Unexplained fatigue, weight gain, mood swings, and a low libido are frustrating symptoms that could be signs of a hormonal imbalance—a common issue that affects both women and men as they age. The good news is that you don’t have to accept these changes as inevitable. A hormone therapy consultation can help you identify the root cause of your symptoms and create a personalized plan to restore your vitality and well-being.
Through a comprehensive consultation, you’ll discover how bioidentical hormone replacement therapy (BHRT) and supportive treatments can help you reclaim your energy, balance, and quality of life. At Nervana Medical, our experienced providers combine modern medical expertise with holistic approaches to help you achieve optimal hormone health. Led by Cassandra Debenham, ACNP-BC, our team provides the thorough, individualized care you deserve.
What to Expect During Your Hormone Therapy Consultation
Your hormone consultation is a comprehensive evaluation designed to understand your unique health concerns and goals. During your visit, one of our excellent providers will take time to review your medical history, discuss your current symptoms, and listen to your wellness objectives. This isn’t a rushed appointment—we believe in giving each patient the attention and time needed to fully understand their individual needs.
We’ll typically order lab work to assess your current hormone levels, including testosterone, estrogen, progesterone, thyroid hormones, and cortisol. These tests provide crucial baseline data that help us create a targeted treatment plan. Your provider will also discuss lifestyle factors, stress levels, sleep quality, and nutrition—all of which play important roles in hormone balance.
Benefits of Hormone Therapy Consultations
A thorough hormone consultation offers numerous advantages for your long-term health and wellness:
- Personalized treatment plans tailored to your specific hormone deficiencies and goals
- Comprehensive understanding of how hormones affect your energy, mood, weight, and overall vitality
- Access to bioidentical hormone replacement therapy options that work with your body’s natural chemistry
- Expert guidance on supportive nutraceuticals and lifestyle modifications
- Ongoing monitoring and adjustments to ensure optimal results
- Improved quality of life through balanced hormones and renewed well-being
Who Is a Good Candidate?
Hormone therapy consultations benefit anyone experiencing symptoms of hormonal imbalance. Women going through perimenopause or menopause often struggle with hot flashes, night sweats, brain fog, and decreased libido. Men may notice declining testosterone levels leading to fatigue, muscle loss, and reduced stamina.
You’re a good candidate if you’re experiencing unexplained weight changes, persistent fatigue, mood disturbances, sleep problems, or changes in sexual function. Even if you’re not sure whether your symptoms are hormone-related, a consultation can provide valuable insights into your overall health and wellness.
Hormone Support and Optimization Nutraceuticals
As part of your comprehensive treatment plan, we may recommend targeted nutraceuticals to support your hormone optimization journey. These medical-grade supplements work synergistically with hormone therapy to enhance results and promote overall wellness.
EstroDIM – Orthomolecular
Indole-3-Carbinol (I3C) 200 mg -Diindolylmethane (DIM) 100 mg- Vitamin E 33.5 mg
- Supports Estrogen Balance
- Supports Proper Estrogen Metabolism for Women and Men
- Improves Estrogen Detoxification Pathways
- Provides Cellular Antioxidant Support for DNA Stability
Makes estrogen metabolize down the 2-hydroxy estrone pathway, which reduces the level of undesirable estrogen metabolites. Frees up bound testosterone, allowing for higher levels of Free Testosterone in the bloodstream. Prevents conversion of Testosterone to Estrogen. A supplement that combines the synergistic benefits of the cruciferous vegetable metabolites indole-3-carbinol (I3C) and 3-3’-diindolylmethane (DIM) to support balanced estrogen metabolism. Formulating I3C and DIM together creates an ideal combination of beneficial metabolites that support estrogen balance and breast and prostate health. Additionally, both I3C and DIM have been shown in vitro to decrease aromatase expression, the enzyme that converts androgens to estrogen.
Adapten-All – Orthomolecular OR TruAdapt Plus (Adapten All + Immune support) – Orthomolecular
This unique blend of nutrients, herbs, and adaptogens supports normal adrenal function during occasional stress and fatigue.
- Improves Stress Resilience
- Supports Healthy Energy Levels
- Strengthens the Body’s Stress Response
- Improves Mental and Physical Performance
- Helps Maintain a Balanced Cortisol-to-DHEA Ratio
Stress is defined as any disturbance—extreme cold or heat, psychological stress, sleep deprivation, work overload, physical trauma, as well as toxic exposure—that can trigger the stress response. The body’s stress response system consists of the hypothalamic-pituitary-adrenal (HPA) axis. Prolonged stress activates the HPA axis and comprises three stages: stage 1: alarm; stage 2: resistance; and stage 3: exhaustion. The initial, short-lived phase (the alarm phase) is the body’s normal fight-or-flight response to danger, which is characterized by elevated cortisol levels. The next phase, the resistance phase, allows the body to continue buffering extended stress exposure, long after the initial fight-or-flight response has dissipated. Hormones released by the adrenal glands, such as cortisol and DHEA, help support the “resistance” response. However, extended periods of stress not only burden the system, creating an imbalance in cortisol and DHEA production, but can result in mental and physical fatigue, nervous tension, irritability, and poor memory- all of which are characteristic of stage 3.
Adapten-All provides a unique blend of botanicals and micronutrients that support the adrenal glands and the body’s ability to respond to and counteract the negative effects of stress, strengthen the body’s stress response, and support healthy energy levels. Adapten-All provides targeted amounts of vitamin C, pantothenic acid, and other B vitamins that are critical to adrenal gland function. Adapten-All also provides a unique blend of “stress-adaptating botanicals” which help increase the body’s resistance to fatigue and maintain balanced cortisol and DHEA levels.
MitoCORE Protein Blend (Lemon or Strawberry) – Orthomolecular OR MitoCORE – Orthomolecular
Contains key mitochondrial micronutrients and a smart combination of alpha lipoic acid, N-acetyl cysteine, and acetyl L-carnitine to boost cellular energy production.
- Recharges Cellular Energy Production
- Supports Immune Function
- Increases Antioxidant Protection
- Supports Detoxification Capacity
The body’s cells and organ systems depend on an adequate supply of energy to function optimally. The mitochondria, known as the powerhouse of the cell, contain nutrients and enzymes important for cellular energy metabolism, including those that convert food into usable energy in the form of adenosine triphosphate (ATP). ATP is the primary source of energy for all cells. To increase mitochondrial output, there must be an adequate fuel supply for combustion and abundant antioxidants to scavenge free radical byproducts. Preserving our energy reserves and increasing energy output are critical to maintaining optimal health.
Lack of sleep, too much stress, poor nutrition, and prescription medications can draw on energy reserves, using them up faster than they can be replenished. Even the vital biologic systems can create an energy deficit that needs to be restored.
MitoCORE is scientifically formulated, based on published research, to boost mitochondrial reserves and recharge cellular energy production. MitoCORE includes the powerful antioxidant trio of alpha lipoic acid, N-acetyl cysteine, and acetyl L-carnitine, all shown to recharge cellular energy production and the primary cellular antioxidant pools of vitamins E, C, and glutathione. MitoCORE also includes key micronutrients and phytonutrients, such as green tea, broccoli seed extract, and resveratrol, to protect mitochondria and sustain the energy production cycle.
*****Pair with NAD+ Injections or IV Infusions for optimal mitochondrial support****
Vitamin D (recommended 50,000 iu/wk)
In addition to supporting bone health, vitamin D plays an important role in maintaining cardiovascular health and immune function, and promoting an overall sense of well-being.
- Maintains Bone and Dental Health
- Increases Calcium Absorption and Balance
- Boosts Immune Activity
- Supports Cardiometabolic Health, Blood Sugar Balance Already Within Normal Levels, and Weight Loss
- Helps Increase Musculoskeletal Strength and Comfort
Vitamin D is a steroid hormone that is part of a group of fat-soluble prohormones best known for the role they play in supporting bone health and aiding in the absorption of calcium and phosphate from the gastrointestinal tract. A growing body of research highlights vitamin D’s important role in supporting other body systems, including cardiovascular and blood sugar balance, musculoskeletal strength, and neurological and immune function, enabled by its ability to target over 200 genes throughout the body. Vitamin D deficiency can lead to a decreased testosterone production by as much as 25%! While it has long been assumed that most of the population achieves adequate vitamin D levels through sun exposure, the nutrient’s biosynthesis is affected by time of day, seasons, location, smog/pollution, clothing, and sunscreen. Depleted vitamin D levels may interfere with normal tooth and bone development, cell growth, and immune and nervous system regulation.
DHEA (25 mg) – Orthomolecular
- Promotes Healthy Hormonal Balance
- Supports Mood Regulation
- Balances the Stress Response System by Improving Cortisol-to-DHEA Ratios
- Maintains Healthy Aging and Normal Inflammatory Balance
- Supports Bone Health
DHEA is a precursor to estrogen and testosterone. In addition, DHEA may also have physiological actions unrelated to its function as a hormone precursor, as DHEA receptors are also present in human muscle cells. Clinical studies using oral doses of DHEA have demonstrated its ability to maintain hormonal balance. In a study of 20 women (ages 50-65 years) receiving 25 mg/day for 12 months, DHEA promoted hormonal balance as early as 3 months after starting DHEA. As indicated by serum concentrations, DHEA helped support healthy levels of testosterone, progesterone, estrone, and estradiol.
Pre-Treatment and Post-Treatment Instructions
Before your consultation, we recommend keeping a symptom journal for one to two weeks. Note your energy levels, sleep quality, mood changes, and any other concerns. If possible, schedule your lab work in the morning after fasting for the most accurate results.
After your consultation, follow your provider’s recommendations for lab testing and any suggested lifestyle modifications. Once you begin hormone therapy, attend all follow-up appointments to monitor your progress. It typically takes several weeks to notice improvements, so patience and consistency are key to achieving optimal results.
Why Choose Nervana Medical for Hormone Therapy Consultations in Sandy, UT?
Nervana Medical offers a truly different approach to hormone health. Founded by Cassandra Debenham, ACNP-BC, our practice brings together the best traditional medicine providers in Utah—with backgrounds in intensive care, emergency medicine, cardiology, and flight medicine. We don’t rush through appointments or offer one-size-fits-all solutions.
If you’re located in Sandy or surrounding service areas, our telehealth services bring convenient, reliable care directly to you—no commute or waiting room required. We’re licensed in multiple states, making quality hormone care accessible wherever you are. Click “Book Now” to see our individual/series packages and membership pricing options designed to fit your wellness journey.
Start Your Journey to Hormone Balance Today
Your hormones play a vital role in nearly every aspect of your health—from energy and metabolism to mood and mental clarity. Don’t let hormone imbalance hold you back from living your best life. Meet with one of our excellent providers to start the journey towards optimized hormones and unlock a new level of vitality, balance, and overall well-being.
Nervana Medical is conveniently located in Sandy, UT, and serves the greater Salt Lake County area. Whether you’re interested in hormone replacement therapy or exploring your options for the first time, our compassionate team is here to support you every step of the way.
Ready to take control of your hormone health? Contact Nervana Medical today at (801) 335-5243 to schedule your hormone therapy consultation in Sandy, UT.