From Fear to Facts - Michelle Keating-Sibel Menopause Practitioner with The North American Menopause Society now known as The Menopause Society. FDA changes black box regulations for HRT

Expert-Led Hormone Replacement Therapy (HRT): Reclaim Your Energy. Restore Balance. Feel Like Yourself Again.

Experience personalized Hormone Replacement Therapy (HRT) at Lumen Aesthetics & Wellness — led by actively practicing experienced nurse practitioners. Restore balance, vitality, and confidence at every stage of life.

Are Hormone Changes Holding You Back?

Hormones influence almost every part of your well-being — energy, sleep, metabolism, mood, and sexual health. As we age, hormone fluctuations can make you feel like a stranger in your own body. If this sounds familiar, you’re not alone.

Common symptoms of hormone imbalance include:

  • Fatigue or low energy
  • Weight gain or sluggish metabolism
  • Brain fog or decreased focus
  • Hot flashes or night sweats
  • Low libido or vaginal dryness
  • Mood swings or irritability
  • Difficulty sleeping
  • Joint pain

What Is Hormone Replacement Therapy (HRT)?

Hormone Replacement Therapy (sometimes referred to as Hormone Optimization Therapy) helps restore your natural hormone balance using safe, effective, and bioidentical formulations that match your body’s chemistry.  At Lumen Aesthetics And Wellness, our nurse practitioners have the ability to offer advanced laboratory testing to offer you more detailed options to better understand your unique hormonal profile.  We create a personalized plan that supports how you feel, function, and age.

All treatment decisions are based on your individual results and lifestyle — never a one-size-fits-all protocol.

Why Choose Lumen Aesthetics & Wellness for HRT?

At Lumen, your care is led by board-certified nurse practitioners with active clinical practice in medicine. We combine medical expertise with a holistic wellness approach to help you thrive physically, mentally, and emotionally.

Our approach includes:

  • Personalized hormone optimization plans
  • Advanced hormone and metabolic testing if needed
  • Evidence-based treatment protocols
  • Continuous monitoring and adjustments
  • Education and support at every step

We don’t just balance your hormones — we help restore your overall wellness.

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tabitha bischoff
October 13, 2026
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What an exceptional experience! Michelle was incredibly patient, compassionate, and thorough. She took the time to truly listen, carefully review my complete medical history, and address each of my symptoms and concerns without ever making me feel rushed. It was so refreshing to feel genuinely heard, understood, and supported. This is exactly what women’s healthcare should look like personalized, attentive, and centered around the patient. I cannot recommend Michelle highly enough!
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Jill Basile
September 15, 2026
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Michelle is excellent! She listens to every concern and takes time to answer all questions! She spent a good amount of time with me making me feel comfortable and at ease! I highly recommend Michelle!!
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Debbie Ferry
July 18, 2026
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I had lost hope in finding someone to hear me and know I wasn’t crazy with my symptoms. I am in healthcare and have some insight into what a provider should be and Michelle hits it out of the park! She is knowledgeable, patient, caring and is helping me feel like a normal person again ! She listens , hears and has personal insight into what a menopausal woman is going through!! She is my guardian angel 👼!
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J F
May 11, 2026
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Let me count the many ways Lumen Aesthetics and wellness changed my life for the better. I started my perimenopause recovery journey with Michelle as my guide. She has been amazing with every step. She responses quickly to questions and concerns. She always listens and cheers for you. Every dollar spent has been 100 percent worth it. She helped me get myself back. I am beyond grateful for her guidance. I wish all women my age endeavored in this aspect of health recovery. Cheers to HRT!!
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Sara Flamer
May 9, 2026
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I had such a great experience at Lumen Aesthetics & Wellness! I saw Cinthya for a consultation and she was incredibly knowledgeable, thorough, and kind. She took the time to explain everything in a way that made me feel comfortable and informed. I had the please of meeting Michelle as well  who is just as wonderful and welcoming. Highly recommend if you’re considering starting your wellness journey!
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John
May 2, 2026
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This was my first visit for a consultation with Cynthia, and it exceeded all my expectations. In my 40 years, this is the first time a medical professional has spent more than 15 minutes truly listening to me. I never felt rushed, instead, I felt genuinely cared for and treated like a person, not just a number. I’m really looking forward to starting my weight loss journey with this team.
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Denise
April 22, 2026
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Life-changing care and results I can’t put into words how grateful I am for the experience I’ve had here. After starting with Dr. Michelle in February, my life has completely turned around. My perimenopause symptoms are gone, I’ve lost weight, and I finally feel like myself again. Dr. Michelle truly listens, cares, and works with you to find solutions that actually make a difference. She’s incredibly knowledgeable, responsive, and supportive—it’s the first time I’ve felt truly heard by a medical professional. Beyond the physical changes, my energy and outlook on life have improved so much, and my family has noticed too. I’ve already referred friends and will keep doing so. Don’t hesitate—this is the care we all deserve.
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Denise Seydor
April 22, 2026
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I can’t remember the last time I felt this good. I started seeing Dr. Michelle at Lumen Aesthetics and Wellness in February, and in just three months my perimenopause symptoms are gone, I’ve lost weight, and I have a completely new outlook on life. After being dismissed by other doctors, Dr. Michelle truly listened. She’s knowledgeable, relatable, responsive, and genuinely cares. The difference has been life‑changing — even my relationships with my family are better because I feel better. I can’t recommend her enough. I’ve already referred two friends and will continue to do so. If you’re on the fence, make the appointment — it’s 100% worth it.
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J Romanoff
February 14, 2026
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Finally! Someone that heard me, understood me, and wants to help! I couldn't be happier - they listened to my concerns, evaluated the best approach to my care and are implementing the suggestions they made. They've even sent messages to check-in. Medical care for women is subpar to say the least, but Lumen is setting the new standard - only the best for their clients. Thank you, thank you, thank you!
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Jaelyn Lepore
January 22, 2026
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I absolutely love it here!! Michelle and Cynthia are absolutely fantastic and always make me feel listened to and go above and beyond for me every time! I recommend all my family, friends and clients to them🤍
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Michelle Keating-Sibel DNP, CRNP, FNP-BC and Cinthya Marquez Lobos MSN, CRNP, FNP-BC of Lumen Aesthetics and Wellness

What to Expect from Hormone Replacement Therapy

While results vary, most patients report improvements within weeks of beginning treatment.

Benefits may include:

  • Increased energy and stamina
  • Improved focus and mental clarity
  • Balanced mood and emotional stability
  • Enhanced libido and intimacy
  • Better sleep and overall vitality
  • Healthier skin, hair, and muscle tone

Our Process: Your Journey Toward Balance

  1. Consultation: Meet with one of our experienced nurse practitioners to discuss your symptoms, health history, and goals.
  2. Testing: If necessary, we will order needed lab work (testing often covered by insurance), and evaluate your health markers.
  3. Personalized Plan: Based on your results, we will design together a tailored therapy plan to support your optimal wellness (treatment medication often covered by insurance).
  4. Follow-Up & Support: We monitor progress closely, adjusting your plan as your body rebalances.
Timely Hormone Replacement appointments available

Frequently Asked Questions

How long does it take to feel results from HRT?

Most patients begin noticing improvement in energy, mood, and sleep within 4–6 weeks, though results vary based on individual response and therapy type.

Do I need lab work before starting therapy?

Perhaps, it depends on your history and recommended treatment plan. If additional labs are needed, they are often covered by health insurance just as they are from your PCP.

Ready to Feel Like Yourself Again?

Hormone Replacement Therapy at Lumen Aesthetics & Wellness helps people restore balance, confidence, and quality of life.