What we mean by hormone optimization.
Hormones are the body's signaling system. When they drift out of range, the effects ripple across sleep, mood, body composition, recovery, libido, and cognition. The work is to find the actual signal in the noise: which axis is moving, which is downstream, and which has been compensated for at a cost.
Our model is conservative. We start from a complete clinical picture, not a checklist. We use bioidentical hormones where indicated and only at the lowest dose that gets the result. We retest, reassess, and tune.
Who this is for.
Patients who notice persistent changes in energy, sleep, mood, body composition, or libido that are not explained by stress, sleep, or activity alone. Patients who have been told their labs are "normal" but who feel otherwise. Patients in perimenopause, post-menopause, or andropause looking for a thoughtful path.
Who this is not for.
Patients seeking single-axis testosterone replacement without a broader workup. We do not prescribe hormones outside of a complete clinical picture, and we do not chase numbers without symptom correlation.
What we test.
- Full thyroid panel: TSH, Free T3, Free T4, reverse T3, antibodies
- Sex hormones: total and free testosterone, estradiol, progesterone, SHBG, DHEA-S
- Adrenal axis: AM cortisol, four-point salivary cortisol when indicated
- Metabolic context: fasting insulin, A1c, lipid panel, inflammatory markers
- Nutrient cofactors: vitamin D, B12, ferritin, zinc, magnesium