Hormone replacement therapy has gained enormous attention in modern wellness medicine, but it is also an area often clouded by oversimplification and aggressive marketing. At High Mark Internal Medicine, hormone therapy is practiced as medicine — not as a trend.

Dr. Erik Contreras approaches hormone optimization through a physician-led, evidence-informed model grounded in internal medicine and ongoing education, including endocrinology-focused training and medical conferences.

Care begins with a comprehensive evaluation and detailed laboratory assessment. Treatment plans are individualized, medically guided, and designed to support physiology, function, and long-term health — not simply to chase numbers or symptoms.

When appropriate, hormone therapy is integrated into a broader care strategy that addresses metabolic health, cardiovascular risk, body composition, and overall well-being, with ongoing monitoring and thoughtful adjustment.

Our goal is to offer hormone therapy responsibly, transparently, and with the clinical oversight it deserves.

Why Choose Physician-Led HRT

• Personalized Plans — Lab-guided and tailored to your unique needs
• Evidence-Based Therapy — Safe, FDA-approved, and physician-prescribed
• Integrative Wellness — Medical weight loss, peptide therapy, Emsculpt Neo, Emsella
• Ongoing Monitoring — Regular labs, dose adjustments, and lifestyle guidance

Who Can Benefit

HRT may help adults experiencing:

• Fatigue or low energy
• Difficulty losing weight or maintaining muscle
• Brain fog or poor focus
• Sleep disturbances
• Mood swings or irritability
• Low libido or sexual health concerns

Our Approach

• Comprehensive medical evaluation and lab testing
• Customized HRT plans for men and women
• Functional body wellness treatments (Emsculpt Neo, Emsella)
• Bioidentical or FDA-approved hormones with ongoing monitoring
• Integration with nutrition, lifestyle, and weight management support