Hormone Optimization
Hormones are a foundational component of overall health and may be a missing piece in your wellness plan.
When hormone levels are balanced, they support vitality, resilience, and healthy function across multiple systems in the body. Hormone receptors are present throughout the brain, heart, bones, muscles, and metabolic tissues—not just the ovaries or testes—making hormonal balance essential well beyond reproductive health.
As hormone levels shift with age, stress, and metabolic changes, symptoms may develop even when standard lab results are reported as “normal.” A personalized, medically guided approach can help identify imbalances and determine whether hormone therapy is appropriate.
Who the Hormone Optimization Program May Be Appropriate For
Perimenopausal women experiencing symptoms related to hormonal fluctuations despite “normal” lab values ordered by primary care or OBGYN
Menopausal women with symptoms related to low or absent hormone production
Men experiencing symptoms of low or imbalanced hormones, including an elevated estrogen-to-testosterone ratioWe offer three membership tiers, allowing patients to receive the appropriate level of medical support and accountability at each stage of their weight loss and metabolic health journey.
If you do not fall into these categories but feel that your hormones may be contributing to symptoms, a Functional Medicine consultation may be a better starting point. This is particularly helpful for women experiencing high stress, anxiety, depression, or cyclical symptoms during the luteal phase. Hormonal evaluation and treatment planning can be performed, and if prescription therapy is indicated, you may then transition into the Hormone Optimization membership.
Cost
Hormone Optimization Membership: $49/month
Current Weight Loss Members: $25/month add-on (any tier)
This low monthly fee is designed to make ongoing provider expertise more affordable by distributing costs over time rather than requiring large annual or quarterly payments.
Additional Costs
Prescription medications are not included and vary based on medication and route of administration
FDA-approved medications (e.g., estradiol patch, oral progesterone, testosterone gel for men) may be covered by insurance at retail pharmacies
Compounded medications (e.g., specialty creams, injections, oral testosterone) are out-of-pocket expenses
What the Program Includes
Concierge-level care with ongoing secure email/text support
Video visits as clinically indicated (generally no more than once every 3-6 months)
Prescription management when medically appropriate
Lifestyle guidance addressing nutrition, sleep, stress, movement, and other contributors to hormonal imbalance
Comprehensive hormone symptom questionnaire
Laboratory testing using:
Initial labs may be performed via blood testing (often insurance-covered) or DUTCH testing, selected based on patient needs and preference
At-home DUTCH Complete Hormone Panel commonly used for 6-month follow-up testing
~$300 for women (also applicable for men)
Ongoing lab monitoring is required for men receiving testosterone therapy
Common Symptoms of Sex Hormone Imbalances
Women
Fatigue or low energy
Weight gain or difficulty losing weight
Irregular or heavy menstrual cycles
Low libido
Mood changes, anxiety, or depression
Brain fog or difficulty concentrating
Sleep disturbances or insomnia
Hot flashes or night sweats
Hair thinning or hair loss
Acne or skin changes
PMS or worsening premenstrual symptoms
Fertility challenges
Decreased muscle tone or strength
Men
Fatigue or low energy
Decreased libido or erectile dysfunction
Loss of muscle mass or strength
Increased body fat
Difficulty losing weight
Mood changes, irritability, or depression
Brain fog or poor concentration
Sleep disturbances
Reduced motivation or confidence
Decreased exercise tolerance
Fertility concerns or reduced sperm quality
Loss of body or facial hair
Candidacy for Women
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Hormone therapy is not appropriate for women with:
Unexplained or undiagnosed vaginal bleeding
Known, suspected, or history of breast cancer
Known or suspected estrogen-dependent tumors
Active or prior deep vein thrombosis (DVT) or pulmonary embolism
Known arterial thromboembolic disease
Severe allergic reaction to hormone ingredients
Active liver disease or impairment
Known Protein C, Protein S, or antithrombin deficiency
Known thrombophilia
Pregnancy or desire to become pregnant
Requests for gender-affirming hormone therapy
-
Strong family history of breast cancer
Dense breast tissue on mammography
Lack of recommended breast screening
Metabolic dysfunction (e.g., insulin resistance, obesity)
Known methylation concerns
Candidacy for Men
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Hormone therapy is generally not recommended without specialist clearance in men with:
Known or suspected prostate cancer
Male breast cancer
Severe untreated obstructive sleep apnea
Polycythemia (elevated hematocrit or hemoglobin)
Uncontrolled heart failure
Recent heart attack or stroke
Active blood clots (DVT or pulmonary embolism)
Severe untreated benign prostatic hyperplasia
Known hypersensitivity to hormone formulations
Requests for gender-affirming hormone therapy
-
Elevated or rising PSA
History of prostate disease
Benign prostatic hyperplasia (BPH)
Cardiovascular disease or multiple risk factors
Treated or suspected sleep apnea
Fertility concerns (alternative therapies may be considered)
Elevated hematocrit
Liver disease
Mood disorders
Use of opioids, anabolic steroids, or glucocorticoids
Inability to adhere to required monitoring protocols
Ready to Get Started?
If you’re ready to explore whether hormone optimization is right for you, schedule a consultation with our medical team.
After booking, you will receive:
Consent and intake forms
A detailed hormone symptom questionnaire
Payment setup instructions (HSA/FSA accepted)
You will not be charged until after your consultation if you choose to proceed.
Please review the Program Terms and Treatment Consent prior to joining.