what-to-know-about
What to Know About BelleBalance BHRT
BelleBalance BHRT is the name Voshell’s Pharmacy uses for compounded hormone preparations. Learn about ingredients, prescription requirements, and delivery options.
Not medical advice. Speak with a healthcare professional before using any medication.
Reviewed by:
D. Goren
Head of Content
Updated Nov, 30
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Contact UsWhat Is BelleBalance BHRT
DISCLOSURE: Voshell’s Pharmacy is a licensed compounding pharmacy that prepares and sells compounded medications by prescription. As a provider of competing products, our perspective may be influenced by our professional and commercial interests.
BelleBalance BHRT is the name Voshell’s Pharmacy uses for compounded preparations that may include estradiol, progesterone, testosterone, estriol, or DHEA, in forms such as pellets, topical gels or creams, capsules, or troches, prepared in response to a valid prescription from a qualified prescriber. Compounded medications are not reviewed by FDA for safety or effectiveness before dispensing and are prepared by a licensed pharmacist only in response to a valid prescription for an individual patient.
What These Preparations May Include
- Hormone components: According to the Endocrine Society, estradiol, progesterone, and testosterone are endogenous hormones involved in reproductive and systemic physiology; compounded preparations use the same molecular structures.
- Individualized dosing: A qualified prescriber uses symptoms and laboratory values to select hormone types, doses, and delivery routes; compounding may allow for doses or combinations not available in commercial products.
- FDA boxed warnings: According to the FDA-approved prescribing information for systemic estrogens, products in this class carry boxed warnings regarding endometrial cancer (in unopposed-estrogen use), cardiovascular events (stroke, deep vein thrombosis, pulmonary embolism), breast cancer, and probable dementia in postmenopausal women age 65 and older. Compounded preparations are not reviewed by FDA, but the same labeled risks for the underlying hormones apply.
Important Considerations
- According to NAMS, regular follow-up, symptom review, and periodic laboratory assessment are recommended to support safety and guide dose adjustment.
- According to ACOG, individual risk factors including venous thromboembolism history, cardiovascular status, and breast health should guide hormone therapy decisions with a qualified prescriber.
- Compounded hormone preparations may not be appropriate for every patient; a qualified prescriber can determine whether a compounded or commercially available product is suitable.
Compounded hormone preparations are not reviewed by FDA for safety or effectiveness before dispensing. They are prepared by a licensed pharmacist only in response to a valid prescription for an individual patient. Commercially available hormone therapy options should be considered first when they meet patient needs. Clinical decisions about hormone therapy should be made with a qualified prescriber.
Key Product Features
Estrogens and Progestogens
- According to the Endocrine Society, estrogens and progestogens are involved in reproductive physiology, bone metabolism, and cardiovascular function, and have been studied extensively in the context of menopause management. Inclusion of these hormones in a compounded preparation does not establish clinical benefit for any disease, condition, or patient outcome.
Androgens Studied in Hormonal Contexts
- According to NAMS, testosterone has been studied for its role in libido, mood, and musculoskeletal function in women, and some clinical guidelines note its investigational use in postmenopausal hormone therapy. Inclusion of androgens in a compounded preparation does not establish clinical benefit for any disease, condition, or patient outcome.
Compounded Delivery Forms
- According to the Endocrine Society, hormone delivery routes including topical, oral, and subcutaneous pellet forms play a role in pharmacokinetic profiles and patient-specific factors such as absorption and tolerability. A qualified prescriber determines which delivery form may be appropriate for an individual patient. Inclusion of a particular delivery form in a compounded preparation does not establish clinical benefit for any disease, condition, or patient outcome.
DHEA and Related Precursor Hormones
- According to the NIH Office of Dietary Supplements, DHEA (dehydroepiandrosterone) is an endogenous hormone precursor that has been studied for its role in adrenal and gonadal hormone synthesis. Some hormone therapy protocols have examined its inclusion alongside estrogen and progesterone compounds. Inclusion of DHEA in a compounded preparation does not establish clinical benefit for any disease, condition, or patient outcome.
Contact Us for a Personalized Care Plan
Have questions about compounding? Contact Voshell's Pharmacy — we prepare patient-specific medications pursuant to valid prescriptions from your licensed prescriber.
Do You Need Prescription for BelleBalance BHRT
Do You Need a Prescription for BelleBalance BHRT?
Yes. In the United States, hormone compounds including estrogen, progesterone, and testosterone are regulated medications that require a valid prescription. BelleBalance preparations are dispensed only after a licensed prescriber evaluates the patient and authorizes the prescription. Check the product label and prescriber order to confirm which hormones and doses are included.
- Check the label: The prescription label will identify the active hormone(s), dose, delivery form, and prescribing clinician. Review it carefully and contact the pharmacy with any questions.
- Speak with your prescriber: Your prescriber or pharmacist may review your medical history, current medications, and laboratory results to determine whether hormone therapy is appropriate and which formulation may suit your needs.
- Compounded preparations: These are not FDA-reviewed for safety or efficacy prior to dispensing. They are prepared by a licensed pharmacist only in response to a valid prescription written for an individual patient.
- Consult a qualified prescriber: Any decision to start, continue, or adjust hormone therapy should be made with a qualified prescriber who may assess your individual risk factors and monitor your response over time.
Our Compounded HRT
Belle Harmonie
Take one capsule up to three times daily as a dietary supplement, or as directed by your healthcare practitioner.
45.00
In Stock (Ships in 1-2 Business Days)
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
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