Hormone symptoms rarely show up on their own. Fatigue, low mood, poor sleep, weight changes, low libido and brain fog often overlap with thyroid problems, blood pressure, blood sugar, medication side effects and plain old stress. Figuring out which one is actually driving how you feel takes a doctor who has time to look at all of it, and who's still your doctor a year from now.

Burkhart Direct Family Care is a Direct Primary Care practice on Kingston Pike in West Knoxville. Dr. William Burkhart is certified by the American Board of Family Medicine and licensed by the Tennessee Board of Medical Examiners. He manages testosterone replacement therapy for men and hormone replacement therapy for women as part of ongoing primary care, not as a standalone product.

Hormone care here sits alongside our full list of services.

Hormone therapy managed by your own physician

Most hormone clinics in Knoxville do one thing. You go there for testosterone or estrogen, and the rest of your care happens somewhere else, with a different clinician who may not know what you're taking or why.

That split causes real problems. Hormone therapy touches your heart risk, blood counts, prostate and breast health, bone density, mood and any medications you already take. Someone needs to be watching all of it at once.

At Burkhart Direct Family Care, the doctor prescribing your hormone therapy is the same one handling your cholesterol, your blood pressure, your annual physical and the call you make at 9pm on a Sunday. One chart, one clinical picture, one person accountable for it.

Who Dr. Burkhart treats

Testosterone replacement therapy for men

If you have symptoms of low testosterone and lab work that backs up the diagnosis, you can be evaluated and managed here. It starts with a full history, a physical exam and the right blood work. Whether testosterone replacement therapy is right for you depends on those results and your overall health, and that's a conversation, not a form.

The U.S. Food and Drug Administration notes that prescription testosterone products are approved for men whose low testosterone is caused by specific medical conditions, not for low testosterone from aging alone. Dr. Burkhart will tell you honestly whether he thinks therapy makes sense in your case.

Hormone replacement therapy for women

If you're going through perimenopause or menopause, you can be evaluated for hormone replacement therapy, usually involving estrogen and/or progesterone. As with any treatment, the decision weighs your symptoms, your medical history, your personal risk factors and what you want. Guidance from The Menopause Society and the American College of Obstetricians and Gynecologists points to individualized decisions rather than one approach for everyone, and that's how these conversations go here.

How hormone therapy works within your membership

Burkhart Direct Family Care runs on a simple monthly membership. There's no insurance billing, no copay, and no charge for Dr. Burkhart's time or expertise. Members are never billed for a visit.

For hormone therapy specifically:

Evaluation visits, follow-up visits and the physician time involved are covered by your membership
Laboratory testing is available at wholesale pricing, which is usually a fraction of what the same panel costs billed through insurance
Point-of-care blood testing is available in the office
Prescriptions are filled at your local pharmacy, so the medication itself is a pharmacy cost rather than a practice charge
Follow-up questions do not require an appointment. Members reach Dr. Burkhart directly by text or phone, 24/7

That last point matters more than it sounds. Dose adjustments, side effects and questions about how you're feeling are exactly the things that get put off when reaching your doctor takes two weeks.

For the full picture of what is and is not included, see how membership works.

Lab testing and monitoring

Hormone therapy isn't something you start and forget. Ongoing lab monitoring is part of doing it responsibly, and what that looks like depends on what you're taking and your own health.

Because members get wholesale pricing on labs and the office runs point-of-care blood testing on site, that monitoring stays simple instead of turning into a string of separate bills and referrals.

What this costs

Monthly membership rates depend on your age and household size, and the current pricing is listed in full on the Burkhart Direct Family Care membership page.

There's a one-time registration fee of $175, charged at your first office visit. It covers everyone in your household who registers within the same 30-day window. Monthly fees start one calendar month after that first visit.

Beyond membership, your only costs are the medication at your pharmacy and any lab work at wholesale pricing. Nothing else is billed.

If you'd rather be evaluated before committing to membership, a one-time consultation is available for $175 and includes a full history and physical exam.

Call (865) 540-6857

Common questions

Does Burkhart Direct Family Care offer hormone replacement therapy?

Yes. Dr. Burkhart manages testosterone replacement therapy for men and hormone replacement therapy for women, typically involving estrogen and/or progesterone, as part of ongoing primary care.

Is hormone therapy included in the membership fee?

The physician's evaluation, visits and time are covered by membership. Medications are filled at your local pharmacy at pharmacy cost, and laboratory work is available to members at wholesale pricing.

Do I need health insurance?

No. Health insurance is not required to become a patient. The practice does not bill insurance and does not charge copays.

Can I use HSA funds?

HSA funds can be used for medications, laboratory work, imaging and other healthcare costs. They cannot be used to purchase the membership itself, because a Direct Primary Care membership is a healthcare service rather than a healthcare plan.

What about Medicare?

Medicare and Medicaid patients are welcome. Dr. Burkhart has opted out of Medicare, which means neither payer is billed and patients cannot seek reimbursement for these services.

Where is the office?

9724 Kingston Pike, Suite 302, Knoxville, TN 37922, in West Knoxville, a few minutes from Farragut and Turkey Creek.

Is the practice accepting new patients?

Availability is limited by design. Guaranteed access is central to how this practice works, so the panel is capped at 500 patients. Call to check current availability.

You can read more about insurance, HSA and Medicare questions on our FAQ page.

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Getting started

Call (865) 540-6857 during business hours, or send us a message and we'll get back to you as soon as we can. Your first visit is a full history and physical exam, plus an honest conversation about whether hormone therapy is the right step for you.

This page provides general information about services offered at Burkhart Direct Family Care. It is not medical advice and does not establish a physician-patient relationship. Treatment decisions are made individually, in person, after evaluation.