3. Bio-Identical Hormone Replacement Therapy (BHRT)
What is BHRT?
Bio-identical hormone replacement therapy uses hormones chemically identical to those produced by the human body — oestrogen, progesterone, testosterone, DHEA — to address the hormonal decline that accelerates from the mid-40s onwards. Unlike synthetic HRT, BHRT molecules are structurally identical to endogenous hormones, which in theory (and in emerging clinical evidence) means a more physiological response.
What does BHRT address?
Patients seeking BHRT through our Delhi partner programmes typically report concerns including:
The assessment and monitoring process
At our Delhi partner clinics, BHRT begins with a comprehensive hormonal assessment — a detailed blood panel covering not just oestrogen and testosterone but cortisol, thyroid function, DHEA-S, IGF-1, and metabolic markers. The initial consultation takes 60–90 minutes and includes a thorough review of symptoms, medical history, and lifestyle factors.
Hormone therapy is not prescribed without this full assessment. Treatment is then tailored individually — delivery method (pellets, transdermal cream, injection), dosing, and monitoring schedule are all personalised. Follow-up blood work is performed at three and six months to adjust the programme.
BHRT and the European context
European patients often come to us having found NHS hormone services focused on symptom management rather than optimisation, with long waiting times and a limited menu of formulations. In Delhi, the assessment process is more comprehensive, the available formulations broader, and the practitioner time dedicated to each patient significantly greater. The cost is also substantially lower — a comprehensive BHRT programme assessment in Delhi typically costs 65–75% less than equivalent services at a UK private hormone clinic.
4. NAD+ and IV Infusion Therapies
What is NAD+?
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell in the body. It plays a central role in energy metabolism and is a critical molecule in DNA repair and cellular longevity. NAD+ levels decline significantly with age — a decline associated with reduced cellular energy, impaired repair mechanisms, and accelerated ageing. IV NAD+ therapy delivers this coenzyme directly into the bloodstream, bypassing the poor oral bioavailability of NAD+ precursors.
What does NAD+ therapy offer?
Patients who undergo NAD+ infusion programmes report improvements in:
Other IV therapies available
Beyond NAD+, our Delhi partner clinics offer a range of evidence-supported IV infusion protocols:
What the evidence says
IV therapy is an area of genuine clinical interest with a growing body of research. NAD+ therapy has the most promising data, particularly in the context of neurological function and cellular energy. However, patients should be aware that this is not yet standard-of-care medicine — it is precision wellness at the frontier of clinical practice. The practitioners at our partner clinics are honest about this distinction.
Who Are These Treatments For?
Regenerative medicine treatments are best suited to patients who are proactive about their health and ageing — people who are broadly healthy but experiencing the gradual changes of midlife: declining energy, changing skin quality, hormonal shifts, and a general sense that their body is not quite operating at the level it used to. They are typically in their 40s to early 60s.
These treatments are not emergency interventions. They are investments in biological maintenance — the medical equivalent of servicing a high-performance engine before problems develop rather than after. For our core demographic of successful European professionals who apply rigorous thinking to every other aspect of their lives, that framing resonates.
How Incostra Coordinates Regenerative Medicine Programmes
Regenerative medicine involves more complexity than a single aesthetic procedure. It often requires pre-travel blood work (which we can arrange through partner labs in your home country), a more extended clinical assessment on arrival, and a structured follow-up programme after you return home.
Incostra's regenerative medicine coordinator works with each patient to build a personalised programme: selecting the right combination of treatments, scheduling the assessment and treatment days across your stay, coordinating with your Delhi practitioner, and arranging follow-up blood work and virtual review consultations for after you return to Europe.
We also ensure transparency on cost from the outset. There are no hidden fees, no add-ons pushed on arrival. You will receive a written programme outline and cost breakdown before you book any travel.