Hormones by Design

About Hormones by Design

Hormones by Design is a Texas-based hormone health clinic founded by Melissa Miskell, DO, with a mission to provide personalized, accessible, and compassionate hormone care for both men and women. What began as an OB/GYN practice has grown into a multi-location specialty clinic dedicated to helping patients feel their best at every stage of life — from perimenopause through post-menopause and beyond. We specialize in bioidentical hormone replacement therapy (BHRT), thyroid treatment, and in-house lab testing, using molecules identical to those naturally produced by the body for safe, effective, and individualized results. Our signature monthly injection program offers a consistent and convenient approach to hormonal health, and our Hormones Direct membership allows patients to receive care from the comfort of home. With clinics in Austin, San Antonio, New Braunfels, Boerne, and Waco — plus telehealth options — we're expanding access to expert hormone care across Texas and beyond. Our team of dedicated providers combines clinical expertise with genuine compassion, creating an environment where patients feel heard, supported, and cared for.