initial Evaluation
A detailed review of your medical history, current symptoms, medications, and health goals with Mia LoPreiato, NP. In-person or virtual. No labs required before this visit.
02
Comprehensive Lab Testing
Baseline panel: sex hormones (total + free testosterone, estradiol, progesterone, SHBG), full thyroid panel (TSH, Free T4, Free T3), DHEA-S, metabolic markers, cardiovascular risk factors, CBC, and PSA for men.
03
Personalized Protocol
Based on your lab results, symptoms, age, and risk profile, Mia develops your treatment plan — specific prescriptions, delivery method, and starting doses. Integration with weight loss or peptide therapy where appropriate.
04
Ongoing Monitoring
Follow-up labs every 3–6 months track hormone levels, symptom relief, and safety markers. Doses are adjusted as needed. Cardiovascular markers, breast and prostate health, and hemoglobin are monitored throughout.
Men's Hormone Assessment
Treatment Room · Summerlin
Body Balance Medical · Biote Partnership
Your Provider
Mia LoPreiato, NP
Hormone & Longevity Nurse Practitioner · Biote-Certified · Body Balance Medical
Mia leads hormone optimization at Body Balance Medical for both men and women. She is Biote-Certified — a specialized designation covering pellet therapy protocols, dosing algorithms, insertion technique, lab interpretation, and ongoing patient management — and approaches every protocol with a longevity-focused perspective.
Hormone therapy is not a one-size-fits-all prescription. Mia builds protocols from your lab work, your symptoms, and your goals — not from a template. Ongoing monitoring is a clinical requirement, not an afterthought. Follow-up labs and dose adjustments continue throughout treatment.
Mia also provides hormone optimization for women experiencing perimenopause and menopause-related changes — including mood shifts and energy decline frequently misattributed to depression or burnout. See our guides on perimenopause and depression and hormonal mood changes for clinical context.
Credential
Biote-Certified NP
Specialty
Hormone & Longevity
Appointments
In-Person & Virtual
Location
Summerlin, Las Vegas
Patient Reviews
What Patients Say About
Hormone Optimization at BBM
Real Google and Yelp reviews from Body Balance Medical patients — hormone optimization, TRT, and pellet therapy experiences at our Summerlin clinic.
Explore More
Hormone Optimization
Resources & Related Programs
Deep-dive guides, delivery method comparisons, women's hormone health articles, and integrated wellness programs available at Body Balance Medical.
Men's TRT
Testosterone Replacement Therapy
Complete TRT service page — delivery methods, process, candidacy, TRAVERSE cardiovascular safety, and Biote pellet option.
Explore →Delivery Method
Hormone Pellet Therapy
How pellet therapy works, who it fits, and why consistent long-acting delivery suits many patients over weekly dosing.
Explore →Biote-Certified
Biote Hormone Pellet Program
Mia's Biote-certified approach to pellet therapy — the standardized protocol, insertion process, and what to expect.
Explore →Hormone + Weight Loss
The Balance Rate Membership
Hormone optimization members may qualify for savings on compounded tirzepatide through our combined hormone and metabolic wellness program.
Explore →Patient Guide
Hormone Optimization Las Vegas: Complete Guide
Comprehensive patient guide covering what to expect, who we serve, the process, and how to get started.
Explore →Symptom Guide
Recognizing the Signs of Low Testosterone
Low T symptoms develop gradually and are often mistaken for stress or aging. Learn the common signs before your evaluation.
Explore →Women's Hormone Health
Is Your Low Mood Hormonal?
Mood changes in your 40s are frequently misattributed to stress or depression — 2026 research shows hormonal decline is often the root cause.
Explore →Women's Hormone Health
Perimenopause & Depression
How estrogen, progesterone, and testosterone affect mood — and what a hormone evaluation at Body Balance Medical looks like.
Explore →Common Questions
What Most People Want to Know
Before They Apply
Many patients notice improvements in energy, libido, and mood within two to four weeks. Full effects — including improvements in body composition, sleep, and metabolic function — typically develop over three to six months. With pellet therapy specifically, two to four insertions may be needed before full benefit is achieved as the body adjusts to steady-state hormone delivery.
Bioidentical hormones are structurally identical to hormones produced by the human body, interacting with receptors and metabolic pathways the same way your own hormones do. Observational data suggest bioidentical options like micronized progesterone and transdermal estradiol may carry more favorable risk profiles than certain synthetic alternatives — particularly regarding breast health and cardiovascular function. However, all hormone therapy carries individual risk, and no formulation can claim absolute safety. Your risk is evaluated during your initial evaluation and monitored throughout treatment.
Biote certification means a provider has completed rigorous training in pellet therapy — covering dosing algorithms, insertion technique, lab interpretation, clinical decision support, and ongoing patient management. Over 5,700 providers across the U.S. hold Biote certification. This standardized framework ensures consistency and quality compared to providers offering pellet therapy without a validated protocol. Mia LoPreiato, NP is Biote-certified and follows the Biote method for all pellet therapy at Body Balance Medical.
Yes. Hormonal imbalances affect metabolism and fat storage in ways that contribute to stubborn weight that doesn't respond to diet and exercise alone. Correcting hormonal imbalances may improve metabolic function and body composition response to lifestyle changes. At Body Balance Medical, hormone optimization is frequently coordinated with our medical weight loss programs — including GLP-1 therapy and peptide therapy — to address metabolic health from multiple angles. The Balance Rate membership combines hormone optimization with tirzepatide savings for eligible patients.
Yes. Mia LoPreiato, NP provides hormone optimization for both men and women at Body Balance Medical. Men's programs focus primarily on testosterone — including TRT injections and Biote pellets. Women's programs address estrogen, progesterone, and low-dose testosterone, with Biote pellet therapy available for appropriate candidates. Both programs include comprehensive lab testing, personalized protocols, and ongoing monitoring.
Hormone Optimization in Las Vegas
Serving the Las Vegas Valley,
In Person and Virtually
Body Balance Medical is located in Summerlin at 7975 W Sahara Ave, Suite 101 — accessible from Henderson, the Strip corridor, and across the Las Vegas metro. Virtual evaluations are available for new and returning patients throughout Nevada.
Summerlin Henderson Las Vegas Metro Virtual · Nevada Statewide
Mon – Fri 9 AM – 6 PM · (702) 843-0590
7975 W Sahara Ave #101 · Las Vegas, NV 89117
Ready to Get Started?
Find out if hormone optimization is right for you.
Apply for your Hormone Optimization Assessment and Mia will review your symptoms, coordinate lab work, and build a protocol tailored to your results — not a generic template.
Apply for Your AssessmentRelated Blog Topics
Is Your Low Mood Actually Hormonal?
Recognizing the Signs of Low Testosterone
How Much Does TRT Cost in Las Vegas?
Natural Ways to Support Hormone Health Alongside TRT for Balance
Testosterone for Women: What the Research Actually Shows
The Complete Guide to Bioidentical Hormone Replacement Therapy (BHRT)
When to Test Testosterone: What the Evaluation Process Involves
