Depression
Depression can have a significant impact on one's life, affecting daily activities, relationships, and overall well-being.
While various factors can contribute to the development of depression, one crucial aspect is the imbalance of hormones in the body. Hormones regulate the levels of neurotransmitters, including serotonin, which is responsible for mood and emotions. When hormone levels decrease, serotonin can also drop, leading to symptoms of depression.
The relationship between hormones and serotonin is complex. Hormone levels can fluctuate due to factors such as stress, diet, and exercise. Studies have shown that hormonal imbalances significantly contribute to depression. This is why maintaining a healthy hormonal balance is essential to promoting mental health.
If you are experiencing feelings such as sadness, hopelessness, irritability, brain fog, or sleep disruptions, it may be worth considering the role of hormones in your mental health.
Book a consultation to help identify any imbalances. Labs may also be ordered to determine the best course of treatment.
Anxiety
Chronic stress can impact our physical and mental well-being in a multitude of ways. One of the most common symptoms of chronic stress is frequent worry, which can leave individuals feeling easily agitated or constantly on edge. This state of heightened anxiety can also lead to difficulty concentrating, as well as issues with falling asleep or staying asleep.
The release of cortisol, a hormone associated with stress, can increase the risk of developing anxiety disorders when experienced on a chronic basis. Additionally, it's important to consider the impact of hormone levels on our mental health. Low estrogen levels or thyroid disorders can greatly affect the production of serotonin, a neurotransmitter responsible for regulating mood and emotion. As such, taking care of our overall hormonal health can play a significant role in managing chronic stress and reducing the risk of developing anxiety.
If you are struggling with chronic stress and its effects on your mental health, it is important to seek professional help and support in addressing and managing these concerns. Remember, taking care of our mental well-being is just as important as taking care of our physical health.
Insomnia
Difficulty falling asleep or staying asleep, frequent waking, daytime napping, extreme daytime fatigue, and restlessness are common issues that can arise due to changes in estrogen and progesterone levels during a menstrual cycle. In the follicular phase, these hormones can make us feel more drowsy, while in the luteal phase, it can be harder to fall asleep. However, as we age and these hormones decrease, sleep problems and irritability may become more prevalent.
Thyroid imbalances can also contribute to disrupted sleep patterns. Hyperthyroidism can cause restlessness making it difficult to fall asleep where on the other hand, hypothyroidism can cause fatigue and lethargy and linked to sleep apnea which also disrupts sleep.
Lets not forget about testosterone which also decreases in both men and women. Reduced levels can also contribute to poor sleep and has been linked to snoring and insomnia.
As a result, it is crucial for individuals to pay attention to their overall hormonal health and seek medical advice if they are experiencing ongoing sleep issues. By addressing underlying hormone imbalances, individuals can improve their overall sleep quality and ultimately, their overall well-being.

Weight Loss
Achieving a healthy weight isn’t just about appearance—it plays a crucial role in mental well-being. Excess weight can contribute to depression, anxiety, and low energy, while sustainable weight loss can improve mood, confidence, and overall mental health. Monitoring key health markers ensures a safe and effective journey.
For online weight loss programs, regular lab work and vitals tracking are essential to guide treatment. Common lab tests include: metabolic panel, thyroid, lipids, A1C, and hormone levels. Keeping track of weight, BMI, and vital signs are also tracked to ensure safe progress.
Usual process:
- Initial Consultation: A virtual visit to discuss health history, goals, and possible medical causes of weight gain.
- Lab Testing & Evaluation: Providers order blood work through local labs.
- Customized Plan: Based on results, patients receive a tailored approach including nutrition, exercise, behavioral coaching, and possible medication.
- Ongoing Monitoring: Patients track weight, body fat percentage, and vitals through an app or portal. Follow-ups occur every 2-4 weeks.
- Medication & Lifestyle Adjustments: If prescribed, medications like GLP-1 agonists (e.g., semaglutide) or appetite suppressants are monitored for effectiveness and side effects.
- Mental Health Support: Integrative approaches include stress management, sleep optimization, and addressing emotional eating.

Lab and Hormone Replacement
Hormone imbalances can affect energy, mood, metabolism, and overall well-being. Our online Hormone Replacement Therapy (HRT) program provides a convenient way to assess and optimize hormone levels from the comfort of your home.
How It Works:
- Initial Consultation: A virtual visit to discuss symptoms, medical history, and goals.
- Comprehensive Lab Testing: Bloodwork is ordered through local labs or may be completed at your primary care office to check hormone levels (e.g., testosterone, estrogen, progesterone, thyroid, cortisol).
- Personalized Treatment Plan: Based on results, a tailored HRT plan is created, including bioidentical hormones, supplements, and lifestyle recommendations.
- Ongoing Monitoring: Regular follow-ups with symptom tracking and lab reviews to adjust treatment as needed.
By balancing hormones, this program helps improve energy, sleep, weight, mental clarity, and overall vitality in a safe and convenient way.
Examples of Bioidentical Hormone Prescriptions
Bioidentical hormones are designed to mimic the body’s natural hormones, offering a more personalized and often better-tolerated approach to hormone replacement therapy (HRT). They come in various forms, including creams, gels, patches, troches, injections, and capsules.
- Estrogen (for menopause, perimenopause, low estrogen symptoms)
- Estradiol (E2):
- Compounded estradiol creams/gels
- Estradiol patches (e.g., Vivelle-Dot, Climara)
- Estradiol vaginal creams (e.g., Estrace, BiEst - estradiol + estriol)
- Estradiol (E2):
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Progesterone (for hormone balance, sleep, anxiety, uterine protection)
- Micronized Progesterone (Prometrium) – oral capsules
- Compounded progesterone creams or troches
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Testosterone (for low libido, energy, muscle mass, mood in both men & women). This is a controlled substance. DEA may require in-person visits in future.
- Compounded testosterone cream or gel
- Testosterone cypionate or enanthate – injectable form
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Thyroid Hormones (for hypothyroidism, metabolism, fatigue)
- Compounded T3/T4 combinations
- Natural Desiccated Thyroid (NDT) – Armour Thyroid, NP Thyroid
These prescriptions are often customized based on lab results and individual symptoms for optimal hormone balance.

Gene Testing
GeneSight® is a genetic test that helps tailor medication choices based on your unique DNA. By analyzing how your genes affect the way your body processes medications, this test provides valuable insights into which antidepressants, mood stabilizers, and other psychiatric medications may work best for you.
The process is simple— the kit can be ordered to your home and with just a quick cheek swab the supplied shipping envelope and sample can be sent to a specialized lab for analysis. Within days, your provider receives a detailed report categorizing medications into "use as directed," "use with caution," or "significant gene-drug interaction."
This personalized approach can help reduce trial-and-error prescribing, minimize side effects, and improve treatment effectiveness. GeneSight® testing is especially helpful for individuals struggling to find the right medication for depression, anxiety, ADHD, and other mental health conditions.
Ask us how GeneSight® testing can help optimize your treatment plan!