Hormones, Stress & Energy
Thyroid conditions, reproductive hormones and fertility, adrenal function, stress, fatigue and burnout, testosterone, brain fog, poor sleep.
Who this is for
This focus area is for people who feel persistently run down, overstimulated, or running on autopilot. You may be dealing with a lot of cognitive, emotional, or physical stress, and recovery feels inadequate despite maintaining routines.
How the conditions might show up
Weight changes, persistent fatigue, non-restorative sleep, difficulty falling or staying asleep, waking unrefreshed, afternoon crashes, reliance on caffeine, reduced stress tolerance, irritability, impaired concentration, low drive, changes in libido and sexual functioning, or inconsistent recovery from training or daily demands.
What we look at
The presentation of these conditions is diverse, and the root cause is commonly missed in high-level assessments.
In-depth biomarkers are often utilized here, as well as assessment of daily energy patterns, stress load, nervous system tone, sleep quality, circadian rhythm influences, nutrition timing, movement and recovery balance, and relevant hormone-related patterns when appropriate.
The focus is on identifying drivers of energy depletion, impaired recovery, and stress overload. Hormones, inflammatory, and metabolic markers are important signals for monitoring alongside your wellbeing.
What working together looks like
These conditions require frequent monitoring and adjustments. You will likely need multiple appointments in the 2-3 months, with lengthening intervals as progress is made.
Why this matters
Hormones and stress physiology are responsive to our environment and have widespread effects on neuroendocrine systems, cognitive ability, metabolic dysfunction, digestion, and immune function.
When your environment signals safety, consistency, and adequate recovery, hormonal signaling supports repair, energy production, and long-term health. When signals are threatening, misaligned, and persistent, the body adapts by reallocating resources toward short-term survival, often at the expense of your long-term well-being.
For example, stress responses can improve our ability to perform in many situations, but chronic stress significantly increases the risk of metabolic disorders, including diabetes mellitus, visceral fat deposition, fatty liver, metabolic syndrome, can reduce sex hormone production, and accelerate aging.
Some epidemiological research that motivated me to lean into these areas:
Surveys report ~75% of visits to general practitioners in America are for stress-related complaints (PMID: 35573809), and +33% of Americans report their average stress as “extreme” (PMID: 35573809).
>30% of adults experience sleep debt, and ~46% experience circadian misalignment (“social jet lag”). Sleep disruption is associated with a higher risk of obesity, type 2 diabetes, cardiovascular disease, depression, impaired cognitive performance, motor vehicle accidents, and increased all-cause mortality; insomnia alone confers ~1.5x higher risk of heart attack and ~2x higher risk of depression and suicidal ideation. (PMID: 36346632) (PMID: 27647451) (PMID: 26890214) (PMID: 25895933)
Testosterone levels are decreasing at ~2x the expected rate from aging (PMID: 11836290) and are not explainable by smoking or obesity (PMID: 17062768)