Advanced Hormone Therapy in San Antonio, TX
What We Offer
Our San Antonio clinic provides comprehensive hormone care in a supportive, patient-focused setting. We offer personalized treatment for menopause, perimenopause, fatigue, and hormone-related changes, along with access to hormone, vitamin, and weight loss therapies designed to help you feel your best.
Why Hormones by Design
Led by Melissa Miskell, DO, Hormones by Design was created to support individuals navigating hormone changes with safe, effective care. Our San Antonio team includes Maricela “Marcie” Mazuca, PA-C, Kimberly McCollum, APRN, WHNP-BC, Stephanie Griffin, FNP, Claire Heirman, FNP, and Julie Murphy, WHNP, and together we focus on helping patients feel balanced, energized, and confident—so they can fully enjoy an active, vibrant lifestyle.
Personalized, Proven, and Built Around You
What sets Hormones By Design apart is our ability to deliver truly individualized treatment-through Dr. Miskell’s injection method for men and women. This method allows your treatment to be refined each month until we find the perfect dose for you. This approach helps us achieve consistent results and support women through every stage of hormone transition with confidence.
How We Support Your Results
Care at our San Antonio clinic is guided by personalized treatment plans and supported by advanced lab testing when needed. Appointments are available in-office and virtually.






