Accepting new patients. Hormone replacement therapy ~ medical weight loss ~ laser skin care and hair removal ~ vaginal rejuvenation ~ aesthetics.
Midlife can bring hormone shifts that impact everything from sleep and mood to libido. Women and men are choosing to take control of their body's needs rather than live with the pain, fatigue, brain fog, mood swings and low libido of hormone imbalance. These changing hormone levels should be monitored by an expert like Dr. Genewick who has trained with Biote Bioidenticals to provide the best hormone replacement therapy in the Buffalo, New York, area.
Each person needs a custom approach. Dr. Genewick reviews your health history, medications, vitals and blood work analysis to combine the precise amount of estrogen and/or testosterone bioidentical hormones; those which most closely match our own and are tiny pellets inserted under the skin. One treatment lasts four months and patients have noticed how Biote hormone replacement therapy improves their quality of life, restores balance, and enhances their overall sense of well-being after just a few weeks.
Sleep
Energy
Anxiety
Brain fog
Libido
Joint pain
Overall well-being
By Dr. Tiffany Genewick
Hormonal changes are a natural part of aging, but they don’t have to disrupt your life. At my practice, I use Biote® bioidentical hormone therapy to help both women and men, especially those between 40 and 65, restore hormonal balance and feel like themselves again.
Biote pellets are plant-based and designed to be chemically identical to the hormones your body naturally produces. Unlike synthetic hormones, Biote offers consistent, long-lasting relief without the hormone roller coaster. As a Biote-certified provider, I tailor every treatment based on your lab work, symptoms, and wellness goals.
Fatigue that lingers – Low estrogen or testosterone affects energy. A Mayo Clinic study showed hormone therapy improved energy and vitality in midlife adults.
Stubborn weight gain – Hormone imbalance leads to fat storage, especially around the belly. The Journal of Clinical Endocrinology & Metabolism links hormone therapy to improved body composition.
Brain fog and forgetfulness – Biote helps support mental clarity by restoring key hormones that influence cognition.
Mood swings or anxiety – Balanced hormones can stabilize your mood and reduce emotional ups and downs.
Low libido – Biote therapy can reignite desire and improve sexual wellness.
If any of these sound familiar, let’s talk. You deserve personalized care that works with your body and not against it.
Sources: Mayo Clinic Proceedings (2022), JCEM (2019), Biote.com
About the FDA's August 2025 update:
As a physician who has helped hundreds of women and men restore their vitality through hormone therapy, I’m encouraged by the Food and Drug Administration's (FDA) recent recommendation to remove the black box warning on menopausal hormone treatment. In fact, FDA Commissioner Dr. Robert Califf recently called the warning “one of the greatest mistakes of modern medicine.” I couldn’t agree more.
That warning - based on outdated studies - deterred an entire generation from safe, effective relief. But science now tells a different story: hormone therapy, especially when started near the onset of symptoms, can improve quality of life and even reduce risks for certain chronic conditions.
As a Biote®-certified provider, I trust these plant-based bioidentical hormone pellets because they closely match the body’s natural hormones and are supported by extensive real-world data from over 2.5 million insertions nationwide. Unlike synthetic hormones, Biote offers consistent, long-lasting relief without the hormone roller coaster. My patients have reported improved sleep, mental clarity, energy, mood, libido, and relief from hot flashes and joint pain.
For men, hormone therapy can also enhance muscle tone, stamina, and emotional well-being.
If you’re navigating midlife changes, you don’t have to suffer or be confused about over-the-counter supplements. Let’s talk about a safe, evidence-based plan to help you feel like yourself again! Because the results are real, and your health deserves better than outdated fear.
Sincerely,
Dr. Genewick
If you're struggling with weight loss despite your best efforts, you’re not alone. Millions of Americans now turn to GLP-1 medications like semaglutide and tirzepatide. Your body needs help and you deserve it.
Because this service is usually not covered by insurance, we strive for the most effective and efficient treatment. And who doesn't want an MD in their corner? Dr. Genewick will listen to your story, hear your concerns, and embrace your goals. After a detailed consultation, medical history and lab work, Dr. Genewick recommends the best treatment plan. You’ll receive one-on-one support, take-home medication, weigh-ins, and guidance every step of the way.
Better appetite control
Healthier food choices
Reduced cravings
Mindful, intentional eating
Greater peace of mind
In Dr. Genewick's Lancaster, NY, office, we are "EmPowered" with revolutionary women's care technology to treat and manage pelvic and vaginal issues for your health, quality of life and aesthetics. EmPowerRF is a groundbreaking radiofrequency and electrical muscle stimulation technology designed to treat a range of feminine health concerns without surgery or downtime.
Vaginal Hygiene and Rejuvenation: Addresses issues like vaginal laxity, dryness, and pain during intercourse.
Pelvic Floor Muscle Strengthening: Re-educates and strengthens pelvic floor muscles, improving control and function.
Urinary Incontinence: Reduces or eliminates symptoms of stress, urge, and mixed urinary incontinence.
Labiaplasty: Sculpts a scarless labiaplasty with dramatic results without surgery or extensive downtime.
May also address lichen sclerosus, vulvar itching, recurring vaginal infections, painful episiotomy sites, and Hidradenitis Suppurativa (boil-like lesions in the groin).
Dr. Genewick customizes each treatment to your goals and comfort level using specialized, handheld tools. Patients often feel relief and improvement after just a few sessions.
EmpowerRF is designed to safely and effectively treat delicate areas and improve functional health. Most clients find the treatments very comfortable and painless. Dr Genewick will discuss in detail with you the specifics of your customized plan and how it will meet your individual needs.
Dr. Genewick will recommend the ideal combination of sessions to be performed based on your personal condition. Treatment times and frequency will be specifically tailored to obtain the optimal results.
Every patient is different and following your series of treatments can expect to schedule maintenance treatments once a year or on an as needed basis.
All technologies on our EmPowerRF system in conjunction with each other allowing Dr Genewick to tailor a unique package based on your individual wants and needs.
Trusted care across every life stage.
With over 25 years of experience in gynecology, Dr. Tiffany Genewick is a compassionate and trusted provider for women across the lifespan – from adolescence to post-menopause.
Annual exams
Breast self-exam assistance - watch video
Pap smears and HPV testing
Birth control counseling and management
Bioidentical hormone therapy
Treatment of menstrual disorders
Diagnosis and management of gynecologic conditions
STD testing and treatment
Fertility evaluations
Pre- and postnatal care coordination
Whether you're scheduling your first visit or seeking support through a transitional life stage, Dr. Genewick is here to listen, guide, and support you with the highest standard of care.