If you’re exhausted, gaining weight, losing libido, or feeling unlike yourself despite “normal” labs, HFW looks deeper — estrogen, progesterone, testosterone, thyroid, cortisol, insulin, inflammation, gut health, and metabolism — before building a clinician-guided HRT plan when appropriate.
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24 pages on advanced testing, clinician-led protocols, and why strategy comes before any single compound.
Trusted by 1000+ patients across USA
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
Hormonal change can affect almost every part of your life.
HRT may be worth discussing if you are dealing with:
Too many hormone plans are either too dismissive or too aggressive.
Hormone therapy should answer:
At HFW, TRT is not the starting assumption.
It is one possible tool inside a larger testosterone optimization strategy. At HFW, TRT is not the starting assumption.
We do not just replace hormones. We evaluate the system they live in.
| Typical HRT Care | HFW Longevity | |
|---|---|---|
What they look at |
Age, symptoms, and basic hormone ranges
|
Hormones, metabolites, thyroid, cortisol, insulin, gut health, inflammation, nutrients, body composition, and biological aging
|
What you hear |
“Your labs are normal” or “Here’s a prescription”
|
“Your symptoms are real. Let’s find out what is driving them.”
|
Treatment |
Generic HRT, pellet therapy, or symptom medication
|
Personalized hormone strategy with safety review, dosing, delivery method, and monitoring
|
Support |
Short visits and limited follow-up
|
Quarterly labs, symptom review, biomarker tracking, and protocol adjustment
|
Goal |
Reduce symptoms
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Improve sleep, energy, libido, mood, metabolism, recovery, bone health, and long-term hormone resilience
|
Access |
Office visits and long waits
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100% telehealth with at-home and local testing options
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When clinically appropriate, hormone therapy may help address symptoms connected to hormone decline or imbalance.
| Hormone Area | Why It Matters |
|---|---|
|
Estrogen
|
May support hot flashes, night sweats, vaginal comfort, sleep, mood, skin, urinary symptoms, and bone health.
|
|
Progesterone
|
May support sleep, nervous system calm, mood stability, cycle changes, and endometrial protection when estrogen is used in patients with a uterus.
|
|
Testosterone
|
May support libido, motivation, energy, muscle, recovery, mood, and body composition in properly selected men and women.
|
|
Thyroid
|
Supports energy, metabolism, temperature regulation, hair, mood, digestion, and weight response.
|
|
Cortisol Rhythm
|
Affects sleep, anxiety, cravings, inflammation, recovery, belly fat, and energy rhythm.
|
|
Insulin
|
Drives metabolic symptoms, cravings, fat storage, inflammation, and energy crashes.
|
|
DHEA / Adrenal Patterns
|
May influence energy, resilience, stress response, immune patterns, and hormone pathways.
|
May support hot flashes, night sweats, vaginal comfort, sleep, mood, skin, urinary symptoms, and bone health.
May support sleep, nervous system calm, mood stability, cycle changes, and endometrial protection when estrogen is used in patients with a uterus.
May support libido, motivation, energy, muscle, recovery, mood, and body composition in properly selected men and women.
Supports energy, metabolism, temperature regulation, hair, mood, digestion, and weight response.
Affects sleep, anxiety, cravings, inflammation, recovery, belly fat, and energy rhythm.
Drives metabolic symptoms, cravings, fat storage, inflammation, and energy crashes.
May influence energy, resilience, stress response, immune patterns, and hormone pathways.
Good hormone care includes knowing when not to prescribe.
Before recommending hormone therapy, HFW reviews your symptoms, history, medications, family history, risk factors, labs, safety markers, and clinical fit.
We consider:
We test before we replace.
HFW’s handbook specifically identifies DUTCH testing as valuable because it maps sex hormones, adrenal hormones, metabolites, cortisol patterns, estrogen metabolism pathways, and androgen activity over time, and notes that it is used to personalize HRT and adrenal support protocols.
| Test | What It Can Reveal |
|---|---|
|
DUTCH Complete Hormone Test
|
Estrogen, progesterone, testosterone, androgen activity, hormone metabolites, cortisol rhythm, adrenal patterns, melatonin, and hormone clearance
|
|
Comprehensive Hormone Bloodwork
|
Estradiol, progesterone, testosterone, free testosterone, SHBG, DHEA-S, LH/FSH when appropriate, and safety markers
|
|
HRT Safety Bloodwork
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CBC, CMP, liver markers, kidney markers, lipids, glucose, insulin, inflammation, and other safety indicators
|
|
Full Thyroid Panel
|
TSH, Free T3, Free T4, Reverse T3, thyroid antibodies, and possible thyroid conversion issues
|
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Comprehensive Metabolic Bloodwork
|
Fasting insulin, glucose, HbA1c, lipids, liver markers, inflammation, and cardiometabolic risk patterns
|
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Adrenocortex Stress Profile
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Cortisol output and rhythm patterns that may affect sleep, anxiety, recovery, inflammation, and weight
|
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Metabolomix+ Nutritional Panel
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Nutrient deficiencies, oxidative stress, amino acids, mitochondrial markers, gut metabolites, and cellular energy patterns
|
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GI-MAP Stool Analysis
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Gut dysbiosis, inflammation, digestion, immune activity, and gut-related hormone or metabolic triggers
|
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TruAge + TruHealth Testing
|
Biological age, pace of aging, and organ-system health across immune, metabolic, hormonal, cardiovascular, and cellular systems
|
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Genetic Testing When Appropriate
|
Nutrient processing, detox pathways, hormone metabolism, inflammation tendencies, and long-term personalization strategy
|
|
TruAge + TruHealth When Appropriate
|
Helps evaluate biological age, pace of aging, and organ-system health.
|
Estrogen, progesterone, testosterone, androgen activity, hormone metabolites, cortisol rhythm, adrenal patterns, melatonin, and hormone clearance
Estradiol, progesterone, testosterone, free testosterone, SHBG, DHEA-S, LH/FSH when appropriate, and safety markers
CBC, CMP, liver markers, kidney markers, lipids, glucose, insulin, inflammation, and other safety indicators
TSH, Free T3, Free T4, Reverse T3, thyroid antibodies, and possible thyroid conversion issues
Fasting insulin, glucose, HbA1c, lipids, liver markers, inflammation, and cardiometabolic risk patterns
Cortisol output and rhythm patterns that may affect sleep, anxiety, recovery, inflammation, and weight
Nutrient deficiencies, oxidative stress, amino acids, mitochondrial markers, gut metabolites, and cellular energy patterns
Gut dysbiosis, inflammation, digestion, immune activity, and gut-related hormone or metabolic triggers
Biological age, pace of aging, and organ-system health across immune, metabolic, hormonal, cardiovascular, and cellular systems
Nutrient processing, detox pathways, hormone metabolism, inflammation tendencies, and long-term personalization strategy
Helps evaluate biological age, pace of aging, and organ-system health.
Built around your symptoms, labs, safety markers, and goals.
1
Estrogen Therapy
When clinically appropriate, estrogen therapy may be considered for vasomotor symptoms, vaginal comfort, sleep disruption, mood changes, urinary symptoms, skin changes, and bone-health support.
2
Progesterone Therapy
Progesterone may be considered for sleep disruption, mood changes, nervous system support, cycle irregularity, and endometrial protection when estrogen is used in patients with a uterus.
3
Testosterone Therapy
Testosterone support may be considered for men or women experiencing low libido, low motivation, poor recovery, reduced muscle, mood changes, fatigue, or body composition shifts when symptoms and labs support it.
4
Combination Hormone Therapy
Some patients may need estrogen, progesterone, and/or testosterone support together. HFW evaluates which hormones are actually needed instead of assuming every patient needs the same combination.
Thyroid Optimization
If thyroid function is contributing to fatigue, weight resistance, hair changes, cold intolerance, constipation, mood changes, or metabolic slowdown, thyroid support may be considered.
Cortisol + Stress Regulation
If cortisol rhythm is disrupting sleep, anxiety, inflammation, blood sugar, or recovery, your plan may include adrenal and nervous system support.
Metabolic Support
Hormone symptoms often worsen when insulin, glucose, lipids, inflammation, and body composition are shifting. HFW addresses metabolism alongside hormones.
Gut + Liver Support
Gut health, digestion, inflammation, nutrient absorption, and liver detox pathways may influence hormone metabolism and symptom response.
Targeted Supplementation
Professional-grade supplementation may be used to correct deficiencies, support hormone metabolism, improve cellular energy, and reduce inflammation.
Peptide or Bioregulator Support
When clinically appropriate, peptides or bioregulators may support recovery, inflammation regulation, mitochondrial function, body composition, cellular resilience, and long-term longevity goals.
Nutrition + Lifestyle Strategy
A realistic plan built around protein needs, blood sugar stability, sleep, stress, inflammation, movement, gut health, and your actual life.
We review your symptoms, hormone history, cycle or menopause stage, sleep, mood, and goals, then talk through whether HFW is the right fit.
Hormone and safety testing looks past a single number to map estrogen, progesterone, testosterone, thyroid, cortisol, and metabolism. Kits ship to your door or get coordinated locally.
Your provider reviews the data and decides whether HRT, thyroid support, metabolic work, or a non-hormonal path makes sense, with clear reasoning.
We address what's driving your symptoms, replacing hormones where appropriate and supporting the gut, cortisol, and metabolic patterns around them.
Your plan begins with prescriptions when appropriate, pharmacy coordination, supplement and nutrition strategy, and ongoing monitoring.
Quarterly labs, symptom reviews, and safety monitoring help you protect your progress and adjust dosing as your body changes.
| We Track | Why It Matters |
|---|---|
|
Symptom Response
|
Shows whether sleep, mood, energy, libido, hot flashes, and recovery are improving
|
|
Estradiol + Progesterone
|
Helps guide hormone support and safety considerations
|
|
Testosterone + Free Testosterone
|
Helps evaluate libido, energy, muscle, motivation, and excess-androgen concerns
|
|
SHBG
|
Helps determine how much hormone is available for the body to use
|
|
DHEA-S
|
Helps evaluate adrenal and androgen patterns
|
|
Cortisol Rhythm
|
Helps explain sleep disruption, anxiety, cravings, fatigue, and stress physiology
|
|
Thyroid Markers
|
Helps identify thyroid conversion issues, antibodies, and metabolic slowdown
|
|
CBC + CMP
|
Tracks blood counts, liver function, kidney function, and general safety markers
|
|
Glucose + Insulin
|
Reveals metabolic resistance and blood sugar patterns
|
|
HbA1c + Lipids
|
Tracks cardiovascular and metabolic risk patterns
|
|
Inflammatory Markers
|
Shows whether inflammation may be affecting hormone response
|
|
Bone Density
|
Helps monitor skeletal aging and menopause-related bone risk
|
|
Body Composition
|
Tracks lean mass, fat mass, visceral fat, and hormone-related changes
|
|
Breast / Uterine Safety Factors
|
Helps determine appropriate route, dosing, and monitoring needs
|
Shows whether sleep, mood, energy, libido, hot flashes, and recovery are improving
Helps guide hormone support and safety considerations
Helps evaluate libido, energy, muscle, motivation, and excess-androgen concerns
Helps determine how much hormone is available for the body to use
Helps evaluate adrenal and androgen patterns
Helps explain sleep disruption, anxiety, cravings, fatigue, and stress physiology
Helps identify thyroid conversion issues, antibodies, and metabolic slowdown
Tracks blood counts, liver function, kidney function, and general safety markers
Reveals metabolic resistance and blood sugar patterns
Tracks cardiovascular and metabolic risk patterns
Shows whether inflammation may be affecting hormone response
Helps monitor skeletal aging and menopause-related bone risk
Tracks lean mass, fat mass, visceral fat, and hormone-related changes
Helps determine appropriate route, dosing, and monitoring needs
You should not have to wonder whether your hormone plan is working.
You should be able to see it.
Clinician-led care. Root-cause strategy. Long-term optimization
Christina Warner, APN, NP-C
Board-Certified Nurse Practitioner
25 years of clinical experience with a focus on hormones, gut health, chronic inflammation, womenu2019s health, and root-cause care.n
Dr. Eric Landi, KICP
Functional Medicine Doctor
Over a decade of clinical experience with advanced functional testing, peptide therapy, metabolic optimization, and data-driven longevity protocols.
Medical Director
Book a free virtual consultation to review your symptoms, hormone history, prior labs, risks, goals, and whether HRT or a broader hormone optimization plan makes sense for you.
HRT stands for hormone replacement therapy, the clinical use of hormones to address symptoms and health considerations related to changing hormone levels. BHRT refers to bioidentical hormone replacement therapy, meaning hormones that are structurally identical to those the body produces. The more important questions are which hormones, at what dose, in what form, for which person, with what monitoring. HFW makes that an individual decision rather than a standard protocol.
Benefits and risks are real and they differ by individual, by formulation, by dose, by timing relative to menopause, and by personal and family health history. This is a decision that requires an individual risk conversation with a clinician and ongoing monitoring. HFW does not claim hormone therapy is without risk, is right for everyone, or reverses aging.
That depends on your individual clinical situation, including your history. It is a standard part of the evaluation rather than a decision made from a website. Your clinician will explain what applies to you and why.
Estrogen plus progesterone is $190 per month for nonmembers, and active members and Functional Medicine Corrective Program patients are entitled to additional discounts. Estrogen plus progesterone plus testosterone is $220 per month for nonmembers, and members are entitled to additional discounts. Testosterone alone is $150 per month for nonmembers, and members are entitled to additional discounts. Medication is included in those prices. Laboratory charges are separate. For nonmembers, a quarterly clinician consultation to review bloodwork and adjust the plan is generally $150 to $200. A listed price does not guarantee eligibility.
No. HFW is self-pay and does not bill insurance. Laboratory charges are separate and the laboratory may have its own insurance or self-pay process.
No. HFW offers injectable and topical cream formulations rather than pellets. Pellets deliver a fixed dose over months and cannot be adjusted or stopped once inserted, which sits poorly with HFW’s approach of monitoring response and adjusting the plan. Injections and creams allow the dose to be changed, paused, or stopped based on your bloodwork, symptoms, and safety markers.
Not necessarily. DUTCH can add useful detail about hormone production, metabolism, signaling, and adrenal or stress-related patterns when that detail would change the plan. For many patients, appropriately timed or repeated bloodwork answers the question. Your clinician selects testing based on what would actually change a decision.
HFW offers women’s testosterone as part of individualized hormone care at $150 per month for nonmembers, and members are entitled to additional discounts, with medication included. Whether it is appropriate for you depends on symptoms, testing, history, reproductive goals, risk, and alternatives, and that is decided through clinical evaluation rather than by request.
Whether hormone therapy is the right approach for your symptoms, and what result is realistic, depends on your individual evaluation. Those symptoms are among the most common reasons people seek an evaluation. HFW does not guarantee symptom resolution, and it looks for correctable contributors such as sleep, thyroid, metabolic, nutrient, and stress factors alongside hormone patterns.
It varies by person, by symptom, and by formulation, and HFW will not promise a timeline. Your clinician defines what is being monitored, schedules follow-up bloodwork and review, and adjusts based on your actual response and safety markers.
Yes. HFW can review your current therapy, recent laboratory results, symptoms, and monitoring, then discuss whether the plan looks appropriate and what might be adjusted. Any change is a clinical decision made by an appropriately authorized HFW prescriber after evaluation, and HFW will not simply continue an existing prescription without its own review.
