My Labs Are Normal, But I Feel Horrible

Bioidentical Hormone Replacement Therapy


As we age, our bodies become less able to produce hormones. We call this ‘hormone decline”, or “hormone imbalance.” It is this decline or imbalance that leaves us feeling less than healthy: difficulty sleeping, thinking and keeping focus; can’t lose weight or gain muscle; headaches, joint or body aches, and depression; low libido and inability to perform sexually. This hormonal decline also increases risks for heart disease, brain disease, poor bone health, and digestive issues. Bioidentical Hormone Replacement Therapy (BHRT) can help improve or alleviate these symptoms of aging.


Prior to receiving BHRT, your blood levels of hormones are measured in laboratory testing. They are then measured against a standard: the average hormone levels for other men or women in your same age bracket. The problem with this, in the case of hormone imbalance due to aging, is that these men and women are also suffering the symptoms of aging. Their hormones are also in decline. So your labs may return “normal” when you feel like everything but normal. To feel better, your lab levels need to approximate the levels they were when you were in your prime health, typically in your mid-to-late 30’s.


So why are blood hormone levels measured prior to treatment? Your lab work will give your provider a starting place for hormone replacement because he or she knows what healthy lab levels look like. It will also provide a baseline for later comparisons. He or she will use your symptoms and complaints as their primary source of information to determine where to begin with BHRT to help you feel better. This means that your extensive intake questionnaire is very important to your provider. Time and thought should be given to answering these questions as honestly and openly as possible.



At Advanced Weight Loss and Wellness, your providers will work with you to improve your health and symptoms with BHRT. Communication is critical as we learn what works for you and what doesn't. We encourage you to ask questions and share your experiences. We will also continue to monitor your hormone levels through laboratory testing to continually improve your symptoms. For more information, call our office today and request your free consult. (423) 616-0324. For answers to common BHRT questions for men, visit here; for women, visit here.

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