The hormones estradiol, progesterone, testosterone, and DHEA can be compounded to meet your patient’s individual needs.  Hormones can be compounded as oral tablets, sublingual tablets, and creams, as well as other dosage forms.  We can combine multiple hormones in one dosage form.  Belmar can provide you with prescribing templates to ease the writing of compounded hormone prescriptions.  Belmar also compounds several medications used in vaginal health and sexual dysfunction.  

The term "Bio-Identical” means that the hormone has the same molecular structure as the hormone made by the human body (ovaries or adrenal gland), and is chemically and functionally the same.  Pharmacists prepare the compounded prescriptions from scratch using plant-derived natural ingredients from FDA approved sources.




Clinical Practice 

Ruiz A, Daniels K, Barner J, Carson J, Frei C. Effectiveness of Compounded Bioidentical Hormone Replacement Therapy: An Observational Cohort StudyBMC Women's Health, 2011; 11(1).
Schwartz E, Holtorf K, Brownstein D. The Truth About Hormone TherapyThe Wall Street Journal, March 16, 2009: A17.
Klaiber E, Vogel W, Rako S.  A critique of the Women’s Health Initiative hormone therapy studyFertility and Sterility, 2005; 84(6):1589-1601.

Fait T.  Menopause hormone therapy: latest developments and clinical practiceDrugs Context, 2019; 8:212551.         
Thompson JJ, Ritenbaugh C, Nichter M.  Why women choose compounded bioidentical hormone therapy: lessons from a qualitative study of menopausal decision-makingBMC Womens Health, 2017;17(1):97.         
Rech CM, Clapauch R, de Souza Md, Bouskela E.  Low testosterone levels are associated with endothelial dysfunction in oophorectomized early postmenopausal womenEur J Endocrinol, 2016; 174(3):297-306.         

Marjoribanks J, Farquhar C, Roberts H, Lethaby A.  Long term hormone therapy for perimenopausal and postmenopausal womenCochrane Database Syst Rev, 2012; (7):CD004143. 
Ettinger B, Friedman G, Bush T, QusenberryJr C. Reduced Mortality Associated With Long-Term Postmenopausal Estrogen Therapy. Obstetrics & Gynecology, 1996; 87(1):6-12. 


Gordhandas S, Norquist BM, Pennington KP, et al. Hormone replacement therapy after risk reducing salpingo-oophorectomy in patients with BRCA1 or BRCA2 mutations; a systematic review of risks and benefitsGynecol Oncol, 2019, pii: S0090-8258(18)31514-2. 

Colditz G, Hankinson S, Hunter D, et al.  The use of estrogens and progestins and the risk of breast cancer in postmenopausal women. The Endocrinologist, 1995; 5(6):441-442.

Sexual Function
Zilio Rech CM, Clapauch R, Bouskela E.  Sexual Function Under Adequate Estrogen Therapy in Women After Oophorectomy Versus Natural MenopauseJ Womens Health (Larchmt), 2019:  doi: 10.1089/jwh.2017.6905         
Kushnir VA, Darmon SK, Barad DH, Weghofer A, Gleicher N.  Effects of dehydroepiandrosterone (DHEA) supplementation on sexual function in premenopausal infertile womenEndocrine, 2018; doi: 10.1007/s12020-018-1781-3. 
Labrie F, Archer D, Bouchard C, et al.  Intravaginal dehydroepiandrosterone (prasterone), a highly efficient treatment of dyspareunia.  Climacteric, 2011; 14(2):282-288. 

Mood Disorders
Sbisa A, van den Buuse M, Gogos A.  The effect of estrogenic compounds on psychosis-like behaviour in female ratsPLoS One, 2018;13(3):e0193853.         
Khan MM.  Translational Significance of Selective Estrogen Receptor Modulators in Psychiatric DisordersInt J Endocrinol, 2018; 2018:9516592.         
Del Río JP, Alliende MI, Molina N et al. Steroid Hormones and Their Action in Women's Brains: The Importance of Hormonal BalanceFront Public Health, 2018; 6:141.          
Kulkarni J.  Perimenopausal depression - an under-recognised entityAust Prescr, 2018; 41(6):183-185.
Kulkarni J, Gavrilidis E, Wang W. Estradiol for treatment-resistant schizophrenia: a large-scale randomized-controlled trial in women of child-bearing ageMol Psychiatry, 2015; 20(6):695-702.   
Ruiz AD, Daniels KR, Barner JC, Carson JJ, Frei CR.  Effectiveness of compounded bioidentical hormone replacement therapy: an observational cohort studyBMC Womens Health, 2011; 11:27.     

Graziottin A, Serafini A.  Depression and the menopause: why antidepressants are not enoughMenopause Int, 2009; 15(2):76-81.
Barad D, Gleicher N.  Effect of dehydroepiandrosterone on oocyte and embryo yields, embryo grade and cell number in IVFHuman Reproduction, 2006; 21(11):2845-2849.

Barad D, Gleicher N. Increased oocyte production after treatment with dehydroepiandrosteroneFertility and Sterility, 2005; 84(3):756.e1-756.e3.

Metabolism and Obesity
Villareal D, Holloszy J. Effect of DHEA on Abdominal Fat and Insulin Action in Elderly Women and MenJAMA, 2004; 292(18):2243.

Alzheimer's Disease 
Carroll JC, Rosario ER.  The potential use of hormone-based therapeutics for the treatment of Alzheimer's diseaseCurr Alzheimer Res, 2012; 9(1):18-34.       
Pike CJ, Carroll JC, Rosario ER, Barron AM.  Protective actions of sex steroid hormones in Alzheimer's diseaseFront Neuroendocrinol, 2009; 30(2):239-58.         

Cardiovascular Disease 

Schierbeck L, Rejnmark L, Tofteng C, et al. Effect of hormone replacement therapy on cardiovascular events in recently postmenopausal women: randomised trialBMJ,  2012; 345(9):e6409-e6409.
Nabel E. Coronary Heart Disease in Women — An Ounce of Prevention. New England Journal of Medicine, 2000; 343(8):572-574.

 Eye Disease
Anderson G.  Hormone Replacement Therapy May Protect Against Eye Disease. American Academy of Ophthalmology website. November 13, 2017. Accessed January 24, 2019.
Jankowski C, Gozansky W, Kittelson J, et al. Increases in Bone Mineral Density in Response to Oral Dehydroepiandrosterone Replacement in Older Adults Appear to Be Mediated by Serum EstrogensThe Journal of Clinical Endocrinology & Metabolism, 2008; 93(12):4767- 4773.

Artero-Morales M, González-Rodríguez S, Ferrer-Montiel A.  TRP Channels as Potential Targets for Sex-Related Differences in Migraine Pain Front Mol Biosci, 2018; 5:73. 

Inflammatory Properties
Collomp K, Gravisse N, Vibarel-Rebot N.  Neuroendocrine and inflammatory responses to DHEA administration in young healthy womenPharmacol Biochem Behav, 2018;175:19-23.         


Belmar Pharmacy  800.525.9473  I  303.763.5533  I  231 Violet Street, Suite 140  I  Golden, CO 80401