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Beautiful Nature
Dr. Mark Darby  MD, MSc


Dr. Darby attended the University of Calgary for his undergraduate degree in Biology (BSc), his Masters Degree in Neuroscience (MSc) and for his Medical Degree (MD).  Following his graduation from Medical School, he completed his Family Medicine Residency through the University of Alberta.

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Anastasiya Zhuk, NP


Anastasiya Zhuk attended the Toronto Metropolitan University for her undergraduate degree in Bachelor of Science in Nursing and McMaster University for her Masters Degree of Science in Nursing Primary Health Care Nurse Practitioner. She is an experienced Nurse Practitioner who is passionate about supporting hormone health for men and women

Mountain Cabin
What does my first visit look like?​

Booking your first visit begins with registering yourself on the patient portal or contacting us by phone or email.  


  • Preliminary Consultation (required for all new patients):

    • For your Preliminary Appointment (phone), we'll discuss your health goals and medical history to determine whether bioidentical hormone therapy would be appropriate for you. In preparation for this appointment, please complete the "First Appointment Questionnaire" available in the patient portal.  If bioidentical hormone therapy is an appropriate fit, a custom lab requisition will be created for you to complete prior to your next appointment (Primary Consultation).

  • Primary Consultation:

    • At your primary consultation (phone, video or in-person) we will review your lab results and develop a treatment plan tailored to your health goals.  The treatment plan may include hormone therapy options, supplements, lifestyle modifications and recommendations for further laboratory monitoring.​

  • Follow-up Consultations:

    • During your follow-up consultation (phone, video or in-person), we will review your latest lab results, discuss any changes in your health status, and update your treatment plan accordingly. While these consultations are typically conducted twice a year, the frequency may increase based on your response to the therapy and individual goals.

Please note that our clinic requires 48 hours notice for any cancellation or a $75 fee is charged.  

Will you become my new primary care physician / nurse practitioner now?

Although our office is happy to liaison and communicate with your local physician / nurse practitioner you will continue as a patient under their general care.   We supplement your physician’s care, not replace. We do, on occasion, consult with your physician when appropriate.

Where do I get my prescriptions and how will I know when they are ready?

Our clinic will fax your prescription to a compounding pharmacy and they will contact you when your prescription is ready. Once ready, you have the option for your prescription to be picked up or mailed to you.    A good compounding pharmacy is critical to the effectiveness of a BHRT program. 

Transdermal creams are individualized preparations designed to specifically match the values indicated in your blood work. Unlike conventional pharmacies, which prescribe a “one size fits all” synthetic hormone prescription, compounding pharmacies design hormone replacement therapies detailed to your body’s individualized levels.  They acquire the pure pharmaceutical-grade hormones and compound it into the form and dosage ordered by your physician as pills, capsules, liquids and creams. They are prepared specifically for you, making your treatment program customized and personalized.

Is BHRT covered by my Canadian Health Plan?

Because BHRT is still an emerging approach in conventional medicine, True Balance is a private clinic whose consultation services are not covered by health insurance. However, most insurance providers cover all bio-identical transdermal hormone creams. 

What are the costs involved with BHRT?


  • Preliminary Consultation (required for all new patients): $99

  • Primary Consultation: $400.

  • Follow-up Consultations: $225 (typically twice a year).  

  • The cost of monthly prescriptions and supplements will vary with each individual.

We value your privacy.  Our privacy policy can be read here.

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