Bioidentical Hormone Replacement Therapy in Burke & Vienna

Reclaim Your Strength, Focus, and Vitality with Expert-Led BHRT

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Hormone Optimization at The Gajer Practice

Hormone Therapy That Helps You Power Through Life Again

If you’re feeling constantly tired, mentally foggy, or just not like yourself, the hormonal changes of periomenopause or menopause could be the reason. Bioidentical hormone replacement therapy (BHRT) in Burke & Vienna helps restore your energy, clarity, and resilience by addressing the root cause, not just the symptoms.

Led by physician Dr. Aleksandra Gajer, we’ve helped over 20,000 patients take a science-driven, personalized approach to hormone care. Every plan is grounded in lab data, open conversation, and your long-term goals for vitality, heart health, and cognitive wellness.

You deserve more than a quick fix. We’ll help you feel stronger, sharper, and more energized, with medical care that supports your whole-body health for years to come.

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What Is Bioidentical Hormone Replacement Therapy (BHRT)?

Bioidentical hormone replacement therapy (BHRT) uses hormones that are chemically identical to those your body naturally produces, restoring balance and easing the symptoms of perimenopause and menopause. At The Gajer Practice, our Hormones and Performance program combines BHRT with targeted peptides to support energy, metabolism, and healthy aging from the inside out. 

This approach is great for women experiencing fatigue, mood changes, sleep issues, or generally feeling off. By aligning treatment with your body’s natural systems, we help you feel stronger, more focused, and in control again.



Women's Health by The Gajer Practice
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From Fatigue to Brain Fog: Signs Your Hormones May Be the Cause

Hormonal imbalances can affect every area of your life, especially as you enter perimenopause or menopause. If you’re experiencing any of the following symptoms, you may benefit from HRT:

  • Constant fatigue or low energy

  • Irritability or mood swings

  • Trouble focusing or brain fog

  • Poor sleep or waking up tired

  • Loss of muscle tone or stubborn weight gain

  • Decreased libido or changes in sexual health

  • Feeling less like yourself—physically and emotionally

Hormone therapy can help bring balance back to your body, allowing you to function and feel like yourself again.

Who Benefits From BHRT?

Bioidentical hormone replacement therapy is best for women experiencing hormonal shifts during perimenopause and menopause. These changes can begin as early as age 35, causing symptoms like fatigue, brain fog, and mood swings. 


BHRT eases this bodily transition by restoring hormonal balance, supporting energy, clarity, and a greater sense of control over your body and mind.

Feel Better, Live Better: How HRT Supports Your Health

When your hormones are balanced, everything works better—from your metabolism to your mood. At The Gajer Practice, hormone replacement therapy is more than just correcting lab values; it’s about helping you feel your best again, every day.

Improve Energy, Mood, Sleep, and Mental Clarity

Balanced hormones improve how your body regulates sleep, mood, and energy during menopause and perimenopause. Many of our patients report feeling noticeably more alert, focused, and motivated within weeks of starting BHRT.

Restore Natural Hormone Levels Safely and Effectively

Whether you're dealing with low testosterone, estrogen imbalances, or menopause-related hormone shifts, our therapies are medically guided and always tailored to your unique needs. We don’t believe in cookie-cutter care.

Personalized Hormone Therapy for Energy, Heart Health & Clarity

No two bodies are the same, which is why your BHRT plan won’t be either. We assess your labs, lifestyle, and symptoms to create a plan that supports your energy, focus, heart health, and overall vitality, for today and the years ahead.

Experience Speaks: Feedback From Our HRT Patients

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From Consultation to Confidence: Our Proven Process for Balanced Hormone Health

It all starts with a complimentary telemedicine consultation. We’ll talk through your symptoms, medical history, and health goals. If BHRT is right for you, we’ll order labs to evaluate your hormone levels and design a customized plan.

Most of our Burke & Vienna area patients begin to feel improvements in mood, energy, and mental clarity within just a few weeks. We closely monitor your progress through lab work and ongoing check-ins, adjusting your plan as needed to support lasting, vibrant health.

Our Offices in Virginia

We have two convenient office locations and also offer virtual appointments for your comfort and flexibility.

BURKE location

Monday: 8:30 AM – 3:30 PM
Tuesday: 8:30 AM – 3:30 PM
Wednesday: 8:00 AM – 12:00 PM
Thursday: 8:30 AM – 5:30 PM
Friday: 8:30 AM –3:30 PM
Saturday: 8:00 AM –12:00 PM

VIENNA location

Monday: 8:30 AM – 4:00 PM

Wednesday: 8:30 AM – 4:00 PM

A Reputation Built on Results: Why People Choose Us for Hormone Therapy

At The Gajer Practice, we’ve helped over 20,000 patients take control of their health through intentional, evidence-based care. Our goal is to help you live not only longer, but better, supporting your energy, confidence, and vitality as you navigate perimenopause and menopause. What sets us apart:

  • Led by an internal medicine physician 

  • Telehealth options for personalized convenience

  • Tailored care rooted in your biology and lifestyle

  • A legacy of whole-person, preventive wellness

We don’t just manage symptoms, we help you reclaim your vitality with care that’s as unique as you are.

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Our Hormones and Performance Membership Options: Save Money Every Month

We also offer Hormones and Performance memberships to make your care more affordable, helping you save up to 20% on treatments, medications, and follow-up visits. Instead of paying per appointment, you’ll receive a full suite of benefits to support your health month after month.


Here’s what you’ll get when you become a member:

Tier 1: $197/month

Best for patients who are just getting started with hormone optimization.

  • Lab testing and doctor visits every 3 months
  • 2 body scan and analysis per 12 weeks
  • Targeted health coaching every 3 months
  • 10% off additional services

Tier 2: $397/month

Includes ongoing medication, GLP-1 access, and monthly wellness support.

  • Lab testing and doctor visits every 2 months
  • 3 body scan and analysis per 12 weeks
  • Compounded hormone medications
  • One wellness injection (NAD or LIPO-MIC) up to 2x monthly
  • 1 Peptide covered for full cycle
  • Targeted health coaching every month
  • 15% off additional services

Tier 3: $797/month

Great for patients seeking hands-on support, coaching, and full-spectrum hormone care.

  • Unlimited doctor visits and 1 monthly lab draw
  • 4 body scan and analysis per 12 weeks
  • Compounded hormone medications included
  • Unlimited wellness injections, up to one per week
  • 3 peptides covered for full cycle
  • Monthly health coaching with weekly sessions if necessary
  • Specialty testing every 3 months
  • 20% off additional services

Serving These Cities & Neighborhoods Throughout Virginia

BHRT FAQs: Get the Answers You’re Looking For

Your first telemedicine consultation is free. Intake appointments are $300 with the option to add labs for $250. Follow-up visits range are $200 with the option to add labs for $250. 

Our patients can get their labs drawn in-office on the same day of the consultation, making the process as simple and convenient as possible. 

 

We offer financing options through CareCredit, Affirm, and our mobile app.

 

Every patient’s biology, symptoms, and goals are different. That’s why we use lab results and clinical insight to create a treatment plan that’s 100% tailored to your needs.

 

We are a private-pay practice and do not bill insurance. However, we make care more accessible through flexible membership plans and financing options.

Many patients report noticeable improvements in energy, mood, libido, and focus within weeks. Some experience mild side effects early on, such as injection site tenderness or temporary hormone fluctuations, which we manage with close monitoring.

 

Most patients receive weekly or biweekly injections, depending on their plan. We’ll perform follow-up labs as needed to keep your levels balanced and your treatment effective.

SCHEDULE A FREE CONSULTATION

Get Expert Hormone Care, Virtually or In Person - Book Your Appointment

Schedule your free consultation today!

You don’t have to keep pushing through low energy, poor sleep, or emotional ups and downs during menopause and perimenopause. With thoughtful, physician-led hormone therapy, we’ll help you feel strong, focused, and confident again. Let’s get you feeling your best, inside and out.

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Special

VALENTINE'S DAY SALE!

20% off Everything in our app.

BONUS: Gift cards – Use anytime for meds, peptides, treatments.

February 8th - February 14th, 2026

CODE: VDAY26

The Peptide Revolution

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