Hormone and Weight Optimization for Men & Women
Hormones influence multiple systems in the body, including metabolism, energy, mood, cognition, sleep, sexual health, and overall physical and emotional well-being. With over 30 years of clinical experience, our physicians are experts in diagnosing, supporting and optimizing hormone balance. This includes support for perimenopause, menopause, post menopause and andropause (low testosterone).
Our weight management care considers hormonal balance alongside a multidisciplinary approach designed to support healthy body composition, strengthen muscle mass, and reduce excess body fat over time.
Our goal is to help you feel like yourself again, with renewed energy, clarity, and confidence.
Hormone Health
Symptoms of Hormonal Imbalance
Women-Specific Hormonal Symptoms
Hot flashes or night sweats
Menstrual cycle changes or irregular periods
Premenstrual symptoms (PMS)
Vaginal dryness or discomfort
Urinary changes or incontinence
Energy & Cognitive Function
Persistent fatigue/Chronic Fatigue
Brain fog or difficulty concentrating
Low motivation or reduced mental clarity
Headaches and migraines
Memory issues
Mood & Emotional Health
Anxiety or irritability
Low mood or depressive symptoms
Emotional changes
Sleep issues/Insomnia
Metabolic & Body Composition
Weight gain or difficulty losing weight
Unexplained Weight Loss
Sarcopenia (progressive loss of muscle mass and strength associated with aging)
Blood sugar dysregulation
Sexual Health & Vitality
Reduced libido
Sexual dysfunction
Decreased overall vitality
Physical & Structural Health
Joint pain, arthritis, or muscle discomfort
Changes in skin elasticity, sagging skin, or skin quality
Hair loss
Reduced physical resilience
Numbness and tingling
Hormonal, Metabolic & Mitochondrial Conditions
Hormonal and endocrine imbalance (including adrenal, thyroid, and metabolic dysfunction)
Mitochondrial dysfunction
High cholesterol/High blood pressure
Approach
Our Clinical Approach to Hormone Therapy and Weight Management
Step 1: Individualized Evaluation and Testing
Hormonal and metabolic health are highly individual. At Holistique Medical Center, care begins with a comprehensive clinical evaluation rather than a one-size-fits-all protocol. Each patient's medical history, symptoms, and current concerns are carefully reviewed alongside appropriate laboratory testing, which may include comprehensive urine, blood, and saliva testing, to better understand hormone levels, their metabolites, methylation, metabolic function, and related health indicators.
Hormones We Evaluate and Optimize:
Estrogen (including estrone, estradiol and estriol and their metabolites)
Progesterone
Testosterone
Dehydroepiandrosterone (DHEA)
Pregnenolone
Thyroid, adrenal, and growth hormones
Insulin and related metabolic markers
Evaluation is individualized and guided by symptoms, life stage, and overall health goals.
Step 2: Personalized Hormone Dosing and Delivery Methods
Hormone therapy is tailored to the individual, with dosing and delivery methods selected based on clinical findings, symptoms, lifestyle factors, and life stage. Hormones are prescribed and compounded specifically for each patient and may be delivered in capsule, cream, or pellet form, depending on clinical appropriateness and patient preference.
When pellet therapy is indicated, we utilize EvexiPEL®, a state-of-the-art, clinically advanced method of bioidentical hormone replacement therapy (BHRT) designed for consistent dosing over time. This personalized approach allows care to be adjusted thoughtfully and precisely rather than following standardized dosage.
Care is individualized and may include integrative, non-hormone approaches and/or prescription-based therapies. Optimizing hormonal balance without prescription hormones may incorporate peptides, targeted supplementation, lifestyle and dietary guidance, and other supportive medical therapies.
Step 3: Continuous Monitoring & Personalized Care
Hormone levels fluctuate and individual needs change over time, so ongoing testing and follow-up allow therapy to be adjusted depending on laboratory findings, clinical response, and overall health markers over time. Dosage may be refined as needed to maintain appropriate therapeutic balance and safety. Our clinicians provide ongoing guidance at each step of care.
Step 4: Integrated Metabolic and Weight Support
Hormonal balance and metabolic health are closely connected. For patients with concerns related to weight or metabolic health, treatment plans may include integrated metabolic and weight support alongside hormone and lifestyle therapy. This may involve targeted strategies to support metabolic function, insulin sensitivity, body composition, and overall health.
When clinically appropriate, care may incorporate peptide-based therapies such as Compounded GLP-1 medications, prescribed in personalized dosing and usually combined with supportive nutrients such as B-vitamins to support metabolism and detoxification pathways. These therapies are considered as part of a broader, individualized plan that may also include nutrition, lifestyle guidance, and supportive therapies (EMSCULPT NEO, BallancerPro lymphatic compression therapy, IV Therapy) based on each patient's needs and goals.
Weight Management & Metabolic Health
We support patients with personalized weight management, metabolic care and detoxification focused on improving body composition, metabolic function, and long-term health.
At Holistique Medical Center, weight management goes beyond calories or short-term weight loss. Our approach centers on understanding the root contributors to weight resistance, including hormones, metabolism, insulin sensitivity, detoxification pathways, and lifestyle factors.
What We Offer:
- Personalized body composition optimization
- Root-cause evaluation of weight and metabolic concerns
- Integrated hormone and metabolic support
- Peptide-based therapies, including compounded GLP-1 medications when clinically appropriate
- Nutrition, lifestyle, and movement guidance
- Supportive therapies (EMSCULPT NEO, BallancerPro lymphatic compression therapy, IV Nutrient Therapy and more) to enhance metabolic and detox pathways
- Ongoing clinical oversight and health coaching
Our physicians create individualized care plans that may include hormone balancing, metabolic support, peptide therapies such as Compounded GLP-1 medication, and personalized nutrition and lifestyle strategies. Care is designed to support metabolic health, muscle-to-fat balance, and sustainable results, with a focus on long-term well-being rather than quick fixes.
Integrative Medical Therapies for Hormone & Metabolic Health
Explore physician-guided integrative therapies designed to support hormonal balance, metabolic function, and weight-related health concerns through individualized medical care.
Compounded Bio-Identical Hormone Therapy
Custom-compounded bio-identical hormones prescribed to match individual clinical needs.
Plant-derived hormones structurally identical to those produced by the body
Customized formulations based on testing, symptoms, and life stage
Adjusted for dosage, combination, and delivery method
Prescribed and monitored under medical supervision
Compounded specifically for each patient through licensed compounding pharmacies
Hormone Pellet Therapy (Evexipel®)
Long-acting bio-identical hormone delivery designed to provide consistent dosing over time.
Testosterone, estrogen, and other bio-identical hormones
Supports stable hormone levels between visits
Option for patients who prefer less frequent dosing
Prescribed and monitored under medical supervision
Utilizes Evexipel® pellets administered using the Evexia Method for precision dosing and consistent delivery
Injectable Hormone & Peptide Therapy
Prescription injectable therapies used to support hormonal and metabolic balance.
Hormone injections when clinically appropriate
Peptide therapies for metabolic and physiologic support
Personalized dosing based on testing and clinical response
Integrated into broader hormone or weight management plans
Administered under physician oversight
Regenerative Injection Therapies (PRP-Based)
Autologous regenerative therapies using platelet-rich plasma to support tissue repair and healing.
Supports tissue repair and healing responses
Uses growth factors concentrated from the patient's blood
May be used in musculoskeletal or sexual health care
Integrated with other medical or regenerative therapies
Offered as adjunctive care when clinically appropriate
Ozone-Supported Injection Therapy/10 Pass
Adjunctive medical injection therapy incorporating ozone to support circulation and tissue oxygenation.
Used to support circulation and tissue oxygenation
May be combined with other injectable therapies
Selected based on individual clinical needs
Part of integrative treatment planning
Applied selectively under medical supervision
P-Shot® (PRP Therapy for Men)
Platelet-rich plasma (PRP) therapy derived from the patient's own blood to support male sexual health.
Supports male sexual health and function
Uses concentrated growth factors from PRP
May be combined with supportive therapies
Performed as part of individualized care planning
Offered when clinically appropriate
V-Shot® (PRP Therapy for Women)
PRP-based therapy designed to support female pelvic and sexual health.
May support concerns related to pelvic health
Uses platelet-rich plasma from the patient's own blood
Considered for urinary or sexual wellness concerns
Integrated into personalized women's health care plans
Utilized as supportive therapy when clinically appropriate
GLP-1 Peptide Therapy
Prescription-based peptide therapy used to support metabolic regulation and body composition when clinically appropriate.
Compounded GLP-1 Medication
Supports appetite regulation and insulin signaling
May be combined with supportive nutrients such as B-vitamins
Personalized dosing based on clinical evaluation
Prescribed and monitored by a physician
EMSCULPT NEO
Non-invasive body contouring and muscle stimulation therapy used to support strength development and body composition goals.
Uses synchronized radiofrequency and high-intensity electromagnetic energy to stimulate muscle contractions
Supports muscle strengthening and improved muscle tone
May assist with reducing localized fat in treated areas
Incorporated as a supportive therapy alongside medical weight management and metabolic care
Hormonal Balancing
Medical evaluation and optimization of key hormones that influence metabolism, energy, and body composition.
Assessment of insulin resistance and blood sugar regulation
Thyroid hormone evaluation
Adrenal hormone assessment
Testosterone and estrogen optimization for men and women
Integrated hormone support, especially for patients over 40
Nutritional Medicine
Personalized nutrition strategies designed to support metabolic health, body composition, and long-term wellness.
Comprehensive evaluation of dietary patterns and metabolic needs
Personalized nutrition strategies aligned with body composition goals
Support for muscle maintenance and healthy fat reduction
Integrated with hormone, peptide, and lifestyle-based programs
Lymphatic Drainage Therapy
Therapies focused on supporting lymphatic circulation and elimination pathways during body composition changes.
Manual lymphatic drainage massage
Supports toxin clearance as fat is mobilized
Reduces metabolic congestion
Used as adjunctive therapy within weight management programs
Body Composition Ozone Therapy
Localized ozone-based injections used as supportive care for circulation and tissue oxygenation.
Localized ozone injections (e.g., abdomen, thighs, jowls)
Supports tissue oxygenation and circulation
Used selectively based on clinical evaluation
Integrated with metabolic and weight management programs
Nutrient IV Therapy
Intravenous nutrient support designed to enhance energy production, detoxification pathways, immune function, and cellular health.
Evaluation of nutrient deficiencies through clinical testing
Customized IV infusions tailored to individual needs
Supports energy, immune function, and cellular regeneration
IV delivery bypasses the gut for direct cellular access
Higher-dose delivery than oral absorption allows
IV nutrient therapy, ozone therapy, and NAD+ IV therapy may be prescribed when clinically indicated.
Ondamed Biofeedback and Acupuncture Therapy
Frequency-based biofeedback therapy using pulsed electromagnetic and sound frequencies and acupuncture to support nervous system regulation, immune balance, and overall physiological coherence.
Supports hormonal and nervous system balance
Assists the body in reducing inflammation and pain
Used as supportive therapy for chronic illness, neurological, digestive, and immune-related conditions
Often incorporated into integrative care plans to improve tolerance to other therapies
Health Coaching
Clinical coaching support designed to reinforce behavior change and support long-term success.
Ongoing coaching support tailored to individual needs
Guidance on nutrition, movement, and daily habits
Support for emotional and behavioral factors impacting weight concerns
Collaboration with physicians and the broader care team
Next Steps in Your Care
If you're exploring care for complex chronic illness or supportive care during cancer treatment or recovery, our team is here to help guide you.
Holistique Home Wellness Collection
Physician-curated supplements, advanced diagnostic kits, and home-care tools designed by Dr. Darvish to elevate cellular health, enhance detoxification, and strengthen long-term vitality.
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