Hormone Optimization & Testing

Specialist hormone evaluation and optimization program addressing testosterone, estrogen, progesterone, thyroid hormones, cortisol, DHEA, and related endocrine markers. Dr. Dinetz identifies imbalances that may be contributing to fatigue, mood changes, weight gain, low libido, or cognitive decline, then designs an individualized approach that may include bioidentical hormone replacement therapy (BHRT), lifestyle modification, or targeted supplementation. Services extend to both men and women, with dedicated protocols for low testosterone and women's hormone health.

Hormone optimization at Timeless Health MD is a clinically rigorous, individualized program led by Dr. Elliot Dinetz — one of Miami's recognized specialists in functional endocrinology and age management medicine. Rather than applying a one-size-fits-all replacement protocol, Dr. Dinetz begins with a comprehensive hormonal landscape assessment that maps the full interplay of endocrine axes: hypothalamic-pituitary-gonadal, hypothalamic-pituitary-adrenal, and thyroid — because these systems do not operate in isolation. For men, the program addresses hypogonadism and age-related testosterone decline with diagnostic depth that goes beyond a single total testosterone draw. Free testosterone, SHBG, LH, FSH, estradiol, and DHEA-S are evaluated together to determine whether the root cause is testicular, pituitary, or secondary to lifestyle and metabolic factors. Treatment pathways are individualized and may include bioidentical hormone replacement therapy (BHRT), peptide protocols, or targeted lifestyle and nutritional interventions. For women, the program covers perimenopause and menopause hormone transitions with the same level of specificity — mapping estrogen, progesterone, and testosterone alongside thyroid markers and adrenal function. Dr. Dinetz is experienced in bioidentical HRT and closely monitors for safety through ongoing lab follow-up, adjusting protocols as physiology shifts. Thyroid evaluation is a consistent feature across both programs, with testing extended to free T3 and free T4 in addition to TSH — recognizing that conversion and receptor sensitivity issues are common but frequently missed. Cortisol rhythm and adrenal function are assessed where fatigue or stress resilience is a presenting concern. The program operates on a self-pay basis; insurance is not accepted. HSA cards are accepted. Ongoing access to Dr. Dinetz is a feature of all membership tiers. Consultations are available in-office, via telemedicine, or through house call arrangements for qualifying patients.