Perimenopause & Menopause
Hormonal decline and fluctuation in the years around the end of menstruation, affecting energy, mood, sleep, and metabolism.
Common signs
Hot flashesNight sweatsSleep disturbancesMood swingsWeight gain
Related care
Root-Cause Care
Conditions We Address
We help with a broad range of concerns — uncovering and addressing the underlying drivers with advanced diagnostics and personalized plans. We provide supportive care in coordination with your other physicians.
Andropause
The gradual decline of testosterone and other hormones in men, impacting energy, mood, and vitality.
Common signs
Low energyReduced driveWeight gainMood changesPoor recovery
Related care
Low Testosterone
Below-optimal testosterone levels that affect energy, muscle, mood, libido, and metabolic health.
Common signs
Low energyDecreased libidoLoss of muscleWeight gainDifficulty focusing
Related care
Thyroid Disorders
Underactive, overactive, or autoimmune thyroid conditions that disrupt metabolism, energy, and mood.
Common signs
FatigueWeight changesTemperature sensitivityHair changesBrain fog
Adrenal & HPA-Axis Dysfunction
Dysregulated cortisol and stress-hormone output that leaves you depleted, wired, or both.
Common signs
FatigueTrouble wakingStress intoleranceSleep issuesCravings
Related care
PCOS
Polycystic ovary syndrome — a hormonal and metabolic condition affecting cycles, weight, and fertility.
Common signs
Irregular cyclesWeight gainAcneExcess hair growthInsulin resistance
Weight-Loss Resistance & Obesity
Persistent difficulty losing weight despite effort, often driven by hormonal and metabolic factors.
Common signs
Stubborn weight gainFatigueCravingsSlow metabolismLow energy
Metabolic Syndrome
A cluster of risk factors — blood pressure, blood sugar, lipids, and waist size — that raise heart-disease and diabetes risk.
Common signs
Abdominal weightHigh blood pressureHigh blood sugarAbnormal lipidsFatigue
Related care
Insulin Resistance & Prediabetes
Reduced sensitivity to insulin that drives weight gain, energy crashes, and long-term disease risk.
Common signs
Energy crashesCravingsAbdominal weight gainBrain fogDifficulty losing weight
Related care
High Cholesterol & Lipid Disorders
Imbalanced lipids that increase cardiovascular risk — best understood with advanced lipid testing.
Common signs
Often silentFamily history of heart diseaseAbnormal lipid panel
Related care
Brain Fog & Cognitive Decline
Reduced focus, memory, and mental clarity — often tied to hormones, inflammation, sleep, or metabolism.
Common signs
Difficulty focusingForgetfulnessMental fatigueWord-finding troubleSlowed thinking
Related care
Mood Imbalance
Persistent low mood, anxiety, or irritability influenced by hormones, gut health, and lifestyle.
Common signs
Low moodAnxietyIrritabilityLow motivationPoor stress tolerance
Related care
Sleep Disturbance
Difficulty falling or staying asleep that undermines recovery, mood, and metabolic health.
Common signs
Trouble falling asleepFrequent wakingUnrefreshing sleepDaytime fatigue
Related care
Irritable Bowel Syndrome (IBS)
A common digestive disorder driven by gut sensitivity, motility, stress, and microbiome imbalance.
Common signs
BloatingAbdominal painConstipationDiarrheaIrregularity
Related care
SIBO
Small intestinal bacterial overgrowth — excess bacteria in the small intestine causing GI symptoms.
Common signs
BloatingGasAbdominal painIrregularityNutrient malabsorption
Related care
Leaky Gut Syndrome
Increased intestinal permeability that allows particles into the bloodstream and drives inflammation.
Common signs
BloatingFood sensitivitiesFatigueJoint painSkin issues
Related care
Food Sensitivities & Intolerance
Reactive responses to certain foods that cause digestive and systemic symptoms.
Common signs
BloatingDigestive discomfortFatigueSkin issuesHeadaches
Related care
Acid Reflux & GERD
Backflow of stomach acid causing heartburn and discomfort, often with underlying root causes.
Common signs
HeartburnRegurgitationChest discomfortDifficulty swallowing
Related care
Chronic Inflammation
Persistent low-grade inflammation that drives fatigue, slow recovery, and long-term disease risk.
Common signs
FatigueJoint achesSlow recoveryBrain fogFrequent illness
Related care
Autoimmune Support
Supportive, root-cause care for autoimmune-related symptoms, in coordination with your care team.
Common signs
FatigueJoint painInflammationBrain fogFlare-ups
Related care
Frequent Illness & Low Immunity
Recurrent infections or slow recovery that may signal immune imbalance or nutrient deficiency.
Common signs
Frequent coldsSlow recoveryFatigueLow resilience
Related care
Low Energy & Fatigue
Persistent tiredness with many possible root causes — hormones, metabolism, sleep, and nutrients.
Common signs
Daily fatigueLow motivationAfternoon crashesPoor stamina
Chronic Fatigue
Profound, ongoing exhaustion not relieved by rest, often with overlapping root causes.
Common signs
Severe fatigueUnrefreshing sleepBrain fogPost-exertional crashes
Slow Recovery & Performance Decline
Reduced recovery, stamina, and performance that respond to targeted optimization.
Common signs
Slow recoveryReduced staminaPlateausPersistent soreness
Related care
Body Composition Goals
Optimizing muscle and fat balance through data-driven, physician-guided strategies.
Common signs
Stubborn body fatLoss of musclePlateausLow strength
Related care
Skin Aging & Aesthetics
Visible signs of aging addressed with advanced aesthetic and regenerative treatments.
Common signs
Fine linesLoss of elasticityDull skinVolume loss
Related care
Low Libido
Reduced sexual desire in men and women, often driven by hormonal and lifestyle factors.
Common signs
Reduced desireDifficulty with arousalLow energyRelationship strain
Related care
Erectile Dysfunction
Difficulty achieving or maintaining an erection, with vascular, hormonal, and lifestyle root causes.
Common signs
Difficulty with erectionsReduced performanceLow confidence
Related care
In-Clinic & Virtual Care
Start Your Optimization Journey
Not sure where to start?
Tell us what you’re experiencing and we’ll match you with the right care — in clinic or virtual.