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Hormonal Imbalances

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Hormonal Balancing (Male & Female)

Patients Medical is an integrative and functional medicine clinic in New York City, helping men and women restore hormonal balance through personalized testing, root-cause diagnosis, and natural + medical treatment plans. This page outlines what hormonal imbalance looks like, how our physicians diagnose the underlying triggers, advanced treatment options, timelines, and results—so you can make an informed decision with expert clinical support.

Fast Facts

Services

Hormone testing, thyroid care, adrenal support, menopause & perimenopause treatment, low testosterone therapy, bioidentical hormone replacement, metabolic evaluation

Location: New York City, NY (Manhattan)

in-clinic + telemedicine

Typical Timeline

4–12 weeks for symptom improvement

Approach

 Integrative, functional, holistic + conventional therapies

Testing

Comprehensive bloodwork, saliva, DUTCH, thyroid panel, metabolic markers

COMMON CONDITIONS WE TREAT

  • Low Testosterone (Men)
  • Menopause & Perimenopause (Women)
  • PMS, PCOS, Irregular Cycles
  • Thyroid Disorders (Hypothyroid/Hashimoto’s)
  • Adrenal Fatigue / Burnout
  • Metabolic & Weight-Related Hormonal Issues

TOP QUESTIONS ANSWERED

  • What causes hormonal imbalance in men and women?
  • How do functional medicine doctors test for hormone issues?
  • What is the difference between bioidentical and synthetic hormones?
  • Are natural therapies available instead of pharmaceutical options?
  • How long does treatment take to work?

POPULAR TREATMENT OPTIONS

  • Bioidentical Hormone Replacement Therapy (BHRT)
  • Testosterone Optimization for Men
  • Thyroid and Adrenal Reset Programs
  • Detoxification + Anti-Inflammatory Nutrition Plans
  • Supplements + Lifestyle Medicine
  • Medical Weight Management (when hormones affect metabolism)

Recommended Next Steps

Book a Hormonal Imbalance Evaluation

View Men’s Hormonal Health Programs

 View Women’s Hormonal Health Programs

Schedule a Functional Medicine Consultation

Who We Are

Patients Medical is a physician-led integrative and functional medicine clinic in New York City, offering whole-person, root-cause-focused care since 2004. Our medical team specializes in understanding how hormones, inflammation, metabolism, stress, thyroid health, gut function, and environmental triggers work together to influence long-term wellness.

Our mission is clear:
 identify what’s disrupting your hormonal system, support the body’s natural regulatory mechanisms, and restore balance through evidence-based integrative therapies.

Hormonal balancing is one of our core functional medicine services—customized for both men and women and performed under direct physician supervision.

Quick Facts About Patients Medical

Key Fact Details
Location Fifth Avenue @ 96th Street, New York City (NYC)
Founded 2004
Care Model Physician-led integrative & functional medicine
Visit Length New appointments: 60–90 minutes
Specialties Hormone disorders, thyroid imbalance, adrenal dysfunction, metabolic issues, menopause, low testosterone
Testing Available Full hormone panels, thyroid & adrenal testing, DUTCH test, metabolic markers, nutrient levels
Telemedicine Virtual consults available where approved
Ideal Patients Anyone experiencing fatigue, mood swings, weight changes, cycle irregularity, low libido, menopause/andropause symptoms, thyroid concerns

Our Whole-Person Integrative Care Model

Patients Medical blends traditional medical diagnostics with functional medicine, targeted supplementation, hormone restoration strategies, nutrition, and lifestyle medicine.

Hormonal therapy is never isolated—we aim to correct the underlying mechanisms affecting estrogen, progesterone, testosterone, thyroid hormones, and adrenal function.

How We Diagnose Hormonal Imbalances

Our doctors perform a comprehensive evaluation that may include:

  • Detailed health + menstrual/sexual health history
  • Thyroid panel (TSH, T3, T4, antibodies)
  • Estrogen, progesterone, testosterone, SHBG levels
  • DHEA, cortisol, and adrenal stress testing
  • DUTCH or saliva hormone test (if appropriate)
  • Metabolic markers and nutrient deficiencies
  • Insulin and blood sugar markers
  • Gut health and inflammation assessment
  • Liver detoxification capacity (critical for hormone metabolism)
  • This helps identify the root cause—not just the symptom.
How We Diagnose Hormonal Imbalances
Your Personalized Treatment Plan May Include

Your Personalized Treatment Plan May Include

  • Bioidentical hormone replacement therapy (BHRT)
  • Testosterone optimization for men
  • Thyroid support (natural or medication-based)
  • Adrenal restoration protocols
  • Targeted supplements for hormone pathways
  • Nutrition for hormone metabolism
  • Liver and gut support for better hormone clearance
  • IV nutrient therapy
  • Stress, sleep, and lifestyle optimization
  • Medication when clinically necessary
  • Follow-up labs to monitor progress and safety
  • Every treatment is tailored—no two hormone plans look the same.

Hormonal Imbalance Treatment in New York City

Who Needs Hormonal Imbalance Care?

Hormonal imbalances occur when glands like thyroid, adrenals, ovaries, or testes produce too much or too little hormone, disrupting metabolism, mood, sleep, weight, fertility, and energy levels. At Patients Medical, we detect root causes—stress, gut, nutrients, toxins—via advanced testing, and restore balance through targeted nutrition, stress resilience, gland support, and individualized bioidentical hormone therapy.

You may need treatment if you experience:

  • Chronic fatigue, weight changes, insomnia, brain fog
  • Menstrual symptoms, irregular cycles, PCOS, low libido
  • Menopausal or andropausal symptoms, hot flashes
  • Thyroid issues (hypo/hyper), adrenal burnout
  • Mood swings, anxiety, depression

Common Symptoms of Diabetes

Many people have diabetes for years without realizing it. Here are some red flags:

  • Constant thirst and urination
  • Unexplained weight loss or gain
  • Fatigue and irritability
  • Blurred vision
  • Frequent infections or slow healing
  • Tingling in hands and feet

Diagnostic Testing We Use

Hemoglobin A1C, fasting insulin, and glucose

Continuous Glucose Monitoring (CGM)

C-peptide levels to measure insulin production

Inflammatory markers (CRP, homocysteine)

Gut health panels (stool microbiome, leaky gut testing)

Heavy metal testing

Hormone panels (cortisol, estrogen, testosterone, thyroid)

Genetic markers and MTHFR status

Integrative Treatment Pathways

Comprehensive Functional Testing & Root Cause Evaluation

We begin with lab panels—sex hormones, thyroid, cortisol, insulin, metabolic and gut markers—as well as lifestyle and environmental assessments. Identifying root triggers such as inflammation, nutrient gaps, stress, or microbiome imbalances allows us to treat hormones with precision rather than guesswork—leading to more sustainable, personalized restoration.

Bioidentical Hormone Replacement Therapy (BHRT)

Bioidentical Hormone Replacement Therapy (BHRT)

 When appropriate, we prescribe customized bioidentical estrogen, progesterone, testosterone, thyroid, and adrenal support. These closely mimic your body’s hormones, alleviating fatigue, mood imbalance, low libido, weight changes, and sleep disruptions. Ongoing symptom tracking and lab monitoring ensure safe, effective hormone restoration tailored to your physiology.

Lifestyle, Nutrition & Gut-Brain Support

Balanced hormones require stable lifestyle habits. We design anti-inflammatory, blood sugar–balancing meal plans, prescribe detoxifying nutrition, and support gut health. Diet, sleep hygiene, movement, and toxin reduction are intertwined with nutrient cofactors like B-vitamins, magnesium, and omega-3s—empowering your endocrine system and preventing recurrence

Mind–Body & Supplement Support

Mind-Body Balance & Adrenal Resilience

 Chronic stress derails hormones. Our model includes CBT, acupuncture, meditation, and pelvic/somatic therapies to reduce cortisol, regulate nervous system responses, and fortify endocrine regulation. Supplement regimens using adaptogens like ashwagandha and rhodiola support adrenal recovery, improve mood, reduce anxiety, and enhance hormone receptor function.

How Our Process Works – Step by Step

1. Schedule Your First Visit

Book by phone or online (telemedicine available).

2. Complete Intake Forms

Share your hormone history, cycle patterns, sexual health concerns, and symptom timeline.

3. In-Depth Physician Consultation (60–90 minutes)

Your physician carefully reviews your health patterns and identifies likely hormonal imbalances.

4. Advanced Laboratory Testing

Comprehensive hormone panels, adrenal tests, thyroid labs, nutrient testing, metabolic markers.

5. Personalized Treatment Plan

Your doctor designs a structured program tailored to your hormones and goals.

6. Therapies Begin

Hormone therapy, supplements, lifestyle support, IV nutrients, or thyroid/adrenal treatment start.

7. Ongoing Adjustments

Your plan evolves based on your lab results, progress, and symptom changes.

8. Maintenance & Prevention

We help you stabilize and maintain hormonal balance long-term.

Your Personalized Treatment Plan May Include

  • UltraViolet Blood Irradiation sessions under physician supervision
  • IV nutrient therapy to support energy, circulation, and immunity
  • Anti-inflammatory and antioxidant-rich dietary guidance
  • Mitochondrial and cellular function support
  • Lifestyle recommendations: stress management, sleep optimization, and hydration strategies
  • Ongoing lab monitoring to ensure safety and track progress

Case Study: Sarah’s Hormonal Reset

Sarah, 38, battled fatigue, PMS, weight gain, insomnia, and fog. Labs revealed estrogen dominance, low progesterone, suboptimal thyroid, and gut imbalance. Over 4 months, she received low-dose estrogen/progesterone BHRT, thyroid and gut support, adrenal nutrition, and stress resilience tools. She reported restored cycles, improved sleep, mood stabilization, and 15 lbs weight loss—confirmed with labs and ongoing health improvements.

Consult Now
Why Choose Patients Medical in NYC

Why Choose Patients Medical in NYC

  • Physician-led integrative hormone care
  • Extensive experience with complex hormonal disorders
  • Comprehensive testing and diagnostics
  • Personalized treatment plans
  • Safe, monitored hormone therapy
  • Functional & holistic approach to long-term wellness

Testimonials

“After struggling with mood swings and fatigue for years, getting my hormones balanced changed everything.”
S.N., 32, Brooklyn
“The testing and treatment were so thorough. My sleep, energy, and focus have all improved dramatically.”
M.K., 50, Manhattan
“Balancing my hormones helped with weight, skin, and anxiety. I feel more in control of my body and mind.”
T.L., 41, Queens

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

Explore Our Blog For More Insights

Frequently Asked Questions

 We use blood, saliva, and sometimes urine to evaluate sex hormones, cortisol, thyroid, insulin, and gut markers for a comprehensive endocrine profile

 Yes—when customized and monitored clinically, bioidentical hormones are safe and effective. We continually adjust based on labs and symptoms.

Clients often notice improved mood, energy, or sleep within 4–6 weeks. Full endocrine restoration usually requires 3–6 months.

Hormonal balancing aims to restore proper levels of hormones like estrogen, progesterone, testosterone, thyroid hormones, and cortisol through natural and medical approaches.

Symptoms such as fatigue, low mood, weight gain, irregular cycles, low libido, or sleep problems may indicate imbalance—even when basic labs look “normal.”

Yes. When appropriate, we offer customized BHRT for both men and women.

When monitored by trained physicians with regular labs, hormone therapy is considered safe and effective.

Many patients improve with nutrition, stress support, supplements, and lifestyle adjustments. Your physician will review all options.

We use blood, saliva, or DUTCH testing to evaluate sex hormones, thyroid, adrenal function, and metabolic markers.

Many patients notice improvement within 4–12 weeks, depending on the severity of imbalance.

Absolutely. We treat male hormonal issues—low testosterone, fatigue, weight gain, and libido—with targeted BHRT and root-cause therapies.

Lab tests and prescriptions may be reimbursable; consults, compound BHRT, and supplements are typically out-of-network. We provide superbills.

 In many cases no—but if imaging or surgical care is needed (e.g., ultrasound, endocrinologist consult), we coordinate seamlessly with your care team.

Yes. We diagnose and treat hypothyroidism, Hashimoto’s, and adrenal-related thyroid dysfunction.

Hormonal balance often improves metabolism, making weight loss easier when hormones are the root cause.

Patients Medical is an out-of-network provider; hormone treatments are typically self-pay. Some labs may be reimbursable.

Yes. We specialize in hormone care for adults of all ages.

 Many patients benefit from targeted nutrients to support hormone production, detox pathways, and metabolism.

Yes. Balanced hormones often improve sleep, cognitive function, energy, and emotional wellbeing.

Simply schedule a consultation. Your physician will evaluate your symptoms and create a customized program.

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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