Your hormones are critical to optimal body function, but many factors can interfere with your hormonal balance and cause disruptive symptoms. Madison Fandel, ND, provides customized hormone health treatments, including bioidentical hormone replacement therapy, at her practice in Pacifica, California. If you’ve been feeling fatigued or are gaining weight despite not changing your diet or exercise habits, call Dr. Fandel or schedule a consultation online today.

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What are hormones?

Your hormones are chemicals created by the glands in your endocrine system that help your body function correctly. For example, your hormones regulate:

Growth and development


Sexual function

Reproductive systems


Several internal and external factors influence your hormones. Health conditions like diabetes, thyroid disease, and Cushing syndrome can all interfere with hormone production. Additionally, stress, medications, and nutritional deficiencies can also affect your hormone production.

What are the signs of a hormone health problem?

If you have a hormonal imbalance, you might experience some distressing or uncomfortable symptoms. Health issues like low testosterone or menopause-related estrogen loss are common causes of hormonal imbalances. Both men and women may experience:

  • Weight gain
  • Fatigue
  • Hot flashes
  • Muscle mass loss
  • Muscle aches and stiffness
  • Decreased libido
  • Thinning hair
  • Frequent urination
  • Mood changes
  • Irritability and anxiety
  • Changes in bowel movements
  • Increased temperature sensitivity

Women might experience abnormal menstrual cycles, vaginal dryness, or excessive body hair growth. Symptoms specific to men include breast tissue development, erectile dysfunction, and a decrease in facial and body hair growth.

How are hormone health issues treated?

Dr. Fandel begins with a thorough consultation and blood tests to assess your current hormone levels. Then, she creates a customized treatment plan to restore your hormone health and address any imbalances. Depending on your needs, your plan might include bioidentical hormone replacement therapy, nutritional changes and supplements, and other lifestyle changes.

What is bioidentical hormone replacement therapy?

Bioidentical hormone replacement therapy restores your hormonal balance with man-made hormones that are bioidentical to the estrogen and testosterone your body produces. Bioidentical hormones are available as oral tablets, subdermal pellets, skin patches, and topical creams. Dr. Fandel can recommend the type of hormone therapy that can best address your needs.

When you have bioidentical hormone therapy, you have frequent checkups during the beginning of your treatment, so Dr. Fandel can monitor your hormone levels and your symptoms. If necessary, she can fine-tune your prescription to adjust your treatment.

As you progress through treatment and your hormone health stabilizes, you have less frequent appointments, but still check in with Dr. Fandel so she can monitor your health.

Call Madison Fandel, ND, today or make an appointment online to learn more about hormone health and optimization.