Hormone Imbalance
Estrogen, testosterone, thyroid, cortisol and insulin work as one system, and reading them together is what separates a partial result from a real one.
Your hormones govern metabolism, thinking, reproductive health and immune function, which is why one drifting value produces symptoms in places you would not connect to it. Sex hormones, thyroid and cortisol also depend on each other: correct one while another is off and you get a partial result. We read them together, before anything is prescribed.
Perimenopause and menopause, bringing hot flashes, insomnia, mood change and bone loss. PCOS, where excess androgens and insulin resistance drive acne, weight gain and fertility problems. PMS and PMDD from the estrogen and progesterone balance. Low testosterone in men and women, bringing fatigue, low libido, muscle loss and slower thinking. And thyroid disease, frequently mistaken for depression.
Targeted supplements such as inositol, DIM, Vitex and B6, where the mechanism supports them. Food shaped around your metabolic and hormonal profile rather than a template. Exercise prescribed for adrenal, thyroid and metabolic health rather than general fitness. And bioidentical hormone therapy for perimenopause, menopause and low testosterone, dosed to your labs and monitored throughout by Brianna Cole, DNP, APRN.
Hormone testing reads your estrogen, testosterone, progesterone and cortisol together rather than one at a time. Thyroid assessment covers TSH, free T3, free T4, reverse T3 and antibodies. Fasting insulin and HOMA-IR, a measure of how hard your body is working to keep blood sugar normal, find the insulin resistance that often sits underneath. If your history rules therapy out, you will be told.
Your hormone symptoms are assessed inside Functional Health, and where therapy is appropriate it is prescribed and monitored through Bioidentical Hormone Replacement Therapy. Both begin with the free fifteen-minute consultation.
What this covers
Hormone Imbalance spans several presentations. Each one has its own workup.
Adrenal fatigue
Adrenal fatigue is not a recognized diagnosis, and your symptoms are real but rarely caused by tired adrenal glands.
Hypothyroidism
Feeling unwell on an adequate levothyroxine dose is a real problem, because TSH shows whether your dose is right and not whether you convert T4 to active T3.
Polycystic ovary syndrome (PCOS)
PCOS is usually metabolically driven, so establishing whether yours is insulin-resistant, lean, post-pill or inflammatory decides whether treatment works.
Menopause
Menopause is not a deficiency state to be endured, and the risk picture for hormone therapy is considerably better than the 2002 headlines suggested.
Perimenopause
Perimenopause can run for a decade before your final period, and it is where most women are told their labs are normal and sent away.
Low testosterone
Low testosterone needs symptoms and confirmed labs rather than one number, and many cases turn out to be reversible rather than needing lifelong therapy.
Common questions
The ones we are asked most about hormone imbalance.
Weight you cannot shift, low energy, brain fog, broken sleep, low libido, mood swings. It matters beyond comfort, because your metabolism, focus, bone density and how you age all sit downstream of it.
Yes. Brianna Cole, DNP, APRN manages every protocol, for perimenopause, menopause and low testosterone. Your dose comes from your labs rather than a standard starting point, and you are monitored the whole time.
Testosterone, estrogen, progesterone, thyroid and cortisol read together, using hormone panels, full thyroid function with antibodies, and insulin markers. We go through the results with you, in person or by video.
Ready to start with a clear clinical picture?
Start with the fifteen-minute consultation. No cost, and a straight answer on whether this model fits your case.