Think of Us as Your Body’s Reset Button

When your energy crashes, hormones go haywire, or weight won’t budge. We restore your body to optimal function.

Guided by the spirit of aloha, our mission is to provide holistic, integrative care that honors each person’s uniqueness. We provide testosterone, hormone, weight loss and weight management services in Hilo Hawai’i. Wellness plans are designed to foster balance, vitality, and long-term health, in harmony with our beautiful island surroundings.

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Testosterone, hormone, and weight management in Hilo, Hawaii

NAD+, Testosterone Therapy (TRT) , hormone Therapy (HRT) and weight management in Hawai’i
Hilo | Honolulu | Waimea

You are in charge of your health.

Taking care of our health can feel overwhelming in today’s fast-paced world. Between family responsibilities and nonstop work, it is easy to overlook signals from our bodies like sleepless nights, chronic fatigue, sugar and caffeine cravings, and stubborn belly fat.

Island Balance Clinic is here to help address concerns like hormone imbalances, low energy, and weight management. There is no single ‘quick fix,’ but together, we will explore what is really causing these issues and develop a personalized plan to help you feel balanced, energized, and truly well.

Therapies Offered

Our range of wellness therapies is designed to support you in achieving a balanced, healthier life. With options like testosterone optimization, hormone balancing, and personalized weight management, each service is tailored to address specific health needs and empower you on your journey to improved vitality. Our approach goes beyond quick fixes, focusing instead on sustainable solutions that bring lasting wellness and renewed energy. Explore our offerings and take the first step toward a healthier, more vibrant you.

  • I have been fortunate enough to have found Island Balance Clinic…

    …and Mie Fowler via a referral from a friend.

    My experience has been amazing! She is the first practitioner who have actually listened to my questions and concerns regarding menopausal symptoms, and the benefits of HRT.

    I am so relieved to have someone on my side in this journey!

    Mahalo Mie
    lotus
    Karlene B.

  • Mie Fowler, APRN is a very knowledgeable, compassionate provider…

    …who excels in all her endeavors. She is sharp and highly talented with a great attitude. Obviously well experienced, kind and extremely professional in every aspect. Our clinic loves working with her!
    lotus
    Francia B.

  • I love that she was so knowledgeable and was able to accommodate my schedule…

    …to offer me high quality HRT without the worries you usually get from healthcare or the lack of knowledge or options available from my primary provider. Mie was great! I’ve been on hormones for about 2 weeks and I’m already noticing improvements in my energy and vitality!
    lotus
    LaRae B.

Let’s talk!

If you have any questions regarding our services, you may use the contact form below
or schedule a call:

Schedule a Call
*Do not use this form for life-threatening emergencies. Immediately dial 9-1-1 or contact your primary physician.

Mie Fowler, APRN, MSN, OCN

Raised in Japan, Mie’s journey into wellness began with a childhood immersed in the outdoors near her family’s ski lodge in Nagano. Her passion for health and fitness led her to earn a Bachelor of Science in Nursing from Kennesaw State University in Georgia, where she specialized in oncology, leading into over 17 years of clinical experience focused on patient-centered care.


After completing her Master of Science in Nursing in 2018, Mie deepened her commitment to integrative health, addressing the root causes of chronic health issues that are often overlooked in traditional medicine. As a certified personal trainer and group fitness instructor, she brings a unique perspective that blends medical expertise with practical fitness and wellness guidance.


Since moving to Hilo, Hawaii, with her family in 2016, Mie has embraced Hawaii’s enriching lifestyle, enjoying the island’s natural beauty while pursuing her mission of holistic health care. At Island Balance Clinic, she offers hormone therapy, weight management, and wellness strategies that go beyond medication, helping clients find renewed vitality and balance through a compassionate, personalized approach.

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FAQs

Explore common questions for valuable insights.

Most patients begin noticing increased energy and mental clarity within 2-4 treatments, with optimal benefits typically achieved after 6-8 sessions. Individual response varies based on health goals, baseline NAD+ levels, and treatment frequency. We customize your protocol to maximize results and monitor your progress throughout.

When properly monitored, most patients experience minimal side effects. Potential effects may include mild fluid retention, skin changes at application sites, or temporary mood fluctuations during initial adjustment. We conduct thorough lab work and regular monitoring to minimize risks and optimize your treatment. Our personalized approach allows us to adjust protocols immediately if any concerns arise.

Our weight management programs are competitively priced with transparent, all-inclusive fees. Unlike insurance-based programs with copays, deductibles, and coverage gaps, our direct-pay model includes comprehensive consultation, personalized meal planning, ongoing support, and follow-up care. We also offer payment plans to make your wellness journey affordable and accessible.

Yes, comprehensive lab work is essential for safe, effective hormone therapy. We require baseline hormone levels, metabolic panels, and health markers before treatment. The advantage of our direct-pay model is that we can order exactly the tests you need immediately, no waiting for insurance pre-approvals or settling for limited covered panels. This ensures your treatment is perfectly tailored from day one.

Island Balance Clinic operates on a direct-pay model, which allows us to focus entirely on your personalized care without insurance restrictions. This means no prior authorizations, no coverage limitations on treatment options, and no rushed appointments. We provide transparent, upfront pricing and can provide receipts.

Main Location in Hilo

We look forward to welcoming you!

Phone

808.493.5529

Address

159 Keawe St. Suite B1 Hilo, Hawaii 96720

Hours

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Appointment Only
Appointment Only
Appointment Only
Appointment Only
9 am – 5:00 pm
9 am – 5:00 pm
Appointment Only
Schedule a Call

Also serving (by appointment only)

Waimea

Phone

808.493.5529

Address

68-1330 Mauna Lani Dr., Ste. 106, Waimea, Hawaii 96743

Honolulu

Phone

808.493.5529

Address

3660 Waialae Ave., Honolulu, Hawaii 96816