Hormonal Imbalances
Low Testosterone
Low testosterone affects both men and women, causing fatigue, low libido, muscle loss, weight gain, and mood changes. Functional medicine identifies the root causes of testosterone decline, including nutrient deficiencies, chronic stress, poor sleep, and environmental toxins, and works to restore healthy levels naturally or with bioidentical hormone therapy.
Common Symptoms
Recognizing the signs and symptoms of Low Testosterone
Low libido and sexual dysfunction
Fatigue and low energy
Loss of muscle mass and strength
Increased body fat, especially abdominal
Depression and irritability
Brain fog and poor concentration
Reduced motivation and drive
Sleep disturbances
Decreased bone density
Hair loss (in men)
Root Causes
Understanding what drives Low Testosterone
Aging (natural decline after age 30)
Chronic stress and elevated cortisol
Sleep deprivation
Obesity and insulin resistance
Nutrient deficiencies (zinc, vitamin D, magnesium)
Environmental toxins (endocrine disruptors)
Excessive alcohol consumption
Lack of exercise
Chronic illness and inflammation
Medications (statins, opioids)
Comprehensive Hormone Assessment
We evaluate testosterone levels, identify contributing factors, and assess overall hormonal balance.
Total and free testosterone (morning sample)
SHBG (sex hormone binding globulin)
Estradiol (estrogen)
LH and FSH
DHEA-S
Cortisol (salivary 4-point curve)
Thyroid panel
Fasting insulin and glucose
Vitamin D, zinc, magnesium levels
Testosterone Optimization Protocol
Our approach supports natural testosterone production or provides bioidentical replacement when needed.
Resistance training (3-4x/week)
High-intensity interval training
Optimize sleep (7-9 hours)
Stress management and cortisol reduction
Zinc, magnesium, and vitamin D supplementation
Healthy fats in diet (omega-3s, saturated fats)
Weight loss if overweight
Limit alcohol consumption
Reduce xenoestrogen exposure
Bioidentical testosterone replacement (if needed)
Monitor and adjust dosing
Expected Outcomes
Increased testosterone levels
Improved libido and sexual function
Increased muscle mass and strength
Reduced body fat
Enhanced energy and vitality
Better mood and mental clarity
Improved sleep quality
Increased bone density