What actually shifts
Declining estradiol is associated with a redistribution of fat toward the abdomen and with changes in insulin sensitivity. Muscle mass declines with age unless it is actively defended. Broken sleep raises appetite signalling the next day.
The result is that the same intake and activity produce a different outcome than they did a decade earlier.
What gets evaluated
- Thyroid function and metabolic labs, including markers of insulin resistance
- Medications that promote weight gain
- Sleep quality and screening for apnea
- Protein intake and resistance training
- Hormonal symptoms that may be driving the pattern
How the two programs work together
Hormone care addresses the hormonal drivers; medical weight management addresses metabolic health and, when appropriate, medication. Many patients use one, some use both. Weight-management plans start at $169 per month, and prescribed medication is included in that monthly fee. Labs, when ordered, are billed separately.
Questions people ask
- Will hormone therapy make me lose weight?
- Hormone therapy is not a weight-loss treatment. It can improve sleep, symptoms, and body composition trends for some people, but weight itself is addressed directly in the weight-management program.
- Can I do hormone care and weight management at the same time?
- Yes. Combined care is common, and pricing for a second program is discussed on the pricing page.
This page is general health information, not medical advice. Care decisions are made individually in a visit.