HORMONE OPTIMIZATION + BIOIDENTICAL HORMONE THERAPY
Feel better, get stronger, create a body built to last
Hormonal changes can affect how you sleep, think, feel, recover, train, and show up in your everyday life. At Sisu Health, hormone therapy isn't about chasing a number or following a standard protocol. It's personalized medical care designed to address the symptoms affecting your quality of life while supporting your strength, health, and resilience for the years ahead.
ABOUT THE PROGRAM
Hormones can be a powerful tool—when they're used thoughtfully
At Sisu Health, we don't believe everyone needs hormone therapy, and we don't believe everyone should receive the same protocol. Your care begins with understanding what has changed—your symptoms, health history, lifestyle, goals, and the way you want to feel and function. From there, we combine comprehensive evaluation, laboratory testing, clinical evidence, and shared decision-making to determine whether hormone therapy is appropriate for you. When treatment is indicated, your plan is personalized, carefully monitored, and adjusted as your needs evolve. Because the goal isn't simply better numbers. It's helping you feel better today while building a stronger, healthier body for the years ahead.
YOUR CARE EXPERIENCE
A structured, clinician
led approach to hormone care
Start With the Whole Picture
Your care begins with a thorough review of your symptoms, health history, risk factors, lifestyle, concerns, and goals. We want to understand not only what your labs show, but what has changed and how it's affecting your everyday life.
Comprehensive Testing + Clinical Interpretation
Appropriate laboratory testing helps us understand your hormonal, thyroid, and metabolic health within the context of your symptoms and medical history. We look beyond isolated numbers to understand the bigger clinical picture and identify areas that may benefit from treatment or further evaluation.
Build Your Personalized Treatment Plan
If hormone therapy is appropriate, we'll build a treatment strategy around your individual needs. Depending on your clinical picture, this may include bioidentical estrogen, progesterone, testosterone, thyroid treatment, or other targeted support. You'll understand your options, expected benefits, potential risks, and the reasoning behind your treatment plan.
Monitor, Respond + Optimize
Hormone therapy isn't "set it and forget it." We follow your symptoms, treatment response, side effects, and laboratory findings when appropriate—making thoughtful adjustments as your needs change.
Support the Body Behind the Hormones
Hormones are one piece of your health. Strength training, protein and nutrition, sleep, stress management, recovery, and metabolic health are integrated throughout your care to support how you feel now and how you function for years to come.
Ongoing Monitoring + Adjustment
Hormone therapy isn't “set it and forget it.” We monitor symptoms, laboratory findings when appropriate, treatment response, side effects, and changing needs over time.
How It Works
We restore hormonal balance
so you can live the life you deserve.
What's included
Everything your program covers
Personalized HRT where it’s needed - bio identical sex hormones including testosterone, thyroid replacement, and any other identified deficiencies.
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Comprehensive Hormone Evaluation
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Advanced Hormone Testing
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Personalized Hormone Therapy Plan
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Lifestyle & Longevity Strategy
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Ongoing Monitoring & Adjustment
Comprehensive Hormone Evaluation
- Detailed symptom review
- Medical history and risk assessment
- Review of lifestyle factors that influence hormonal health
- Identification of perimenopause, menopause, or androgen deficiency symptoms
Advanced Hormone Testing
- Sex hormone evaluation (estrogen, progesterone, testosterone)
- Thyroid assessment
- Metabolic markers
- Additional testing when indicated
Personalized Hormone Therapy Plan
- Bioidentical estrogen therapy
- Progesterone therapy
- Testosterone therapy
- Thyroid optimization
- Other targeted hormone support
Lifestyle & Longevity Strategy
- Strength training
- Adequate protein intake
- Sleep optimization
- Stress management
- Metabolic health support
Ongoing Monitoring & Adjustment
- Regular follow-up visits
- Symptom tracking
- Laboratory monitoring
- Dose adjustments when needed
Our Programs
Find the right program for you
Every Sisu program shares the same foundation — evidence-based medicine, a muscle-first approach, and a plan you can actually sustain.
Weight Loss & Metabolic Optimization
Weight Loss & Metabolic Optimization
Our medical weight loss program is designed for individuals who want more than a quick fix. We focus on sustainable fat loss while protecting muscle mass, metabolic health, and long-term function.
Read MoreHormone Optimization & Bioidentical Hormone Therapy
Hormone Optimization & Bioidentical Hormone Therapy
Hormonal changes can significantly impact energy, mood, sleep, libido, body composition, and overall quality of life. Our hormone optimization program focuses on restoring balance and improving how you feel while prioritizing long-term safety and evidence-based care.
Read MoreSYMPTOM RECOGNITION
Could hormones be part of the picture?
Changes in hormones can show up differently from person to person—and many of the symptoms overlap with other health concerns. That's why we evaluate the whole picture rather than assuming hormones are automatically the answer.
Why Choose SISU Health
Hormone care that treats you, not your lab range
Being told your labs are "normal" while you feel nothing like yourself isn't an answer. We treat symptoms and numbers together, with a plan built around how you actually want to live.
- Symptoms weigh as heavily as lab values in every decision
- Bioidentical therapy dosed and adjusted for you, never a standard protocol
- Strength, sleep, and body composition treated as part of hormone health
- Clinician-led monitoring with real follow-up, not automated refills
- Long-term safety planned from the first consultation, not addressed later
- Comprehensive hormone panels, not the single test most clinics run
Our Testimonials
What our Clients Say About us
Every story here belongs to someone who wanted more than a quick fix and stayed with the process long enough to feel the difference.
Andi knows her stuff and she doesn't beat around the bush. She's confident, direct, and she gives you a clear plan instead of overcomplicating everything. She created a six week strength program for me and I'm already feeling stronger and seeing a noticeable difference. Even better, she's given me structure and routines I know I can keep going long after the six weeks are over. I'm so glad I found her.
Ryanne LittledikeIf I could give Andi 100 stars, I would. As a woman who struggled with postpartum weight gain and hormone imbalances, she was a godsend. She actually listened to my concerns, answered my questions, and then she pushed me to work. And let me tell you, there's work. But there are also results. She gets the female body and the setbacks we face. You leave feeling like you met up with a friend.
Genna FramptonAndi puts you at ease right out of the gate. These issues can be sensitive, and she approaches them with no judgment. My son was so nervous to start his weight loss journey, and after every appointment he'd say, "I always feel less stressed when I leave." I've been her patient too, and I remember her saying, "You shouldn't be suffering to get to your goals." She makes sure you feel seen and heard. I highly recommend her.
Aimee RowlandFAQ'S
Frequently Asked Question
Hormonal shifts often present as persistent fatigue, sleep disruption, changes in mood, reduced libido, difficulty maintaining muscle, or brain fog. During your comprehensive consultation, we evaluate your complete history and symptoms to determine if hormonal imbalance is contributing.
Yes. When clinically indicated, bioidentical hormone replacement therapy (such as estradiol, progesterone, or testosterone) is prescribed and matched specifically to your laboratory markers and clinical needs.
Following booking, we coordinate comprehensive baseline diagnostic laboratory testing. This ensures we review actionable biomarker data during your initial visit rather than relying on guesswork.
Treatment is closely monitored. We typically conduct clinical follow-ups and repeat relevant lab panels at 6- to 12-week intervals during active titration, shifting to maintenance monitoring once your symptoms and levels stabilize.
Consultation and program fees cover clinical evaluations, individualized protocol design, ongoing medical oversight, and lifestyle guidance. Prescription medications are filled through partner pharmacies and billed separately based on your specific prescription.
Patients transition into an ongoing maintenance phase designed to protect clinical gains, monitor safety, and adjust protocols as their bodies age and evolve.

I started hormone therapy in a traditional setting and it was frustrating. Six week waits, ten minute conversations, a prescription, and then I was sent on my way. Andi is completely different. She didn't just prescribe hormones, she taught me how hormones, protein, sleep, exercise, and stress all work together. She looked at the whole picture instead of one symptom at a time. At 53 I feel better than I ever have.
Carrie Gunter