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As a Naturopathic Doctor, my top priority is treating the root cause of health concerns with personalized, holistic care. When it comes to bioidentical hormone replacement therapy (BHRT), no two patients are alike. Before initiating any hormone therapy, comprehensive hormone testing is essential to ensure safety, efficacy, and truly individualized treatment.
Hormonal imbalances can cause a wide range of symptoms:
Hot flashes and night sweats
Low libido
Mood swings and irritability
Fatigue and brain fog
Weight gain
Irregular menstrual cycles
These symptoms of hormone imbalance are signals from your body that something is out of balance. A thorough hormone evaluation helps uncover the underlying cause.
Conventional hormone testing often relies on basic blood panels that only provide a snapshot of circulating hormone levels. As a naturopathic doctor specializing in BHRT, I look deeper to ensure optimal hormone balance.
These include:
Estradiol (E2)
Estrogen (E1)
Total Estrogen
Progesterone
Testosterone (total and free)
DHEA-S
Sex Hormone Binding Globulin (SHBG)
Thyroid panel (TSH, Free T3, Free T4, Reverse T3, thyroid antibodies)
Fasting insulin and cortisol levels
Cardiometabolic panels
Iron panel, Ferritin
The DUTCH test (Dried Urine Test for Comprehensive Hormones) is highly valuable. It reveals:
Hormone production and clearance
Estrogen metabolism (protective vs. harmful pathways)
Cortisol patterns and adrenal health
Saliva hormone testing can provide insight into free, bioavailable hormone levels throughout the day, particularly for cortisol rhythm and adrenal health.
Starting bioidentical hormone replacement therapy without comprehensive hormone testing can lead to:
Estrogen dominance
Imbalanced testosterone levels
Poor hormone metabolism increasing cancer risk
Unintended side effects like bloating, mood swings, or worsened fatigue
Accurate hormone testing allows us to:
Determine the correct type and dose of bioidentical hormones
Monitor progress and adjust treatment for optimal hormone balance
Support liver detoxification and hormone clearance
This is how we create personalized hormone therapy plans for long-term results.
As a naturopathic doctor, I integrate hormone therapy with:
Anti-inflammatory diets for hormone balance
Herbal adaptogens for adrenal support
Liver detoxification protocols for hormone metabolism
Mind-body therapies to reduce stress impact on hormone production
This holistic approach helps patients thrive beyond symptom management.
Mark, 48, came in with fatigue, low libido, and mood changes. After comprehensive hormone and adrenal testing, we found low testosterone and elevated cortisol. His bioidentical hormone replacement therapy protocol included testosterone cream and adaptogenic herbs to regulate cortisol. Within three months, Mark reported improved energy, mood, and vitality.
Patient names have been changed to protect privacy.
Comprehensive hormone testing is not optional—it’s essential for safe and effective BHRT. As a Naturopathic Doctor, I ensure every patient receives customized, whole-person care that addresses the root cause of hormone imbalance, not just the symptoms.
If you are considering BHRT, schedule a consultation today to start with thorough hormone testing and create a personalized hormone therapy plan tailored to your unique needs.