Midlife changes are significant: 

Hormones shift, Sleep changes, Muscle becomes harder to maintain. Body composition can change even when your habits have not. Energy, mood, libido, motivation, and recovery may all feel different than they did a decade ago.

You may benefit from a thoughtful physician who understands hormones, metabolism, nutrition, exercise, and the physiology of aging, and who has enough time to help you make sense of what is changing.

This program was created for exactly that.

Personalized hormone care

Hormone therapy is not one-size-fits-all.

For women, we may address perimenopause and menopause symptoms with individualized estrogen, progesterone, and testosterone therapy. Herbs, nutrients, healing foods, and female-friendly types of fasting are used as adjuncts. (hyperlink to a blog post on circadian eating for women which I think I already have / add a blog post on "The Power of the Fasting, compressed into 5 days")  

For men, evaluation may include testosterone, metabolic and liver health, and optimizing body composition. We delve into sleep, energy, and sexual vitality. We treat hair loss, if that's important to you. 

My goal is to understand your symptoms, your physiology, your goals, and your individual risk factors. I use hormone therapy thoughtfully when it is likely to help.

Metabolic health matters too

Hormones are only one part of the picture: changes in muscle mass, insulin sensitivity, appetite, sleep, stress, physical activity, and nutrition all influence how we feel as we age.

We may work on:

• body composition

• maintaining or building muscle

• insulin resistance and metabolic health

• nutrition and protein intake

• exercise and strength training

• cardiovascular risk

• weight changes that accompany midlife

• GLP-1 medications

For some people, hormone therapy is transformative.

For others, the biggest opportunity is improving metabolic health, increasing muscle, optimizing nutrition and nutrient density, or treating sleep problems.

Usually, it is a combination.

This program may be a good fit if you are experiencing:

Hot flashes, night sweats, disrupted sleep, mood changes, brain fog, declining energy, changes in libido, vaginal or sexual symptoms, difficulty maintaining muscle, unexpected changes in weight or body composition, reduced exercise recovery, or simply the sense that your body is behaving differently than it used to.

It may also be a good fit if you are already using hormone therapy but feel like nobody is really managing it.

Many patients arrive with prescriptions accumulated from different clinicians, online hormone services, or treatments that were started years ago and never meaningfully revisited. Together we will step back, look at the whole picture, and make a thoughtful plan.