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Treatment Guide · Hormones

Hormone & Metabolic Health: A Practical Guide for Women and Men

Hormones control energy, sleep, mood, weight, libido and body temperature. When they shift through perimenopause, menopause, PCOS or age-related testosterone decline, the symptoms are real and treatable. This guide explains the common patterns we see, how they're tested and the options available, starting with our free two-minute hormone quiz.

Portrait of Kenna Graff, FNP-C

By Kenna Graff, FNP-C

Family Nurse Practitioner & Clinical Director · Updated

Notebook, glass of water with lemon, fresh herbs and capped lab tubes on a sunlit oak table

Signs your hormones may be out of balance

For women, the most common signs are hot flashes, night sweats, irregular or painful periods, bloating, brain fog, low libido and weight gain around the middle. For men, they are fatigue, lower drive, loss of muscle, more belly fat, poor sleep and irritability. Many people are told these are just part of getting older. They are common, but they are not something you simply have to live with.

How we evaluate hormones

A good evaluation combines your symptoms, history and lab work. Depending on your situation, that can include estradiol, progesterone, testosterone, thyroid markers, insulin and glucose, lipids and a metabolic panel. Labs are interpreted alongside how you actually feel; normal ranges are wide, and the goal is to find what's optimal for you.

If you aren't sure where to begin, the hormone quiz takes about two minutes and helps our team understand your symptoms before your visit.

Treatment options

Options include bioidentical hormone therapy for women and men, thyroid support, nutrition and strength-training guidance, and medical weight loss such as GLP-1 medications or the Orbera balloon when weight is part of the picture. For people over 50 who are losing weight, preserving muscle is a priority. Every plan includes follow-up labs and adjustments.

In-depth articles in this guide

Frequently asked questions

Is bioidentical hormone therapy safe?

For most healthy people who start within the appropriate window and are monitored with labs, hormone therapy has a favorable safety profile. Your clinician reviews your personal and family history before recommending it.

Do I need labs before my first visit?

No. We order the right labs after hearing your symptoms. If you've had recent labs elsewhere, bring them.

Is hormone therapy only for women?

No. We treat men with low testosterone symptoms as well, after confirming levels with proper testing.

Not sure where to start? Take the hormone quiz

Answer a few quick questions about your symptoms. Our clinical team reviews every result and follows up personally.

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