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PrimaryCare369Enhancing Health

Wellness & Regenerative

Hormone therapy, starting with whether you need it

Fatigue, poor sleep, mood changes and shifting weight have several possible causes. The point of the evaluation is to find out which one is yours before anything is prescribed.

Please note — Hormone therapy is offered as a cash-pay service, priced up front. The laboratory work that precedes it may be billable to your insurance — ask the office.

Why the evaluation comes first

The symptoms that bring people to ask about hormones — tiredness that does not lift, disturbed sleep, low mood, weight that has shifted without explanation — follow just as readily from thyroid disease, from a medication you are already taking, from sleep apnoea, or from a period of sustained stress. Treating a hormone level without ruling those out means treating the wrong thing.

So the first appointment is an internal medicine appointment. History, examination, and laboratory work including thyroid function studies and hormone panels. Only once that picture is complete is there a sensible conversation about whether hormone therapy is the right answer for you.

What the evaluation covers

A full history, including sleep, stress, medication and the timeline of your symptoms
Thyroid function studies
Hormone panels, including testosterone
Other laboratory work where your history points to it
A discussion of what the results do and do not explain

If hormone therapy is appropriate

Where the evaluation supports it, bio-identical hormone therapy is prescribed and monitored by a physician, with follow-up to see how you are responding and to adjust as needed. Hormone therapy is not a one-off prescription; it is an ongoing relationship with someone watching the results.

Where the evaluation points elsewhere, you will be told that plainly, and the practice will treat what it actually found. That is the advantage of having this done by an internist rather than a clinic that offers only one answer.

Common questions

It refers to hormones with the same molecular structure as the ones the body produces. What matters clinically is the evaluation behind the prescription and the monitoring after it, which is where the practice puts its emphasis.

The therapy itself is cash-pay and priced up front. The laboratory work that establishes whether you need it may be billable to your plan — ask the office and we will tell you where the line falls.

Bring the results with you and they will be taken seriously. A level on its own still needs interpreting alongside your history and the other possible explanations, which is a conversation rather than a formality.

Yes. The evaluation is the same in principle for both, and the practice sees adults 17 and older.

Ready to talk it through?

Request an appointment online and we will call to confirm a time — or call either office directly and speak to someone today.