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Everything You Need To Know About Compounding Before, During and After Menopause

March 4, 2022
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Maybe you heard about compounding pharmacies from a friend or read something online about compounding and so you may be wondering how these kinds of pharmacies can support you, especially as you move through the various milestones of menopause. We are here to help you by sharing how compounding enables you, with the help of your health care provider and pharmacist, to use customized medications that are designed to meet your body’s unique needs. Educating yourself as your body changes and trying to find solutions that help you feel better can be physically and emotionally daunting. If a doctor has prescribed a compounded medication or you’re wondering if compounding may be right for you, this guide can and will help you on your hormonal healthcare journey.

What is Compounding?

Compounding pharmacies may combine, remix, or alter a medication’s active ingredients and additives in order to tailor it to the detailed specifications from your doctor. At Belmar Pharmacy, we call this type of personalizing, Couture Medicine™.

From there, your medication is then created under the supervision of a licensed pharmacist and can be compounded in many forms from capsules and topical creams to pellet implants, which are often used for hormone replacement therapy (HRT) and bioidentical hormone replacement therapy (BHRT), both commonly used to treat menopausal symptoms.

The History of Compounding

Although it’s hard to identify the exact origins of compounding, ancient societies were known to combine different types of botanical and organic substances to treat a variety of maladies. Jump ahead to the early 1900’s, the majority of all medications were still the result of pharmaceutical compounding. However, as the 20th century progressed, the need for compounding pharmacies diminished due to the advent of mass drug manufacturing. Today, compounding pharmacies address hormone replacement therapythyroid and autoimmune issues, sexual wellnessdermatology, and brain, sleep, and mind support which can be singular issues or symptoms of menopause, These pharmacies are particularly helpful if you, the patient, have allergies or sensitivities to the ingredients in your medication.

Compounding is Personalized for You

Talking with your doctor about your specific needs and working with a specialized compounding pharmacy to fill prescriptions can help you better understand your body’s special chemistry. As you move through pre-menopauseperimenopause, menopause and postmenopause, you and your healthcare team can identify your best medication solutions. The following factors may be a reason why your physician prefers prescribing a compounded medication:

  • A patient is allergic to certain preservatives, dyes, or binders in mass-manufactured medications.
  • A patient’s treatment requires customized dosage strengths.
  • When patients have trouble swallowing pills, a compounding pharmacy can put the medication in an oral suspension, topical, or another form that makes it easier to take.

Why Choose Belmar Pharma Solutions As Your Compounding Pharmacy?

Belmar Pharma Solutions recognizes that healthcare is self-care and wants to be your trusted resource for personalized menopausal relief and will do so through quality compounding and effective communication between practitioners, pharmacists and patients where the goal, always, is to ensure the best outcome for each patient. 

Dedicated to continuous improvement and innovation, Belmar Pharma Solutions is one of only a few companies in the United States that operates both traditional compounding 503A pharmacies, which are regulated by the state board of pharmacy, and 503B batch compounding facilities, which are regulated by the FDA. As your trusted partner, the pharmacists and health care professionals at Belmar Pharma Solutions believe in empowering you with facts while safely helping you reclaim your well-being.


Angela DeRosa, DO, MBA, CPE is the founder of the Hormonal Health Institute and serves as a paid consultant to Belmar Pharmacy. However, Dr. DeRosa is not an employee of Belmar Pharmacy and nothing herein should be construed as the promotion of Belmar’s compounded products over other hormone replacement therapies. Patients interested in hormone therapy are encouraged to speak to a medical professional about their medical options and before seeking treatment. Nothing herein should be construed as making a claim about the safety or effectiveness of compounded products, which includes compounded hormone pellet therapy. All information provided herein is based on Dr. DeRosa’s own clinical experience in her capacity as a board-certified internist.

Dr. Angela DeRosa

DO, MBA, CPE Medical Director at Belmar Pharma Solutions & Founder of Hormonal Health Institute Dr. DeRosa built her career specializing in women's health and championing the need for a greater understanding for hormonal health, especially, as it pertains to menopausal women. In addition to being a respected, internationally recognized authority on women’s hormonal health, Dr. DeRosa understands the range of health issues women face leading up to and during menopause as she herself was in full-blown menopause by the age of 35. A hormonal health pioneer, her career has spanned over twenty years with experience including a practicing physician, best-selling author, and international speaker on women’s health issues (Read her LinkedIn bio). Angela is also super-fun, an avid cat lover, scratch golfer, boater, and bestie to many making her an ideal Wing Woman. Angela’s Wing Women Triple Play Q. If your life had a mantra what would it be? GO BIG OR GO HOME!!!   Always shoot for the stars, if you don’t succeed, you will likely go higher than most. Q If you were a color, what color would you be?  TANGERINE (HOT, ELECTRIC) ORANGE.  Fiery and brilliant. 😊 Not subtle but respectable. Q. What is your attitude about aging? We are all going to age, but I am not going quietly into the night. We should give our bodies the tools to stay optimized and healthy and then let God decide when my ticket is up. Angela lives in Scottsdale, spends time in TN near family, and travels as much as she can whenever she can.