Hormonal Health

Hormonal imbalance wreaks havoc on your body. With proven diagnostics and personalized treatments, we help you re-regulate your hormones to reclaim your health.

Hormones are the chemical messengers that modulate your body’s most vital processes, including:

Growth
Metabolism
Reproduction
Stress response
Hormonal levels naturally fluctuate at different stages in life like puberty or, for women, pregnancy and menopause. But underlying health conditions and lifestyle factors can disrupt hormone levels beyond the point of healthy fluctuation, leading to too much or too little production and a wide range of symptoms that impact your daily life.

Signs of Hormonal Imbalance

Common Hormonal Concerns

Men

Hormone therapy for men is typically centered on testerone levels.

Testosterone is the dominant hormone in men. Testosterone levels peak between in the late teen years. Once men reach the age of 35 their testosterone levels begin to decline at a rate of 1-3% each year. But age is not the only thing that may cause testosterone levels to drop. Weight and lifestyle changes, genetics, and autoimmune disorders can also plummet testosterone levels.

Low testosterone levels activate symptoms that may negate quality of life.

Women

Menopause and Perimenopause

You’ll wear a heart rate monitor and a special mask to measure your heart rate, oxygen intake, and CO2 output over the course of a 10-20 minute incremental run on the treadmill.

PCOS

Women who have polycystic ovary syndrome (PCOS) overproduce testosterone and androstenedione, which can result in symptoms like irregular periods, developing cysts on ovaries, infertility, and growth of facial hair.

All

Adrenal Dysfunction

Adrenal dysfunction occurs when the adrenal glands do not produce enough of the stress hormone cortisol. Adrenal dysfunction may be caused by underlying autoimmune conditions or chronic stress.

Comprehensive Diagnostics
Personalized Therapy

Hormonal Health Overview

Hudson Life VO2 Max Testing

Step 1: Hormonal Screening

We first prescribe a DUTCH (Dried Urine Test for Comprehensive Hormones) panel to evaluate your body’s hormones.

The DUTCH test analyzes four dried urine samples to give you a comprehensive overview of your hormonal levels, including:

  • Testosterone
  • Estrogen
  • Progesterone
  • Melatonin
  • Cortisol Metabolites
  • Free Cortisol Patterns

How does DUTCH compare to other tests?

Saliva tests
Saliva tests cannot account for cortisol metabolite levels, which are necessary for determining cortisol status.

Serum tests
Serums tests cannot effectively measure Adrenal hormones

24-hour urine tests
Collection is difficult with 24-hour urine tests and dysfunctions in diurnal patterns of cortisol are not easily determined.

DUTCH offers the most extensive analysis of metabolites and hormones.

Step 2: One-on-One Evaluation

Following your DUTCH test, our medical provider will walk you through your results, pinpointing areas where your levels are lower or higher than average and identifying correlations between your symptoms and hormonal levels.

Our provider will also work with you to develop a personalized treatment plan to re-balance your hormones and eliminate uncomfortable symptoms.

Step 3: Personalized Treatments

Treatment recommendations will depend on your DUTCH panel results, and may include:

Recommendations

Hormonal Replacement Therapy

Injections, gels, medications, or natural healing plans


Peptide Therapy

Peptides may be prescribed to support the health of hormone-producing organs

Step 4: Ongoing Support

Through hormone-monitoring bloodwork and regular consultations, our team is committed to helping you maintain hormonal balance.




Your Hormonal Health Team

Patrick Jean-Pierre, MD
Dr. Patrick Jean-Pierre, MD is Board-Certified in both Internal Medicine and Sports Medicine. He is also a Diplomat in Integrative / Regenerative Medicine by the American Academy of Anti-Aging Medicine. He completed his fellowship in Primary Care Sports Medicine and focuses on providing patients with integrated treatment and prevention plans tailored to each individual.

Dr. Jean-Pierre is fellowship-trained in the evaluation, diagnosis, and treatment of musculoskeletal injuries. He treats patients of all activity levels; he is a former assistant team physician for high school and Division I college athletes. He worked closely in his fellowship under the physicians responsible for the medical care of the NFL’s Detroit Lions and MLB’s

Common FAQs

Testosterone is the primary sex hormone in people assigned male at birth, although females also have testosterone. In males, it originates from the testes and is regulated by the hypothalamus and pituitary gland, located within the brain. In females, testosterone is produced in various locations, including the ovaries and adrenal gland. This hormone plays a pivotal role in shaping sexual organs during fetal development and influencing secondary sexual traits as individuals enter puberty. Furthermore, it contributes to the development of muscle mass and strength, drives sexual desire (libido), influences fertility and sperm production, and even plays a role in how fat is distributed throughout the body.

Estrogen is the primary sex hormone in people assigned female at birth. Alongside progesterone, it plays a key role in reproductive health, including menstruation, pregnancy, and menopause. In females, estrogen primarily originates in the ovaries, although the adrenal glands and fat cells also make small amounts. In males, estrogen is produced in the testes, adrenals, and pituitary glands
A cortisol metabolite is a substance that results from the breakdown and transformation of cortisol, which is a steroid hormone produced by the adrenal glands. Cortisol is involved in various physiological processes, including the regulation of metabolism, immune function, and the body’s response to stress. When cortisol is metabolized or broken down in the body, it forms different compounds or metabolites, some of which are excreted in urine.
Sometimes patients do not collect samples correctly or don’t capture the scenario they were hoping to measure. New collection kits are free, and shipping fees are only applied to international or next-day delivery (standard shipping is free). Patients can simply call customer service to get a new collection kit and try again.
Once the test begins, patients can drink up to 40 ounces from the first afternoon sample collection (around 5:00 PM) until the next first morning void sample (waking sample). If limiting fluid intake to 40 ounces is challenging, then fluid intake may be increased to no more than 48 ounces. If more fluids are needed (due to heat, exercise, etc.) an individual may drink 8 ounces of fluids AFTER collecting the first morning void. After the second morning collection, fluids do not need to be restricted UNTIL two hours prior to the dinnertime sample. Between the dinnertime and bedtime samples, fluids need to be limited to no more than 8 ounces of fluids. Please ensure that the patient drinks the recommended amounts to ensure yellow, but not dark yellow, urine.
If too much fluid is consumed the urine may become too dilute and DUTCH results may be inaccurate. To assess this (and to calibrate for individual excretion) urine creatinine levels in the urine are measured. If creatinine values are too low (<0.15mg/mL in females and <0.20mg/mL in males) accurate creatinine correction may not occur. In this setting, interpret the results cautiously because cortisol and cortisol metabolites may be falsely elevated. If creatinine is 0 then there are no detectable urine hormones to test in the sample.
Patients should follow their normal daily routine. If caffeine is regularly consumed, then stopped for testing, there can be caffeine withdrawal that may spike cortisol that day. If the goal is to assess baseline cortisol levels without the influence of caffeine, avoid caffeine until AFTER the second morning urine collection. Alternatively, if caffeine is not regularly consumed, but is consumed on the day of testing, results may reflect higher cortisol levels.
Alcohol can disrupt sleep, possibly raising cortisol levels. It can also affect estrogen metabolism. If alcohol is only consumed occasionally, it is best to avoid it during DUTCH testing, so the results reflect typical cortisol and cortisol metabolism patterns. However, if a patient is consuming alcohol daily, DUTCH results would reflect daily alcohol consumption.
As long as urine can be held in the bladder for two hours prior to each sample collection, results should be accurate. If a patient needs to urinate during the night, the patient needs to collect this urine sample on the included “insomnia” collection strip to ensure accurate cortisol and melatonin results. If a patient requires multiple trips to the restroom during the night to urinate, urine should be collected each time using a single clean container kept in the refrigerator. The next morning, the patient should dip the overnight strip into the refrigerated container and then set out to dry.

*It is important to note that this method has not been validated.