So much more than hot flashes!

Considering hormone therapy (HRT/BHRT) to protect your heart health, prevent cancers, dementia, and more? Confused by all the different opinions, pseudo-science, and internet gurus? Learn the facts from a medical doctor in one of our upcoming webinars!

Watch our webinar on-demand! Or, Complete a BHRT Candidate Form

More than 20 Years of Medical Experience

Learn More About Dr. Elisabeth Crisci

Virtual and In-Person Treatments Available

Patients Across British Columbia

Tailored Treatment Plans

Based on Testing and Bloodwork

More than 20 Years of Medical Experience

Click To Learn More About Dr. Elisabeth Crisci

Virtual and In-Person Treatments Available

Patients Across British Columbia

Tailored Treatment Plans

Based on Testing and Bloodwork

Dr. Crisci’s Professional affiliations:

    Understanding Bioidentical Hormone Therapy

    Bioidentical hormone replacement therapy (BHRT) involves the use of hormones that are molecularly identical to those naturally produced by the human body. These bioidentical hormones are different than those prescribed conventionally, which are made from sources such as horse urine. Bioidentical hormones are meant to have fewer side effects.

    The bioidentical hormones offered by Dr. Crisci have a variety of delivery methods, including subcutaneous pellets. (Tiny pellets the size of a grain of rice, implanted under the skin in our office.)

    Each patient’s situation is unique, and treatment approaches are tailored to their individual needs based on a comprehensive assessment and their specific goals.

    More than 20 Years of Medical Experience

    Click to Learn More About Dr. Elisabeth Crisci

    Dr. Elisabeth Crisci’s Qualifications

    Licensed physician, registered with the College of Physicians and Surgeons of BC

    Associate Professor, University of British Columbia

    Advanced training, including the American Academy of Anti-Aging Medicine (A4M), Worldlink Medical, and the Hormonal Health Institute

    Certified Biote® provider (subcutaneous hormonal implants)

    Member, North American Menopause Society

    20+ years of experience in medicine

    How does it work?

    Virtual Intake and Appointments Servicing Patients across British Columbia

    1

    Treatment Plan Consultation

    This is your initial appointment, in-person or via video, with Dr. Crisci. This thorough assessment is to understand your health history, current symptoms, and wellness goals. This is also the opportunity to go over any questions or concerns you may have.

    2

    Personalized Approach

    Every treatment plan is tailored to the individual patient. Dr. Crisci takes time to explain various options, and discuss what approach may be most appropriate based on your specific situation, resulting in a highly individualized treatment plan.

    3

    Scheduled Follow-Up

    Your follow up bloodwork and scheduled appointments are based on a proven pattern that ensures your plan is optimized for you. Additional communication can also occur between appointments if needed.

    Watch the webinar recording
    “Hormones and Your Health: BHRT Question and Answers With Dr. Elisabeth Crisci”

    Recorded November 13, 2025 via Zoom

    Play

    Ready to start?

    Fill out the eligibility form

    What You Will Learn From This Webinar

    Signs You Might Benefit from BHRT
    • Unexplained weight gain, mood and sleep changes, decline in libido, lack of energy, elevated cholesterol, prediabetes or osteoporosis.
    • Why conventional medicine often fails to properly evaluate and correct hormonal imbalances.
    • The difference between treating symptoms vs. addressing root causes.
    • Age-related considerations. (Benefits for women over 40, 50, 60+)

    Hormone Balance & Women’s Health
    • Understanding perimenopause and menopause transitions, and what this means for your health and longevity.
    • How hormones affect energy, mood, sleep, and overall well-being.
    • How the top causes of disease and mortality are directly related to the hormonal imbalances that start in mid-life.

    Understanding Bioidentical Hormones
    • What makes bioidentical hormones different from synthetic and conventional hormones.
    • Why bioidentical results in less side-effects and improved outcomes.
    • The science behind hormone optimization, the development of chronic illness and aging.

    Also covered in this webinar

    Dr. Crisci’s Comprehensive Approach
    • The importance of comprehensive blood lab testing vs. conventional testing.
    • How striving for “optimal levels” differs from “normal” lab ranges.
    • The various delivery methods that Dr. Crisci can offer, including subcutaneous implants.
    • Special focus on sex hormones (testosterone, estradiol, progesterone, DHEA) and thyroid hormone optimization.

    What to Expect in Treatment
    • The consultation, treatment planning and ongoing monitoring.
    • Timeline for seeing improvements with BHRT.
    • How Dr. Crisci’s approach ensures evidence-based and patient-focused care.

    Common Myths & Misconceptions
    • Addressing safety concerns about hormone therapy.
    • Why bioidentical differs from synthetic hormones or equine (horse) estrogens.
    • Debunking outdated hormone therapy guidelines in favor of evidence-based protocols.
    • The importance of individualized treatment vs. one-size-fits-all approaches.

    Your Partner in Hormonal Health

    initial consultation & assessment

    Comprehensive Evaluation Including:

    • Detailed Medical Consultation with Dr. Crisci
    • Laboratory Requisition and Interpretation of the Results
    • Personalized Treatment Planning
    • Educational Resources and Support
    First Year Ongoing Support Including:

    Ongoing Care Program

    • Regularly-Scheduled Follow-up Appointments
    • Treatment Monitoring and Adjustments
    • Ensuring Ongoing Optimization Based on Symptoms and Laboratory Testing
    • Continuous Care Coordination

    Important Information About Costs

    All of our BHRT services and associated blood testing are private-pay and not covered by MSP (Medical Services Plan). At Pacifica MD, all scheduled medical appointments and programmed hormone testing are included in our treatment fees – even your blood tests, which are performed at Lifelabs locations anywhere in BC. By making our fees all-inclusive, we aim to make this program more affordable, and therefore accessible to more Patients.

    Medication costs, if prescribed, are separate and not included in consultation fees. Coverage may vary by individual insurance plans.

    Frequently Asked Questions

    This program is not covered by BC Medical Services Plan, and is private-pay only.

    Our program cost is broken into two parts: (All prices are in CAD, and are subject to GST.)
    Your initiation fee is $1499.00
    Your monthly membership fee is $125.00

    Prescription costs are not included, because they are highly customized for each Patient. Your extended private health insurance or health spending plan account may cover your prescriptions or parts of this program. We strongly recommend Patients check this with their private insurance providers before seeking treatment.

    When are these payments charged?

    Your initiation fee of $1499.00 is required at the time you book your initial appointment with Dr. Crisci. Availability for these appointments vary between 10 days and 4 weeks from booking time.
    Your first $125.00 monthly payment is charged the day of your initial appointment with Dr. Crisci. This “starts the clock” on your treatment plan, and all of your follow up lab work and appointments are timed based on that starting date. Each following monthly fee will be charged on that same date, each month thereafter. All of the programmed appointments and lab work costs are included in your monthly payments, no other fees are charged, unless you choose to book an unprogrammed appointment or other communication.
    Prescription costs are payable to your local pharmacy whenever you pick up refills.

    Payment Alternatives

    Patients may opt to pay their entire annual fees all in a single payment. If you wish to pay $2999.00, which includes your initiation fee and 12 monthly payments in a single payment, please contact our office. Please call 250-909-0190 during regular business hours, or contact us via email at info@pacificamd.com. Other payment or financing options are also available, please discuss these with our staff.

    We have standardized the timing of this program, but all treatment plans such as prescription types, dosage, etc., are completely customized for each Patient based on blood testing and clinical observations.

    After you pay your initiation fee, you will book your initial appointment with Dr. Crisci, your Treatment Plan Consultation. Prior to this appointment date, you will be sent a form to take to your local LifeLabs location anywhere in BC. These tests must be completed a week to 10 days before your initial appointment.

    1. Each Patient then has an initial appointment with Dr. Crisci. This appointment day is what we call “Day Zero”. Immediately after this appointment, your prescriptions are sent to your local pharmacy, and the clock starts on all of your following bloodwork and follow up appointments.

    2. On day 100, you will be sent a second LifeLabs form for bloodwork to be performed in time for your next appointment.

    3. On day 120 (4 months from first appointment), you will have your second appointment with Dr. Crisci, where this blood work is analyzed, and any required adjustments are made to your treatment plan or prescriptions.

    4. On day 280, you will be sent a third LifeLabs form for bloodwork to be performed in time for your next appointment.

    5. On day 300 (6 months from second appointment, 10 months from first appointment), you will have your third appointment with either Dr. Crisci, or another one of our practitioners.

    The same thing then happens at subsequent 6 month intervals indefinitely, where you are automatically sent a lifelabs form up to 3 weeks prior to your next appointment. Automatic email reminders are sent to you at regular intervals to remind you to get your lab work done, and reminders to book your scheduled appointments. Appointments are not booked for our Patients without consultation, instead, it is up to you to self-book these appointments online, so that you choose appointment times around your schedule. (Variation of a few days is considered normal.)

    Bioidentical hormones are structurally identical to hormones naturally produced by the human body. Conventional hormones are often synthetic or derived from pregnant mares (conjugated equine estrogens), both of which have been shown to carry more risks, side-effects, and undesirable outcomes when compared to bioidentical hormones. During your consultation, Dr. Crisci will explain the various options available to you regarding hormones and routes of administration, highlighting the risks and benefits of each. Dr. Crisci uses a collaborative approach to recommend a highly personalized treatment plan that fits your symptoms, health goals and lifestyle.

    Your initial consultation includes a comprehensive medical evaluation with Dr. Crisci, understanding of your symptoms and health goals, review of your current and past medical history, and explanation of potential treatment approaches. Laboratory testing is also performed as part of the assessment process.

    Response to hormone therapy varies among individuals. Dr. Crisci will discuss realistic timelines and expectations during your consultation. Regular follow-up appointments will continue to monitor your progress and improvement of your symptoms.

    BHRT consultations, follow-up appointment and associated testing at Pacifica MD are not covered by MSP (your health card). Some prescription medications may be covered by private insurance plans, though coverage varies by individual policy.

    You will receive comprehensive hormone testing as part of your initial evaluation and ongoing monitoring. The specific tests will be discussed during your consultation based on your individual symptoms, priorities and health history.

    About Dr. Elisabeth Crisci

    Dr. Elisabeth Crisci is a licensed physician with over 20 years of experience in preventive medicine and women’s health. She holds advanced training from the American Academy of Anti-Aging Medicine, Worldlink Medical, the Hormonal Health Institute and is a certified Biote® (subcutaneous hormone implants) provider.

    As an Associate Professor at the University of British Columbia, and a member of the North American Menopause Society, Dr. Crisci stays current with evolving research in hormone optimization therapy and women’s health.

    Philosophy of Care

    Dr. Crisci takes a comprehensive approach to women’s health, focusing on individualized care and patient education. She believes in taking time to understand each patient’s unique situation and health goals.

    Her practice integrates conventional medical expertise with evidence-based approaches to hormone optimization and preventive care.

    No Referral Needed

    Need more information before you begin?

    After filling out your eligibility form, you will be asked how you want to proceed. An option will be available to book a video call, rather than starting the program immediately.

    We accept patients from across British Columbia, as our consultations and follow-up appointments can be conducted remotely, with testing available at your local Lifelabs location. Prescriptions are sent to your local pharmacy.

    BHRT Candidate Assessment

    Fill out your eligibility form

    Confidential • No obligation

    Takes just 3-5 minutes to complete. (No obligation for treatment.)

    • “I am so glad I took the plunge and went to see Dr Elizabeth. She is both extremely knowledgeable and passionate about helping women going through menopause. She explains everything thoroughly and helps you decide the best way forward for your optimal health. So thankful and appreciative.”
      Sally
      September 2024
    • “My wife has been seeing Dr. Crisci for only a few months and I’ve already seen a DRAMATIC improvement in her emotional well being, happiness, and sex drive (yay for me) lol. I view Dr. Crisci as a saint, her caring nature, significant qualifications, and dedication to helping others has improved so many lives. We are very fortunate to have Dr. Crisci practising in our area.”
      Paul
      Summer 2024