Conditions · Telehealth

Functional medicine for hormone balance

Cycles that derail your month. Mood swings, sleep that falls apart, energy that crashes without warning. Being told "your labs are fine" or "that's just being a woman" isn't an answer — mapping your actual hormone patterns is.

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Sound familiar?

  • Irregular, heavy, or painful periods
  • PMS or mood changes that disrupt your life
  • Hot flashes, night sweats, or sleep falling apart in your 40s
  • Acne, unwanted hair growth, or hair thinning
  • Low libido, vaginal dryness, or pain
  • Weight changes concentrated around your middle
  • A PCOS/PMOS or endometriosis diagnosis without a real plan

Why it so often gets missed

Hormones are rarely measured thoroughly, and even more rarely at the right time. A single estrogen or testosterone level on a random day says little about a cycling system. Cortisol — the stress hormone that influences all the others — is almost never mapped across the day.

The other gap is context. Hormone symptoms are treated in isolation — a pill for the cycle, an antidepressant for the mood — while thyroid function, insulin resistance, gut health, and stress physiology quietly drive the imbalance underneath. Perimenopause in particular is frequently dismissed rather than managed.

How Heal approaches it

Complete hormone mapping

Estradiol, progesterone, testosterone, DHEA, and a full cortisol rhythm — timed to your cycle where relevant — plus thyroid and metabolic markers, because these systems move together.

Root drivers, not just replacement

Insulin resistance in PCOS/PMOS, stress physiology in cycle disruption, nutrient status in mood — we address what's pushing the system, and discuss hormone therapy where it's appropriate, with an honest review of benefits and risks.

Ninety minutes to tell the whole story

Your hormone history is long — puberty, cycles, pregnancies, birth control, stress eras. It doesn't fit in a ten-minute visit. Here, it's the starting point of the evaluation.

Testing we may use

  • Estradiol, progesterone, testosterone, DHEA-S (cycle-timed where relevant)
  • Cortisol rhythm across the day
  • Full thyroid panel
  • Fasting insulin, glucose, HbA1c
  • Vitamin D, iron, B12, and inflammatory markers

Testing is personalized — your physician recommends only what your history and symptoms call for. Lab fees are billed separately by the lab.

From the journal

Common questions

My hormone labs were "normal." Why do I still feel off?
Single measurements on random days often miss the pattern — hormones are a moving system, and symptoms usually come from rhythm, ratios, and timing rather than one value being flagged. Cycle-timed and rhythm-based testing frequently reveals what a snapshot can't.
Do you treat perimenopause?
Yes. Perimenopause is one of the most under-managed transitions in medicine. We map where you are in the transition, address sleep, mood, cycles, and metabolic changes, and discuss the full range of options — lifestyle, targeted support, and hormone therapy where appropriate.
Can you help with PCOS/PMOS?
Yes. PCOS — recently renamed PMOS, polyendocrine metabolic ovarian syndrome — is usually driven by insulin resistance and inflammation, which often respond well to a root-cause approach. We evaluate the metabolic picture behind the diagnosis and build a protocol around it.

Start with a conversation.

A free 15-minute call to share what's going on and see if Heal is the right fit — no commitment, entirely by telehealth.

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