At JMISKO surgical design, we pride ourselves on being the experts in our field, and when it comes to (BHRT) “Bio-Identical Hormone replacement” and Dr. Justin Misko – we ARE the experts in this field. 

Most women and men will benefit from BHRT. It is important to find a physician who is specially trained to properly balance and administer these hormones. But just giving sex hormones is not enough to improve your health and reduce the risk of developing the diseases of aging. And it is not exclusively limited to women. Men who are experiencing symptoms of ANDROPAUSE or the so called “male menopause” can benefit, as well from BHRT. It is important to properly balance ALL hormones (thyroid, adrenal, insulin, etc.) since the proper function of one hormone system requires the proper function of the other hormone systems.



  • Estrogen
  • Progesterone
  • Testosterone
  • DHEA
  • Thyroid Hormones

Bioidentical Hormones: Are They Safe?

Bioidentical hormones are very safe, unlike conventional hormones taken orally, which are associated with many health hazards. There is an abundance of medical literature that bioidentical hormone replacement therapy (BHRT) is not only safe, but can actually reduce risks of developing disease including cancer. BHRT is administered topically in a cream form that is applied to the skin. These creams are made by a compounding pharmacist who has special knowledge and training to make these special hormones. There is much confusion and misinformation in the medical community regarding BHRT. Often, there are claims about safety, lack of research and evidence, etc. Unfortunately, lack of understanding is often expressed as a negative and tends to instill fear and doubt in patients making them think that only conventional drugs work and are safe. to prescribe and monitor this type of therapy. A simple saliva test can accurately monitor the tissue levels of these hormones when administered topically. Blood tests do not accurately reflect these levels and cannot be used to measure levels when using topically applied creams.