Hormone Replacement Therapy and Weight Loss in Berlin Kreuzberg starting from 199€

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Online doctor consultations and testing at our office in Berlin Prenzlauer Berg

On-demand coaching from doctors for your current problems, needs and healthspan goals.

Forewarned is forearmed

A third of our life happens post menopause (roughly 33 years if we take the average age for menopause of 51 and as the average life expectancy for women in the EU of 84). Women may also spend up to 10 years dealing with perimenopause symptoms. That is roughly half of our life expectancy spent with a variety of symptoms that decrease our quality of life and productivity.

So discovering the right treatment cadence and dosage is a strategic investment in the next 30-40 years of our life.

Why this is complicated

A simplified way for which hormone is low:

  • Low Progesterone: You may feel anxious, irritated, and wired.
  • Low Estrogen: You may feel dry, hot, and weepy.
  • Low Testosterone: You may feel tired, weak, and unmotivated.

Note that different women experience different symptoms at different intensities. There’s overlap or synergetic effect between hormones. Troubleshooting and fixing symptoms is often an iterative process.

Mapping Hormonal Imbalance: Symptoms Throughout the Body

  • Sleep: Low Progesterone causes disrupted sleep continuity and nighttime waking (reduced GABA effect); Low Estrogen leads to vasomotor disruptions like night sweats and early-morning awakenings.
  • Mood: Low Progesterone increases anxiety and irritability; Low Estrogen is linked to depression and anhedonia; Low Testosterone results in lowered motivation and confidence.
  • PMS / Cycle Symptoms: Low Progesterone exacerbates PMS/PMDD and heavy flow; Low Estrogen causes shorter or absent (amenorrhea) cycles.
  • Vasomotor Symptoms: Low Estrogen is the primary driver of hot flashes and night sweats.
  • Libido & Sexual Function: Low Estrogen causes dryness and painful intercourse; Low Testosterone is the primary cause of decreased spontaneous desire and weaker orgasms.
  • Cognitive Symptoms: Low Estrogen leads to "brain fog" and memory issues; Low Testosterone reduces strategic clarity and executive function.
  • Weight & Metabolism: Low Progesterone can cause fluid retention; Low Estrogen shifts fat distribution to the abdomen and increases insulin resistance; Low Testosterone reduces lean muscle mass, slowing metabolism.
  • Skin & Hair: Low Estrogen reduces skin elasticity and collagen (wrinkles); Low Testosterone can contribute to thinning hair.
  • Bone & Muscles: Low Estrogen is a major factor in rapid bone density loss and muscle wasting; Low Testosterone decreases muscle power and endurance.
  • Vaginal & Pelvic Symptoms: Low Estrogen leads to genitourinary symptoms like atrophy and increased UTI risk; Low Testosterone diminishes clitoral sensitivity.

Schedule a free introduction call to learn more about how The Longevity Practice works.

Start Your Longevity Journey

The Treatment Journey

  • Iterative Care Model: Treatment is a proactive, data-driven process involving monthly adjustments, blood tests, and symptom tracking rather than a fixed prescription.
  • Phased Introduction: Hormones are introduced one at a time to isolate effects, with stabilization typically occurring before a second hormone is added.
  • Micronized Progesterone: A plant-derived, bioidentical oral pill taken at night to improve sleep, reduce anxiety, and protect the uterine lining.
  • Transdermal Estradiol (Estrogen): Absorbed via skin (gel or patch) to bypass the liver, eliminating the 4-fold blood clot risk associated with oral estrogen.
  • Estrogen Timeline: Requires 4–8 weeks of consistent daily application before full symptom relief is achieved.
  • Transdermal Testosterone: Often prescribed off-label for women at micro-doses (approx. 300 mcg/day) to support vitality while monitoring for skin or hair side effects.
  • DHEA Considerations: Oral DHEA is an inconsistent precursor that varies by person; vaginal DHEA (Prasterone) is specifically used for localized atrophy and intimacy support.
  • Maintenance Phase: Once the ideal protocol is established, medical check-ins typically move to a 3–6 month schedule.

How Long Does It Take for Hormone Replacement Therapy (HRT) to Work?

  • First Few Weeks You might notice minor symptom relief, such as improvements to your sleep, mood or energy. This depends on the hormone you’re starting with. Progesterone is faster acting while Estradiol takes at least 2 to 4 weeks for minor effects to appear. You find your routine, when, how, where to apply it.
  • 1 to 3 Months You test the dosage as this treatment is tailored around your symptoms. If symptoms come back, you increase the dosage. If you get breast tenderness or migraines, we try to dial down on estrogen. Ideally your mood swings start to stabilize, and your energy levels increase. Symptoms like hot flashes or night sweats should decrease in frequency.
  • 3 to 6 Months This is when most people experience significant relief because transdermal Estradiol and Testosterone take a while to yield effect. Hot flashes, night sweats, and vaginal dryness often improve dramatically, and mood swings become much less frequent.
  • 6 to 12 Months You benefit from the full effect of the treatment and notice an improvement in your quality of life. You understand that there are still changes and can adapt dosage or administration routes.
  • Month 13 Onwards Additional benefits accumulate in the long run, like stronger bones (reducing the risk for osteoporosis) and better heart health, helping you stay healthy as you age. Note that these work if paired with strength training, a healthy diet and sufficient protein intake.

Evidence-based Longevity in Berlin Kreuzberg

In our practice, we rely exclusively on evidence-based methods and medical diagnostics that have been scientifically proven to make a difference. Our focus is on preventing the “four horsemen” of aging—cardiovascular disease, cancer, metabolic dysfunction, and neurodegeneration—rather than offering trends like epigenetic age tests or wellness drips. Our Prevention strategy addresses tailored exercises, nutrition, sleep, mental health and if necessary support by supplement and medication.

Cost of Hormones Focus Session in Berlin Kreuzberg

The cost for Hormones Focus Session is based on the German healthcare pricing system (GOÄ – Gebührenordnung für Ärzte). A single consultation visit is priced at 199€. However, we encourage you not to stop at consultation alone, but to begin your full Longevity Journey with us. Here is what our protocol looks like:

Hormones Focus Session
199€
Goal: Conduct a comprehensive hormone panel and risk-benefit analysis to develop a personalized HRT protocol and targeted treatment strategy.
Duration: 45 minutes
Book appointment
Full Diagnostic Visit
1,399€
Goal: Establish a data-driven biological baseline to unlock personalized peak performance and long-term health optimization.
Duration: 3 hours
Book appointment
Introduction Session
0€
Schedule a quick video call to learn more about The Longevity Practice services and approach.
Duration: 15 minutes
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Testimonials

What our customers say about us

Julia, 46 – HRT & Strength
When I saw how much muscle mass I had lost, I finally understood why I felt weaker. It took longer than I expected to get my hormone levels properly adjusted, but once they were stable, my sleep and daily energy improved dramatically. Combining this with regular strength training has made me noticeably stronger and more resilient in everyday life.
Anna, 44 – HRT & Sleep
I never realized how much my hormones were affecting my sleep until I have taken progesterone. After adjusting my therapy and tracking my sleep for six weeks, I went from waking up four or five times a night to sleeping through almost every night. It’s such a relief to finally wake up feeling rested and ready for the day.
Pia, 45 – Menopause & Brain Fog
I thought I was losing my mind. I’d forget simple words in the middle of sentences. Realizing it was just the estrogen drop was a huge relief.
Anna, 49 – Menopause & Sleep
The night sweats were brutal—I was waking up drenched and exhausted every single night. I was so irritable with my family. Once I balanced my hormones, I finally got my sleep back.
Anita, 54 – Menopause & Anxiety
Nobody told me about the sudden heart palpitations and anxiety. I felt on edge for no reason. Learning it was hormonal made so much sense.

Following your consultation, any necessary hormone prescriptions can be conveniently fulfilled at any pharmacy in Berlin Kreuzberg. For instance here:

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