Hormone Optimization & Replacement Therapy
Testosterone, Thyroid & Metabolic Balance
At Holistic Medical Care Clinic, Nataliya Sia, ARNP, provides personalized hormone optimization and replacement therapy using a holistic, evidence-based approach. Hormonal imbalances can affect energy, mood, weight, metabolism, sleep, libido, and overall quality of life. Our goal is to restore balance safely while addressing underlying lifestyle, nutritional, and metabolic factors—not simply prescribing hormones in isolation.
We specialize in testosterone optimization, thyroid management, and hormone replacement therapy (HRT) using individualized treatment plans that integrate lab diagnostics, clinical symptoms, nutrition, lifestyle counseling, and when appropriate, bioidentical hormone therapy. Every plan is medically supervised and tailored to support long-term health and well-being.
What Makes Our Hormone Care Different?
- Comprehensive lab and symptom-based evaluation
- Holistic approach addressing stress, sleep, nutrition, and metabolic health
- Conservative, individualized dosing—never “cookie-cutter” protocols
- Focus on symptom relief and long-term safety
- Patient education and close follow-up monitoring
Our approach emphasizes hormone optimization, not over-replacement, ensuring therapy supports the body’s natural balance while minimizing risks.
Services We Offer
Testosterone Optimization (Men & Women)
Low testosterone can lead to fatigue, low libido, muscle loss, brain fog, mood changes, and weight gain. We evaluate hormone levels alongside symptoms to determine whether lifestyle changes, supplements, or testosterone therapy are appropriate.
Thyroid Evaluation & Management
Thyroid dysfunction—whether hypothyroidism, subclinical imbalance, or poor T4-to-T3 conversion—can significantly impact metabolism and energy. We assess thyroid labs comprehensively and address contributing factors such as inflammation, nutrient deficiencies, and stress.
Bioidentical Hormone Replacement Therapy (BHRT)
When indicated, bioidentical hormones may be used to support hormonal balance in a way that closely mimics the body’s natural hormones. Therapy is customized and carefully monitored for safety and effectiveness.
Who Is This Program For?
Hormone optimization may be appropriate for adults who experience:
- Chronic fatigue or low energy
- Weight gain resistant to diet and exercise
- Brain fog, mood changes, or sleep disturbances
- Low libido or sexual dysfunction
- Symptoms of low testosterone or thyroid imbalance
- Perimenopause, menopause, or andropause symptoms
All patients undergo a thorough medical evaluation to determine candidacy and ensure safe treatment.
Frequently Asked Questions (FAQs)
Is hormone replacement therapy safe?
When appropriately prescribed and monitored, hormone therapy can be safe and effective. We prioritize conservative dosing, regular lab monitoring, and symptom assessment to minimize risks.
Do you treat thyroid conditions without medication?
In some cases, lifestyle changes, nutritional support, and addressing underlying causes may improve thyroid function. When medication is needed, it is prescribed thoughtfully and monitored closely.
Is testosterone therapy only for men?
No. Women may also benefit from testosterone optimization when clinically appropriate, particularly for energy, mood, and libido.
How long does it take to feel results?
Many patients notice improvements within weeks, though full benefits may take several months as the body rebalances.
Will I need to stay on hormones forever?
Not always. Some patients use therapy short-term, while others benefit from ongoing support. Treatment duration is individualized and reassessed regularly.
A Holistic, Patient-Centered Approach
Nataliya Sia, ARNP, combines clinical expertise with a whole-person philosophy that considers physical, emotional, and metabolic health. Her approach emphasizes education, shared decision-making, and evidence-based care designed to help patients feel better—not just normalize lab values.
Schedule a Hormone Evaluation
If you suspect hormonal imbalance or want a comprehensive, holistic approach to hormone health, we invite you to schedule a consultation. Together, we’ll create a personalized plan focused on restoring balance, vitality, and long-term wellness.