Bioidentical Hormone Testing

Introduction: Why Hormonal Imbalances Need a Functional Testing Approach

Hormonal imbalances don’t always scream—they whisper. Subtle shifts in estrogen, testosterone, thyroid, or cortisol can cause mood swings, fatigue, weight gain, low libido, and more. At Patients Medical in NYC, we go beyond routine labs. Our comprehensive Bioidentical Hormone Testing combines blood, saliva, and urinary analysis to uncover the true root causes of your symptoms—so you can be treated precisely and naturally.

We don’t guess—we test, map, and tailor a solution for you.

What Is Bioidentical Hormone Testing?

Bioidentical hormone testing is a multi-dimensional diagnostic process that evaluates your current hormone levels and how your body is processing, balancing, and eliminating them.

We assess:

  • Sex hormones like estrogen, progesterone, and testosterone
  • Adrenal hormones like cortisol and DHEA
  • Thyroid function (T3, T4, TSH, antibodies)
  • Hormone detox pathways (liver and gut function)
  • Stress-response and metabolic markers

Results guide a custom BHRT protocol that uses plant-based hormones tailored to your exact needs—not a one-size-fits-all dose.

Common Signs You May Need Hormone Testing

Many patients suffer from hormone imbalances for years before testing reveals what’s really going on. You may benefit from hormone testing if you experience:

Root Causes: Why Do Hormone Levels Become Imbalanced?

Functional medicine identifies why your hormones are off balance rather than simply replacing them. Common underlying causes include:

  • Chronic stress: Elevates cortisol and depletes sex hormones
  • Nutritional deficiencies: Zinc, magnesium, B-vitamins, iodine
  • Gut dysbiosis: Affects hormone metabolism and detox
  • Environmental toxins: BPA, phthalates, heavy metals
  • Thyroid dysfunction: Affects every other hormone system
  • Aging transitions: Menopause, andropause, perimenopause
  • Poor liver detox: Limits estrogen clearance and builds toxic metabolites

     

Advanced Hormone Testing We Use

At Patients Medical, we use precision tools and state-of-the-art labs to uncover what’s beneath the surface:

Saliva Hormone Testing: For daily cortisol rhythm, estrogen, progesterone, testosterone

Blood Hormone Panels: TSH, free T3/T4, estradiol, DHEA, insulin, vitamin D, FSH/LH

DUTCH (Urine) Testing: Complete hormonal picture including metabolites and methylation

Thyroid Panel: Full thyroid spectrum including antibodies

Cortisol Curve Testing: Stress profiling throughout the day

Heavy Metal and Toxin Panels

Liver Detox Pathways: Phase I and II methylation support

MTHFR and Genetic Variants: That affect hormone clearance

What Happens After Testing?

Once we receive your hormone panel results, we create a customized treatment plan, which may include:

  • Bioidentical Hormone Therapy (creams, pellets, capsules, troches)
  • Nutritional guidance to support detox and hormone synthesis
  • Herbal support such as ashwagandha, vitex, DIM, or maca
  • IV nutrient therapy for adrenal/thyroid support
  • Gut-healing protocols if estrogen dominance or poor absorption is found
  • Lifestyle shifts for better sleep, exercise, and stress reduction

All therapies are guided by test data, not symptoms alone.

Real Case Study: Sarah’s Hormonal Reboot

Sarah, 44, came to us exhausted, anxious, and frustrated by persistent weight gain. Her OB/GYN told her everything was “normal.”

We ran full hormone testing and uncovered:

  • Flat cortisol curve
  • Low progesterone and DHEA
  • Estrogen dominance
  • Hashimoto’s antibodies

Our plan:

  • Transdermal BHRT (progesterone cream + DHEA support)
  • Adaptogenic herbs for adrenal reset
  • Gut and liver detox support
  • Dietary changes to reduce estrogen load

Within 90 days, Sarah reported better sleep, more energy, calmer moods—and she dropped 12 pounds without extreme dieting.

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

 We test deeper, broader, and with better timing. Functional hormone testing looks at patterns, detox pathways, and imbalances that routine labs often miss.

We offer saliva, blood, and urine (DUTCH) testing to assess adrenal, sex, and thyroid hormones comprehensively.

Typically within 1–3 weeks, depending on the type of test. We schedule your follow-up as soon as results arrive.

No. Testing is also preventative and useful for anyone entering menopause, andropause, or looking to optimize aging and fertility.

 Testing is the first step in determining whether you need hormone therapy. It ensures any prescription is precise and safe.

 Absolutely. Testosterone, DHEA, and cortisol testing are crucial for men dealing with fatigue, low libido, or mood issues.

 Yes—we include a full thyroid panel with antibodies, not just TSH.

We are an out-of-network provider but offer superbills for partial reimbursement. Some bloodwork may be covered.

Not usually—but we’ll advise based on your current therapies before collecting any samples.

 Yes, if those symptoms are hormonally driven, we’ll identify the cause and guide your treatment.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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