At HFW Longevity, we uncover what is driving perimenopause, menopause, and hormonal dysfunction — estrogen, progesterone, testosterone, thyroid, cortisol, insulin, inflammation, gut health, nutrient status, and cellular aging — then build a physician-guided plan around your actual biology.
Physician-Led
100% Telehealth
Nationwide
HSA/FSA Accepted
Trusted by 1000+ patients across USA
Jenny Pourakis
Stella Blanch Apo
It’s been a blessing working with Dr. Landi and his entire team! After getting my test results, Dr. Landi walked me through a number of helpful steps to restore my health. He is very knowledgeable and uses an in-depth functional medicine approach in addressing health concerns. Bernadette is also very kind and thoughtful and I enjoy the interpersonal connection I have built with all of them.
Chase Natale
Fatimah Fahmy
Lauren Griffith
Kevin Heckman
There is a reason your body feels different.
Stop being told to wait it out. Start finding out what your hormones are actually doing.
Your body feels unfamiliar, but no one can explain why.
HEAL FROM WITHIN
Ideal for patients focused on foundational health, hormone balance, and preventive care.
Ideal for patients seeking a deeper root-cause approach and functional medicine solutions.
Ideal for patients focused on foundational health, hormone balance, and preventive care.
We do not just help you manage menopause.
We find out why your hormones are affecting your whole system.
| Conventional Hormone Care | HFW Longevity | |
|---|---|---|
What they look at |
Age, symptoms, basic labs, and isolated hormone ranges
|
Hormone patterns, hormone metabolism, cortisol rhythm, thyroid function, insulin, gut health, inflammation, nutrients, symptoms, and biological aging
|
What you hear |
“This is normal for your age.”
|
“Your symptoms are real. Let’s find out what is driving them.”
|
Testing |
Basic bloodwork, often called “normal”
|
Advanced hormonal, thyroid, metabolic, nutritional, gut, adrenal, and longevity testing when appropriate
|
Treatment |
Birth control, antidepressants, sleep aids, or generic HRT
|
Root-cause hormone optimization plus targeted therapies when clinically appropriate
|
Support |
Short visits and reactive care
|
Quarterly labs, regular check-ins, tracking, and protocol adjustments
|
Goal |
Symptom management
|
Restore function, improve resilience, and support long-term hormonal health
|
Access |
Office visits, referrals, long waits
|
100% telehealth with at-home or local testing options |
Your hormones are connected to your whole system.
| What We Evaluate | Why It Matters |
|---|---|
|
Estrogen & Progesterone Patterns
|
Fluctuations can affect sleep, bleeding, mood, temperature regulation, cravings, and body composition.
|
|
Hormone Metabolism
|
How your body processes and clears hormones can influence symptoms, safety, and long-term hormone strategy.
|
|
Testosterone Activity
|
Testosterone may affect libido, motivation, mood, lean muscle, recovery, energy, and body composition.
|
|
Cortisol Rhythm
|
Cortisol dysregulation can amplify anxiety, insomnia, belly fat, fatigue, inflammation, and hot-flash intensity.
|
|
Thyroid Function
|
Thyroid patterns can affect weight, energy, mood, temperature regulation, hair, digestion, and metabolism.
|
|
Metabolic Health
|
Insulin resistance and glucose instability can worsen weight gain, cravings, fatigue, and inflammation.
|
|
Gut Health
|
Gut inflammation, dysbiosis, and poor absorption can influence estrogen metabolism, inflammation, and nutrient status.
|
|
Inflammation
|
Chronic inflammation can affect hormone signaling, recovery, pain, mood, and metabolic health.
|
|
Nutrient Status
|
Low magnesium, B vitamins, iron, vitamin D, amino acids, and other nutrients can worsen fatigue, mood, sleep, and recovery.
|
|
Mitochondrial Function
|
Cellular energy decline can make hormonal changes feel more intense and harder to recover from.
|
|
Bone & Body Composition
|
Hormone changes can affect muscle, visceral fat, skeletal health, and long-term aging risk.
|
|
Biological Aging
|
Chronic stress, poor sleep, inflammation, and hormone dysfunction can influence how your body ages over time.
|
We test what most hormone visits ignore.
| Test | What It Can Reveal |
|---|---|
|
DUTCH Complete Hormone Test
|
Estrogen, progesterone, testosterone, androgen activity, cortisol rhythm, hormone metabolites, adrenal patterns, and hormone clearance
|
|
Comprehensive Hormone & Safety Bloodwork
|
Estradiol, progesterone, testosterone, SHBG, DHEA-S, CBC, CMP, lipids, liver markers, and safety markers when hormone therapy is being considered
|
|
Full Thyroid Panel
|
TSH, Free T3, Free T4, Reverse T3, thyroid antibodies, and possible thyroid conversion issues
|
|
Comprehensive Metabolic Bloodwork
|
Fasting insulin, glucose, HbA1c, lipids, liver markers, inflammation, cardiovascular risk, and metabolic patterns
|
|
Adrenocortex Stress Profile
|
Cortisol output and stress rhythm patterns that may affect sleep, anxiety, recovery, metabolism, and inflammation
|
|
Metabolomix+ Nutritional Panel
|
Nutrient deficiencies, oxidative stress, amino acids, mitochondrial markers, gut metabolites, and cellular energy patterns
|
|
GI-MAP Stool Analysis
|
Gut dysbiosis, pathogens, inflammation, digestion, immune activity, and gut-related hormone or metabolic triggers
|
|
IgG Food Sensitivity Explorer
|
Immune reactivity patterns that may contribute to inflammation, digestive symptoms, fatigue, skin issues, and energy crashes
|
|
TruAge + TruHealth Testing
|
Biological age, pace of aging, and organ-system health across immune, metabolic, hormonal, and cardiovascular systems
|
|
DEXA / Bone Density When Appropriate
|
Bone health, lean mass, fat mass, visceral fat, skeletal aging, and body composition change
|
|
Custom Blood Panel
|
A targeted panel built around your symptoms, history, medications, protocol, and health goals
|
1
Hormone Optimization
2
3
4
Cortisol & Stress Regulation
Support for stress physiology, adrenal rhythm, sleep quality, anxiety patterns, inflammation, and recovery capacity.
We review your symptoms, health history, hormone concerns, lifestyle, and goals to understand how menopause is affecting your health.
Advanced testing helps identify hormone imbalances, metabolic changes, inflammation, nutritional status, and other factors contributing to your symptoms.
Your provider translates your results into a personalized roadmap with clear priorities and recommendations for restoring hormonal balance and overall well-being.
We address the underlying drivers of your symptoms through personalized hormone, metabolic, nutritional, and lifestyle strategies.
Your plan may include hormone therapy when clinically appropriate, nutrition guidance, supplements, lifestyle interventions, peptides or other advanced therapies, with ongoing monitoring.
Regular follow-ups, progress tracking, and plan adjustments help you navigate menopause with greater energy, resilience, and long-term health.
Gut healing is not a 7-day reset.
It is a rebuilding process.
| Quarter | Focus | What This Means for Hormonal Health |
|---|---|---|
|
Q1: Discover & Correct
|
Find the root. Build the foundation.
|
Hormone, thyroid, cortisol, metabolic, gut, inflammation, and nutrient evaluation; initial hormone-support strategy
|
|
Q2: Activate & Improve
|
Build momentum. Feel the shift.
|
Improved sleep, steadier mood, fewer crashes, better temperature regulation, better energy, symptom trend review
|
|
Q3: Optimize & Perform
|
Improve systems. Elevate resilience.
|
Hormone refinement, body composition support, libido and recovery support, thyroid/metabolic adjustments, advanced therapy consideration
|
|
Q4: Sustain & Thrive
|
Protect progress. Build longevity.
|
Long-term hormone strategy, bone and body composition review, biological age tracking, maintenance planning, relapse prevention
|
| We Track | Why It Matters |
|---|---|
|
Sleep Quality
|
Shows how hormones, cortisol, stress, temperature shifts, and recovery are changing
|
|
Hot Flashes + Night Sweats
|
Helps track vasomotor symptom response and hormone stability
|
|
Mood + Anxiety Patterns
|
Helps identify estrogen, progesterone, cortisol, thyroid, and blood sugar influences
|
|
Cycle + Bleeding Patterns
|
Important during perimenopause, cycle dysfunction, and hormone therapy monitoring
|
|
Libido + Sexual Comfort
|
Helps track estrogen, testosterone, vaginal health, mood, sleep, and relationship-impacting symptoms
|
|
Energy + Motivation
|
Shows how hormone, thyroid, nutrient, mitochondrial, and cortisol patterns are responding
|
|
Hormone Patterns
|
Estrogen, progesterone, testosterone, DHEA, SHBG, and hormone metabolites guide personalization
|
|
Cortisol Rhythm
|
Helps identify stress-driven sleep, anxiety, inflammation, and metabolic issues
|
|
Thyroid Markers
|
Helps identify thyroid conversion issues, autoimmune patterns, and metabolic slowdown
|
|
Fasting Insulin + Glucose
|
Reveals metabolic resistance and blood sugar patterns affecting weight, cravings, and energy
|
|
HbA1c + Lipids
|
Tracks blood sugar and cardiovascular risk patterns that can shift during menopause
|
|
Inflammatory Markers
|
Shows whether inflammation may be worsening pain, fatigue, sleep, mood, or hormone signaling
|
|
Nutrient Status
|
Helps determine whether deficiencies are contributing to fatigue, mood, sleep, and recovery
|
|
Body Composition
|
Helps protect lean mass, reduce visceral fat, and support long-term metabolic health
|
|
Symptoms
|
Brain fog, cravings, bloating, mood, sleep, libido, energy, recovery, hair, skin, and temperature regulation
|
You should not have to wonder whether your hormone plan is working.
You should be able to see it.
Most patients work with us through a structured longevity membership that includes:
We do not do hormone guessing. We build long-term hormonal resilience.
Over a decade of clinical experience with advanced functional testing, peptide therapy, metabolic optimization, and data-driven longevity protocols.
Medical Director
Jenny Pourakis
My husband has been working for years with Dr. Landi in both chiro and functional medicine. He is so happy with the results and passionate about working with Dr. Landi I had to follow! As a women in peri-menopause I experienced issues with weight gain, low energy and aging. The peptides Dr. Landi custom recommended have been a game changer. His expertise plus amazing bedside manner and caring nature are a rare blend. I highly recommend!
Stella Blanch Apo
It’s been a blessing working with Dr. Landi and his entire team! After getting my test results, Dr. Landi walked me through a number of helpful steps to restore my health. He is very knowledgeable and uses an in-depth functional medicine approach in addressing health concerns. Bernadette is also very kind and thoughtful and I enjoy the interpersonal connection I have built with all of them.
Chase Natale
Fatimah Fahmy
I have been working with Dr Landi for several months now. He is extremely knowledgeable, attentive and responsive. He actually listens which is rare in medicine these days. I’m excited to see what the results are from my protocol in a couple of months. Highly recommend his practice if you’re looking into functional medicine.
Lauren Griffith
Dr. Landi is highly knowledgeable and skilled in the field of functional medicine, but he also possesses a genuine empathy and compassion that is so often lacking in the traditional healthcare system. Dr. Landi connects to each of his patients on a personal level, works with you every step of the way, and makes you feel supported while navigating challenging health obstacles.
Kevin Heckman
I found out about the practice of Functional Dr’e last year and realized this is what I need! Finding Dr Landi so close to home was awesome. We appreciated his candor, knowledge and engaging personality. He exuded caring and interest in me and my situation. I feel he had repeatedly gone the extra mile for me so our collaboration is successful.
Traditional menopause care often focuses on symptom relief, basic labs, or whether you are “in range.”
HFW looks at the full hormone system — estrogen, progesterone, testosterone, cortisol rhythm, thyroid function, insulin, inflammation, gut health, nutrient status, body composition, and biological aging. The goal is not just to survive menopause. The goal is to support how you feel, function, recover, and age.
Yes, when clinically appropriate.
Hormone therapy may be considered after reviewing your symptoms, hormone patterns, health history, risk factors, safety labs, medications, and goals. We do not treat HRT as a shortcut or a one-size-fits-all solution. When used, it is part of a monitored clinical plan.
No.
Some patients benefit from hormone therapy. Others need thyroid support, cortisol regulation, metabolic correction, gut restoration, nutrient repair, inflammation reduction, better sleep strategy, or a different lifestyle and nutrition plan.
We start with the reason you feel off — not the prescription.
Yes.
“Normal” often means your numbers are not outside a basic reference range. It does not always mean your hormones are optimal or that your symptoms have been fully explained.
Standard testing may miss hormone metabolism, cortisol rhythm, thyroid conversion issues, insulin resistance, nutrient deficiencies, inflammation, gut dysfunction, and biological aging patterns.
DUTCH testing is an advanced hormone test that evaluates sex hormones, hormone metabolites, cortisol rhythm, adrenal patterns, and how your body processes hormones.
It can provide a deeper picture than a single standard blood draw, especially when symptoms involve sleep, mood, stress, fatigue, weight changes, or hormone therapy planning.
Yes.
Many women experience symptoms years before their final period. Cycles may still be present while estrogen, progesterone, cortisol, thyroid patterns, insulin, sleep, and inflammation are already shifting.
That is why we evaluate the full picture instead of waiting until symptoms become severe.
Yes.
Estrogen, progesterone, testosterone, cortisol, insulin, and thyroid hormones can influence fat storage, cravings, sleep, anxiety, mood, motivation, libido, muscle mass, recovery, and body composition.
This is especially common during perimenopause, menopause, chronic stress, poor sleep, thyroid dysfunction, and low testosterone states.
TSH is only one part of the thyroid picture.
Some patients need a broader thyroid evaluation, including Free T3, Free T4, Reverse T3, thyroid antibodies, nutrient status, inflammation, stress patterns, and conversion issues. HFW evaluates thyroid function in the context of your symptoms and full biology.
Some patients notice early changes in sleep, energy, mood, hot flashes, cravings, or brain fog within the first few weeks.
More chronic hormone dysfunction may take longer. Your timeline depends on your hormone patterns, thyroid function, cortisol rhythm, metabolic health, inflammation, nutrient status, gut health, safety factors, and consistency with the plan.
No. HFW is 100% telehealth.
Consultations happen virtually. At-home test kits can be shipped to you, and bloodwork can be coordinated locally when needed.
HFW operates on a cash-pay model. HSA and FSA cards are accepted where applicable, and all major credit and debit cards are accepted.
This model allows more time, deeper testing, ongoing monitoring, and proactive care that is not limited by insurance-based sick-care rules.
