Feel Like Yourself Again — Hormone Therapy & Longevity in Bellevue, WA
Physician-led, lab-based hormone optimization for women and men — restoring energy, clarity, sleep, and strength through carefully monitored bioidentical therapy.
Signs Your Hormones May Be Off
If 'normal' labs and 'it's just aging' haven't answered your symptoms, a deeper hormone panel often does.
Persistent Fatigue
Tired no matter how much you sleep, with energy that fades by early afternoon.
Brain Fog
Trouble focusing, word-finding, or feeling as sharp as you used to.
Poor Sleep
Waking through the night, night sweats, or never feeling truly rested.
Low Libido & Mood
Diminished drive, motivation, or a low mood that doesn't lift.
Losing Strength
Muscle and stamina slipping despite the same diet and training.
Stubborn Weight
Weight — especially around the middle — that won't shift the way it used to.
Lab-Based Care for How You Feel
Every program starts with comprehensive labs and a physician consult — then a plan built for your biology, and re-checked as you go.
Women's Hormone Therapy (HRT)
Bioidentical estrogen, progesterone, and testosterone for perimenopause and menopause — easing hot flashes, sleep, mood, and energy.
Men's Testosterone Therapy (TRT)
Carefully monitored testosterone optimization to restore energy, focus, strength, and drive, with regular lab safety checks.
Thyroid Optimization
A full thyroid panel — not just TSH — to find and treat the low-thyroid patterns that standard tests often miss.
Bioidentical Hormone Pellets
Steady, convenient hormone delivery via subdermal pellets, dosed to your labs for months of consistent levels.
Longevity & Preventive Wellness
Advanced biomarkers, metabolic health, and prevention strategies to add healthy, vital years — not just treat symptoms.
Medical Weight & Metabolic
Physician-guided metabolic and GLP-1 programs that work alongside your hormone plan for lasting results.
Peptide Therapy
Targeted peptides to support recovery, sleep, and cellular repair as part of a longevity protocol.
IV & Nutrient Support
Nutrient and micronutrient support to correct deficiencies that hold your energy and optimization back.
Real Medicine, Focused on the Long Game
Perenne was founded on a frustration our patients know well: being told your labs are 'normal' while you feel anything but. We practice differently. Every plan begins with comprehensive labs and an unhurried physician consultation — and every recommendation is tied to a number we can track and re-check.
We're a physician-led practice, not a med spa upselling treatments. Our focus is optimization and prevention: restoring how you feel today, and protecting your energy, clarity, and vitality for the decades ahead.
- ✓Board-certified, physician-led care
- ✓Comprehensive labs behind every plan
- ✓Carefully monitored, re-checked protocols
- ✓Optimization and prevention, not upsells
Care That Earns Your Trust
The rigor and attention that make our patients feel heard — and their results last.
Physician-Led, Every Step
Your protocol is designed and overseen by a board-certified physician — never handed off to a template.
Comprehensive Labs
We look beyond the basics with full hormone, thyroid, and metabolic panels to find the real cause.
Monitored & Adjusted
Regular follow-up labs keep your therapy safe, precise, and dialed in as your body responds.
Time to Be Heard
Unhurried consults where your symptoms and goals actually drive the plan — not a rushed 10 minutes.
Your Path to Feeling Better
Clear, unhurried, and built on your labs from day one.
Consult & Labs
Start with an in-depth consultation and comprehensive lab work to map your hormones and health.
Your Plan
Your physician walks you through your results and designs a personalized, lab-based protocol.
Begin Therapy
Start your bioidentical or optimization plan with clear guidance on what to expect and when.
Monitor & Refine
Follow-up labs and check-ins keep everything safe and precisely dialed in over time.
Feeling Like Themselves Again
For two years I was told my labs were 'normal' and that fatigue was just aging. Dr. Aldridge actually listened, ran proper panels, and built a plan. Three months on bioidentical therapy and I feel twenty years younger — clear-headed, sleeping, myself again.
I came in exhausted, foggy, and losing muscle no matter what I did in the gym. Perenne found my testosterone was on the floor. The TRT protocol is monitored carefully with regular labs — energy, focus, and strength are all back. Genuinely life-changing.
What sets Perenne apart is the rigor. Every recommendation is tied to a lab value and re-checked. It never feels like a med spa selling you something — it feels like real, preventive medicine focused on the long game.
Frequently Asked Questions
Is bioidentical hormone therapy safe?
When it's physician-supervised and lab-monitored, yes. Bioidentical hormones are molecularly identical to the ones your body makes. We start from comprehensive labs, dose conservatively, and re-check regularly to keep your therapy both effective and safe.
My labs came back 'normal' elsewhere. Can you still help?
Often, yes. 'Normal' ranges are wide and based on the whole population, not what's optimal for you. We run fuller panels and interpret them against how you actually feel — which frequently uncovers treatable patterns others miss.
How soon will I feel a difference?
Many patients notice improvements in energy, sleep, and mood within a few weeks, with fuller benefits over two to three months as your levels stabilize. We adjust along the way based on your follow-up labs.
Do you treat both women and men?
Yes. We provide hormone therapy for women (perimenopause and menopause) and testosterone optimization for men, along with thyroid, metabolic, and longevity care for all our patients.
Is this covered by insurance?
We're a physician-led optimization practice and most services are self-pay, which lets us spend real time with you and order the labs that matter. We'll always be transparent about costs up front, and many patients use HSA/FSA funds.
What happens at the first visit?
You'll have an unhurried consultation about your symptoms, history, and goals, and we'll order comprehensive labs. At your follow-up, your physician reviews the results with you and designs your personalized plan.
Request Your Consultation
Start with a conversation and comprehensive labs — and a plan built around how you actually feel.
Let's Get to the Root of It
Tell us what's going on and a care coordinator will reach out to schedule your consult and labs — usually within one business day.
- Visit us10500 NE 8th St, Suite 1420, Bellevue, WA 98004
- Call us(425) 555-0155
- Email usinfo@perennehormone.com