Feel Like Yourself Again

Personalized hormone support built around your labs, your symptoms, and your goals.

Fatigue, brain fog, low mood, stubborn weight, and a fading libido are often written off as “just getting older” or “just stress.” Frequently, they’re signs that your hormones have drifted out of balance. At Foothills, we don’t guess — we test, we look for the root cause, and we build a plan around your body’s actual numbers.

What Is Hormone Health?

Hormones are chemical messengers that regulate nearly every system in your body — metabolism, energy production, mood, sleep, muscle mass, libido, and cognitive function all depend on them staying in balance. As we age, or under the pressure of chronic stress, poor sleep, or illness, hormone levels can shift gradually enough that symptoms creep in without an obvious cause. Testosterone, estrogen, progesterone, thyroid hormones, and cortisol all interact with one another, so a change in one often shows up as symptoms that look unrelated on the surface — fatigue, weight gain, low mood, and brain fog can all trace back to the same hormonal shift.

Hormone optimization at Foothills means identifying exactly where your levels stand through comprehensive lab testing, then correcting imbalances with personalized, bioidentical hormone support — rather than a standard dose applied to everyone. Your functional medicine provider looks at your full hormonal picture together, not one number in isolation, so your plan reflects how your body’s systems are actually interacting, not just a single lab value flagged as “low.”

Hormone image concept

Hormone image concept

Hormone therapy is the treatment itself — the step that follows testing, once your provider has identified where you’re out of balance. At Foothills, this often includes bioidentical hormone pellet therapy: a small pellet inserted just beneath the skin that releases a steady, physiologic dose of hormone over several months, avoiding the peaks and dips common with creams, patches, or frequent injections. Topical, injectable, or oral options may also be used depending on your labs, goals, and preferences — your provider will walk you through which delivery method fits you best.

Hormone imbalances aren’t always a matter of aging alone — they can also stem from autoimmune activity, particularly involving the thyroid. Hashimoto’s thyroiditis (the most common cause of hypothyroidism) and Graves’ disease are both autoimmune conditions that directly affect hormone production and regulation. For patients managing an autoimmune thyroid condition, or noticing patterns that suggest one, comprehensive hormone testing often includes thyroid antibody markers alongside standard hormone panels, giving a fuller picture of what’s actually driving symptoms.

Symptoms We Treat

  • Sleep disorders
  • Mood swings, low mood, and anxious feelings
  • Weight gain
  • Decreased libido
  • Acne
  • Brain fog
  • Fatigue and low energy
  • Headaches and migraines
  • Hot flashes and night sweats
  • Vaginal dryness
  • Hair loss
  • Dry skin
  • Memory lapses

Conditions We Treat

  • Thyroid disorders — hypothyroidism, Hashimoto’s thyroiditis, autoimmune thyroiditis
  • Adrenal fatigue

Who It’s For

  • Women navigating perimenopause or menopause — hot flashes, mood swings, disrupted sleep, changing weight
  • Men noticing low energy, reduced muscle tone, low libido, or brain fog
  • Anyone with unexplained fatigue, diet-resistant weight gain, or a noticeable dip in mood or drive
  • Patients managing an autoimmune thyroid condition (such as Hashimoto’s or Graves’ disease), or with a family history of one

If any of these sound familiar — whether it’s a symptom you’ve been living with or a condition you’ve already been told you have — it’s worth a conversation. This list is educational and isn’t a diagnosis or a substitute for mental health care.

Hormone image concept

“Promoting a healthier life, one patient at a time.”

Hormone image concept

Perimenopause & Menopause Care

Perimenopause is the hormonal transition leading up to menopause — and it can start years earlier than most women expect, sometimes in the late 30s or early 40s. Estrogen and progesterone begin fluctuating unevenly well before periods actually stop, which is why symptoms often show up long before a diagnosis feels obvious, and why so many women are told their labs look “normal” while still feeling far from it.

At Foothills, we treat perimenopause as a real, treatable transition rather than something to just push through. Comprehensive testing looks at estrogen, progesterone, testosterone, and thyroid function together to understand exactly where you are in the transition, and your plan — which may include bioidentical hormone therapy, including pellet therapy — is built around that full picture, not a single number.

Comprehensive Testing

Testing that looks at your full hormonal picture, not one “normal” lab value

Personalized Treatment

Personalized hormone support, including pellet therapy options

Medical Supervision

Real time with your provider to talk through your specific transition

Ongoing Support

A team that takes perimenopause seriously as a distinct, treatable phase

Testosterone & Pellet Therapy for Men

Low testosterone can affect much more than libido — it plays a role in energy, muscle mass, mood, and mental clarity. If you’re noticing these changes, testosterone testing is often one of the first places we start.

Pellet therapy is one of the most popular ways we deliver testosterone at Foothills. A small pellet, about the size of a grain of rice, is inserted just beneath the skin during a quick in-office procedure. It then releases a steady, physiologic dose of testosterone over several months — avoiding the peaks and dips common with gels, patches, or frequent injections, and skipping the hassle of a daily routine.

  • Steady, consistent levels — no daily maintenance
  • No gels to apply or injections to remember
  • Long-acting — typically lasts several months per insertion
  • Quick, in-office procedure with minimal downtime

Hormone image concept

Bioidentical Hormone Pellet Therapy

Hormones naturally decline with age, stress, inflammation, and environmental exposure. Even small imbalances can significantly affect how you feel physically, mentally, and emotionally. Our bioidentical hormone pellet therapy offers a convenient, long lasting solution designed to support optimal hormone balance for both women and men.

What Hormone Pellet Therapy May Help Improve

  • Fatigue and low energy
  • Brain fog and poor focus
  • Weight gain and slowed metabolism
  • Low libido and sexual wellness
  • Mood changes, anxiety, or irritability
  • Poor sleep quality
  • Muscle loss and decreased strength
  • Hot flashes and menopausal symptoms
  • Recovery and exercise performance

Why Patients Choose Pellets

  • Consistent hormone delivery
  • No daily pills, creams, or injections
  • Bioidentical hormones customized to your body
  • Long-lasting symptoms support
  • Convenient in office procedure

What to Expect

1

Comprehensive lab

Comprehensive lab panel to establish your hormonal baseline

2

Consultation

One-on-one consultation with a functional medicine provider to review results and goals

3

Treatment plan

A personalized treatment plan — which may include hormone pellet therapy, topical, or injectable options — tailored to your labs and lifestyle

4

Ongoing monitoring

Ongoing monitoring with lab rechecks to fine-tune your plan over time

Hormone Health
Frequently Asked Questions

  • Is this the same as hormone therapy from a primary care office?

    Not quite. We start with a broader lab panel and more time per visit, and your plan is built around your individual results rather than a standard protocol.

  • How soon will I notice a difference?

    Every patient’s timeline is different depending on their starting point and treatment plan — your provider will talk through realistic expectations at your consultation.

  • How are hormones connected to autoimmune conditions?

    Certain hormone imbalances, particularly involving the thyroid, can stem from autoimmune activity such as Hashimoto’s thyroiditis or Graves’ disease. Your provider may include thyroid antibody testing as part of your hormone panel to get a clearer picture. This page is educational and isn’t a substitute for a diagnosis or treatment plan from your care team.

  • How long does a testosterone pellet insertion take?

    The in-office procedure itself is quick — typically well under an hour, including numbing the area. Your provider will walk you through exactly what to expect at your consultation.

  • How do I know if I'm in perimenopause?

    Perimenopause can start years before your period stops, and symptoms like irregular cycles, hot flashes, mood swings, and sleep disruption can show up even when standard labs look “normal.” Your provider looks at your full hormonal picture, not just one number, to help you understand where you are in the transition.

  • Do you accept insurance?

    We’re a concierge-style practice and don’t bill insurance directly, but HSA/FSA funds are accepted.