Hormonal & Menopausal Health
I feel like a stranger in my own body.
I keep being told this is just part of aging.
I don't accept that.
Hormonal imbalance doesn’t announce itself with a single clear symptom. It shows up as fatigue, weight resistance, sleep disruption, brain fog, mood instability, low libido, and a general sense of not feeling like yourself — symptoms that are routinely dismissed as stress, depression, or ‘a normal part of aging.’
At One Tree, we run comprehensive baseline labs before recommending anything. The goal isn’t to get you to ‘normal range’ — it’s to find what your body specifically needs to function well. Bioidentical hormone therapy uses hormones molecularly identical to your own, not synthetic approximations.
On this page
What hormonal imbalance actually looks like
Why standard panels often miss it
How One Tree investigates it
Bioidentical hormone therapy & more
Conditions in this category
“My doctor ran a hormone panel and said everything was normal. But I hadn’t slept properly in two years, and I didn’t recognize myself anymore.“
What It Looks Like
Hormones affect everything.
Hormones are the body’s chemical messengers — regulating energy, metabolism, sleep, cognition, mood, weight, libido, immune function, and dozens of other processes. When they’re out of balance, the effects are systemic and diffuse, which is precisely why they’re so often misattributed to stress, depression, or aging.
Perimenopause and menopause represent the most dramatic hormonal shift in a woman’s life — but hormonal imbalance isn’t limited to midlife. PCOS, thyroid dysfunction, adrenal dysregulation, and low testosterone in both women and men can produce significant symptoms at any age.
The symptoms are real. They’re measurable. And they respond to treatment when the right investigation is done.
Why Standard Panels Miss It
'Normal range' is not the same as optimal.
Standard hormone panels measure a narrow set of markers against population-average ranges. Being within range doesn’t mean your levels are optimal for you — and it doesn’t account for how your individual physiology uses the hormones that are present.
Incomplete thyroid evaluation — Most panels test only TSH. Full thyroid assessment includes Free T3, Free T4, Reverse T3, and thyroid antibodies — markers that reveal dysfunction that TSH alone misses.
Estrogen without progesterone context — Estrogen levels are only meaningful relative to progesterone. Estrogen dominance — a common perimenopausal pattern — can exist with estrogen that’s technically ‘normal’ when progesterone is insufficient.
Testosterone overlooked in women — Low testosterone in women is a frequent and underdiagnosed cause of fatigue, low libido, mood instability, and cognitive fog — and is rarely tested in standard female hormone panels.
Adrenal and cortisol patterns ignored — Adrenal dysfunction and dysregulated cortisol patterns have direct effects on all other hormones — but are rarely included in standard hormonal workups.
Our Approach
Comprehensive baseline first. Treatment second.
Nothing is prescribed at One Tree without a full baseline lab panel first. Dr. Jamie evaluates the complete hormonal picture — not just one or two markers — alongside thyroid function, adrenal status, metabolic markers, and gut health’s role in hormone metabolism.
The goal is to understand what your body specifically needs — not to apply a standard HRT protocol. Bioidentical hormone therapy is individualized by design: the hormones are molecularly identical to your own, the dosing is based on your labs and symptoms, and the protocol is adjusted as your body responds.
What We Investigate
Full hormone panel (estrogen, progesterone, testosterone, DHEA, cortisol) · Complete thyroid panel (TSH, Free T3, Free T4, Reverse T3, antibodies) · Adrenal function and diurnal cortisol patterns · Metabolic markers (fasting insulin, glucose, lipids) · Sleep architecture and circadian disruption · Gut health’s role in estrogen metabolism (estrobolome) · Nutrient status relevant to hormone production
Conditions in this category
Perimenopause
Menopause
Surgical menopause
Low testosterone (women & men)
Thyroid dysfunction
PCOS (Polycystic Ovary Syndrome)
Adrenal dysfunction
Estrogen dominance
Unexplained weight resistance
Hormone-related mood & cognitive symptoms
How We Treat It
Treatments we use for hormonal & menopausal conditions.
The protocol depends entirely on what the labs show. These are the tools most commonly relevant at One Tree for hormonal cases.
Bioidentical Hormone Therapy (BHRT)
Hormones that are molecularly identical to those your body produces naturally — not synthetic approximations. Prescribed only after comprehensive baseline labs. Dosing is individualized and adjusted based on follow-up testing and symptom response. BHRT can address estrogen, progesterone, testosterone, DHEA, and thyroid hormones depending on what your panel shows.
Thyroid Optimization
Full panel evaluation beyond TSH — including Free T3 conversion, Reverse T3, and antibody status. When thyroid dysfunction is contributing to fatigue, weight, cognition, or mood, optimizing thyroid function is frequently one of the most impactful interventions available. Dr. Jamie evaluates the complete picture before any thyroid support is recommended.
Adrenal & HPA Axis Support
Adrenal dysfunction — particularly the flattened or dysregulated cortisol patterns that follow chronic stress — directly affects every other hormone in the system. Targeted adrenal support through adaptogenic protocols, sleep optimization, and nutritional intervention is often a necessary foundation before hormone therapy can be fully effective.
Gut & Estrobolome Support
The gut microbiome plays a direct role in estrogen metabolism through a set of bacteria called the estrobolome. Dysbiosis disrupts this process and can drive estrogen imbalance independently of production levels. When gut health is contributing to hormonal patterns, addressing it is part of the hormonal protocol.
What to Expect
Baseline labs first — then a plan.
Nothing is prescribed without a thorough picture of where you are currently. The process is designed to be methodical — understanding your baseline before making any changes, then tracking your response at each step.
Free 40-Min Consultation
A conversation about your symptoms, history, and prior hormone testing. Dr. Jamie will tell you honestly whether BHRT or other hormonal support is likely to be relevant for your specific situation.
Comprehensive Baseline Labs
Full hormone panel, thyroid, adrenal markers, metabolic panel, nutrient status. This is the foundation — we don’t prescribe without it.
Results Review & Protocol Design
A thorough review of what the labs show, what it means for your symptoms, and what a personalized protocol looks like — including what’s being prescribed, why, and what to expect.
Monitoring & Adjustment
Follow-up labs at regular intervals to track your response and adjust dosing. BHRT isn’t a set-and-forget prescription — it’s an ongoing calibration based on how your body responds.
Honest expectations
Hormonal changes take time to stabilize — typically 3–6 months before the full effect of a protocol is clear. Expect follow-up labs at regular intervals during that period.
BHRT isn’t appropriate for everyone. Certain medical histories require careful evaluation before any hormone therapy is considered. Dr. Jamie will review your history thoroughly and be direct about any contraindications.
If you’re currently on conventional HRT and considering transitioning to BHRT, that’s a conversation Dr. Jamie can guide — with a full review of what you’re currently on and why.
Bring any prior hormone labs to the consultation. Even if they showed ‘normal,’ seeing the actual numbers in context is useful starting information.
“
I was 47, exhausted, gaining weight despite eating carefully, and could not sleep. My OB said my labs were normal for my age. Dr. Jamie ran a complete panel, found low progesterone and poor T3 conversion, and built a protocol around what she actually found. Within three months I felt like myself again.
One Tree Patient · Colorado · Perimenopause & Thyroid
*Patient experience. Results vary. This is not a medical claim.
If you've been told your hormones are normal
but something is clearly off — that's where we start.
The free consultation is a 40-minute conversation about your history and whether One Tree’s approach makes sense for your situation. Bring any prior labs. No forms, no commitment beforehand.