A warm, confident woman smiling thoughtfully.

"You're not imagining it. And you're not alone."

You're Not Imagining It

Your labs are "normal." But you don't feel normal.

The fatigue that doesn't lift with sleep. The weight that won't respond to the same routine that worked five years ago. The brain fog. The mood shifts you don't recognize in yourself.

You've been told it's stress. Or aging. Or "just part of being a woman." And maybe you've been told your labs look fine.

You're not imagining it. And you're not alone. These are real changes — and they deserve real answers from someone who understands what you're going through.

At Kizer Pharmacy, we help women across West Tennessee explore whether bioidentical hormone replacement therapy may be part of that answer — with the clinical depth of a Menopause Society Certified pharmacist and the personal attention of a local pharmacy that's been in Union City since 2003.

What Is Bioidentical Hormone Replacement Therapy?

Bioidentical hormones are compounds that are chemically identical to the hormones your body naturally produces — typically estradiol, progesterone, testosterone, or a combination, depending on what your healthcare provider prescribes.

Unlike conventional hormone therapy, which uses standardized doses and synthetic formulations, bioidentical hormone replacement therapy (BHRT) can be custom-compounded to match your individual hormone levels and your provider's specific prescription. That means the strength, the ratio of hormones, and even the delivery method (capsule, cream, troche, and more) can be tailored to you — not pulled from a one-size-fits-all shelf.

At Kizer Pharmacy, BHRT is compounded in our USP-800 compliant facility by a team of five full-time pharmacists, led by Jason Kizer, PharmD, MSCP — one of a small number of pharmacists in the country who holds Menopause Society Certification.

This isn't a generic prescription. It's a formulation built for you, by a pharmacy that specializes in hormone health.

Jason Kizer, PharmD, in his Union City pharmacy

Signs Your Hormones May Be Out of Balance

Hormonal shifts affect every woman differently. Some experience hot flashes and night sweats. Others notice a slower, subtler change — brain fog, mood shifts, a metabolism that seems to have stopped cooperating. The common thread is the feeling that something isn't quite right, and the healthcare system doesn't seem to have time to really listen.

These are some of the symptoms women most often describe when exploring whether BHRT may be worth discussing with their provider:

  • Fatigue that doesn't lift with sleep—feeling exhausted even after a full night's rest
  • Weight changes that resist your usual routine—especially around the midsection
  • Sleep disturbances—trouble falling asleep, staying asleep, or feeling rested
  • Mood shifts—irritability, anxiety, or a general sense of not feeling like yourself
  • Hot flashes and night sweats—sudden heat, flushing, or waking up drenched
  • Brain fog—trouble concentrating, word recall, or feeling mentally slower
  • Changes in libido—decreased sexual desire or changes in sexual function
  • Irregular or changing menstrual cycles—shifts in frequency, length, or intensity
  • Skin and hair changes—dryness, thinning, or changes in texture
  • Temperature sensitivity—feeling cold or overheated more easily than usual

These symptoms may be associated with perimenopause, menopause, or other forms of hormone imbalance — and they may be something bioidentical hormone therapy can help support. The only way to know is to start with a conversation.

Jason Kizer, PharmD, in his Union City pharmacy

Talk With a Pharmacist

Your Wellness Journey Starts With a Conversation.

Schedule a consultation with our pharmacy team to discuss your symptoms, explore whether bioidentical hormone replacement therapy may be right for you, and — if appropriate — work with your healthcare provider to build a personalized plan. No pressure. No obligation. Just a conversation with a pharmacist who specializes in this.

A Trusted Partner to Local Providers

West Tennessee Providers Trust Kizer for BHRT

Hormone care works best when your pharmacist and prescriber are on the same page. For more than 20 years, providers across West Tennessee have partnered with Kizer Pharmacy for custom-compounded bioidentical hormone therapy — and turned to our team as a clinical resource for hormone-health questions.

  • Collaborative care with prescribers—We work shoulder-to-shoulder with your provider — sharing notes on formulations, dosing, and patient response so care stays coordinated.
  • A clinical resource providers rely on—West Tennessee practitioners turn to our pharmacists for compounding expertise and guidance on complex hormone and therapy questions.
  • 20+ years of provider trust—Since 2003, area providers have referred patients to Kizer Pharmacy because they know the prescriptions they write will be compounded with precision and care.

When providers partner with Kizer Pharmacy, your BHRT is backed by a coordinated team — not just a prescription handed off to a counter.

Contact Us
Jason Kizer, PharmD, in his Union City pharmacy

Frequently Asked Questions About BHRT

Bioidentical hormones are compounds that are chemically identical to the hormones your body naturally produces. Unlike conventional hormone therapy, which uses standardized doses, BHRT can be custom-compounded by our pharmacists to match your individual hormone levels — as prescribed by your healthcare provider. Many women explore BHRT when experiencing symptoms associated with perimenopause or menopause.

Traditional hormone replacement therapy typically uses commercially manufactured, standardized formulations. Bioidentical hormone replacement therapy uses hormones that are chemically identical to those your body produces naturally, and can be custom-compounded to the specific dose, ratio, and delivery method your provider prescribes. The decision about which approach is right for you is made between you and your healthcare provider.

BHRT has been associated with improvements in symptoms often connected to hormonal changes, such as hot flashes, night sweats, fatigue, sleep disturbances, mood changes, and brain fog. Individual results vary, and all hormone therapy is prescribed and monitored by a licensed healthcare provider. The right way to know whether BHRT may be helpful for your symptoms is to discuss it with a provider familiar with hormone health.

Yes. Bioidentical hormone replacement therapy requires a prescription from a licensed healthcare provider. If you don't currently have a provider experienced in hormone therapy, a consultation with our pharmacy team can help you understand what questions to ask and what to look for. Once you have a prescription, our compounding pharmacists work directly with your provider to prepare your formulation.

Our compounding pharmacists can prepare bioidentical hormone formulations in several forms — including capsules, creams, and troches — as prescribed by your healthcare provider. The form that's right for you depends on the hormones being prescribed, your provider's clinical recommendations, and your personal preferences.

BHRT is prepared fresh for each prescription rather than dispensed from stock. Most BHRT prescriptions can be compounded and ready for pickup within 1–3 business days, depending on the formulation and our current compounding schedule. Our team will communicate a specific timeline when your prescription is received.

While BHRT is most often associated with women navigating perimenopause and menopause, men experiencing symptoms related to low testosterone or other hormonal changes may also be candidates for bioidentical hormone therapy — as determined by their healthcare provider. Kizer Pharmacy can compound bioidentical hormone formulations for men, as prescribed.

Insurance coverage for compounded BHRT varies by plan. Some plans cover compounded hormone therapy, others don't, and some cover it partially. Our pharmacy team can help you understand your coverage options and, if needed, discuss self-pay pricing before we compound your prescription so there are no surprises.

All hormone therapy — bioidentical or otherwise — carries potential risks and benefits that should be discussed with your healthcare provider. BHRT is prescribed and monitored by a licensed provider, and your pharmacy team is part of that support structure. At Kizer Pharmacy, we prepare your formulation as prescribed, and our pharmacists are available to answer questions about your medication at any time.

The Menopause Society Certification (formerly NAMS certification) is a credential earned by healthcare professionals — including some pharmacists — who complete specialized training in menopause and hormone health. It's held by a small number of pharmacists in the country. At Kizer Pharmacy, Jason Kizer, PharmD holds this certification, which means our pharmacy brings a level of specialized hormone health expertise that's uncommon in most independent or retail pharmacies.

The best first step is to schedule a consultation with our pharmacy team. During the consultation, we'll talk about your symptoms, your goals, and what to expect from the process — including how to work with a healthcare provider to get a prescription if you don't already have one.

All compounded medications are prepared pursuant to a prescription from a licensed healthcare provider. Compounded medications are not FDA-approved and are customized for individual patient needs. Results may vary. Consult your healthcare provider before beginning any new medication or supplement regimen. Kizer Pharmacy and Kizer Wellness is a licensed compounding pharmacy operating under Tennessee Board of Pharmacy regulations and FDA 503A guidelines.