RX Therapy
Hormone Optimization
Bioidentical hormone therapy for men, women & girls with irregular cycles — restoring balance, vitality, and function through precision medicine.
Understanding the Issue
Your Hormones Are the Master Regulators of Health
Hormones govern virtually every system in the body — metabolism, energy, mood, sleep, sexual function, cognition, muscle mass, and immune response. When they fall out of balance — whether from aging, stress, environmental toxins, or chronic illness — the effects are felt everywhere.
Conventional medicine typically waits until hormone levels are severely deficient before intervening — and often only addresses one hormone in isolation. Functional medicine takes a systems approach: evaluating the entire hormonal cascade, identifying root causes of imbalance, and restoring optimal levels using bioidentical hormones that are molecularly identical to those your body produces naturally.
At Viata Medical, Dr. Green treats to optimal ranges — not just "within normal limits" — because feeling your best requires more than avoiding disease. It requires thriving.
The Functional Medicine Approach
Precision Hormone Therapy — Not One-Size-Fits-All
Every patient's hormonal profile is unique. Dr. Green begins with a comprehensive evaluation of your full hormonal cascade — sex hormones, thyroid, adrenal, and metabolic markers — to understand the complete picture before designing your protocol.
Bioidentical hormones are compounded or pharmaceutical-grade preparations that match your body's own molecular structure — unlike synthetic hormones, which have different receptor binding profiles and risk profiles. Your protocol is adjusted over time based on symptoms, labs, and how you feel.
Symptoms That May Indicate Hormone Imbalance
Men
- ✓Fatigue, low energy, or poor sleep quality
- ✓Weight gain, especially around the abdomen
- ✓Low libido or sexual dysfunction
- ✓Brain fog, poor memory, or difficulty concentrating
- ✓Mood changes — anxiety, depression, or irritability
- ✓Hair thinning or loss
- ✓Loss of muscle mass or strength
Women
- ✓Fatigue, low energy, or poor sleep quality
- ✓Weight gain, especially around the abdomen
- ✓Low libido or sexual dysfunction
- ✓Brain fog, poor memory, or difficulty concentrating
- ✓Mood changes — anxiety, depression, or irritability
- ✓Hot flashes, night sweats, or temperature dysregulation
- ✓Irregular periods or worsening PMS
- ✓Dry skin, brittle nails, or joint pain
Hormone Health at Every Age
Hormone Imbalances in Teens & Young Adults
It Can Start Earlier Than You Think
Hormone Health Is Not Just a Midlife Concern
Hormone imbalances are often associated with menopause or aging, but teens, young adults, and people in their 20s and 30s can experience hormone-related symptoms, too.
Puberty, academic pressure, demanding work schedules, poor sleep, restrictive diets, intense exercise, and other lifestyle factors can affect overall health. Medical conditions involving the thyroid, ovaries, testes, pituitary gland, or metabolism can also contribute to symptoms.
When a young person experiences persistent changes in mood, energy, periods, libido, or physical development, it is worth looking beyond the assumption that it is simply stress, growing up, or a busy lifestyle.
For Girls & Young Women
Periods, Stress, Estrogen & Hormonal Health
Hormonal changes during puberty and early adulthood can affect menstrual cycles, mood, skin, energy, and reproductive health. Some variation is normal, especially during the first years after a period begins, but persistent or significant symptoms deserve attention.
Potential concerns include
- ✓Irregular, missed, or unusually heavy periods
- ✓Severe menstrual cramps or significant PMS symptoms
- ✓Acne, increased facial hair, or other possible signs of androgen excess
- ✓Symptoms associated with polycystic ovary syndrome (PCOS)
- ✓Fatigue, low energy, or difficulty concentrating
- ✓Anxiety, irritability, or mood changes
- ✓Changes in weight or difficulty managing blood sugar
- ✓Sleep disturbances and persistent stress
- ✓Symptoms that may be associated with thyroid disorders or other medical conditions
Stress and inadequate nutrition can affect the brain's communication with the reproductive system and may disrupt menstrual cycles. Excessive exercise, rapid weight changes, and insufficient calorie intake can also contribute to missed periods.
When indicated, evaluation may include thyroid function, reproductive hormones, metabolic markers, or other testing based on the patient's age and symptoms.
Your period can provide important information about your health. Persistent irregularity should not automatically be dismissed as normal, particularly when periods stop for three months or longer or are accompanied by other concerning symptoms.
For Younger Men
Testosterone, Mood, Energy & Performance
Low testosterone is not the only explanation for low energy, reduced motivation, or changes in mood. Young men can experience these concerns for many reasons, and a thoughtful evaluation can help distinguish hormonal issues from other underlying factors.
Symptoms and concerns may include
- ✓Persistent fatigue or low energy
- ✓Reduced libido or changes in sexual function
- ✓Difficulty building or maintaining muscle
- ✓Changes in body composition
- ✓Low mood, irritability, or reduced motivation
- ✓Poor sleep or possible sleep apnea
- ✓Difficulty recovering from intense training
- ✓Fertility concerns
Potential contributors include inadequate sleep, chronic stress, undernutrition, excessive exercise, obesity, insulin resistance, thyroid disorders, certain medications, and disorders affecting the testes or pituitary gland.
Alcohol misuse can disrupt reproductive health, and heavy drinking may affect testosterone production. Research on cannabis and testosterone is mixed, so it should not be assumed that marijuana use automatically causes low testosterone. However, cannabis use may still be relevant when reviewing sleep, mood, motivation, and reproductive health.
Feeling tired, unmotivated, or unlike yourself does not automatically mean you need testosterone. We look at the broader picture, including laboratory results and other potential medical causes, before discussing treatment.
Hormone Health at Every Age
Menopause & Andropause
Feeling tired, moody, anxious, or unlike yourself? Hormonal changes may be part of the picture.
For Women
Menopause & Perimenopause
Menopause and perimenopause can cause hot flashes, night sweats, poor sleep, mood swings, brain fog, weight gain, low motivation, depression, fatigue, urinary incontinence and low libido.
For Men
Andropause & Testosterone Decline
Andropause — age-related testosterone decline in men — may contribute to fatigue, low motivation and mood, decreased muscle mass, increased body fat, reduced sex drive, and changes in mood.
Find Your Hormone Balance
Dr. Green takes a personalized, root-cause approach to hormone health. By reviewing your symptoms, health history, laboratory results, nutrition, sleep, and stress levels, we work together to identify the best treatment options for your needs.
MEDICALLY-Supervised
HRT/TRT Hormone Therapies We Offer:
Testosterone Replacement Therapy (TRT)
Bioidentical testosterone restores optimal levels in men experiencing andropause, low T, or age-related hormonal decline. Available as injections, topical creams, or pellets — dosed precisely to your labs.
- ✓Testosterone cypionate or enanthate injections
- ✓Compounded topical testosterone cream
- ✓Subcutaneous pellet therapy
- ✓Monitored with regular lab panels
- ✓Paired with HCG or Enclomiphene to preserve fertility
Testosterone for Women
Low-dose testosterone is a powerful but often overlooked therapy for women — restoring libido, energy, mental clarity, and muscle tone. Dosed at physiologically appropriate levels for women.
- ✓Low-dose compounded testosterone cream
- ✓Improves libido and sexual satisfaction
- ✓Supports energy, mood, and cognitive function
- ✓Preserves lean muscle mass
- ✓Monitored with SHBG and free testosterone levels
Estrogen & Progesterone (BHRT)
Bioidentical hormone replacement therapy using estradiol and progesterone matched to your body's natural molecular structure. Addresses menopause, perimenopause, and hormonal imbalance with precision.
- ✓Bioidentical estradiol (patch, cream, or pellet)
- ✓Micronized progesterone (oral or topical)
- ✓Relieves hot flashes, night sweats, and mood swings
- ✓Protects bone density and cardiovascular health
- ✓Reduces vaginal dryness and painful intercourse
Thyroid Optimization
Conventional medicine often misses subclinical thyroid dysfunction. Dr. Green evaluates the full thyroid panel — TSH, Free T3, Free T4, Reverse T3, and thyroid antibodies — and treats to optimal ranges, not just "normal."
- ✓Full thyroid panel interpretation
- ✓T4 monotherapy (levothyroxine) or T4/T3 combination
- ✓Compounded desiccated thyroid (NDT)
- ✓Addresses Hashimoto's autoimmune thyroiditis
- ✓Optimizes energy, metabolism, and cognitive function
Adrenal & Cortisol Support
Chronic stress, poor sleep, and nutrient depletion dysregulate the HPA axis — leading to adrenal fatigue, cortisol imbalance, and downstream hormonal disruption. Dr. Green addresses the root cause.
- ✓DUTCH complete hormone testing
- ✓Cortisol rhythm assessment (4-point saliva or urine)
- ✓Adaptogenic and nutraceutical protocols
- ✓Low-dose DHEA supplementation when indicated
- ✓Lifestyle and stress-response optimization
DHEA & Pregnenolone
These foundational precursor hormones decline significantly with age and are critical for producing downstream sex hormones, supporting brain function, and maintaining vitality. Replacement is individualized to lab values.
- ✓DHEA-S and pregnenolone lab assessment
- ✓Supports testosterone and estrogen production
- ✓Improves energy, mood, and cognitive clarity
- ✓Anti-aging and immune-modulating effects
- ✓Dosed to physiologic ranges — not supraphysiologic
Advanced Diagnostics
Recommended Lab Panels
Natural Support
Prefer a Natural Approach to Hormone Health?
If you prefer to avoid hormone therapy or prescription medications when possible, that preference matters. We can work together to explore nutrition, targeted supplements, lifestyle modifications, and other appropriate nonhormonal strategies to support your overall health.
Natural approaches may be sufficient for some concerns, while other conditions require medical treatment. If hormone therapy or prescription treatment becomes appropriate, we will discuss your options so you can make an informed decision.
Our goal is to help you feel better with a treatment plan that respects your preferences while prioritizing your safety and long-term health.
Your Care Plan
Hormone Care Plans
Men's Program
Testosterone Replacement Therapy
Initial Consultation
Comprehensive 60–90 min visit reviewing health history, labs, and symptoms. Targeted hormone panels ordered.
$150
Lab Review & Protocol
Full lab interpretation and personalized TRT protocol with bioidentical prescriptions as indicated.
$150
Follow-Up Lab Review
Every 6 months — ongoing lab review and protocol adjustments to keep your levels optimized.
$100
Monthly Monitoring
Ongoing care team access, protocol management, direct provider messaging, and 10% off supplements.
$50/mo
Women's Program
Hormone Replacement Therapy
Initial Consultation
Comprehensive 60–90 min visit reviewing health history, labs, and symptoms. Targeted hormone panels ordered.
$250
Lab Review & Protocol
Full lab interpretation and personalized HRT protocol with bioidentical prescriptions as indicated.
$150
Follow-Up Lab Review
Every 6 months — ongoing lab review and protocol adjustments to keep your levels optimized.
$100
Monthly Monitoring
Ongoing care team access, protocol management, direct provider messaging, and 10% off supplements.
$50/mo
Take the First Step
Feel Like Yourself Again
Hormonal imbalance is not something you have to accept as "just getting older." Schedule a comprehensive hormone consultation with Dr. Christine Green today.