Guerda Johnson, FNP-C provides Bioidentical Hormone Therapy in Tyler, Texas
Guerda Johnson, FNP-C specializes in helping Longview–Marshall–Tyler men and women achieve optimal vitality at any age with bioidentical hormone replacement therapy programs custom-tailored to each individual’s needs.
Bioidentical Hormones for Women
Testosterone Therapy for Men
Call (430) 413-4716 to speak with Tyler East Texas Area bioidentical hormone therapy expert, Guerda Johnson, FNP-C and schedule your BHRT consultation today!
Natural Bioidentical Hormone Therapy
Hormone levels impact life substantially. Many people who are unfamiliar with bioidentical hormones resign themselves to living with life altering symptoms caused by hormonal imbalances, accepting them as an unchangeable or untreatable aspect of aging and getting older. In both men and women, hormones decrease with age causing symptoms such as exhaustion, excess weight gain, loss of sexual interest, brain fog, hot flashes, night sweats, depression, insomnia, mood swings and so much more.
Benefits of Bioidentical Hormone Therapy
Restores Energy Naturally
Hormonal imbalances—particularly declines in estrogen, progesterone, or testosterone—can significantly impair mitochondrial function and energy metabolism. Bioidentical hormone replacement therapy replenishes these important hormones to achieve optimal physiological levels, helping to restore ATP production and enhance cellular energy. The result is a noticeable reduction in fatigue and greater stamina throughout the day.
Sharpens Mental Clarity
Cognitive functions like memory, focus, and processing speed are tightly regulated by hormones such as estrogen and testosterone. When these hormone levels drop, neurotransmitter activity—especially dopamine and serotonin—can be disrupted. Bioidentical hormones restore hormonal balance, which in turn supports healthy brain chemistry, improving clarity, concentration, and mental sharpness.
Improves Sleep Quality
Cortisol and melatonin work in a delicate circadian rhythm to regulate sleep cycles. Disrupted hormone levels can lead to shallow sleep, insomnia, or frequent night awakenings. Bioidentical hormone therapy stabilizes these rhythms by optimizing estrogen and testosterone levels, allowing for deeper REM sleep and more restorative rest that is essential for overall physical and cognitive wellness.
Supports Weight Balance
Hormones like insulin, thyroid hormones, estrogen, and testosterone all play key roles in metabolic regulation and fat distribution. Bioidentical hormone therapy addresses the hormone imbalances that can cause weight gain—especially visceral fat in the abdominal region—by improving insulin sensitivity, reducing inflammatory markers, and supporting lean muscle maintenance, bioidentical hormone therapy enhances metabolic efficiency.
Elevates Mood and Reduces Irritability
Mood disorders such as anxiety, depression, and irritability are often linked to hormonal fluctuations. Estrogen modulates serotonin levels, while testosterone supports dopamine production and emotional resilience. Bioidentical hormone therapy replenishes and balances hormones, leading to greater mood stability, reduced emotional volatility, and improved overall well-being.
Natural Body-Identical Hormones
Unrelated to traditional hormone therapy, which often relies on synthetic or animal-derived compounds, bioidentical hormones are made of plant-based molecules that are structurally identical to human hormones. This bio-identical match allows for superior receptor binding, reduced immunologic response, and minimized risk of side effects, making bioidentical hormone therapy highly effective for both men and women.
Guerda Johnson, FNP-C has enhanced countless Longview–Marshall–Tyler patients’ quality of life with customized bioidentical hormone therapy.
Bioidentical Hormone Therapy FAQ’s
How do bioidentical hormones actually work in the body?
Bioidentical hormone replacement therapy uses plant-derived hormones that are chemically identical to the ones your body naturally produces. Natural hormones bind to receptors in your cells, restoring optimal hormone levels and helping regulate critical functions like metabolism, mood, and energy.
Are natural hormones safer compared to synthetic hormone therapy?
Yes, natural hormone therapy is generally considered safer because it uses bioidentical hormones that the body recognizes and processes more naturally. This reduces side effects associated with synthetic or animal-derived hormones and improves compatibility with your endocrine system.
How long does it take to feel results?
Some individuals notice improvements in energy, sleep, libido and mood within a few weeks. However, full benefits will develop over the course of 8 weeks as hormone levels increase and the body adjusts. Guerda Johnson, FNP-C will carefully monitor your symptoms and hormone levels to ensure optimal balance and vitality.
Will hormone therapy help me lose weight?
While bioidentical hormone therapy isn’t a weight-loss treatment per se, it helps correct hormonal imbalances that contribute to stubborn fat accumulation, especially around the midsection. By improving insulin sensitivity and metabolism, many Tyler East Texas Area patients find it easier to maintain a healthy weight.
Are there negative or unwanted side effects with BHRT?
Most patients tolerate bioidentical hormones very well, but as with any treatment, some may experience temporary side effects such as mild fluid retention, breast tenderness, or mood fluctuations during the adjustment phase. These typically subside as hormone levels reach balance. Guerda Johnson, FNP-C will monitor your progress, make adjustments and guide you every step of the way.
Do I need lab testing before starting BHRT?
Absolutely. Hormone replacement therapy is a customized therapy, and Guerda Johnson, FNP-C will utilize personalized testing to pinpoint exact hormone levels and create a customized hormone wellness plan for you. This ensures precise dosing, and a treatment plan tailored to your body’s specific needs, maximizing effectiveness and minimizing risk. Guerda Johnson, FNP-C will explain the process and answer all of your questions during your initial consultation.

Symptoms and Conditions Addressed by Guerda Johnson, FNP-C
Guerda Johnson, FNP-C empowers Tyler East Texas Area patients to experience optimal vitality and take a preventative approach to the many health issues associated with aging and hormone decline. Guerda Johnson, FNP-C addresses the underlying cause of hormone conditions using customized bioidentical hormone therapy. Some of the most common symptoms and hormone related conditions addressed by Guerda Johnson, FNP-C include:
More Listening. Less Guessing. Better Outcomes.
At Smart Choice Medical Clinic, we don’t believe in one-size-fits-all medicine. Whether you’re coming in for fatigue, weight gain, mood changes, hormone imbalance, or chronic conditions that haven’t been explained, we take time to listen, test, and tailor your care. Our team uses an integrative, root-cause model that blends traditional medicine with functional diagnostics, supporting the whole person, not just isolated symptoms. With services like BHRT, medical weight loss, IV therapy, peptide support, primary care, and advanced lab testing, we offer clear strategies that meet your needs at every stage of life. But more than treatments, we provide partnership; helping you feel heard, respected, and genuinely cared for. Here, your concerns aren’t brushed off. Your questions are welcomed. And your wellness is always the priority.
Guerda Johnson, FNP-C serves patients in and around: Arp TX, Ben Wheeler TX, Brownsboro TX, Canton TX, Chandler TX, Coffee City TX, Cuney TX, Eustace TX, Frankston TX, Gilmer TX, Gladewater TX, Gresham TX, Henderson TX, Hideaway TX, Larue TX, Malakoff TX, New London TX, Overton TX, Rusk TX, Tyler TX, Winona TX, Longview TX, Jacksonville TX, Lindale TX, Whitehouse TX, Bullard TX, Henderson TX, Palestine TX, Kilgore TX, Flint TX, Chapel Hill TX, Troup TX, Athens TX, Carthage TX, Van TX, Mineola TX.
What Smart Choice Medical Clinic‘s Patients Say
“I have been a patient and held a membership at Smart Choice Medical Clinic for years. The staff and providers have always been caring, supportive, efficient, proficient and helpful. With a membership here, I get the kind of care and service that concierge physicians charge thousands of dollars to provide, often with a far better bedside manner from Ms. Johnson and Yesica. I have never had a complaint or an issue with Smart Choice Medical Clinic.”
— Ashley L.


