Personalized care, guided by science
Hormone Optimization
Changes in energy, sleep, mood, metabolism or sexual wellness can have many causes. A comprehensive medical evaluation helps determine whether hormones may be involved.
- 2013 Providing personalized care
- A4M Board-certified physician
- 20+ years Doctor-led experience
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- Clinical evaluation
- Testing when indicated
- Individualized options
- Follow-up over time
What is Hormone Optimization?
Hormone levels can change throughout life and may affect energy, metabolism, sleep, mood and sexual wellness. These concerns can also have other causes; symptoms alone do not establish a hormone disorder.
Dr. Jeff Ugalde reviews your medical history, symptoms, medications, lifestyle and goals. Laboratory or other diagnostic testing may be recommended when appropriate. Results are considered alongside the full clinical picture to determine whether any treatment makes sense.
Why choose Age Metrics Medical?
Recommendations are never based on symptoms alone. If treatment is appropriate, options may include lifestyle or nutritional guidance and, for some patients, prescription hormone therapy. Potential benefits, risks and alternatives are discussed, with follow-up to reassess your needs over time.
Some hormones are called bioidentical because their molecular structure matches hormones produced by the body. That term alone does not establish suitability or safety; the specific product, indication, dose and individual health history still matter.
What your evaluation may include
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Medical consultation
Review symptoms, medical history, medications, lifestyle and health goals.
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Testing when appropriate
Labs or other diagnostic tests may help clarify relevant factors.
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Individualized options
Discuss lifestyle, nutrition or prescription hormone treatment when medically appropriate.
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Follow-up and reassessment
Review response and concerns; adjust care when indicated.
Who may benefit from an evaluation?
These concerns have many possible causes and do not diagnose a hormone disorder on their own.
- Persistent fatigue
- Difficulty maintaining a healthy weight
- Changes in muscle mass or strength
- Libido or sexual wellness changes
- Mood changes or reduced motivation
- Sleep disturbances
- Difficulty concentrating or brain fog
- Perimenopause or menopause symptoms
- Symptoms possibly associated with low testosterone
What to expect
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Conversation
Discuss your history, symptoms, lifestyle and goals with Dr. Jeff Ugalde.
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Clinical assessment
Testing may be recommended according to your history and findings.
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Review your options
Discuss results, whether treatment is appropriate, and potential benefits, risks and alternatives.
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Ongoing monitoring
Review response over time and adjust the plan when clinically appropriate.
Frequently asked questions
Can hormone levels change even if I am otherwise healthy?
Yes. Levels can change across life stages. Whether a change is clinically relevant depends on symptoms, history, examination and, when appropriate, testing.
How do I know if symptoms are hormone-related?
Symptoms alone cannot confirm that. Your clinician considers your full history and may recommend tests to investigate possible contributors.
Will I need laboratory testing?
Possibly. Testing is selected according to your symptoms, history and clinical findings.
What treatments may be included?
Depending on evaluation, recommendations may include lifestyle or nutrition changes, supplements when appropriate, or prescription hormone therapy for patients with an indication.
Is hormone optimization safe?
Potential benefits and risks depend on the specific treatment and your health. A physician should review indications, contraindications and follow-up with you before treatment.
International patients
Plan your evaluation in Costa Rica
Patients visiting Costa Rica can arrange a physician-guided consultation and discuss whether testing or treatment is appropriate. Costs and follow-up depend on the individual plan; confirm appointments, an estimate and care arrangements before traveling.
Related care
Explore other services and treatments that may be relevant after evaluation.
Clinical references
- 01 Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline The Journal of Clinical Endocrinology & Metabolism (2018)
- 02 The 2022 hormone therapy position statement of The North American Menopause Society Menopause (2022)
Start with a medical consultation
Discuss your concerns with Dr. Jeff Ugalde and whether hormone evaluation may be appropriate.