--- title: "Frequently Asked Questions | Pure Hormone Health" description: "Common questions on BHRT, diagnostic lab testing, concierge memberships, prescription fulfillment, and clinical monitoring." lang: en json-ld: | { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "How does virtual care work?", "acceptedAnswer": { "@type": "Answer", "text": "Pure Hormone Health is a virtual telehealth practice. Consultations, lab review, and follow-up visits are done by secure, HIPAA-compliant video. We do not start hormone therapy from an online questionnaire alone. A local clinician remains appropriate for hands-on exams, imaging, and emergencies." } }, { "@type": "Question", "name": "How does diagnostic lab testing work?", "acceptedAnswer": { "@type": "Answer", "text": "Standard comprehensive blood panels are ordered through national laboratories (such as Quest Diagnostics or Labcorp). You complete your blood draw at a convenient local service center, and the results are routed directly to our practice for analysis." } }, { "@type": "Question", "name": "Can I bring my own recent blood work?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. If you have comprehensive blood work drawn within the past 3 to 6 months, we will review it during your initial intake. If key parameters are missing (such as free hormone levels, thyroid antibodies, or specific binding globulins), we order targeted add-on testing." } }, { "@type": "Question", "name": "What is the 24-hour urine hormone metabolite test?", "acceptedAnswer": { "@type": "Answer", "text": "A 24-hour urine hormone metabolite test looks at total daily hormone output and how those hormones are processed. We typically use it once a protocol is stable so we can see the pattern and decide whether the plan needs adjustment. It is one monitoring tool. It does not diagnose cancer, osteoporosis, or heart disease, and it does not by itself prevent those conditions. Breast imaging, bone evaluation, and routine health screening stay with your local clinician as appropriate." } }, { "@type": "Question", "name": "Do I need a baseline mammogram before starting BHRT?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. For female patients (unless you have a documented history of bilateral mastectomy), a baseline screening mammogram is required. We maintain regular safety screenings every 2–3 years thereafter, or annually as indicated by your clinical history." } }, { "@type": "Question", "name": "What is the difference between Concierge Membership and Cash-Pay options?", "acceptedAnswer": { "@type": "Answer", "text": "Concierge Membership (Monthly or Annual): Our highest-level care model. It covers ongoing clinical access, protocol design, dose titration, all follow-up visits, and our premier specialized compounded body-identical hormones in organic oils (Bi-Est, progesterone, testosterone). (Diagnostic labs are billed separately by the lab or through your insurance/HSA/FSA). Cash-Pay Option: A lower-cost, standalone model for patients seeking essential care. You pay for clinical consultations individually. Protocols still utilize bio-identical hormones (which may include standard compounding or oral capsules), with medications and labs billed directly by the pharmacy and laboratory." } }, { "@type": "Question", "name": "How are prescriptions fulfilled?", "acceptedAnswer": { "@type": "Answer", "text": "Prescriptions are issued only after a scheduled video visit, identity verification, history, and informed consent. Compounded bioidentical hormone formulations are prepared by a state-licensed U.S. compounding pharmacy and shipped to your address. Customized compounded preparations are not FDA-approved drug products. When a commercially manufactured medication is prescribed instead, the prescription is sent to a pharmacy you choose. You review the plan and cost before anything is dispensed. We do not compound medications in-house and we do not sell prescription drugs from this website." } }, { "@type": "Question", "name": "Fees & cancellation — how does billing work?", "acceptedAnswer": { "@type": "Answer", "text": "We are a private-pay practice and do not bill insurance for membership or visit fees. The 15-minute discovery call is complimentary. Concierge membership, essential-track pricing, cancellation notice, and what is and is not refundable are set out in full on our Membership, Billing & Cancellation page." } }, { "@type": "Question", "name": "How quickly will I notice results?", "acceptedAnswer": { "@type": "Answer", "text": "Hormone optimization is a gradual physiologic process: Weeks 2–6: Initial improvements in sleep quality, reduction in vasomotor hot flashes, and stabilized daytime energy. Weeks 4–12: Clarification of cognitive fog, stabilized mood, and reduced systemic inflammation. Months 2–4+: Improvements in libido, metabolic efficiency, and lean muscle tone (when paired with resistance training and adequate nutrition)." } }, { "@type": "Question", "name": "What does ongoing monitoring involve?", "acceptedAnswer": { "@type": "Answer", "text": "After initiating a new protocol, we conduct follow-up consultations at 3 weeks and check labs at 6–8 weeks to titrate doses. Once your protocol is balanced, check-ins are conducted annually or as needed to ensure safety and sustained vitality." } } ] } --- [![Pure Hormone Health](https://ignitersaas.com/objects/media/cbb1beb2-0a6b-4f7c-b457-7e729e17c534/cd375279-399f-4f37-bf3a-2d692bea0408/1789757186808-logo.png)](/) [Home](/)[About](/about) Services [FAQ](/faq)[Contact](/contact) [](https://www.instagram.com/purehormonehealth)[](https://www.facebook.com/purehormonehealth) [Book a Discovery Call](/contact) Our Services Physiologic, body-identical care delivered entirely by telehealth and titrated to your labs and symptoms. [View all services](/services) [ 01 ### Women's Health & BHRT Perimenopause, menopause and beyond with physiologic Bi-Est, progesterone and targeted androgens. ](/services/womens-health-bhrt)[ 02 ### Men's Health & TRT Testosterone optimization for andropause and low-T with rigorous cardiovascular monitoring. ](/services/mens-health-trt) [Home](/)[About](/about) Services [FAQ](/faq)[Contact](/contact) [](https://www.instagram.com/purehormonehealth)[](https://www.facebook.com/purehormonehealth) [Book a Discovery Call](/contact) ![](/assets/faq-hero-D2-xE-FY.jpg) FAQ # Frequently Asked Questions Common questions on BHRT, diagnostic lab testing, concierge memberships, prescription fulfillment, and clinical monitoring. [ ## Practice Logistics & Lab Testing How virtual visits, blood panels and safety screening actually work. ](#logistics)[ ## Pricing, Membership & Prescriptions Care models, what is included, and how medications are fulfilled. ](#membership)[ ## Clinical Timeline & Expectations What physiologic change looks like week by week, and how we monitor it. ](#timeline) Logistics & Labs ## Practice Logistics & Lab Testing ### How does virtual care work? ### How does diagnostic lab testing work? ### Can I bring my own recent blood work? ### What is the 24-hour urine hormone metabolite test? ### Do I need a baseline mammogram before starting BHRT? Membership & Pricing ## Pricing, Membership & Prescriptions ### What is the difference between Concierge Membership and Cash-Pay options? ### How are prescriptions fulfilled? ### Fees & cancellation — how does billing work? Timeline & Results ## Clinical Timeline & Expectations ### How quickly will I notice results? ### What does ongoing monitoring involve? Still deciding? ### A short call answers more than a page of reading We review your history, current symptoms and goals, then tell you plainly whether our model is the right fit. [Book a Discovery Call](/contact) [901-830-8439](tel:9018308439) Next Step ## Still have questions? A focused conversation to discuss our virtual telehealth model, clinical requirements, logistics, and program pricing to determine if our practice is the right fit for your health goals. [Book a Discovery Call](/contact)[Call 901-830-8439](tel:9018308439) [![Pure Hormone Health](https://ignitersaas.com/objects/media/cbb1beb2-0a6b-4f7c-b457-7e729e17c534/cd375279-399f-4f37-bf3a-2d692bea0408/1789757187433-logo-white.png)](/) A dedicated virtual telehealth practice providing clinician-directed, physiologic body-identical hormone care for women and men. - [901-830-8439](tel:9018308439) - Bartlett, Tennessee · Virtual telehealth practice · Licensed in Tennessee - 1028 Cresthaven Road, Suite 200 # 1148, Memphis, TN 38119 [](https://www.instagram.com/purehormonehealth)[](https://www.facebook.com/purehormonehealth) #### Explore - [Home](/) - [About](/about) - [Services](/services) - [FAQ](/faq) - [Contact](/contact) #### Services - [Women's Health & BHRT](/services/womens-health-bhrt) - [Men's Health & TRT](/services/mens-health-trt) #### Licensed In Tennessee Pure Hormone Health LLC is a virtual telehealth practice. Care is provided by Sue Piller, DNP, APRN-BC, after a scheduled video visit. Compounded bioidentical hormone prescriptions, when issued, are prepared by a separately licensed U.S. compounding pharmacy and shipped to the patient. Customized compounded preparations are not FDA-approved drug products. This website does not establish a patient–practitioner relationship and does not provide emergency care. If you have a medical emergency, call 911. **Compounded prescriptions are currently fulfilled by:** Designer Drug Labs, Chattanooga, TN, (888) 935-2930 · Belmar Pharma Solutions, Odessa, FL, 877-418-4692 · Olympia Pharmacy, Orlando, FL, (800) 991-9079 © 2026 Pure Hormone Health LLC. All rights reserved. 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