Complex concerns or multiple issues addressed

Follow up visit for established patients

Established patient, new problem

Health history review, goal discussion education, and personalized plan of care

follow up appointment to review progress or further address problem

Refill of established medications.

Comprehensive history and visual physical for new patients

Women’s Hormone Optimization Consultation

1?? Comprehensive Symptom & Health Review (45–60 min)
Focused on:

• Fatigue / low energy
• Brain fog
• Mood changes / anxiety
• Poor sleep
• Weight gain (especially midsection)
• Irregular cycles
• PMS or perimenopause symptoms
• Low libido
• Hair thinning / skin changes

Includes:

• Full menstrual & reproductive history
• Pregnancy history (if applicable)
• Birth control history
• Stress + lifestyle assessment
• Nutrition & training patterns
• Medication & supplement review

2?? Advanced Lab Panel (Customized)
Core Female Hormones

• Estradiol
• Progesterone
• Total & Free Testosterone
• SHBG
• DHEA-S
• LH / FSH

Thyroid Panel

• TSH
• Free T3
• Free T4
• Reverse T3
• Thyroid antibodies (if indicated)

Metabolic & Inflammation

• Fasting insulin
• A1C
• Lipid panel
• CMP
• hs-CRP

Optional as needed:

• Cortisol
• Vitamin D
• B12
• Iron studies

3?? Personalized Treatment Plan May Include

• Bioidentical hormone replacement therapy (BHRT)
• Progesterone support
• Testosterone optimization (when appropriate)
• Thyroid optimization
• Medical weight-loss options (including GLP-1–based therapies if indicated)
• Targeted supplementation
• Nutrition & sleep strategy
• Follow-up lab schedule (6–12 weeks)

Men’s Hormone Optimization Consultation
1?? Comprehensive Symptom & Health Review (45–60 min)
Focused on:

• Low energy
• Reduced motivation or drive
• Brain fog
• Decreased libido
• Erectile changes
• Loss of muscle mass
• Increased abdominal fat
• Poor recovery from workouts
• Mood changes

Includes:

• Sexual health assessment
• Strength & training review
• Sleep quality
• Stress levels
• Medication & supplement review

2?? Advanced Lab Panel (Customized)
Core Male Hormones

• Total Testosterone
• Free Testosterone
• Estradiol (sensitive assay)
• SHBG
• DHEA-S
• LH / FSH

Thyroid Panel

• TSH
• Free T3
• Free T4
• Reverse T3

Metabolic & Cardiovascular Risk

• Fasting insulin
• A1C
• Lipid panel
• CMP
• hs-CRP

Optional as needed:

• PSA (age/risk dependent)
• Cortisol
• Vitamin D

3?? Personalized Treatment Plan May Include

• Testosterone replacement therapy (TRT) if indicated
• Estradiol management
• Thyroid optimization
• Lifestyle & metabolic support
• Medical weight loss (if needed)
• Cardiometabolic risk reduction plan
• Follow-up labs at 6–12 weeks