Hormones By Design

Hormones By Design: Bioidentical Hormone Therapy in Texas

Hormones By Design is a clinic specializing in bioidentical hormone replacement therapy (BHRT) for women in perimenopause and menopause, though it also treats men, according to its stated mission. Its approach focuses on personalized monthly hormone injections, with the goal of restoring balance, energy, and confidence. The practice was founded by Dr. Melissa Miskell, board certified in obstetrics and gynecology, who after years in practice observed the negative impact of menopause and perimenopause symptoms on many women's quality of life.

Services and Treatments

The clinic offers bioidentical hormone therapy (BHRT), thyroid balancing, and lab testing. It also offers digital thermography as a preventive screening method. Treatments include injections, oral medications, and extended-release pellets. According to the clinic's information, most patients prefer injections because they can be adjusted monthly based on lab results and patient progress, allowing for greater precision. For those who travel frequently, oral prescriptions or long-lasting pellets may be more convenient.

Care Models: Membership and Pay-As-You-Go

Hormones By Design structures its care in two ways. The monthly Hormones Direct Membership offers ongoing staff support, treatment reviews, prescription refills, and exclusive pricing on labs and medications, all for a monthly fee. The Pay-As-You-Go option begins with a one-on-one consultation to review symptoms and goals, followed by lab tests recommended by the provider, a personalized hormone plan with weight support, and follow-up without the need for a membership.

Provider Team

The team includes Keeli Stumbo, M.D., in New Braunfels; Patricia "Pat" Berg, WHNP, and Susan Hancock, WHNP, at the Waco lab; and Kelsi Stone, FNP, in Waco. The clinic highlights provider continuity, with providers accompanying the patient at every stage without the need to repeat their medical history.

Lab Testing and Coverage

The clinic offers lab testing through very affordable cash rates, according to its own description. It does not accept insurance, but established patients can use their insurance for lab work. The clinic does not verify lab benefits, so it recommends knowing them before the draw. For those who wish to file a claim on their own, the billing manager can provide a Superbill, except for Medicare patients, as Medicare does not allow it. Fasting is not required for hormone tests, though if the provider requests other tests, it's worth asking whether it is necessary.

Texas Locations

Hormones By Design operates several locations in Texas. The Alamo Heights injection clinic is located inside Sola Salon Studios, in San Antonio. Other locations are in Austin, Boerne, New Braunfels, San Antonio (Market Ridge), and Waco, which includes a clinic and a lab. For patients in Texas who do not live near a clinic, care can be started online. For patients outside of Texas, the clinic refers to another page for information.

Commitment to Cervical Cancer Prevention

Since 2017, Dr. Miskell has led PINCC, an organization with a global mission to prevent cervical cancer through screenings and sustainable medical training. According to the clinic's information, this work has helped save thousands of lives worldwide.

Locations and Offices

Alamo Heights Injection Clinic Location: 6454 N New Braunfels Ave, Suite 2, San Antonio, TX 78209

Austin Location: 2200 Park Bend Drive, Building 1, Suite 201, Austin, Texas 78758

Boerne Location: 31007 I-10 Suite 115, Boerne, TX 78006

New Braunfels Location: 598 N Union Ave., Suite 300, New Braunfels, Texas 78130

San Antonio Location: 21218 Market Ridge, Suite 101, San Antonio, Texas 78258

Waco Location: 1201 Hewitt Drive Suite 105 B, Waco, TX 76712

Waco Lab Location: 1201 Hewitt Drive Suite 204, Waco, TX 76712