The Power of Hormone Balance Starts Here
For many people, a sense of imbalance creeps in quietly. You feel tired, not just at the end of the day, but constantly. Mood swings appear without warning. Sleep becomes elusive. Libido drops. These aren’t …
RefinedMD
800 Pollard Road, Building A
Los Gatos, CA 95032
Phone: (408) 688-2082
Office Hours:
Monday–Friday: 9 a.m.–6 p.m.
Saturday: Please call for availability
Closed Sundays & Holidays
Biote is one of the leading innovators in preventative care. Their hormone optimization treatment lets patients reclaim their health and youthful vigor. If you are regularly tired and have noticed weight gain even when you eat healthy and have a solid fitness routine, hormone imbalance may be to blame. Without hormone balance, you cannot achieve a stable physiologic state. Hormone replacement therapy can be the necessary complement to proper exercise and diet—not a replacement. Every BHRT treatment is individualized for clients, and both women and men can benefit from hormone optimization.

Hormones are among the primary drivers of the body, shaping our overall health—physical, mental, and emotional. However, as we get older, our hormones, including estrogen, testosterone, triiodothyronine (T3), and thyroxine (T4), fluctuate and decline.
The exact benefits of BioTE Hormone Replacement Therapy depend on you and your goals, and can include:

Since establishing RefinedMD in 2012, Dr. Swengel has earned a reputation throughout the South Bay as one of the area’s top cosmetic and medical dermatologists. He is sought out for his expertise as a Mohs micrographic surgeon and laser treatment specialist, as well as his warm, attentive style of patient care.
Meet Dr. Steven SwengelEstrogen and testosterone replacement therapy are the most well-known treatments for balancing hormones, but may be just part of the personalized hormone replacement therapy available with Biote’s therapy. BHRT includes exclusively plant-derived ingredients with no animal-derived hormone replicas. This means it is much safer than synthetic therapies, which some studies show may be linked with cancer and cardiovascular disease.
BHRT is delivered via pellet therapy, which has shown to be the most effective method. Other hormone treatments may be taken with a pill, oil, cream, gel, or shot, but are associated with a rollercoaster effect. When the human body naturally secretes hormones, it is a slow and steady release.
BHRT pellet therapy sends your individualized treatment below the skin and into the bloodstream, bypassing the dermal layers. This allows BHRT to continuously release the ideal amount of hormone for many months. You do not need routine treatments and BHRT easily fits into the busiest schedules.
Women turn to BHRT to get an organic hormone boost, which can help to prevent breast cancer, Alzheimer’s disease and other dementia, osteoporosis, and the many side effects of menopause such as insomnia and low energy, a reduced sex drive, mood swings, and anxiety or depression. BHRT can even help prevent osteoporosis and sarcopenia (age-related muscle loss).
This isn’t your standard holiday party. Join RefinedMD on December 4 for a festive evening filled with a little glamour, a little mischief, and plenty of holiday cheer. Stop by the office, grab a cocktail, explore offerings from local vendors, and strike a pose for a photo with our very special sexy Santa. Bring a friend, make it a date night, or simply stop in to celebrate with the RefinedMD team. Expect an evening designed for mingling, shopping, sipping, and kicking off the holiday season in style, all with a distinctly Refined twist. Additional details are coming soon, so save the date and start deciding what you’re going to wear for that Santa photo.
Choose the area you want to transform, and let’s focus on it. RefinedMD’s CoolSculpting special offers a set package price for a defined body area, including the lower abdomen, full abdomen, flanks, back, neck and chin, or inner or outer thighs. Complete your personalized package within 120 days as our team focuses on helping you achieve visible results in your selected area. It’s a straightforward approach to body contouring: one target area, one package price, and a treatment strategy centered on your goals. Plus, medically eligible patients who purchase a qualifying CoolSculpting package receive 12 weeks of microdosed tirezepatide at no additional cost. Schedule a consultation to determine eligibility and create your transformation plan.
Reviewed for clinical accuracy by a RefinedMD Medical Editor on August 26th, 2026.