Hormone Optimization

That’s why we start with a thorough consultation and lab testing to reveal whether bioidentical hormone replacement therapy (BHRT) is right for you. This process looks beyond symptoms to uncover root causes, offering valuable insights for both your care with us and your broader healthcare team.

• BHRT for Women
• BHRT for Men
• Treatments Offered

Bioidentical Hormone Replacement Therapy (BHRT)

If hormone imbalance is identified as an issue for you, we may recommend BHRT—a highly personalized treatment that uses hormones biologically identical to your body’s own.

BHRT restores balance and supports optimal function with minimal side effects. Because hormone imbalance affects men and women differently, we offer two dedicated treatment pathways:

BHRT For Women

Common Symptoms

• Hot flashes and night sweats
• Vaginal dryness or discomfort with intimacy
• Low libido
• Mood swings, anxiety, or depression
• Fatigue or low stamina

• Brain fog or forgetfulness
• Weight gain, especially around the midsection
• Irregular periods
• Hair thinning
• Sleep problems

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Contributing Factors

• Natural age-related decline in estrogen, progesterone, and testosterone
• Perimenopause and menopause transitions
• Thyroid dysfunction or cortisol imbalance
• Stress, poor sleep, or disrupted circadian rhythm
• Inflammation or nutrient deficiencies
• Certain medications or contraceptives

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BHRT For Men

Common Symptoms:

• Fatigue or loss of motivation
• Reduced libido or erectile dysfunction
• Difficulty building or maintaining muscle
• Brain fog, poor memory, or lack of focus

• Depressed mood or irritability
• Weight gain, especially around the abdomen
• Poor sleep or low stamina
• Hair thinning

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Contributing Factors:

• Natural age-related hormone decline (i.e., andropause/male menopause)
• Chronic stress or elevated cortisol
• Poor sleep or disrupted circadian rhythm
• Thyroid or adrenal dysfunction
• Obesity or poor metabolic health
• Certain medications or substance use

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Benefits of BHRT vs. HRT

Compounded bioidentical hormones offer many benefits to both men and women. Here are a few reasons we strongly prefer BHRT over synthetic hormones.

Made from plant sources

Chemically identical to our bodies' hormones

Reduced side effects reported

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Customized in a compounding pharmacy

Improves quality of life, including sleep, energy & mood

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Complementary Services

Hormone therapy is just one piece of the puzzle. We support your journey with comprehensive lab work and testing that provide actionable next steps for you and your healthcare team. Learn more about the other treatments we offer.

Leadership & Care That Inspires

Vito C. Quatela, M.D., FACS

Founder and Medical Director

A double board-certified facial plastic surgeon with decades of experience, Dr. Vito Quatela founded Longevità Medical as a natural extension of his commitment to treating the whole patient—inside and out. Known for his vision and innovation, he has built a career helping people look younger and feel more confident. With Longevità Medical, he expands that mission into proactive wellness, offering patients the tools and insights they need to take charge of how they age. Dr. Quatela continues to lead the practice with the same standard of excellence that defines his surgical and aesthetic work.

Meet Dr. Quatela

Julie A. Chatt, MSN, FNP-C

Certified Hormone Optimization Specialist

Julie Chatt is a board-certified nurse practitioner with more than two decades of experience in patient care. At Longevità Medical, she specializes in advanced hormone optimization and personalized wellness plans, helping patients feel their best through every stage of life. Known for her thorough, compassionate approach, Julie takes the time to understand each person's health goals and translate complex test results into clear, actionable steps. She's an integral part of Longevità's diagnostic-first model, guiding patients from evaluation through long-term support.

Meet Julie Chatt