Hormones by Design
Women's health clinic in Waco, TX
Bioidentical hormone replacement therapy and thyroid balancing clinic led by Board Certified OB/GYN Dr. Melissa Miskell, serving patients across Texas.
Includes
- Video visits
- Clinicians
- Medical doctor (MD), Nurse practitioner
About the clinic
Hormones by Design is a women's health clinic specializing in bioidentical hormone replacement therapy and thyroid balancing. Founded and led by Dr. Melissa Miskell, a Board Certified OB/GYN, the practice treats menopause, hormone deficiencies, and related conditions in both women and men using personalized, bioidentical hormone protocols.
The clinic operates five physical locations across Texas and offers virtual care options for remote patients. Treatment centers on injectable hormone therapy, with oral and topical alternatives available, all customized through comprehensive lab testing and monthly dose adjustments based on patient response.
- Board Certified OB/GYN-led
- Bioidentical hormone therapy
- Five Texas locations
- Virtual care available
The clinic's physical locations span Austin, Boerne, New Braunfels, San Antonio, and Waco. The practice employs a team of Nurse Practitioners and physicians to deliver care.
Patients can select between two payment structures: a pay-as-you-go model or a monthly Hormones Direct Membership. The membership provides ongoing provider check-ins, treatment adjustments, prescription refills, and exclusive pricing on labs and medications.
The clinic operates on a cash-based model and does not accept insurance for hormone therapy services. Established patients may use insurance coverage for lab work. All new patients begin with a 1:1 consultation to review symptoms and goals, followed by lab work and provider assessment before treatment initiation. Comprehensive lab testing is available and recommended as part of the initial consultation process.