Hormone Replacement Therapy & Functional Medicine

Dr. GolBerg's functional medicine and hormone optimisation programme at 910 Park Avenue begins with comprehensive hormone testing — including sex hormones, thyroid, cortisol, and metabolic markers — followed by a personalised treatment plan that may include bioidentical hormone replacement, peptide therapy, lifestyle optimisation, and nutritional interventions. Designed for patients experiencing fatigue, hormonal imbalance, weight changes, or reduced vitality.

Dr. Alexander GolBerg's functional medicine and hormone replacement programme represents the clinical core of his Park Avenue concierge practice — an integrated approach that views hormonal decline, metabolic dysfunction, and nutritional deficiency as interconnected root-cause drivers of ageing-related symptoms rather than isolated conditions to be treated independently. The programme begins with a comprehensive diagnostic phase: a full hormone panel assessing estradiol, total and free testosterone, DHEA-S, sex hormone binding globulin (SHBG), FSH, LH, progesterone (in women), thyroid function (TSH, free T3, free T4, reverse T3, thyroid antibodies), adrenal markers (morning cortisol, DHEA-S), insulin and fasting glucose, inflammatory markers (hs-CRP, homocysteine), and a metabolic panel, alongside a thorough clinical history and symptom assessment. The resulting lab picture is interpreted in the context of optimal — rather than merely reference-range — values, identifying subclinical imbalances that standard primary care might miss. Treatment programmes are then built around the individual patient's specific hormonal and metabolic profile. For women in perimenopause or menopause, bioidentical hormone replacement using estradiol (topical or patch) and progesterone (oral micronised) addresses hot flushes, sleep disruption, cognitive changes, mood instability, and accelerated skin ageing. For men with symptoms of andropause or hypogonadism — fatigue, reduced libido, decreased muscle mass, and cognitive changes — testosterone replacement (gel, injection, or pellet) is calibrated to bring levels into an optimal range while monitoring haematocrit and PSA. Peptide therapy is integrated into the programme for patients seeking additional support: peptides such as BPC-157 for tissue repair, CJC-1295 and Ipamorelin for growth hormone secretagogue effects, and thymosin alpha-1 for immune modulation represent advanced adjuncts available through Dr. GolBerg's longevity medicine toolkit. The programme includes structured follow-up lab monitoring at defined intervals to assess response, adjust dosing, and track progress over time. Dr. GolBerg also holds concierge membership options for patients seeking ongoing, proactive longevity care with direct physician access.