Hormone Replacement Therapy in Royal Palm Beach

Not guesswork. Just labs, answers, and a plan.

 

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 measure estrogen, progesterone, testosterone, and thyroid levels.

Changes in energy, mood, or motivation can have several causes, including hormone imbalance. SPOKEmed provides personalized bioidentical hormone replacement therapy for men and women. Treatment begins with lab testing to measure hormone levels, followed by a plan based on the results.

We work with patients experiencing perimenopause, menopause, andropause, or thyroid imbalance, and develop a treatment plan based on lab results, symptoms, and individual goals.

Signs of Hormone Imbalance

Hormone imbalance often develops gradually and can be mistaken for stress, work demands, or normal aging. The symptoms below are commonly associated with hormone imbalance in men and women.

hrt-women-spokemed

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
hrt-men-spokemed

Common Symptoms in Men

  • Persistent fatigue and low motivation
  • Loss of muscle tone and increased abdominal fat
  • Low libido or sexual difficulty
  • Irritability or low mood
  • Difficulty building or maintaining muscle

Our Hormone Replacement Therapy Services

  • Natural Hormone Replacement for Menopause and Perimenopause: Treatment for symptoms including hot flashes, night sweats, mood changes, and low libido.
  • Testosterone and Andropause Therapy for Men: Tailored for men seeking to reverse persistent fatigue, improve muscle tone, and revive low stamina and libido.
  • Thyroid Hormone Optimization: Treatment for thyroid imbalance, which can contribute to fatigue, weight gain, and brain fog.

Treatment Process at SPOKEmed

  • STEP 1: Consultation and Lab Testing

    Includes a health history review and a hormone panel to measure current levels.

  • STEP 2: Treatment Plan

    Lab results are used to determine dosage, delivery method, and any additional support, such as nutrition or health coaching.

  • STEP 3: Monitoring

    Hormone levels are rechecked periodically, and the treatment plan is adjusted as needed.

Other Services We Offer in Royal Palm Beach

SPOKEmed also provides the following services in Royal Palm Beach.

medical weight loss

Medical Weight Loss

Medically supervised weight loss programs.

health & wellness coaching

Health Coaching

Personalized health coaching for lasting results.

Peptide Therapy

Peptide Therapy

Targeted peptide protocols for optimal wellness.

gut-health-spokemed

Gut Microbiome Testing

Lab testing for gut microbiome and digestive health.

Icon Location — SPOKEmed telehealth wellness

Service Area

We serve patients in Royal Palm Beach, including the neighborhoods around:

  • Madison Green
  • PortoSol
  • BellaSera
  • Bella Terra
  • Palm Beach Plantation

Patients are also seen from nearby Wellington, Loxahatchee, Greenacres, and West Palm Beach.

The Benefits of Hormone Replacement Therapy

  • More consistent energy levels
  • Improved mood and mental clarity
  • Improved sleep quality
  • Increased libido
  • Changes in muscle tone and body composition
  • Support for bone density

Our Approach to Care

  • Lab-Based Treatment: Dosing is based on individual lab results rather than a standard protocol.
  • Bioidentical Hormones: Treatment uses hormones that are molecularly identical to those the body produces.

See How SPOKEmed Has Transformed Our Patients' Health and Lives

See how personalized health and wellness services have helped our patients regain their energy, clarity, and vitality.

ExcellentGoogle star 1Google star 2Google star 3Google star 4Google star 55.037 reviews
5.0Google star 1Google star 2Google star 3Google star 4Google star 5
Excellent37 reviews
Posted on Google Google
Katrina Eggertsson profile picture
Katrina Eggertsson
41 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Greta Lambert profile picture
Greta Lambert
57 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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!
Posted on Google Google
Michelle Chavers profile picture
Michelle Chavers
57 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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!
Posted on Google Google
Celeste Mikes profile picture
Celeste Mikes
95 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
SPOKEmed is a very knowledgeable with weight loss. They take the time to speak with you directly and walk you through the process.
Posted on Google Google
danielle cruz profile picture
danielle cruz
197 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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!
Posted on Google Google
Lisa B profile picture
Lisa B
211 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Michelle is lovely to work with. She takes adequate time to listen and has useful and practical solutions.
Posted on Google Google
Judith Rosbrook profile picture
Judith Rosbrook
213 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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
Posted on Google Google
ilissa siegel profile picture
ilissa siegel
218 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Ali Loomis profile picture
Ali Loomis
220 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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!
Posted on Google Google
Nancy Hortman profile picture
Nancy Hortman
220 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Michelle, is absolutely wonderful! She is beyond helpful and wise and cares woud recommend !!
Posted on Google Google
Joni House profile picture
Joni House
226 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Rhina Mendoza profile picture
Rhina Mendoza
227 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I have nothing but excellent reviews with this service, very friendly and knowledgeable people, love it , thanks
Posted on Google Google
Rolanda Montenegro profile picture
Rolanda Montenegro
228 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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!
Posted on Google Google
Katie Norman profile picture
Katie Norman
232 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Pawfessional Mobile Vet profile picture
Pawfessional Mobile Vet
237 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Michelle is wonderful to work with and provides exceptional advice!
Posted on Google Google
Tim Ellenburg profile picture
Tim Ellenburg
241 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Close attention to detail, thorough coverage of information
Posted on Google Google
L.S.C profile picture
L.S.C
247 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Posted on Google Google
Kas profile picture
Kas
255 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Katie Sefton profile picture
Katie Sefton
261 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Jenna profile picture
Jenna
521 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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!
Posted on Google Google
Sumner Lane profile picture
Sumner Lane
524 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Natalie Crain profile picture
Natalie Crain
546 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Very engaging, cares about my progress, extremely knowledgeable and supportive of my journey.
Posted on Google Google
Franklin E Corvaia II profile picture
Franklin E Corvaia II
569 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Thank you for your health education and expertise on my weight loss journey.
Posted on Google Google
Michele Sabin profile picture
Michele Sabin
570 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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!!
Posted on Google Google
Colleen McKenzie profile picture
Colleen McKenzie
644 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I’ve lost 11 lbs in less than 3 weeks. A genuine caring person.
Posted on Google Google
Melissa Staelens profile picture
Melissa Staelens
658 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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!
Posted on Google Google
MM profile picture
MM
661 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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!
Posted on Google Google
Arden Ellis profile picture
Arden Ellis
665 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Susan Martin profile picture
Susan Martin
684 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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
Posted on Google Google
Jennifer Riggs profile picture
Jennifer Riggs
686 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Shannon Perry profile picture
Shannon Perry
687 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Michelle Middleton, P.A. Is one of the most caring & careful health care professionals I’ve ever encountered! The world needs more Michelle’s!
Posted on Google Google
Enid Roper profile picture
Enid Roper
710 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Michelle is wonderful. Knowledgable, professional, and really explains things well. Made the process so easy.
Posted on Google Google
Troy M profile picture
Troy M
716 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Karla McCoy profile picture
Karla McCoy
716 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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.
Posted on Google Google
Marty McCravy profile picture
Marty McCravy
716 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Michelle is a fantastic coach. She is so knowledgeable and helpful. I highly recommend Michelle for your weight loss journey
Posted on Google Google
Charlin Burdick profile picture
Charlin Burdick
723 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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!!
Posted on Google Google
Gerry Gerrard profile picture
Gerry Gerrard
763 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
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!
Verified by Trustindex
Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more

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 Royal Palm Beach

Consultation and Appointment Scheduling

SPOKEmed offers initial consultations for individuals seeking evaluation for hormone replacement therapy. During this appointment, we review medical background details and order specific laboratory panels to assess baseline hormone health. These results help establish a targeted baseline before any clinical care plan is considered.

Referral Program

Join Our Referral Program and Get Rewarded for Spreading Wellness

Before &
After

Explore Real Before-and-After Success Stories