Hormone Testing & Bioidentical Hormone Therapy

Patients Medical specialises in hormonal health evaluation and bioidentical hormone replacement therapy (BHRT). Services include comprehensive hormone panels, BHRT for women and men, bioidentical pellets, testosterone deficiency treatment, adrenal and thyroid assessment, menopause management, and fertility hormone testing. Consultations run 60–90 minutes and results are interpreted functionally. Both in-person and telemedicine follow-up available.

Hormonal balance is one of the flagship specialties at Patients Medical, the Carnegie Hill integrative clinic led by Dr. Rashmi Gulati, MD. The practice takes a comprehensive, test-driven approach to hormonal health — beginning with a detailed panel of blood and, where indicated, saliva markers before recommending any intervention. This evidence-based sequence — test first, then treat — is central to the clinic's philosophy and distinguishes it from practices that prescribe hormones without thorough baseline evaluation. For women, services include bioidentical hormone replacement therapy (BHRT) using compounded preparations matched precisely to individual lab results, bioidentical hormone pellets (subcutaneous implants that release hormones steadily over 3–6 months), menopause and perimenopause management addressing hot flushes, night sweats, sleep disruption, mood changes, and libido, and fertility hormone evaluation covering FSH, LH, estradiol, progesterone, and anti-Müllerian hormone (AMH). For men, the clinic addresses testosterone deficiency and androgen decline — fatigue, reduced muscle mass, weight gain, low libido, mood changes, and cognitive fog — with TRT programmes tailored to lab values, age, and symptom profile. Thyroid care is a particular strength: the team orders comprehensive thyroid panels (TSH, free T3, free T4, reverse T3, thyroid antibodies TPO and TgAb) rather than the single TSH test typical of conventional primary care. Adrenal function is evaluated through cortisol rhythm testing. Neurotransmitter and sex hormone interactions are considered together in a systems-level view. BHRT uses bioidentical compounds — molecularly identical to endogenous human hormones — rather than synthetic analogues. Protocols are personalised to individual lab values and symptom profiles and adjusted via follow-up testing over time. The clinic offers telemedicine follow-up for ongoing hormone management, making the programme accessible for working New York patients. The clinic is out-of-network; superbills are issued for insurer reimbursement. CareCredit financing is available. Blog-based estimates for initial workup and labs suggest the low thousands of dollars; ongoing monthly costs are in the hundreds.