If something feels off,
there's usually a reason.
Fatigue. Brain fog. Low libido. Weight that won't budge. These aren't character flaws and they aren't "just aging." Here's what we actually treat — and how we figure out what's really going on.
We diagnose before we prescribe.
Most patients who walk through our doors have already been told their symptoms are stress, or age, or "in your head." Every condition on this page has identifiable biological causes that show up in labs, hormone panels, and body composition analysis. Our job is to find those causes — not hand you a prescription and hope it works.
When hormones are out of balance.
The most commonly misdiagnosed category of symptoms in medicine. Hormonal dysfunction is often dismissed as stress, mood, or age — but it's measurable, and it's treatable.
Fatigue & Low Energy
Persistent tiredness that sleep doesn't fix. Usually rooted in thyroid, hormones, inflammation, or iron — not laziness or stress.
- Waking tired even after 8 hours
- Afternoon energy crashes
- Needing caffeine to function
Low Libido
Declining sex drive in men and women alike — usually a hormone story. Testosterone, estrogen, thyroid, DHEA, or cortisol imbalances all show up here.
- Loss of desire or arousal
- Erectile or arousal difficulties
- Relationship strain from it
Brain Fog
Mental sluggishness, word-finding issues, loss of sharpness. Often tied to hormone shifts, thyroid, blood sugar, or nutrient deficiencies.
- Losing your train of thought
- Forgetting words mid-sentence
- Difficulty focusing at work
Mood Changes & Irritability
Unexplained anxiety, irritability, or emotional reactivity that doesn't match your life. Hormone fluctuations are a leading, underdiagnosed cause.
- Short fuse with family
- Anxiety that feels new
- Feeling "not like yourself"
Hot Flashes & Night Sweats
The most recognized perimenopausal symptom — and one of the most treatable. Waking drenched isn't something to just live with for a decade.
- Sudden waves of heat
- Waking soaked at 3am
- Flushing in meetings
Sleep Issues & Insomnia
3am wakeups. Trouble falling asleep. Waking exhausted. Usually hormonal — progesterone, cortisol, and melatonin all play roles here.
- Wired-but-tired at bedtime
- 3am wake-ups you can't fix
- Poor quality even with 8 hours
Perimenopause Symptoms
The hormonal chaos that can start in your late 30s or 40s — 10+ years before "official" menopause. Weight gain, mood shifts, cycle changes, joint pain.
- Cycles shorter, longer, or skipped
- New weight around the middle
- Emotional volatility that's new
When weight and metabolism won't cooperate.
Weight that won't come off, or belly fat that won't budge, isn't a discipline problem. It's a metabolic one — and metabolism is measurable, addressable, and fixable.
Weight Loss Plateaus
The scale stalls despite your best efforts. Usually metabolic adaptation, hormone shifts, or undiagnosed thyroid issues — not "not trying hard enough."
- Same habits, no more progress
- Weight creeping back despite effort
- Exhausting yourself with diets
Stubborn Belly Fat
Visceral fat around the midsection that resists diet and exercise. Often driven by cortisol, insulin resistance, or the hormonal shifts of perimenopause.
- Weight shift to abdomen after 40
- Cortisol "belly" from chronic stress
- Abs work, belly doesn't budge
Insulin Resistance Signs
Sugar cravings, afternoon crashes, weight around the belly, and elevated fasting glucose. Often the precursor to type 2 diabetes — and highly reversible when caught early.
- Constant sugar/carb cravings
- Post-meal energy crash
- Skin tags or dark neck patches
When how you look doesn't match how you feel.
Changes to hair, skin, and face that seem to appear suddenly — usually with hormonal or metabolic roots. Treating the cause makes the aesthetic work far more effective.
Hair Loss & Thinning
Thinning at the temples or part line, more hair in the shower drain. Usually hormonal (DHT, thyroid) or nutritional (iron, ferritin) — both treatable.
- Visible scalp through part
- Shedding in the shower
- Brittleness or slow growth
Skin Changes & Hormonal Acne
Jawline breakouts as an adult, dull skin, new melasma, or texture changes. Nearly always hormonal — topical products alone rarely solve it.
- Cyclical jawline breakouts
- Melasma or dark patches
- Skin quality declining fast
Facial Volume Loss
Hollowed cheeks, gaunt temples, tired-looking eyes — often after rapid weight loss on GLP-1s or with age-related fat pad atrophy. Restorable.
- "Ozempic face" after weight loss
- Gaunt appearance after 40
- Looking tired all the time
How we figure out what's actually happening.
We don't guess. We don't "just try this and see." Every treatment plan starts with data — because the same symptom can come from five different causes, and treating the wrong cause wastes your time and money.
Comprehensive Labs
Full thyroid panel, hormones, insulin, inflammatory markers, nutrients. Not just the basic metabolic panel most providers order.
InBody Composition
Precise body composition analysis — lean mass vs fat mass vs water. Shows what weight loss is actually removing, not just the scale number.
Deep Clinical Intake
Long-form history. Symptom timeline. Lifestyle and sleep patterns. What other providers missed. The full picture before we recommend anything.
Follow-Up Protocol
We re-check labs. We adjust. We stay in contact. No "here's your prescription, see you in a year." That's not how good medicine works.
When it's time to come in.
If any of these resonate, they're worth investigating. Most aren't emergencies — but all of them are addressable.
- You've been told "your labs are normal" but you still feel terrible.
- Your weight won't budge despite doing everything "right."
- You're tired in a way that sleep doesn't fix.
- Your mood, libido, or energy has changed and you don't recognize yourself.
- Your periods have changed dramatically in the last 2-3 years (if you have them).
- You've gained 10+ pounds that seemed to appear out of nowhere.
- Your hair is thinning or your skin is changing in ways that feel wrong.
- You've lost significant weight on a GLP-1 and now you look "deflated."
- You've been bounced between providers who dismiss your concerns.
- You want comprehensive care — not a 10-minute visit and a prescription.
What to expect.
Do I need a referral to see you?
No. We're a direct-pay practice, which means you can book a consultation directly without a referral from another provider. Many of our patients come to us after being dismissed or undertreated by primary care — no referral barrier needed.
Can you help if I don't have a clear diagnosis yet?
Often yes. Many of our most satisfied patients came in with symptoms their primary care couldn't pin down. Our comprehensive lab workup and deep clinical intake frequently uncover causes that standard 15-minute appointments miss.
Do you treat men, women, or both?
Both. While hormone therapy for women (menopause, perimenopause, BHRT) is a significant part of our practice, we also treat men for testosterone replacement therapy, weight loss, and general wellness. Our providers are trained across the full adult-patient spectrum.
Is this covered by insurance?
We're a direct-pay practice, which means most services are not billed through insurance. This allows us to spend more time with patients and order labs most insurance plans wouldn't cover. We do accept HSA/FSA cards for qualifying treatments, and financing is available through CareCredit and Cherry for larger treatment plans.
How long does a first appointment take?
First appointments are typically 60-75 minutes. We spend the time because we have to — understanding your full history, symptoms, and goals isn't something you can do in 15 minutes. Follow-up visits are shorter (20-30 minutes) once we have a baseline.
Can I see you via telehealth or only in person?
Both. We see patients in person at our Centennial (Denver metro) and Alamosa clinics, and telehealth is available for patients in Colorado, Arizona, California, and Washington. Labs can be drawn at local Quest or LabCorp locations.
Book the consultation. Let's figure it out.
Whether you know exactly what's wrong or just know something's off — we can help. Consultations available in Centennial, Alamosa, or via telehealth in CO, AZ, CA, WA.
Centennial / Denver
7354 S Alton Way, Suite 102
Centennial, CO 80112
Mon–Fri · 9 AM – 5 PM
Alamosa · San Luis Valley
315 Edison Ave, Suite B
Alamosa, CO 81101
Mon–Fri · 9 AM – 5 PM
Telehealth
Colorado · Arizona · California · Washington
Full evaluation via video visit
Labs at nearby Quest or LabCorp