Your Journey to Vibrant Health

Balance and Renew

Are you battling with unexplained weight changes, persistent discomfort, diminished energy, or shifts in your mood and libido? These challenges aren't just a normal part of aging—they could be symptoms that your body is out of balance, affecting both men and women as they navigate through life's stages. The journey towards optimal health shouldn't be a guessing game. It demands a precise, science-backed approach that addresses not just the symptoms but the root causes of your discomfort.

At Integrated Spine, Pain, and Wellness

We recognize that chronic pain can cast a shadow over every facet of your existence. This understanding fuels our commitment to providing a distinctive blend of hormonal balance therapies, targeting not merely the symptoms but the underlying causes of your discomfort. Tailored with precision for both men and women, our programs are dedicated to restoring your body’s natural harmony, alleviating pain-related symptoms, and boosting your overall health.


BHRT/Hormone Program

Our program starts with you at its core—your body, your pain, your journey to wellness. We blend the latest in medical advancements with a personalized approach to hormone therapy, targeting the unique ways in which your body can find relief and harmony.

Why Choose Our Program?

Personalized Assessments

Begin with comprehensive testing to identify specific hormonal imbalances.

Tailored Treatment Plans

Receive a customized BHRT regimen designed to address your unique needs and symptoms.

Pain Management Integration

Our hormone therapy is not just about balance; it's about reducing your chronic pain through hormonal optimization.

Ongoing Support

From the initial consultation to regular check-ins, our team is with you at every step, adjusting your plan as needed to ensure optimal results.

Expert Guidance

Under the leadership of Dr. Goyle, our clinic offers expertise in both pain management and hormonal health, setting the stage for a truly integrated approach to your wellness.

Reclaim Your Vitality

Are you eager to overcome the exhaustion, mood swings, and persistent pain? Our BHRT Hormone Program offers more than just relief; it’s a pathway to a life filled with vitality, equilibrium, and satisfaction. Guided by Dr. Goyle and his skilled team, learn how restoring hormonal balance can significantly enhance your pain management and overall health, steering you towards a more joyful and vibrant existence.

What Our Patients Say

"Going through menopause was challenging for me. My pain increased and, I felt tired grouchy all the time. Even though I was so tired, I couldn’t sleep at night. I was noticing belly fat and hot flashes. I didn’t feel good. After talking with the team at ISPW, they recommended I look into their BHRT program. I did both the weight loss with the BHRT program and have to say, after starting the program, I have noticed a definite shift in my overall mood and well-being. I like that they are very conservative with their program and worked with me to find the perfect balance for my body. I feel so much better and actually have enjoyment back."
Woman's Testimony of hormonal balance therapies
- Denise K.
"I realized my energy was always at rock bottom, feeling exhausted day in, day out. Years of enduring pain seemed to only intensify. When I consulted with Dr. Goyle and his team, they recommended additional blood tests. The results were eye-opening: my testosterone levels were significantly low. Embarking on the BHRT program for men transformed my life within weeks. It was as if I shed a decade off my age; my energy surged, my pain diminished, my overall mood improved, and my libido returned. I can't express enough gratitude for this program and the new lease on life it has given me."
Men Testimony of hormonal balance therapies
- Matt G.

BHRT/Hormone Program Q&A

A: BHRT, or Bioidentical Hormone Replacement Therapy, uses hormones that are identical on a molecular level to the hormones naturally produced by your body. It aims to address symptoms caused by imbalances in hormones such as estrogen, testosterone, and progesterone.

A: Individuals experiencing symptoms related to hormonal imbalances, such as hot flashes, mood swings, fatigue, weight gain, reduced libido, and difficulty sleeping, can benefit from BHRT. This includes those going through menopause, perimenopause, andropause, or those with thyroid disorders or adrenal fatigue.

A: BHRT can be administered in various forms, including creams, patches, pills,
injections, and pellet implants, depending on individual needs and preferences.

A: Unlike traditional hormone replacement therapies that use synthetic or animal-derived hormones, BHRT uses bioidentical hormones, which are designed to match the hormones in your body closely, potentially offering a more natural and targeted approach to symptom relief.

A: The time to see results can vary from person to person. Some may notice improvements within a few weeks, while for others, it may take a few months to fully experience the benefits.

A: As with any therapy, there can be side effects, which may include acne, bloating, weight gain, fatigue, or mood swings. However, because BHRT is tailored to each individual’s needs, side effects are often fewer and less severe compared to traditional hormone replacement therapy.

A: The duration of BHRT varies based on individual health goals, symptoms, and
responses to the treatment. Some may use BHRT for a short period, while others
may benefit from longer-term therapy. Regular follow-ups with your healthcare
provider are essential to monitor progress and adjust treatment as needed.

A: A thorough evaluation by a healthcare provider specializing in hormone health
and BHRT is necessary to determine if this therapy is suitable for you. This
typically involves discussing your symptoms, medical history, and hormone

A: While BHRT is not a direct treatment for chronic pain, balancing hormones can
improve overall well-being and may indirectly affect pain levels by improving sleep, energy, and mood, which are crucial factors in pain management.

A: The relationship between hormone replacement therapy and cancer risk, including BHRT, has been a topic of extensive research and discussion. Current evidence suggests that while BHRT is generally considered safe for many individuals, its safety and the risk of cancer can depend on various factors, including a person’s health history, the type of hormones used, the dosage, and the duration of therapy. It’s crucial to have a personalized risk assessment and ongoing monitoring by a healthcare provider experienced in BHRT to ensure the benefits outweigh any potential risks. Regular screenings and preventive measures are also important components of safely using

Schedule your free call to find out how you can improve your health and well-being.


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  • Holistic tips for overall wellness.

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