Measuring testosterone levels is a simple blood test that can yield significant information. It is important to measure the bio-available or “free” testosterone in the body. Bound testosterone is ineffective because it is not available to the testosterone receptors throughout the body, thus only ‘free’ testosterone will give you an accurate measurement. Unfortunately, this test is not ordered as often as it should be by most physicians. Low levels of available testosterone are easily treated through a regimen of testosterone hormone weekly injections or daily gels and patches applied directly the skin. For most men, the results are dramatic and immediate.
Targeted hormone or vitamin supplements.
3 month check ups to ensure you're on the right path.
Bring your hormone imbalance back into balance.
Sometimes called “puberty in reverse,” male menopause, “Low T” or Andropause as it is clinically diagnosed– is the period of a man’s life when production of a vital number of hormones – primarily testosterone – begins to decline. Similarly, women experience a reduction in estrogen and progesterone production during menopause. But not everyone buys into the idea that males have their own version of menopause. The public perception is that men of a certain age are having “a mid-life crisis” that will pass eventually.
Want to test your hormone levels from home?
Once you purchase the kit on our shop, we will send it directly to you or you can pick it up in-clinic.
Once you receive your kit, you will follow the instructions and submit them to get tested.
Once we have received your results we can schedule your initial consultation to begin developing your plan of care.
In this consult, we can do virtual or in clinic meetings. With your results in hand we can give you better feedback on what the appropriate steps of action can be after discussing your day to day life and symptoms.
When we open our eyes upon waking, cortisol levels naturally begin to rise by an average of 50%. 30 minutes after waking, cortisol levels will still show this sharp increase. By 60 minutes after waking, cortisol levels have peaked and begin to decline. Measuring this rise and fall of cortisol levels at waking can be used as a “mini stress test”. Research shows that the size of this increase correlates with HPA-axis function, even if the sample measurements are all within range. A quick saturation of saliva swabs upon waking, and at 30 and 60 minutes after waking, provide what is required to assess a patient’s Cortisol Awakening Response.
The DUTCH Plus® uses four dried urine samples and five saliva samples. These samples are collected over the course of one day, from waking to bed time. The DUTCH Plus® report includes: Metabolites of Estrogens (10, including E1, E2, E3, 2-OHE1, 4-OH-E1, 2-OH-E2, 4-OH-E2, 16-OH-E1, 2-methoxy-E1, 2-methoxy-E2) , Androgens (8, including Testosterone, DHT and DHEA-S), Progesterone (2), Cortisol (3), Melatonin (6OHMS), 8-OHdG, and OATs (6). The diurnal pattern of Free Cortisol and Cortisone are also provided, including the Cortisol Awakening Response.