TRT Authority
TRT Authority

Hormones By Design

TRT / hormone clinic in Austin, TX

4.9 from 36 Google reviews

Bioidentical hormone replacement therapy clinic led by a Board Certified OB/GYN specializing in menopause care and hormone health.

Includes

  • Lab work included
  • Video visits
Clinicians
Osteopathic doctor (DO), Physician assistant

About the clinic

Hormones By Design is a hormone replacement therapy clinic founded by Dr. Melissa Miskell, DO, a Board Certified OB/GYN with over 20 years of medical practice experience. The practice specializes in bioidentical hormone replacement therapy for women experiencing perimenopause, menopause, and post-menopause symptoms, as well as men's hormone health.

The clinic offers personalized hormone therapy using injections, oral medications, and pellets, with an emphasis on monthly injection delivery. Services include thyroid balancing and comprehensive lab testing through both virtual care and in-person consultations at multiple physical locations.

  • Board Certified OB/GYN founder
  • Bioidentical hormone replacement therapy
  • Monthly injection approach
  • Virtual and in-person care

The clinic operates on a cash-based model with affordable pricing and does not accept insurance for hormone services, though established patients may use insurance for lab work. Two service models are available: a Pay-As-You-Go option with no membership required, and a Hormones Direct monthly membership program.

Lab work is provider-recommended and included in treatment plans, with additional lab tests starting at $75. The practice staff includes PAs and other providers trained in hormone management.

Services offered