At the Performance Medicine Institute, our Hormonal and Metabolic Health program offers a comprehensive, science-driven approach to optimizing your physical, mental, and metabolic well-being. We go beyond symptom management to uncover the root causes of hormonal imbalances, metabolic dysfunction, and lifestyle-related disease. Whether you're struggling with fatigue, weight gain, mood changes, poor recovery, or sexual health concerns, our team integrates advanced diagnostics and cutting-edge therapies to help you feel and function at your best.
Our care model is built on deep expertise in human physiology, nutrition, muscle biology, endocrinology, genetics, and pharmacology. We use tools such as functional lab testing, hormone profiling, body composition analysis, and performance metrics to personalize your treatment plan. From hormone optimization and metabolic reconditioning to precision nutrition and peptide-based therapies, we deliver targeted interventions that restore energy, resilience, and long-term health. Whether your goals are improved vitality, disease prevention, or peak performance, we’re here to guide and support your transformation.
Click below for information about our specific hormone and metabolic health programs:
Men's Hormone Optimization
Hormonal health plays a critical role in men’s physical and mental performance. Testosterone, the primary male hormone, naturally declines with age, beginning as early as the mid-20s. Low testosterone can lead to symptoms such as fatigue, reduced muscle mass, increased body fat, decreased libido, erectile dysfunction, and impaired cognitive function. Beyond testosterone, imbalances in thyroid function, growth hormone, or other hormones can also affect a man’s energy, metabolism, and overall well-being.
We offer comprehensive hormone optimization services tailored to each patient’s unique needs. Our expertise in the area is unparalleled – with over 90 peer-reviewed scientific studies, and numerous clinical trials, we are leaders in the field of muscle hypertrophy and endocrine biology. Our diagnostic process includes advanced blood testing to evaluate testosterone and other key metabolic and hormonal markers. Based on these results, we develop personalized treatment plans that may include testosterone replacement therapy (TRT), nutritional supplements, stress management, and fitness recommendations. Unlike cookie-cutter approaches, we consider every aspect of a patient’s lifestyle to create sustainable solutions for improved energy, vitality, and performance. Although many of our treatments are covered by insurance, most insurance does not cover TRT or other hormone therapies, but we offer very affordable treatment options.
Our approach to hormone optimization is rooted in physiology and safety. We monitor biomarkers such as estradiol, hemoglobin/hematocrit, SHBG, LH/FSH, insulin sensitivity, and cardiovascular risk markers throughout therapy to ensure both efficacy and long-term protection. Treatment options may include intramuscular testosterone, compounded topical creams, or sublingual formulations depending on patient preference and response. We also address supporting systems, such as sleep, micronutrient status, and thyroid function, to ensure comprehensive hormonal synergy.
For many patients, restoring optimal hormone levels results in more than just symptom relief — it catalyzes a full-body transformation. Increased lean muscle mass, improved insulin sensitivity, greater drive and motivation, improved sexual function, and better stress resilience are common benefits. Whether your goal is to feel more energized at work, perform better in the gym, improve body composition, or reclaim your vitality, our hormone optimization program delivers measurable results grounded in medical science. If you have questions about your hormone levels, symptoms you're experiencing, or whether testosterone or hormone optimization therapy is right for you, we’re here to help. call or text us at to speak with a member of our clinical team or schedule a consultation. At Performance Medicine Institute, we’re committed to providing expert, personalized care to help you regain control of your health and feel your best — at any age.
Women's Hormone Optimization
Women’s hormonal health is intricately tied to their physical, emotional, and cognitive well-being. Hormonal fluctuations throughout life—including during perimenopause, menopause, and postpartum—can lead to significant challenges, such as hot flashes, mood instability, fatigue, weight gain, sleep disturbances, and decreased libido. Imbalances in estrogen, progesterone, or thyroid hormones can exacerbate these symptoms, reducing quality of life and increasing the risk of chronic diseases.
Our women’s hormone optimization program begins with a thorough assessment of hormonal health using advanced diagnostic tools to measure estrogen, progesterone, thyroid function, and other hormones. We take a holistic and personalized approach to care, creating treatment plans that may include bioidentical hormone replacement therapy, dietary interventions, and stress reduction techniques. For patients experiencing menopause, we offer therapies that alleviate hot flashes, night sweats, and other symptoms while promoting bone health and cardiovascular wellness.
Our goal is to restore balance and vitality, enabling women to feel empowered, energetic, and in control of their health. With targeted interventions and ongoing support, we help our patients thrive at every stage of life, enhancing their physical performance, mental clarity, and emotional resilience.
Obesity and Diabetes
Obesity and type 2 diabetes are among the most widespread and impactful chronic diseases today, affecting millions of Americans and increasing year over year. These conditions share a common root in metabolic dysfunction, typically driven by a combination of insulin resistance, poor dietary quality, disrupted circadian rhythms, stress, hormonal imbalance, and sedentary behavior. Left unaddressed, obesity and diabetes can lead to serious health complications — including cardiovascular disease, kidney damage, nerve injury, fatty liver disease, infertility, and mood disorders — dramatically impacting both quality and length of life.
At the Performance Medicine Institute, we recognize that obesity and diabetes are not simply the result of poor willpower or overeating, but complex physiological conditions that require a precise and personalized approach. We use our scientific expertise in metabolism and insulin biochemistry to inform our approach to treatment. Our team conducts comprehensive metabolic evaluations to assess factors such as insulin sensitivity, leptin resistance, fasting insulin and glucose levels, body composition, hormone balance, nutrient status, and inflammatory markers. This allows us to identify the true drivers of weight gain, impaired glucose metabolism, and treatment resistance in each individual.
We use a multimodal strategy to treat obesity and diabetes, integrating evidence-based medications, such as GLP-1 receptor agonists (including Wegovy, Ozempic, Mounjaro, Zepbound, semaglutide, and tirzepatide) with precision nutrition coaching, structured physical activity planning, stress reduction techniques, and behavioral support. For many patients, this approach not only supports sustainable fat loss but also significantly improves insulin sensitivity, hemoglobin A1c, lipid profiles, and inflammatory markers. As part of our care model, we also screen for and treat concurrent conditions such as sleep apnea, thyroid dysfunction, or testosterone deficiency, which often hinder weight loss and glucose control.
In addition to our adult programs, we offer a dedicated Adolescent Type 2 Diabetes Program designed to help teen athletes navigate the unique challenges of managing diabetes during growth, development, and sports participation. Increasingly, we are seeing young athletes — including football players, wrestlers, softball players, and others — diagnosed with type 2 diabetes despite being physically active. Our team helps these young patients gain control of their blood sugar, improve body composition, and build lifelong habits for metabolic health, all in a supportive, age-appropriate environment.
Ultimately, our goal is not just to reduce the number on the scale or lower a lab value — it’s to restore full metabolic resilience and help patients feel stronger, more energetic, and empowered. Our patients often experience increased energy, better sleep, improved confidence, and reduced medication dependence as they regain control of their health. Whether you're newly diagnosed or have struggled with weight and blood sugar for years, our team is ready to partner with you on a sustainable path toward lasting health.