Hormone Optimization in Beverly Hills & Los Angeles
Hormone optimization begins with identifying whether symptoms are actually related to a hormonal problem and whether treatment is medically appropriate. At My Concierge MD, David Nazarian, MD, a board-certified internal medicine physician, evaluates symptoms, medical history, medications, laboratory results, age-related changes, and relevant health risks before recommending hormone therapy.
This page serves as the main hormone-care hub within our broader Longevity Medicine program. Treatment recommendations are individualized and may include lifestyle changes, treatment of contributing medical conditions, or hormone therapy when clinically appropriate.
Hormone Care for Men and Women
Women’s Hormone Optimization
Women may experience hormone-related symptoms during perimenopause, menopause, or at other stages of life. Evaluation may include symptoms, menstrual history, medications, thyroid function, metabolic health, and other factors. Learn more about Women’s Hormone Optimization.
Testosterone Therapy for Men
Men with symptoms such as low libido, fatigue, reduced strength, or changes in body composition may need evaluation for testosterone deficiency as well as other possible causes. Learn more about Testosterone Therapy and Men’s Hormone Optimization.
Menopause Support
Menopause care may include treatment of hot flashes, night sweats, sleep disruption, vaginal or urinary symptoms, bone-health risk, and other concerns. Hormone therapy is one option for appropriately selected patients. Learn more about Menopause Support.
Hormone Testing and Evaluation
Hormone testing should be selected according to the clinical question rather than ordered as a universal panel. Depending on symptoms and history, evaluation may include testosterone, estradiol, progesterone, thyroid testing, SHBG, gonadotropins, prolactin, metabolic markers, or other studies when appropriate.
Treatment Options
Treatment depends on the diagnosis, symptoms, age, fertility goals, medical history, and individual risk profile. Options may include FDA-approved hormone therapies, lifestyle changes, treatment of underlying conditions, or other evidence-based approaches. Compounded hormone products may be considered in selected circumstances, but they are not automatically safer or more effective than FDA-approved products.
Monitoring and Safety
Hormone therapy requires follow-up. Monitoring may include symptom response, laboratory testing, blood pressure, blood counts, metabolic risk factors, prostate-related monitoring when appropriate, and review of side effects or contraindications. Treatment should be adjusted according to clinical response rather than aimed at achieving an arbitrary laboratory number.
Frequently Asked Questions
What does hormone optimization mean?
Hormone optimization means evaluating symptoms and hormone-related health concerns, identifying reversible causes, and using treatment when it is medically appropriate. It does not mean pushing hormone levels above normal ranges.
Do symptoms always mean I need hormone therapy?
No. Fatigue, mood changes, weight changes, sleep problems, and sexual symptoms can have many causes. A medical evaluation is important before attributing them to hormones.
Are bioidentical hormones different from conventional hormones?
“Bioidentical” refers to molecular structure. Some FDA-approved estradiol, progesterone, and testosterone products are bioidentical. Compounded products use similar hormones but are prepared differently and are regulated differently.
Written by David Nazarian, MD
Board Certified in Internal Medicine
Founder, My Concierge MD
To discuss hormone symptoms or treatment options in Beverly Hills or Los Angeles, schedule a consultation with My Concierge MD.
Medically reviewed by David Nazarian, MD on