New Patient Journey

Evolve HRT and Wellness homepage HRT in Shenandoah TX

Your New Journey Starts Here

Welcome to Evolve HRT & Wellness

Congratulations on taking the first step toward optimal health and performance. At Evolve HRT & Wellness, we believe in a comprehensive, personalized approach to wellness that goes beyond treating symptoms—we identify and address root causes to help you feel and function at your absolute best.

What Makes Our Approach Different

Unlike conventional medical practices that often rush through appointments and rely on basic testing, we focus on understanding your health concerns, goals, and unique biochemistry. Our approach combines:

Comprehensive Testing

We look deeper than standard labs to uncover hidden imbalances

Personalized Protocols

Your treatment plan is tailored to your specific needs, not one-size-fits-all

Ongoing Support

We partner with you throughout your wellness journey with regular follow-up

Root Cause Focus

We address underlying issues, not just symptoms

Optimization, Not Standardization

We aim for optimal function, not just “normal” lab ranges

Why Comprehensive Testing Matters: The Hidden Cost of Inaction

Making decisions about your health without complete information can have far-reaching consequences. Standard medical testing often misses critical imbalances until they’ve progressed to diagnosable conditions. Consider what’s at stake:

Physical Health Implications

  • Undiagnosed hormone imbalances can accelerate aging processes, increasing the risk of osteoporosis, cardiovascular disease, and cognitive decline.
  • Subclinical thyroid dysfunction, often missed by basic testing, can progressively damage metabolism and energy production
  • Hidden inflammatory processes may silently advance, potentially leading to autoimmune conditions and chronic disease
  • Nutrient deficiencies can gradually deplete your body’s resilience, creating cascading system failures

Professional Impact

  • Chronic brain fog and fatigue from unaddressed imbalances can limit career advancement and earning potential
  • Decision-making capacity and executive function may deteriorate, affecting leadership abilities
  • Reduced productivity could cost the average professional $30,000+ annually in lost income and opportunities
  • Performance issues might be mistakenly attributed to motivation or capability rather than biochemical imbalances

Personal Consequences

  • Relationship quality often suffers when hormone imbalances affect mood, libido, and emotional regulation
  • The joy of daily activities diminishes when persistent fatigue or discomfort is your constant companion
  • Sleep quality degradation creates a vicious cycle that affects every aspect of health and happiness
  • Preventable health issues may rob you of precious life experiences and moments with loved ones

Many of our patients share a common regret: “I wish I hadn’t waited so long to get answers.” The average patient loses 3-5 years of optimal living before getting the comprehensive testing they need—years they can never get back.

Standard medical care might tell you you’re “fine” when you’re far from it. Our comprehensive approach identifies subtle imbalances before they become serious problems, potentially saving you years of unnecessary suffering and providing a clear path to feeling your best again.

Your future health is determined by the actions you take—or don’t take—today.

Your Patient Journey: What to Expect

Step 1: Initial Consultation

Your journey begins with a comprehensive consultation with one of our expert providers. During this 60-minute appointment, we’ll:

  • Review your complete health history
  • Discuss your specific concerns and goals
  • Explain our approach to hormone optimization and wellness
  • Outline recommended lab work based on your unique situation
  • Answer any questions you may have about the process

Step 2: Comprehensive Lab Testing

Based on your consultation, we’ll order a customized lab panel to assess your current health status. Our testing goes far beyond basic panels to examine:

  • Hormone levels and balance
  • Thyroid function (beyond basic TSH)
  • Metabolic health markers
  • Nutritional status
  • Inflammatory indicators
  • Cardiovascular risk factors
 

Convenient Lab Process:

  • Labs can be drawn in-office for your convenience
  • Fasting is required for most panels (water is permitted)
  • Results are typically available within 5-7 business days

Step 3: Results Review & Treatment Planning

Once your lab results are in, you’ll meet with your provider for a detailed review. During this 45-minute appointment, we’ll:

  • Explain your lab results in clear, understandable terms
  • Connect lab findings to your symptoms and concerns
  • Present treatment options based on your unique biochemistry
  • Create a personalized protocol that may include hormone therapy, nutrition recommendations, supplement plans, and lifestyle strategies
  • Discuss the benefits, risks, and expectations of your treatment plan

Step 4: Treatment Implementation

Depending on your personalized plan, treatment implementation may include:

  • Bioidentical hormone replacement therapy
  • Targeted nutritional supplements
  • Dietary recommendations
  • Lifestyle modifications
  • Additional therapies as needed (IV nutrition, peptides, etc.)
 

Your provider will thoroughly explain how to follow your protocol, what to expect, and how to monitor your progress.

Step 5: Follow-Up & Optimization

Your journey doesn’t end with treatment implementation. We’re committed to ongoing support and optimization:

  • Initial follow-up at 6-8 weeks to assess your response
  • Lab retesting to monitor levels and make adjustments
  • Regular check-ins to address any concerns
  • Protocol refinement based on your results and feedback
  • Long-term monitoring for continued optimization

Understanding Your Lab Work

We believe in transparent, educational care. Understanding what we’re testing and why it matters gives you greater insight into your health and treatment. Below, we’ve outlined the comprehensive panels we use for men and women.

Men's Hormone & Wellness Panel: Building Blocks of Optimal Male Health

Our men’s panel provides a complete picture of your hormonal, metabolic, and overall health status:

Hormone Function

Test

What It Measures

Why It Matters

Testosterone,
Total

The total amount of testosterone in your blood, including both free and bound forms

Low testosterone can impact every area of a man’s physical and mental health. This is a foundational marker for hormone optimization.

Estradiol (E2)

A form of estrogen present in men, produced from testosterone via aromatization

Too much or too little estradiol can affect mood, libido, joint health, and cardiovascular risk. We monitor E2 closely in testosterone therapy.

PSA, Total

Prostate-Specific Antigen, a protein produced by the prostate gland

This test helps us monitor prostate health and safety when starting or continuing testosterone therapy.

Thyroid Function

Test

What It Measures

Why It Matters

TSH (Thyroid Stimulating Hormone)

The hormone that tells your thyroid gland how much hormone to produce

TSH gives us a first look at thyroid function, which influences metabolism, energy, weight, and mood.

T4, Total

A thyroid hormone stored and converted into the active form (T3)

Helps us understand your thyroid’s hormone reserves.

T3, Free

The active form of thyroid hormone

T3 controls metabolic rate, energy levels, temperature regulation, and cognitive performance.

Thyroid Peroxidase Antibodies

Checks for autoimmune thyroid conditions (like Hashimoto’s)

Identifies if your immune system is attacking your thyroid, which can affect treatment decisions.

Overall Health Assessment

Test

What It Measures

Why It Matters

CBC - Complete Blood Count

Gives a full picture of your red and white blood cells, hemoglobin, hematocrit, and platelets

Helps monitor for side effects of testosterone (like thickened blood), screens for anemia or infection, and ensures your body is in balance.

CMP with GFR

Complete Metabolic Panel including kidney function (GFR), liver enzymes, and electrolytes

Essential to monitor how your body processes medications and overall organ function.

Vitamin D, 25-Hydroxy

Measures your Vitamin D levels

Vitamin D is vital for hormone production, immune function, mood, and bone health. Many adults are deficient.

Lipid Panel

Measures cholesterol, LDL, HDL, and triglycerides

Gives insight into cardiovascular health and risk. Testosterone therapy can impact lipid levels.

These comprehensive markers provide the foundation for your personalized treatment plan and allow us to optimize your health safely and effectively.

Women's Hormone & Wellness Panel: Keys to Female Vitality

Our women’s panel examines the intricate hormonal balance unique to women’s health:

Hormone Function

Test

What It Measures

Why It Matters

Testosterone,
Total

The total testosterone in the blood (free + bound)

Testosterone is important for energy, mood, muscle tone, libido, and bone health in women. Low levels can contribute to fatigue, low drive, or mood swings.

Estradiol (E2)

The primary form of estrogen in women

Estradiol levels fluctuate during perimenopause and menopause. Imbalances can impact mood, weight, menstrual cycles, sleep, and hot flashes.

FSH - Follicle Stimulating Hormone

Regulates the menstrual cycle and signals the ovaries to produce estrogen

Elevated FSH levels may indicate menopause or declining ovarian function. Helps us determine where you are in your hormonal transition.

Thyroid Function

Test

What It Measures

Why It Matters

TSH (Thyroid Stimulating Hormone)

Tells the thyroid gland how much hormone to produce

First step in evaluating thyroid function, which affects metabolism, energy, mood, and weight.

T4, Total

A stored form of thyroid hormone that converts to T3

Shows how much hormone your thyroid is producing.

T3, Free

The active thyroid hormone that affects metabolism

We look at how much usable thyroid hormone is circulating to support your energy, focus, and weight control.

Thyroid Peroxidase Antibodies (TPO)

Detects autoimmune thyroid disorders like Hashimoto’s

Autoimmune thyroid conditions can affect hormone balance and require specific management strategies.

Overall Health Assessment

Test

What It Measures

Why It Matters

CBC - Complete Blood Count

Measures red & white blood cells, hemoglobin, and platelets

Screens for anemia, inflammation, or immune issues that may affect energy and vitality.

CMP with GFR

Comprehensive Metabolic Panel + kidney function

Checks liver, kidney, and electrolyte health. Important for safe prescribing and ongoing monitoring.

Vitamin D, 25-Hydroxy

Assesses Vitamin D levels

Critical for bone health, immune support, hormone production, and mood stability.

Vitamin B12

Checks B12 levels

Deficiency can cause fatigue, brain fog, and mood changes.

Lipid Panel

Measures total cholesterol, LDL, HDL, and triglycerides

Gives a window into heart health and cardiovascular risk.

This comprehensive panel allows us to understand your unique hormonal landscape and create a targeted plan to restore balance and optimize your health.

Preparing for Your Lab Work

To ensure the most accurate results from your lab testing:

Your Investment in Optimal Health

We believe in transparent pricing and make every effort to provide exceptional value for your healthcare investment. Your initial consultation and lab review appointments focus exclusively on your needs with no rushed visits or unnecessary procedures.

Please contact our office for current pricing information on consultations, lab panels, and treatment options. We’re happy to discuss payment methods, potential insurance reimbursement, and financing options.

Ready to Begin Your Journey?

Taking the first step toward optimal health and performance is as simple as scheduling your initial consultation.

Our professional team is ready to answer any questions and help you start your journey to feeling and performing at your best.

Your future self will thank you for the investment you’re making today.

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Evolve HRT Wellness Form CTA in Shenandoah TX

Liliana Damron, APRN, FNP-BC

Telehealth Provider

Hi there! I’m Liliana Damron, APRN, FNP-BC – a board-certified family nurse practitioner with over 10 years of experience in patient care. I’ve spent the past several years specializing in hormone optimization, peptide therapy, and personalized wellness, helping my patients achieve real, lasting results.

At Evolve HRT & Wellness, my focus is on empowering you to take control of your health, optimize your metabolism, balance your hormones, and become the most confident, vibrant version of yourself – inside and out.

I believe in real results, zero judgment, and creating personalized care plans that fit your goals. Whether you’re looking to improve your energy, enhance your performance, or achieve a balanced, healthy lifestyle, I’m here to guide you every step of the way.

Dr. Laurette Smith

Medical Director

Dr. Laurette Smith is a Texas Board Certified OB/GYN with over 25 years of experience in women’s wellness, hormone optimization, and weight management. As a BioTE Hormone Legacy Partner, she has spent the past 7 years pioneering hormone therapies, and for two decades, she has guided patients through weight management and personalized wellness plans.

At Evolve HRT & Wellness, Dr. Smith leverages her extensive background to provide compassionate, patient-centered care. She specializes in:

  • Hormonal imbalances, including menopause, thyroid disorders, and osteoporosis
  • Advanced weight management and metabolic health strategies
  • Comprehensive hormone replacement therapy for optimal vitality and quality of life


Beyond her clinical expertise, Dr. Smith is a dedicated mother, wife, and dog lover with a passion for travel and lifelong learning. Her commitment to personalized care and patient education empowers individuals to achieve balanced health at every stage of life.

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