Hormone Optimization & Wellness in Vero Beach, FL

Medically reviewed by Dr. Alita Sikora, MD, Board Certified in Physical Medicine and Rehabilitation | Last medically reviewed: August 31, 2026

Home » Services » Hormone-Optimization-Wellness

Support for Energy, Mood, Metabolism & Healthy Aging

Hormone optimization & wellness focuses on restoring balance to key hormones and metabolic pathways that influence energy, sleep, mood, weight regulation, and overall vitality. Hormonal shifts can occur naturally with age, stress, lifestyle factors, or metabolic changes, often leading to fatigue, irritability, weight fluctuations, and a decline in overall well-being.

At Sikora Integrative Medicine, our approach combines comprehensive assessment with evidence-informed therapies, including bioidentical hormone support, pellet therapy, micronutrient testing, IV therapies, peptide programs, and wellness-focused treatments. Each plan is tailored to help support your daily function and long-term health goals.

Long-Acting, Steady Support for Hormone Balance

Schedule a Consultation Today

Wellness

Contact us for more Information

Why Choose Sikora for Hormone Care

Hormone care is personalized to your symptoms, health history, goals, and, when appropriate, testing. Sikora Integrative Medicine combines physician oversight with an experienced medical team to guide treatment and follow-up.

Physician-led care: Dr. Alita Sikora, MD, has practiced in Vero Beach since 2007 and completed continuing medical education in bioidentical hormone therapy through the American Academy of Procedural Medicine.
Dedicated functional testing: Hormone, gut, and micronutrient testing is supported by our medical team to help guide more personalized care.
Testing-informed treatment: Lab results may help guide dosing and treatment adjustments as your needs change.
Recognized medical experience: Dr. Sikora has received multiple Patients' Choice honors and recognition as a Castle Connolly Regional Top Doctor.

Meet Our Medical Team

Symptoms We Commonly Address

Hormonal and nutritional imbalances often show up as everyday symptoms that are easy to attribute to something else.

Hormone-related concerns

Fatigue or low energy
Poor sleep
Mood changes or irritability
Weight that hasn't responded to diet and exercise
Reduced libido
Hot flashes, night sweats, or other menopausal symptoms

Nutrient and metabolic concerns

Brain fog or difficulty concentrating
Slow recovery or frequent illness
Digestive or nutrient absorption issues

Testing and evaluation determine whether hormone or wellness support is appropriate for you. Not every symptom is hormone-related, and we'll say so when it isn't.

Our Hormone Optimization & Wellness Programs

Our wellness programs blend multiple integrative therapies, selected based on your symptoms, lab findings, and goals.

Bioidentical Hormone Therapy

Plant-derived hormones formulated to closely resemble those your body produces naturally, used for fatigue, sleep changes, mood shifts, hot flashes, and low libido. Dosing is guided by lab testing, with early changes often noticed within two to four weeks.

Explore Bioidentical Hormone Therapy →

Hormone Pellet Therapy (Evexipel)

Small, plant-derived pellets placed just beneath the skin during a brief in-office visit, releasing hormones gradually over three to six months with no daily cream, pill, or injection to manage. Once placed, a pellet cannot easily be removed, and mild soreness for a few days afterward is common.

See How Pellet Therapy Works →

Micronutrient Testing

A lab evaluation of the vitamins, minerals, and antioxidants your cells actually absorb, which shows more than a standard panel measuring what is circulating at one moment. A simple blood draw, with results in one to three weeks.

Learn About Micronutrient Testing →

IV NAD+ Therapy

An intravenous infusion of NAD+, a coenzyme involved in cellular energy production, often chosen for fatigue, brain fog, and healthy-aging goals. Infusions take one to four hours depending on dose.

Explore NAD+ Infusions →

IV Therapy & Vitamin Drips

Hydration and nutrient infusions delivered directly into the bloodstream, including the Myers' Cocktail and drips formulated for energy, immune support, and recovery. Most sessions take about an hour, and pricing is published in full.

Browse Our Drip Menu →

Acupuncture & Wellness Services

Very fine, single-use needles placed at specific points to ease muscle tension, support circulation, and encourage the body's natural balance. Sessions last 45 to 60 minutes, and most concerns are addressed over a series of visits.

Learn About Acupuncture →

CBD Products

Non-psychoactive, plant-derived options for relaxation, stress, sleep, and post-exercise recovery, available as oils, capsules, gummies, topicals, and tinctures. Dosing starts low and adjusts to your response.

View CBD Options →

Peptide Therapy

Short chains of amino acids that act as messengers to support metabolism, tissue repair, recovery, and cognitive clarity. Given as injections, capsules, or dissolvable tablets, with duration ranging from short-term to ongoing. Approval status varies by peptide, which we review with you before starting.

Discover Peptide Options →

Benefits of Hormone & Wellness Care

This program may offer support for:

Symptom relief that shows up in daily function, not just lab numbers
Hormone levels brought closer to your target range
Enhanced metabolic function
Support for weight management
Improved recovery and stamina
A plan adjusted over time as your labs change

Reach Out to Us to Learn More

What to Expect During Treatment

Your program is gradual, personalized, and monitored throughout. Based on your symptoms and lab findings, your plan may include hormone support, peptides, IV therapies, or complementary wellness services.

Initial Consultation

Review symptoms, goals, and medical history.

Testing

Evaluation of hormones and micronutrients may be recommended.

Personalized Plan

We create a customized protocol tailored to your specific needs.

Follow-Ups

Regular check-ins ensure the treatment is supporting your goals.

Adjustments

Your plan may evolve as your hormone levels and wellness improve.

Safety and Treatment Considerations

Approval status varies: FDA-approved bioidentical hormones are available, but compounded formulations are not FDA-approved. The FDA-commissioned NASEM review found limited high-quality evidence for compounded bioidentical hormone therapy.
Hormone therapy has risks: These may include blood clots, stroke, gallbladder disease, and certain heart or cancer risks, depending on the patient and treatment. ACOG outlines these risks.
Treatment is not right for everyone: Hormone therapy may not be appropriate with a history of reproductive cancer, blood clots, certain cardiovascular conditions, current smoking, or during pregnancy.

Frequently Asked Questions

Good candidates usually have symptoms affecting daily life, such as fatigue, poor sleep, mood changes, low libido, or hot flashes, along with lab findings that support treatment. It may not be appropriate with a history of reproductive cancer, blood clots, certain cardiovascular conditions, current smoking, or during pregnancy.

Many patients notice changes in sleep and energy within the first few weeks, with fuller effect over two to three months. Dose adjustments are common, and results vary.

Programs vary. Many patients follow a structured plan for several months before moving to a maintenance regimen.

Testing is often recommended to establish baseline levels and guide your plan.

Cost depends on the therapies in your plan, the testing involved, and how long you continue. You'll receive pricing at your consultation, and financing is available through M Lend Financial.

Coverage varies, and many therapies are out-of-pocket.

Safety depends on your age, health history, treatment, and duration of use. Risks may include blood clots, stroke, gallbladder disease, and certain cardiovascular or breast cancer concerns, so we review your history and monitor treatment closely.

Some bioidentical hormones are available as FDA-approved patches, gels, or tablets. Custom-compounded formulations, including compounded hormone pellets, are not FDA-approved.

Start Your Hormone & Wellness Care Today

Hormone symptoms are easy to write off as stress or aging. At Sikora Integrative Medicine, testing tells you whether they're something you can actually treat.

Reach out to our Vero Beach team to discuss your symptoms and treatment options. Most hormone and wellness therapies are self-pay, with financing available through M Lend Financial.

Schedule Your Consultation Today

Disclaimer: This information is provided for educational purposes only and is not intended to be medical advice. It should not be used to diagnose, treat, or cure any condition. Always consult your healthcare provider for personalized guidance. Services are available exclusively to Florida residents.

Address

Email

Phone Number