Bioidentical hormone therapy corrects the shifts behind poor sleep, brain fog and low libido. Dr. Sarah Secor-Jones, DO, FACEP sets your dose from what your own labs show.
4.9★ · 61 Google Reviews
Bioidentical hormone therapy uses hormones designed to have the same molecular structure as the ones your body already makes. Dr. Sarah Secor-Jones, DO, FACEP sets the dose from what your own labs show.
Hormones shift gradually with age, stress, sleep, nutrition and medical history, so the effects often show up across many parts of life at once.
Hot flashes and night sweats
Sleep, mood and brain fog
Weight and body composition
Libido and intimate comfort
Care starts with a discovery call that Dr. Sarah takes herself, followed by a longer intake visit with a full history and labs chosen from your symptoms and risk factors. You review results together and leave with a clear written plan.
Follow-ups are scheduled on a set cadence at the start, and labs are repeated when they are needed. Dosing is adjusted within safe, evidence-informed ranges.
Discovery call
Intake visit and labs
Written plan
Follow-up and fine-tuning
Many patients start to notice early improvement in sleep, night sweats or hot flashes within weeks once an effective dose is reached.
Shifts in mood, thinking and body composition tend to unfold over months. Once hormones are steadier, the focus moves to maintenance, which can mean several years on BHRT or longer, depending on age, health history and preferences.
Early weeks
Early months
Maintenance
Regular review
People bring signs such as hot flashes, night sweats, disrupted sleep, brain fog, mood swings, low libido, vaginal dryness and unexplained weight change.
Hormone replacement is not right for everyone. Dr. Sarah screens cancer history, clotting, liver and cardiovascular risk before recommending any hormone.
Hormone therapy in Sarasota
New or worsening hot flashes and night sweats are among the changes people bring to Dr. Sarah first, and among the earliest to respond once dosing is right.
Bioidentical estrogen and progesterone, chosen by route and dose from your labs and history. Many patients notice early change in hot flashes within weeks of reaching an effective dose.
In perimenopause, estrogen and progesterone fluctuate then decline, which affects how your body regulates temperature, often years before your final period.
What unfolds once your plan starts
Early weeks · first changes
Many patients start to notice early improvement in sleep, night sweats or hot flashes within weeks once an effective dose is reached. The routine folds into your day, usually a cream after your shower.
Early months · steady progress
Shifts in mood, thinking and body composition tend to unfold over months, especially when long-standing stress patterns are involved. Labs are repeated when needed to see how your body is responding.
Maintenance · reviewed with you
Once your hormones are steadier, the focus shifts to maintenance. That can mean several years on BHRT, or longer, depending on your age, health history and preferences. Dr. Sarah revisits the plan with you at regular intervals.
The physician who listens
Dr. Sarah Secor-Jones, DO, FACEP is a board-certified emergency medicine physician who moved into integrative, root-cause care after more than a decade in high-acuity practice. She has cared for more than 2,000 patients and built Lesh Lifestyle as a physician-led, family-operated practice.
Board certified in emergency medicine (ABEM), 12 years in practice. She trained at Michigan State and served 25 years in the Navy before opening Lesh Lifestyle here in 2022.
Dr. Sarah is Konenki Vetted and holds a menopause certification with Dr. Heather Hirsch. That training matters when perimenopause shows up as a pattern while every single number still reads in range.
Standard care asks whether a level sits in range. Dr. Sarah reads how your hormones interact with each other, and with your metabolism, sleep and nervous system. That root-cause approach is what makes BHRT here different.
Patient reviews
Honest words from patients cared for at Lesh Lifestyle.
Dr. Sarah truly stood out in the way she approached my care. From the very first interaction, she took the time to genuinely listen and understand my needs, never making me feel rushed or overlooked.…
Elizabeth Semmerling
Lesh Lifestyle · Sarasota
How it works
From the first phone call through follow-up and fine-tuning, here is what to expect at every stage of bioidentical hormone therapy at Lesh Lifestyle.
Step 01 · Your first call
Dr. Sarah personally takes every discovery call. You talk through your main concerns, past labs and what you have already tried. By the end you know whether hormone therapy is an appropriate path, with no pressure to decide.
Integrative Membership
Hormone care depends on follow-up rather than a single prescription. Lesh Lifestyle runs as an Integrative Medicine practice, and the membership keeps that cadence in place.
Integrative Membership, $200 a month
HSA accepted, superbills provided
Longer visits and closer follow-up with Dr. Sarah
In person or by telehealth
Visits happen in person at the downtown practice, and hormone care is also available by telehealth in ten states, including Florida, when that suits your plan.
Physician-led
Hormone, dose and route are chosen from what your labs and history show. Never a standard pellet handed over without follow-up.
Root-cause
BHRT is rarely the only lever. It sits alongside detailed labs, nutrition guidance and nervous-system support, plus weight optimization when needed.
Considered
Hormone replacement is not right for everyone. Dr. Sarah screens cancer history, clotting, liver and cardiovascular risk before recommending any hormone.
No referral needed. Telehealth in 10 states.
FAQ
What people ask most about bioidentical hormone therapy before a first discovery call with Dr. Sarah.
Hot flashes, night sweats, disrupted sleep, brain fog, mood swings, low libido, vaginal dryness and unexplained weight change. Irregular or heavy periods in your 40s can also be a clue. Dr. Sarah reviews these alongside labs before recommending BHRT.
It can help when hormone imbalance is part of the problem, and it works best alongside nutrition and metabolic care. Correcting thyroid or sex-hormone levels often makes strength training pay off again. Hormones sit inside that wider plan.
It can be used long term in many people when prescribed thoughtfully and monitored regularly. Safety depends on your age, your personal history and the route you use. Dr. Sarah screens risk factors and revisits the balance with you at regular intervals.
Hormone therapy can affect hair in both directions. Correcting thyroid or sex-hormone imbalance improves thickness for some people, while excess androgens or rapid shifts can trigger shedding in others. Dr. Sarah monitors hair changes and adjusts your plan.
It varies with the complexity of your case, the hormones used and how often labs are checked. At Lesh Lifestyle, BHRT is part of a broader program. Dr. Sarah walks through the expected costs with you before you commit.
Some plans cover parts of it, such as standard labs or generic prescriptions. Others cover none. Lesh Lifestyle is self-pay and superbills are provided so you can submit claims. Bring your coverage questions to your discovery call.
