Hormones are the body’s chemical messengers. They regulate metabolism, energy production, mood, cognition, sleep, immune function, body composition, and virtually every biological process. When hormonal levels decline — as they naturally do with age — the effects are far-reaching.
Common symptoms of hormonal imbalance include fatigue, weight gain, brain fog, mood changes, decreased libido, poor sleep, muscle loss, and reduced stress resilience. These symptoms are frequently dismissed as “normal aging” when they are, in fact, correctable hormonal deficiencies.
At St. George Hospital, our hormone optimization program begins with comprehensive testing — not just total levels, but free fractions, metabolites, binding proteins, and hormone ratios. This detailed assessment guides precise, individualized hormone therapy using bioidentical preparations that match the body’s own molecular structure.
The thyroid controls metabolic rate and energy production in every cell. We assess TSH, free T3, free T4, reverse T3, and thyroid antibodies. Many patients with "normal" TSH have suboptimal thyroid function that responds well to careful optimization with T4/T3 combination therapy.
Essential for both men and women. In men, testosterone decline begins around age 30 and accelerates from 50. In women, testosterone deficiency after menopause contributes to fatigue, low libido, and cognitive decline. We use bioidentical preparations with careful monitoring.
For women, balancing estrogen and progesterone -- not just supplementing one -- is critical. We evaluate estrogen metabolism pathways (2-OH, 4-OH, 16-OH) to ensure safe, effective hormone therapy. Bioidentical progesterone supports sleep, mood, and bone health.
Cortisol and DHEA rhythms govern stress response, energy, and immune function. Chronic stress depletes adrenal reserves, leading to fatigue, anxiety, and poor recovery. We assess diurnal cortisol patterns and support adrenal restoration when indicated.
Growth hormone supports muscle mass, bone density, skin elasticity, and fat metabolism. We assess IGF-1 levels and, where appropriate, support natural growth hormone production through peptide therapy, exercise optimization, and sleep improvement.
Melatonin governs circadian rhythm and has powerful antioxidant properties. Insulin regulation is central to metabolic health and longevity. Both are assessed and optimized as part of our comprehensive hormonal program.
Bioidentical hormone replacement tailored to your individual laboratory profile, optimizing thyroid, adrenal, and sex hormones.
Growth hormone-releasing peptides and other bioactive compounds that support hormonal balance and tissue regeneration.
NAD+ supports the enzymatic processes that regulate hormone production and cellular metabolism affected by hormonal decline.
Mitochondrial optimization supports endocrine gland function and the cellular energy required for healthy hormone production.
