Hormonal imbalances can affect every system in your body — from energy and mood to weight and sleep. We use comprehensive testing to identify exactly what's out of balance and create personalized treatment plans.
Patients with hormonal imbalance usually present in three ways: (1) women 35–50 in perimenopause with cycle changes, mood shifts, and sleep disruption; (2) high-stress professionals with thyroid, cortisol, and sex-hormone dysregulation overlapping at once; and (3) patients who've been told their labs are 'normal' but feel clearly unwell — often because only TSH or total testosterone was checked.
Hormone replacement therapy in symptomatic perimenopausal and menopausal women has strong evidence for symptom relief and bone protection, with the safety picture varying by route, formulation, and timing relative to menopause onset. We individualize and monitor closely.
A useful baseline includes a full thyroid panel (TSH, free T3, free T4, reverse T3, antibodies), sex hormones (estradiol, progesterone, total and free testosterone, SHBG, DHEA-S), and stress markers (morning and diurnal cortisol). Insulin and metabolic markers often round out the picture.
Reference ranges are wide and built around population averages, not optimal function. Many patients sit inside the lab range but well outside their personal optimum, especially for thyroid and free testosterone — which is why symptom context matters as much as the number.
'Bioidentical' means molecularly identical to what your body makes. The clinical evidence on safety is generally favorable for bioidentical estradiol and progesterone compared with older synthetic formulations, but no hormone therapy is risk-free, which is why dosing, route, and monitoring matter.
Energy, sleep, and mood often shift within 2–6 weeks. Body composition, libido, and longer-term symptom resolution typically take 3–6 months, with lab rechecks along the way to fine-tune.
We treat hormonal imbalance for patients in:
Book a free 30-minute consultation. We'll review your history, discuss your goals, and recommend the right treatment plan.