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Our BHRT Approach
At H2Hydro Medi Spa, our Bioidentical Hormone Replacement Therapy (BHRT) program goes beyond simply getting your hormone levels into a “normal” laboratory range. Our goal is to OPTIMIZE your hormone levels to support how you feel, function, and age—with a focus on energy, mood, metabolism, sleep, sexual health, muscle and bone health, and overall well-being.
Your care is completely individualized. We combine your symptoms, health history, personal goals, and comprehensive laboratory testing to develop recommendations tailored specifically to you. Your initial consultation includes an in-depth lab review and comprehensive personalized report that you can take home, helping you better understand your body, your results, and your options.
There is absolutely no obligation to enroll in our BHRT membership or begin treatment after your consultation. Our priority is to educate you, provide meaningful answers, and give you the information you need to make an informed decision about what comes next.
Consultation Includes:
After your initial consultation, you may choose whether you would like to move forward with treatment through our BHRT Essential Program. There is no monthly membership or long-term commitment. Laboratory testing, follow-up visits and medications are paid for individually at the time of service or ordering and completed as directed by your Nurse Practitioner. You will receive a FREE 1 month follow up after initiation of hormones to ensure proper timing of therapy and to discuss nutrition.
During hormone optimization, patients should generally anticipate a laboratory panel and provider follow-up approximately every three months. Medications are typically prescribed in three-month supplies. The timing of all laboratory testing, visits, medication adjustments and refills will be determined by your Nurse Practitioner based on your treatment plan, results and clinical needs.


Virtual BHRT is now available for Wisconsin residents!
You don’t have to live near H2Hydro to receive personalized hormone care. We’ll help you locate a lab near you, submit your lab orders, and complete your consultations, results reviews, and follow-up care through a HIPAA-compliant telehealth platform.
Personalized hormone optimization—with expert guidance from wherever you are in Wisconsin.

Pharmaceutical Grade Supplements.
Heather D. Hartmann, MSN, FNP-BC


Your Health. Your Hormones. Your Quality of Life.
At H2Hydro Medi Spa, we believe healthcare should be personalized—not one-size-fits-all. From bioidentical hormone optimization and weight management to women’s and men’s health, our goal is to help you understand what’s happening in your body and create a plan designed around you.
Expert, personalized care right here in Salem, WI.
Ready to feel like yourself again?
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