Hormone Imbalance
Estrogen, testosterone, thyroid, cortisol, and insulin all affect each other. We test them together so your treatment addresses the full picture.
Your hormones affect your metabolism, thinking, reproductive health, and immune system. When one is off, you may notice symptoms that seem unrelated. Sex hormones, thyroid, and cortisol also depend on each other, so treating just one can leave you only partly better. At EvoHealth, we look at them together before prescribing anything.
We often see perimenopause and menopause, which can cause hot flashes, trouble sleeping, mood changes, and bone loss. We also treat PCOS, which can cause acne, weight gain, and fertility problems, as well as PMS and PMDD. Low testosterone in both men and women can cause fatigue, low libido, muscle loss, and slower thinking. Thyroid disease is also common and is often mistaken for depression.
Depending on your results, your plan may include targeted supplements such as inositol, DIM, Vitex, or B6, nutrition based on your metabolic and hormone needs, and exercise designed to support your hormones and metabolism. For perimenopause, menopause, and low testosterone, we also offer bioidentical hormone therapy. Your dose is based on your labs and monitored by Brianna Cole, DNP, APRN.
We test estrogen, testosterone, progesterone, and cortisol together. Thyroid testing includes TSH, free T3, free T4, reverse T3, and antibodies. We also check fasting insulin and HOMA-IR, which shows how hard your body is working to keep blood sugar normal, since insulin resistance often plays a role. If your health history means hormone therapy is not safe for you, we will tell you.
Hormone symptoms are assessed through our Functional Health program. If hormone therapy is right for you, it is prescribed and monitored through Bioidentical Hormone Replacement Therapy. Both start with a free 15-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.
Common signs include weight that will not come off, low energy, brain fog, poor sleep, low libido, and mood swings. Hormone imbalances also affect your metabolism, focus, bone health, and how you age.
Yes. Brianna Cole, DNP, APRN manages all hormone therapy for perimenopause, menopause, and low testosterone. Your dose is based on your lab results, not a standard starting dose, and you are monitored throughout treatment.
We test testosterone, estrogen, progesterone, thyroid, and cortisol together, along with thyroid antibodies and insulin markers. We review your results with you in person or by telehealth.
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.