Live Oak is a San Angelo clinic that grew out of men's testosterone work and now runs a women's hormone side alongside it. Tiffany Nunez handles the female bioidentical hormone program there, working with estradiol, progesterone, testosterone, thyroid and DHEA, and she also does medical weight loss and skin treatments. She came to this after more than a decade as a nurse practitioner in pulmonology, family practice and palliative care. The clinic has published its reasoning for refusing hormone pellets, arguing the dose cannot be adjusted once they are in and repeat insertions leave scar tissue, so it uses injections, creams, oral options and troches instead. Her monthly hormone program bundles the medication, follow up labs and visits, with messaging access to her in between. You can book a first women's hormone visit with her through the online scheduler, either in person or by video anywhere in Texas.
Peak Aesthetics and Wellness is a small downtown San Angelo practice where Dr. Brantly is the only physician and the rest of the staff are aestheticians, a medical assistant and a coordinator. She came to hormone care from urology, so alongside menopause she handles recurrent urinary infections, incontinence and painful intercourse. A first hormone visit runs about 40 minutes and covers your history, symptoms and a plan, and labs can be drawn in the office. She prescribes bioidentical hormones as pills, patches, gels, creams or pellets, and she writes plainly about keeping doses in a normal physiologic range rather than pushing them high. She makes a point of being a physician rather than a nurse practitioner working from a standard protocol, and says she will not give a big dose and a follow-up six months later. The other half of the practice is medical aesthetics, so the same visit can take in skin, hair and injectables.
Norma Cerna is a family medicine physician at Shannon's clinic on East Harris Avenue in San Angelo, a multi-specialty clinic that also houses the system's OB-GYN and breast services. Shannon lists her Menopause Society certification right alongside her family medicine board certification, and that is the only menopause detail the system publishes about her. Shannon also runs a separate menopause clinic in the same building, but its page names an OB-GYN colleague as the physician who leads it. So nothing on the site describes how Cerna herself handles hormone therapy or what a menopause visit with her involves. New patients reach the system through its provider matching service rather than a booking link on her profile.
