Hormone Replacement Therapy in Palm Beach Gardens, FL

Targeted hormone therapy built around your lab work and individual goals.

 

Understanding Hormone Replacement Therapy

What Is Bioidentical Hormone Replacement Therapy?

Bioidentical hormone replacement therapy (BHRT) uses hormones that are molecularly identical to those the body produces naturally. SPOKEmed uses lab testing to evaluate estrogen, progesterone, testosterone, DHEA, and thyroid hormone levels.

Changes in energy, mood, or motivation can have several causes, including hormonal changes. SPOKEmed provides personalized bioidentical hormone replacement therapy for men and women, with an individualized plan based on lab results, symptoms, and medical history.

SPOKEmed offers hormone replacement therapy to adult patients in Palm Beach Gardens, with each plan based on a lab panel rather than a standard protocol.

Care is available for men and women dealing with perimenopause, menopause, andropause, or thyroid-related imbalance.

Our Hormone Replacement Therapy Services

  • Hormone Therapy for Menopause and Perimenopause: For patients experiencing hot flashes, sleep disruption, or mood changes linked to declining estrogen and progesterone.
  • Testosterone Therapy for Men: For patients with lab-confirmed low testosterone, addressing symptoms such as fatigue and reduced muscle mass.
  • Thyroid Hormone Therapy: For patients with an underactive thyroid, a condition that can affect metabolism, energy, and weight.

Signs of Hormone Imbalance

The symptoms below are often associated with hormone imbalance. Because they tend to develop slowly, many patients attribute them to other causes before hormone levels are ever tested.

Hormonal Imbalance in a woman

Common Symptoms in Women

  • Hot flashes, night sweats, or irregular cycles
  • Mood swings, anxiety, or irritability
  • Low libido, recurrent UTIs, or vaginal dryness
  • Increased abdominal weight or difficulty managing weight
  • Brain fog or trouble concentrating
  • Difficulty sleeping or unrefreshing sleep
  • Changes in blood pressure, cholesterol, or blood sugar
  • Thinning hair or dry, itchy skin
Unmotivated man

Common Symptoms in Men

  • Reduced energy and motivation
  • Decreased muscle mass or strength
  • Low sex drive
  • Difficulty sleeping
  • Increased body fat, especially around the abdomen

Treatment Process at SPOKEmed

  • STEP 1: Initial Visit

    A provider reviews health history and orders lab work to check current hormone levels.

  • STEP 2: Personalized Plan

    Lab results, symptoms, and medical history guide your individualized dosage, delivery method, and additional support, such as nutrition or health coaching.

  • STEP 3: Follow-Up Testing

    Labs are repeated at intervals to track progress and adjust treatment if needed.

Other Services We Offer at SPOKEmed

In addition to hormone therapy, we provide these services to patients in Palm Beach Gardens.

A man shows how much weight he has lost by holding out the waist of his jeans, symbolizing his successful diet.

Medical Weight Loss

A physician-supervised program for weight management.

Nutritionist woman

Health Coaching

Individual coaching sessions focused on health goals.

Peptide Therapy

Peptide Therapy

Peptide options reviewed on a case-by-case basis.

Healthy digestive system

Gut Microbiome Testing

Testing that evaluates gut bacteria and digestive function.

Icon Location — SPOKEmed telehealth wellness

Service Area

We serve patients throughout Palm Beach Gardens, including:

  • BallenIsles
  • Mirasol
  • Old Palm
  • PGA National
  • Midtown

SPOKEmed also sees patients from North Palm Beach, Juno Beach, Jupiter, and West Palm Beach.

What Restoring Your Hormones Can Do for You

  • Feel like yourself again with more consistent daily energy.
  • Lift the brain fog so you can focus on work and home life.
  • Enjoy deeper, more restorative sleep every night.
  • Support strength, bone health, and a healthy metabolism long-term.

How We Care for Your Health

  • Individualized Dosing: Treatment amounts are set according to each patient's lab results.
  • Bioidentical Formulations: The hormones prescribed are designed to match what the body already makes on its own.
  • Coordinated Care: A treatment plan can include weight management support, coaching, or digestive health testing as needed.

Patient Stories & Reviews

Read real reviews from patients who restored their vitality, health, and balance with personalized guidance from Michelle at SPOKEmed.

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Excellent37 reviews
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Katrina Eggertsson profile picture
Katrina Eggertsson
42 days ago
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Michelle is amazing! Super knowledgeable and helpful! If you’re looking for help to a healthy lifestyle she is the one you want help from.
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Greta Lambert profile picture
Greta Lambert
58 days ago
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Dr. Michelle Middleton has been such a blessing in my life. She has helped me learn good habits not only for meals, but for living a happy, life of joy. I am so grateful for her guidance and tips. She is amazing! Her guidance has helped me emotionally and physically. She has helped me lose weight and to love myself again!
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Michelle Chavers
58 days ago
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Michelle helped me with my crazy hormones when others told me I just needed to ride the perimenopause rollercoaster. That answer wasn’t good enough for me. I wanted to feel better. When I found Michelle she got me on the correct HRT and supplements I needed to feel better. It’s made a big difference in my mood and daily routine. I would highly recommend her as a woman trying to understand our complex body in midlife!
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Celeste Mikes
96 days ago
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SPOKEmed is a very knowledgeable with weight loss. They take the time to speak with you directly and walk you through the process.
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danielle cruz
198 days ago
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Michelle is a wealth of knowledge and has done so much to help me dig into root causes - both physiologically as well as mentally. I appreciate her comprehensive approach to wellness, her patience and her ongoing coaching!
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Lisa B
212 days ago
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Michelle is lovely to work with. She takes adequate time to listen and has useful and practical solutions.
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Judith Rosbrook profile picture
Judith Rosbrook
214 days ago
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I’ve been counseling with Michelle for almost a year. She has your best interest at heart! She’s very knowledgeable and recommends what’s best for your health! Thank you for everything Michelle!!! JR
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ilissa siegel
219 days ago
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SpokeMED/Michelle is very knowledgeable and always accessible/helpful. She looks at your health and wellbeing holistically and has helped me feel like the best version of myself.
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Ali Loomis
221 days ago
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Working with Michelle has been wonderful! She is clear, informative, and makes sure all of my questions have been answered. She is personable, supportive, and easy to talk to. I highly recommend her!
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Nancy Hortman
221 days ago
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Michelle, is absolutely wonderful! She is beyond helpful and wise and cares woud recommend !!
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Joni House profile picture
Joni House
227 days ago
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Working with SPOKEmed has truly transformed my health and focus. The guidance, accountability, and encouragement is helping me build better habits and gain clarity. I am thankful for the positive impact they have had on my life.
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Rhina Mendoza
228 days ago
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I have nothing but excellent reviews with this service, very friendly and knowledgeable people, love it , thanks
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Rolanda Montenegro
229 days ago
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Love working with Michelle! She answers all my questions and shows extreme understanding and care with her clients. I felt very good knowing she was there to walk me through this process. Highly recommend her services!
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Katie Norman profile picture
Katie Norman
233 days ago
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Michelle is wonderful! Michelle is so supportive, responsive and encouraging. She truly listens to your concerns and provides sound solutions and guidance. She truly cares for her patients.
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Pawfessional Mobile Vet
238 days ago
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Michelle is wonderful to work with and provides exceptional advice!
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Tim Ellenburg
242 days ago
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Close attention to detail, thorough coverage of information
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L.S.C
248 days ago
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Kas profile picture
Kas
256 days ago
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Michelle is very knowledagble, kind and is always willing to help if I have a question about something. She makes sure she gives enough info on the glp1 shot for her clients to be successful.
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Katie Sefton
262 days ago
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I’ve been working with Michelle for several months and have lost over 50 lbs at a healthy pace. It is easy to arrange appointments and she is flexible with the need to reschedule. She listens well and offers on point advice without judgement. She seems to love helping people on their journey to better health and is very knowledgeable about current best practices. I highly recommend SPOKEmed.
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Jenna
522 days ago
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I can’t say enough positive things about working with Michelle! She has been instrumental in my weight loss journey with GLP-1 and Lipomino injections. She is so supportive, incredibly knowledgeable, and always willing to answer my questions. She truly listens and takes the time to understand my needs and goals. Her availability and accommodating nature have made this process smooth and reassuring. I’m so grateful to have her guidance and expertise!
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Sumner Lane
525 days ago
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Michelle is knowledgeable, attentive, and takes the time to explain her treatments clearly, making me feel comfortable and informed. I appreciate how easy it is to communicate with her and efficiency of visits. She truly cares for her clients and their health.
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Natalie Crain
547 days ago
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Very engaging, cares about my progress, extremely knowledgeable and supportive of my journey.
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Franklin E Corvaia II
570 days ago
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Thank you for your health education and expertise on my weight loss journey.
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Michele Sabin
571 days ago
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I have really enjoyed working with Michelle Middleton. She is helping me reach my optimal health goals with proven solutions, great advice and expertise. She’s incredible!!
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Colleen McKenzie
645 days ago
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I’ve lost 11 lbs in less than 3 weeks. A genuine caring person.
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Melissa Staelens
659 days ago
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Michelle has provided amazing support as I continue in my journey towards better health. She helps provide tools that make getting healthy easier and attainable! So thankful to have found her!
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MM
662 days ago
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Michelle is just amazing! From our very first conversation she listens to what I am looking for, addresses all my concerns and she patiently answers all my questions. She is also an incredible positive force and a fantastic cheerleader as I continue my journey of growing and learning in regards to my health and happiness!
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Arden Ellis
666 days ago
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Michelle is just the best. She helps you look at the WHOLE picture not just one aspect of your health. It's so important to take the time to really understand each patient's specific needs, issues our health goals, and Michelle does this like no one I've ever met. I am so grateful for her expertise and commitment to her patients.
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Susan Martin profile picture
Susan Martin
685 days ago
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When one comes across something or someone of exceptional quality, you want to share it. That is what I would like to do w/ Michele Middleton. Michelle reached out to me with a suggestion of treatment and course of action to repair and restore my destructive behavior and thinking the program she believes in is good very good but her skills in repairing and Restoration are exceptional. Never judgmental always viewing it from let’s redirect it. Bottom line always with love the heart of hers is full and giving all the time I find her a gift from above
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Jennifer Riggs
687 days ago
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Michelle- has been there for my health journey every step of the way. She turns a negative into a positive and at times when I wanted to give in, she was right there for me. She is a big part of my success and continues to support me.
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Shannon Perry profile picture
Shannon Perry
688 days ago
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Michelle Middleton, P.A. Is one of the most caring & careful health care professionals I’ve ever encountered! The world needs more Michelle’s!
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Enid Roper
711 days ago
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Michelle is wonderful. Knowledgable, professional, and really explains things well. Made the process so easy.
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Troy M
717 days ago
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Michelle has been absolutely amazing. She is thorough, professional and takes the time to not just listen to my health concerns, but addresses them in a way that is easy to understand. Very pleased with the journey so far and am looking forward to continue my health journey with her. Crystal F.
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Karla McCoy profile picture
Karla McCoy
717 days ago
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Michelle has been an essential part of my health journey. She is knowledgeable, always available to answer my questions when needed, and always ready to help and encourage me. I highly recommend her to anyone ready to start their health journey.
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Marty McCravy
717 days ago
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Michelle is a fantastic coach. She is so knowledgeable and helpful. I highly recommend Michelle for your weight loss journey
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Charlin Burdick profile picture
Charlin Burdick
724 days ago
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Michelle is absolutely amazing!!! She is beyond professional and listens to her patients needs and concerns. She has been my guide in this journey answering questions, addressing concerns and helping me bridge the gap in achieving my health & nutrition goals. She is incredibly intelligent & respectful and so easy to connect with as well! Do yourself a favor and schedule a consultation and see for yourself. You’ll thank me later!!
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Gerry Gerrard
764 days ago
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My friend lost 8 pounds in 2 weeks through this program of a healthy lifestyle and healthy eating. She stopped drinking alcohol (which is miraculous) and eats regularly but healthy all day long and feels GREAT! shes in it to win it and can't wait to get to her ideal weight!
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Our Working Hours & Contact Information

Working Hours

Monday - Friday
8:00 AM - 6:00 PM
Saturday
Closed
Sunday
Closed

Contact information

Call us on: (561) 823-0040

Email us on: support@spokemed.com

Appointment Type: Virtual telehealth (by appointment).

Frequently Asked Questions About Hormone Replacement Therapy in Palm Beach Gardens

Consultation and Appointment Scheduling

SPOKEmed offers initial consultations for individuals seeking evaluation for hormone replacement therapy. The first session includes a review of symptoms and health history along with lab testing to check hormone levels.

Referral Program

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Before &
After

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