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Been told your labs are “normal” but you still feel awful?

Hormone Replacement Therapy in Springfield, MO

Bioidentical hormone therapy — BHRT — with the full panel run first, testosterone included, for women too. An hour on your results with Teresa Mealy, APN. And treatment when “normal” isn’t how you feel.

Teresa going over lab results with a couple at her desk

Start here

What hormone replacement therapy actually is.

The short version, before anything else: it is measuring the hormones your body has drifted away from and bringing the ones that are low back into range — guided by your labs and how you feel, not by a prescription pad. Three terms get used interchangeably, and they are not the same thing.

  • HRT

    Hormone replacement therapy

    Restoring a hormone your body has stopped making enough of — estrogen, progesterone, testosterone, or thyroid — back to a level where you feel like yourself.

  • BHRT

    Bioidentical hormone replacement therapy

    HRT using hormones structurally identical to the ones your body makes, rather than synthetic analogues. It is the form used here.

  • Bioidentical

    What the word actually means

    Same molecule as your own hormone, made from plant sources. It describes the molecule, not a brand or a compounding pharmacy — a point marketing often blurs.

In their own words

If this sounds like you, you’re not imagining it.

These are the signs that send people looking for hormone replacement therapy, in the words our own patients used — most of them after being told everything looked fine.

What women describe

  • having hot flashes 2 days before period.”

  • Nightsweats, and insomnia.”

  • Idc what my bloodwork said I know what Im feeling.”

  • Both Obgyn and PCP dismissed my concerns.”

What men describe

  • I have zero energy.”

  • no energy, brain fog, low drive, and just not myself.”

  • I work out, eat right, but definitely feel I could use a boost.”

  • feeling off for a while now.”

Why this keeps happening

There’s a reason you were told you’re fine.

Doctors are reluctant to prescribe HRT for three real reasons, and none of them is about you.

  • Reference ranges describe a population, not you.

    A result can sit “in range” and still be far from where you personally feel well.

  • Caution is the safer choice for the provider.

    Guidelines reward it, and someone who doesn’t work with hormones daily has little incentive to take on prescribing they would then have to monitor.

  • Fifteen minutes is enough to read a flag.

    It is not enough time to ask what actually changed, or when it started.

“Normal for your age” is where that conversation usually ends. Here it’s where the work starts — and you shouldn’t have to become your own endocrinologist to get it. Bring us the labs someone called normal; reading them differently is the job.

We treat you when your labs read normal. Every panel includes testosterone — for women too.

  • Rated 5 out of 5 stars
    This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
    Topaz_FineArts · Google
  • Rated 5 out of 5 stars
    Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
    Bird Fox · Google
  • Rated 5 out of 5 stars
    I can’t express how grateful I am to Teresa and her staff. It is so wonderful to finally be heard and understood.
    Autumn M · Google
  • Rated 5 out of 5 stars
    If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
    Shawn Yancey · Google
  • Rated 5 out of 5 stars
    Teresa is very knowledgable and will shoot you straight. She doesn’t mess around with fluffy talk; she will tell you what she can help you with and she will be honest about where you are at…
    Cara Erickson · Google
  • Rated 5 out of 5 stars
    Very thorough. Teresa tailors each regimen to very specific needs of each patient. No cookie-cutter approach.
    Jimmy Wolfe · Google
  • Rated 5 out of 5 stars
    Teresa gave me the missing piece of the puzzle to manage my auto-immune symptoms. I’ve been searching for 3 years and several Doctors…
    Katy Yates · Google
  • Rated 5 out of 5 stars
    I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
    Mel C · Google
  • Rated 5 out of 5 stars
    Teresa was helpful, informative, and specific to me. So knowledgeable. The ladies up front are kind, helpful, courteous, and seem like old friends. It’s great having the lab on site.
    BELINDA Gilmore · Google
  • Rated 5 out of 5 stars
    Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
    Pam Sawyers · Google
  • Rated 5 out of 5 stars
    We love Teresa! She has helped us so much. I feel stronger than ever at age 61!!
    Kim Bateman · Google

Where to start

Find the program that fits you.

Which hormone therapy is right for you depends on your labs — you don’t have to know the answer to start. Pick whichever sounds most like you, or browse everything we treat by symptom instead. If you are here because of menopause or perimenopause, start there — it covers the stages, the symptom pattern, and being told you’re too young for this.

Not sure which fits? That is the normal starting point — the panel and an hour on your results decide it with you.

See the Total Health Assessment

Who you see

What kind of doctor treats hormones?

There is no single specialty for hormone therapy, which is exactly why the answer feels confusing. Here is who people actually turn to, and what each is built to do.

  • Primary care (PCP)

    Your first call for most things, and often the first place hormone symptoms come up.

    Typical visit
    15 minutes, many conditions
    Hormone testing
    Basic panel, if requested
    Treats to
    Whether you fall in the lab range
  • OB-GYN

    The specialist many women are referred to for menopause and perimenopause.

    Typical visit
    Focused on reproductive health
    Hormone testing
    Female hormones; testosterone rarely
    Treats to
    Symptom relief, often estrogen-only
  • Med-spa / wellness bar

    Walk-in testosterone and pellet shops, usually marketed on convenience.

    Typical visit
    Fast, protocol-driven
    Hormone testing
    Varies; sometimes dose-first
    Treats to
    A standard protocol, not your labs
  • Dedicated hormone clinic

    Where you are

    A practice where hormone and metabolic health is the whole job, not a line item.

    Typical visit
    A full hour on your results
    Hormone testing
    Full panel — testosterone for women too
    Treats to
    Optimal ranges and how you feel

No specialty “owns” hormone replacement, and you don’t need a referral to be seen here. What separates providers isn’t the letters after their name — it’s whether they measure first and treat to how you feel. Which is the question the next section is about.

Choosing a provider

How to know you’re in the right hands.

Ask what kind of doctor you should see for HRT and you’ll get a different answer every time — no one specialty owns hormone replacement, and you don’t need a referral to be seen here. What matters is how a provider practices, and two questions tell you that faster than any credential:

Will you run a complete panel before prescribing?

Here: always. Every plan starts with the full panel — testosterone included, for women too — drawn in-office before anything is prescribed.

Do you treat to how I feel, or only to the range?

Both. Teresa reads your results against optimal ranges and your symptoms — then rechecks on a schedule and adjusts.

Teresa Mealy, APN, founder and sole clinical provider at Total Health & Wellness

Who you'll actually see

Teresa Mealy, APN

Hormone therapy is the whole practice here, not a line item beside twenty other services. Teresa is the founder and the only clinical provider, so the person who reads your panel is the person who builds your plan and the person you see at every recheck — whichever of the three programs your labs point to.

“I am only a consultant. YOU are the leader.”
  • APN — Advanced Practice Nurse
  • Licensed in Missouri and Florida
  • Medically supervised with a board-certified physician
  • Reads every lab panel herself
More about Teresa and how the clinic started

Who qualifies

Is hormone therapy right for you?

There is no symptom checklist that qualifies you and no box to tick to be turned away. The panel and an hour on your results decide it together — but here is the honest shape of who this tends to fit.

Likely a fit if

  • You have felt off for months — fatigue, low drive, brain fog, sleep or mood changes — with no clear cause.
  • You were told your labs are “normal” but you still don’t feel like yourself.
  • You’re in perimenopause, menopause, or post-menopause and want more than symptom-by-symptom management.
  • You want your actual numbers measured before anything is prescribed, and monitored after.

A different first step if

  • You’re pregnant or trying to conceive — that care belongs with your OB.
  • You have an active hormone-sensitive cancer, which changes the conversation entirely.
  • You’re looking for a specific drug on demand without testing — that isn’t how anything is prescribed here.
  • Your symptoms point somewhere else entirely; if so, the same panel usually shows it, and we say so.

Not sure which column you’re in? That’s the normal starting point — it’s what the assessment is for.

How it works

Three steps to get back to yourself.

The same path for every patient, whichever program your labs point to — from the panel we draw to the plan you leave with.

A patient having blood drawn for lab testing at the clinic

Step 01

Get Tested.

The full panel — hormones, thyroid, metabolic markers, and testosterone for every patient — drawn in-office.

Booked with a $50 deposit
A provider going over lab results with a couple at her desk

Step 02

Get Heard.

Teresa walks you through every number against optimal ranges, not just “in range,” so you leave understanding your own body.

One-hour results review
A patient leaving the clinic with a warm goodbye from the team

Step 03

Get Back to Yourself.

One plan, built with you from your labs, your history, and your goals — then monitored and adjusted on a schedule.

Your plan in hand

The first step

The Total Health Assessment

$299one-time

And it's credited toward your program — so if you move forward, the assessment effectively costs you nothing.

  • The full panel, drawn in-office

    Estradiol, progesterone, total and free testosterone, FSH and LH, the full thyroid panel, cortisol, fasting insulin, and vitamin D — measured before anything is prescribed.

  • A real sit-down with your provider

    Teresa walks you through every number in person, in plain English — a full hour.

  • A written plan built for you

    You leave with clear next steps — not a shrug and a “looks normal.”

  • One-hour results review
  • No membership to start
  • Credited toward your program
Book the $299 assessment

A $50 deposit reserves your visit and applies to the $299 total.

No one is prescribed from a symptom list here. Your plan comes from the panel, your history, and your goals, together — and if hormones turn out not to be the cause, the same panel usually shows what is, and we go after that instead.

After your assessment: Total Health Optimization covers ongoing visits, lab ordering and interpretation, refills, and a direct line to your provider.

$499 to start, then $275/qtr

In their words

What our patients say

All public reviews, quoted exactly as published.

Rated 5 out of 5 stars
If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
Shawn Yancey · Google review · June 2025
  • Rated 5 out of 5 stars
    I appreciate the insights and additional perspectives on my overall health. I find I get a deeper level of hormonal and blood work analysis than my traditional family doctor (and insurance) provide…
    Adam Calvery · Google · November 2023
  • Rated 5 out of 5 stars
    Just starting my HRT with Teresa Mealy. Intake visits and labs complete now one week into my Hormone treatment already feeling the benefits. Teresa is caring and knowledgeable. Her staff are friendly and professional…
    Dana Faulkner · Google · November 2023
  • Rated 5 out of 5 stars
    Very knowledgeable. Listened to every issue I had patiently and responded in a way that made me feel like my opinion mattered! Extremely pleased with everyone in her office and can’t wait to get these hormone issues figured out with her leading the way. I have hope and a plan and I’m super grateful for Teresa!
    Dayna Rogers · Google · February 2023
  • Rated 5 out of 5 stars
    I am grateful to have been referred to Teresa Mealy for help in balancing my hormones. She is very thorough in testing, which I appreciate. She is knowledgeable, yet she made understanding my results easy. The staff are all pleasant and helpful as well.
    Deborah Chateauvert · Google · August 2022
  • Rated 5 out of 5 stars
    Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
    Pam Sawyers · Google · December 2019
  • Rated 5 out of 5 stars
    Everyone in the clinic was so kind and considerate. They went out of the way to make me feel welcome. Teresa spoke to me like I was a human. She explained everything from the moment I sat down. She is very easy to talk to…
    Emma Wasson · Google · February 2026

Quoted word for word, trimmed only at sentence breaks. 4.9 out of 5 across 126 Google reviews as of July 2026. Read them on Google.

Individual results vary. These are personal experiences, not a promise of any particular outcome.

Before you book

Common questions, answered.

Is hormone replacement therapy safe?

Safety isn’t a property of “hormones” in general — it depends on which hormone, at what dose, how it’s delivered, your own history, and whether anyone is actually monitoring you. Much of the fear traces back to a single 2002 trial whose headline findings were later qualified, but the nuance never caught up to the reputation. The honest answer is that hormone therapy carries real risks specific to you, that those get weighed against the real costs of leaving a deficiency untreated, and that both halves of that trade are discussed before anything is prescribed. What makes it defensible is measurement and follow-up — not reassurance.

What does bioidentical hormone therapy actually mean?

It means the hormones used are structurally identical to the ones your body already makes — same molecule, typically derived from plant sources — rather than synthetic analogues shaped a little differently. The word describes the molecule itself, not a particular brand, pharmacy, or “natural” marketing claim, which is where a lot of the confusion comes from. What matters clinically isn’t the label but the same two things everything here turns on: that the dose is matched to your measured levels, and that someone rechecks and adjusts it over time.

Who is a candidate for hormone replacement therapy?

There’s no symptom checklist that qualifies you and no single box that rules you out. In practice it tends to fit people who’ve felt off for months — fatigue, low drive, brain fog, sleep or mood changes — often after being told their labs looked normal, as well as women moving through perimenopause and menopause who want more than piecemeal symptom management. It’s not the right first step during pregnancy or with an active hormone-sensitive cancer, and no one here is prescribed a hormone on demand without testing. The panel, your history, and an hour on your results decide it together — and if hormones aren’t the cause, the same panel usually points at what is.

Does insurance cover hormone replacement therapy?

Not here, and that is deliberate rather than an oversight. This is a direct cash-pay clinic — we don’t bill insurance, so there are no copays, no contracts, and no surprise bill weeks later. You know the price before anything happens. What that trade buys is the part insurance-paced care cuts first: a full hour on your results with the provider who read them. Some patients do get lab work or prescriptions covered through their own plan or pharmacy, which is worth asking about, but the assessment and the program itself are paid directly.

How long do you stay on hormone replacement therapy?

There’s no fixed term, and anyone who quotes you one before seeing your labs is guessing. Some people run a defined course for a specific problem and come off it; others stay on longer because stopping puts them back where they started. It’s a decision you revisit at every recheck with your own numbers in front of you, not a contract you sign at the beginning — and if you want to stop, we’ll tell you plainly what to expect.

What are the 12 signs endocrinologists say you should never ignore?

No medical body publishes a canonical twelve — that number belongs to listicles rather than to endocrinology, and the lists rarely agree with each other. What does repeat is the pattern: persistent fatigue that sleep doesn’t fix, weight change without a change in habits, hair thinning, hot flashes or night sweats, brain fog, low drive, and sleep that keeps breaking. Any one of those can simply be life. Several together, for months, is a reason to run a panel — not because each is alarming on its own, but because together they point at systems that can actually be measured.

How to age well without HRT?

Plenty of people do, and nobody here will prescribe hormones you don’t need. The levers are the unglamorous ones: strength training, protein, sleep, and knowing your actual numbers so you’re managing facts instead of guesses. The same $299 assessment works as a baseline whether or not hormone therapy ever enters your plan — and if your labs say you don’t need it, that’s what you’ll hear.

Have a question that is not here? Call (417) 771-5277 and talk to a real person.

Ready to feel like yourself again?

“I just want to feel like myself again.” If that is the sentence you have been carrying, it starts with the $299 Total Health Assessment — the full panel, an hour on your results, and the fee credits toward your program.

Reserve your visit with a $50 deposit — applied straight to your $299.

Call nowBook $299 visit