Hormone Replacement Therapy in Bangkok — Physician-Prescribed Protocols

Bioidentical hormones, biomarker-guided dosing, MD oversight — designed to restore the hormonal balance that supports energy, mood, sleep, libido and long-term resilience.

Bioidentical-First · Biomarker-Guided · Prescribed by Licensed Thai MD

Paid consultation with Dr. First — by appointment.

Reviewed by Dr. First & Dr. Petch · Last updated May 2026

Sealed amber bioidentical hormone vial in the Healthi Life house, Bangkok
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  • 2,500+ Guests

  • Physician-Led Care

  • Bioidentical · Regulated Compounding

Dr. Napat 'First' Hunsajarupan, Chief Medical Officer at Healthi Life, Bangkok

Your physician

Dr. Napat "First" Hunsajarupan, MD

Chief Medical Officer · Hormone & Regenerative Medicine

Licensed Thai MDBioidentical HormonesBiomarker-Guided Protocols

Every HRT protocol at Healthi Life is designed and prescribed by Dr. First, with longevity oversight by Dr. Petch. He reviews your goals, screens for contraindications, orders the baseline hormonal panel and chooses a protocol matched to your biology — never a template.

What is hormone replacement therapy?

Hormone replacement therapy restores hormonal signals that decline with age, surgery or medical condition — testosterone, estradiol, progesterone, DHEA, thyroid and related messengers that govern energy, mood, sleep, libido, cognition and metabolism. At Healthi Life, HRT is bioidentical-first: molecularly matched hormones from regulated compounding pharmacies, delivered as transdermal creams, patches, oral micronised capsules or IM injections. Every protocol is preceded by a comprehensive hormonal panel and InBody scan, prescribed exclusively by Dr. First, a licensed Thai medical doctor, and integrated with longevity strategy by Dr. Petch. We do not replace what is not deficient. We do not refill prescriptions on autopilot. We re-test, then we decide.

"Replace what is missing. Measure what changes. Adjust on data."

What hormone replacement therapy is used for at Healthi Life

Andropause & Low Testosterone

Declining energy, libido, lean mass, motivation and morning erections in men 35+. Confirmed by serum testosterone, free T and SHBG.

Perimenopause & Menopause

Hot flushes, night sweats, mood volatility, sleep disruption, vaginal dryness, brain fog. Estradiol, progesterone and FSH guided.

Sleep & Recovery

Poor sleep architecture, slow recovery, declining HRV and morning cortisol patterns linked to hormonal axis decline.

Cognitive & Mood

Brain fog, anxious mornings, low motivation, dampened cognitive sharpness tied to estradiol, testosterone or thyroid imbalance.

Thyroid Optimization

Fatigue, cold intolerance, weight resistance and stalled metabolism in guests with sub-clinical or clinical thyroid dysfunction.

Adrenal & DHEA Support

Chronic stress load, low DHEA-S, flattened cortisol curve, burnout patterns in executives and high-performers.

Every objective starts with a hormonal panel · Never a prescription on symptoms alone

See our full Recovery & Regeneration treatments →

Hormones we work with

A curated formulary. Bioidentical-first, prescribed only when biomarkers and symptoms agree.

Andropause / TRT

Testosterone (Bioidentical)

Restores androgen signaling for energy, libido, lean mass, mood and metabolic balance in men with confirmed deficiency.

Format: IM injection · Cream · Pellet

Protocol: 12 to 24 weeks · re-tested quarterly

Perimenopause / Menopause

Estradiol (Bioidentical)

Replaces declining estradiol to address vasomotor symptoms, bone density, vaginal health and cardiovascular protection.

Format: Transdermal patch · Cream · Oral

Protocol: Continuous · re-tested 3 to 6 months

Female Balance / Sleep

Progesterone (Bioidentical)

Balances estradiol, protects the endometrium, supports sleep architecture and mood through GABA-ergic signaling.

Format: Oral capsule (micronised)

Protocol: Cyclic or continuous · physician set

Adrenal Support

DHEA

Adrenal precursor that supports testosterone and estrogen pathways, energy, libido and resilience to stress.

Format: Oral capsule

Protocol: 12 weeks · re-tested at week 12

Metabolic

Thyroid (T3 / T4)

Restores metabolic rate, body temperature, cognitive sharpness and energy in confirmed thyroid dysfunction.

Format: Oral (compounded options available)

Protocol: Lifelong · re-tested every 6 to 12 weeks early

Neurosteroid

Pregnenolone

Master steroid precursor supporting cognition, memory, mood and downstream hormone production.

Format: Oral capsule

Protocol: 12 weeks · biomarker reviewed

Not sure which is right for you? Ask Dr. First on WhatsApp →

The Healthi Life HRT methodology

Four non-negotiables that separate a Healthi Life protocol from a refill prescription.

Bioidentical First

Bioidentical, molecularly matched hormones from regulated compounding pharmacies. Synthetic analogues used only when clinically appropriate.

MD-Prescribed

Prescribed by Dr. First, a licensed Thai medical doctor, with longevity oversight by Dr. Petch. No nurse-led prescriptions. No template protocols.

Biomarker-Driven

Full hormonal panel and InBody scan before prescription. We measure free and total fractions, SHBG, thyroid, adrenal and metabolic markers.

Re-Tested, Not Refilled

Scheduled physician review at week 6, week 12 and every 3 to 6 months. Dose changes follow biomarkers and symptoms — not the calendar.

Dr. First — Co-Founder & Medical Director
Dermatologist & Peptides Specialist

Dr. Napat Hunsajarupan (First)

Dermatologist & Peptides Specialist · Co-Founder · Chief Medical Officer

Dermatologist & Peptides Specialist

Training

  • MD — Dermatologist & Peptides Specialist
  • MSc. Dermatology – CICM, Thammasat University
  • Doctor of Medicine (M.D.) – Thammasat University

Credentials

AAAM — American Academy of Anti-Aging MedicinePractical Cell Therapy SymposiumH.E.A.T. — Hormone, Endocrine & Anti-Aging Training

How an HRT protocol works at Healthi Life

  1. 01

    Intake Consultation

    A 60-minute physician consult with Dr. First. Health history, goals, symptoms, current medications, contraindications, family risk. No prescription on day one.

  2. 02

    Hormonal Panel & InBody

    Comprehensive hormonal panel — total and free testosterone, estradiol, progesterone, DHEA-S, SHBG, full thyroid (TSH/FT3/FT4), cortisol curve — plus InBody scan. Results in 5 to 7 days.

  3. 03

    MD Prescription

    Dr. First designs a protocol matched to your biology, symptoms and risk profile. Hormone selection, dose, route, schedule. Bioidentical-first, compounded when indicated.

  4. 04

    Monitoring & Adjustment

    Scheduled physician check-ins at week 6 and week 12. Symptom tracking, side-effect screening, biomarker re-test. Adjustments made on data.

Typical first cycle · 12 weeks · Includes biomarker re-test

Safety, sourcing and Thai regulatory context

Sourcing

Healthi Life sources bioidentical and pharmaceutical hormones exclusively from regulated compounding pharmacies and licensed manufacturers operating under documented quality-control standards. Every batch arrives with verified identity, purity and potency documentation on file.

Prescribed by a licensed Thai MD

All hormones used at Healthi Life are prescribed exclusively by Dr. First, a licensed medical doctor in Thailand, with longevity oversight by Dr. Petch. HRT is not an over-the-counter product. It is not available without a physician consultation, a baseline hormonal panel, and a written prescription matched to the individual guest.

Thai regulatory context

In Thailand, hormone replacement therapy is prescribed by licensed physicians within the scope of clinical practice, with bioidentical formulations dispensed through regulated compounding pharmacies. Healthi Life operates within this framework: physician-led, individualized, fully documented. We do not market hormones as cures. We do not prescribe without consultation. We do not ship hormones outside the clinical relationship.

Prescribed by licensed MD only · Not individual medical advice · Consultation required

HRT programs — investment

One transparent program. Three phases. Everything physician-led.

01

Initial consultation

By appointment

60-minute physician consult with Dr. First. Goals, health history, symptoms, contraindications.

02

HRT protocol

From ฿35,000

12-week initial cycle. Hormonal panel, InBody, bioidentical hormones, MD prescription.

03

Follow-up & re-test

Included

Physician review at week 6 and end-of-cycle hormonal re-test for safe, data-led dose refinement.

What's included in every protocol

  • Physician consultation with Dr. First
  • Comprehensive hormonal panel
  • InBody scan (standard inclusion)
  • Bioidentical hormones from regulated pharmacy
  • Scheduled mid-cycle physician review
  • End-of-cycle biomarker re-test

Indicative pricing. Final investment depends on hormone selection and protocol duration — confirmed after physician consultation.

Frequently asked questions

What is hormone replacement therapy?

Hormone replacement therapy (HRT) restores hormones that have declined with age, surgery or medical condition — most commonly testosterone in men and estradiol, progesterone and thyroid in women. At Healthi Life, HRT is bioidentical-first, biomarker-driven and prescribed exclusively by Dr. First, a licensed Thai medical doctor, with longevity oversight by Dr. Petch.

Is HRT safe?

When prescribed at physiologic doses, monitored with biomarkers and matched to individual risk, modern HRT has a favourable safety profile. Risk depends on age at initiation, hormone selection, route, dose and personal and family history. At Healthi Life we screen for cardiovascular, oncologic and thrombotic risk before any prescription and re-test on schedule.

What is bioidentical hormone replacement therapy (BHRT)?

Bioidentical hormones are molecularly identical to those the body produces — bioidentical estradiol, progesterone, testosterone, DHEA. They are typically delivered as transdermal creams, patches, pellets, IM injections or oral micronised capsules. At Healthi Life, bioidentical formulations are first-line whenever clinically appropriate.

Who prescribes HRT at Healthi Life?

Every HRT protocol is designed and prescribed by Dr. First, our Chief Medical Officer and a licensed Thai medical doctor. Dr. Petch, our Chief Medical Strategy Officer and an International Board of Lifestyle Medicine certified physician, oversees integration with longevity programs. No hormone is dispensed without an MD prescription on file.

How long until I feel results from HRT?

Most guests notice early signals within 2 to 6 weeks — better sleep, mood, energy and libido. Body composition, lean mass, skin and bone-density changes typically appear by 3 to 6 months. Full biomarker stabilisation is usually confirmed at the 12-week re-test, with dose refinement based on response.

How much does HRT cost in Bangkok?

At Healthi Life, HRT programs start from ฿35,000 for a complete 12-week initial cycle. The fee includes the physician intake consultation with Dr. First, a comprehensive hormonal panel, InBody scan, prescribed bioidentical hormones, a scheduled mid-protocol review and an end-of-protocol biomarker re-test. Final investment depends on hormone selection and protocol duration.

Is HRT legal in Thailand?

Yes. Hormone replacement therapy is legally prescribed by licensed Thai medical doctors within the scope of clinical practice. Bioidentical hormones are dispensed through regulated compounding pharmacies. At Healthi Life, every hormone is prescribed only after consultation, biomarker assessment and a written physician protocol.

Can HRT be combined with peptides, NAD+ or stem cells?

Yes — many guests run combined longevity protocols. HRT is often layered with peptide therapy, NAD+ IV protocols or stem cell and exosome therapy under physician design. Combinations are always biomarker-monitored and adjusted by Dr. First, with longevity strategy from Dr. Petch.

What is the difference between TRT and HRT?

TRT (testosterone replacement therapy) is one form of HRT, focused specifically on restoring testosterone in men with clinical deficiency. HRT is the broader category — including estradiol, progesterone, thyroid, DHEA and pregnenolone for both men and women. At Healthi Life, TRT is delivered within the same biomarker-driven framework as the full HRT program.

What hormones do you test before prescribing?

The baseline hormonal panel includes total and free testosterone, SHBG, estradiol, progesterone, DHEA-S, full thyroid (TSH, free T3, free T4, reverse T3, antibodies), cortisol curve, IGF-1 and key metabolic markers. The panel is matched to your symptoms and goals — never a one-size-fits-all order.

Will I need to stay on HRT for life?

Some guests use HRT cyclically, others continuously, others for a defined window. The decision depends on the indication, your biology, and your goals. For andropause and menopause, long-term replacement is common and clinically supported. For adrenal or DHEA support, shorter cycles are often appropriate. Dr. First reviews this with you at every milestone.

Are there side effects?

When dosed correctly under physician supervision, modern HRT is generally well-tolerated. Possible effects include fluid retention, acne, mood shifts, breast tenderness, changes in lipid panel or blood pressure. Serious effects are rare but possible — which is why every protocol is biomarker-monitored at week 6 and week 12.

Medical disclaimer

The content on this page is provided for educational purposes and does not constitute individual medical advice, diagnosis or treatment. Hormone replacement therapy at Healthi Life is prescribed exclusively by Dr. First, a licensed medical doctor in Thailand, following a consultation, a baseline hormonal assessment, and a written physician protocol. HRT is not appropriate for every guest. Contraindications, drug interactions, cardiovascular, oncologic and thrombotic risk require physician assessment. Do not begin, modify, or stop any therapy based on website content. Book a consultation to discuss your specific situation.

Ready to see what your hormones actually need?

A paid consultation with Dr. First. We review your goals, screen for contraindications, and decide together whether hormone replacement therapy is a fit. By appointment.

Meet Dr. First →

Bioidentical-First · MD-Prescribed · Thai-Licensed Physician