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Low testosterone (men & women)
Treatment guided by symptoms and lab values together. Women's testosterone is routinely ignored by most practices — we don't ignore it.
The program is built to evaluate and treat the full range of hormonal shifts and imbalances that affect health, energy, function, and quality of life for men and women.
Treatment guided by symptoms and lab values together. Women's testosterone is routinely ignored by most practices — we don't ignore it.
Comprehensive management of the hormonal transition and beyond - hot flashes, sleep disruption, mood changes, weight shifts — using bioidentical hormones tailored to your symptoms and preferences.
GLP-1 therapy combined with hormone optimization and metabolic monitoring — not a script handed over without oversight or a plan for what comes after.
Ovulatory dysfunction, insulin resistance, androgen excess, and the metabolic consequences of PCOS — managed as one connected system, not as isolated lab values.
Full thyroid evaluation - TSH, free T3, free T4 - including subclinical dysfunction that TSH-only testing misses entirely.
DHEA, pregnenolone, and adrenal support where clinically appropriate — used to correct measurable insufficiency, not as a one-size supplement plan.
Not just deficiency correction — optimization to therapeutic ranges that support cardiovascular, immune, and hormonal health together.
Low libido, erectile dysfunction, and sexual dysfunction addressed at the hormonal root — medications and Men's Health procedures as needed.
A focused hormone optimization program for men and women — physician-directed, symptom-guided, and delivered using bioidentical hormones in the format that fits your life. Not a ten-minute retail visit.
Retail hormone clinics and telemedicine programs run a lab panel, apply an algorithm, and hand you a script. Their interest is limited to providing you testosterone or other hormones as a revenue stream, no actually treating your underlying symptoms which have been ignored by your PCP.
We work differently. Every consultation is conducted by Dr. Jim Fontaine himself, in person, at physician depth. We treat symptoms alongside lab values. We use bioidentical hormones. And we offer multiple delivery options — creams, oral, injectables, pellets — because the right treatment is the one that actually fits how you live.
If you want a quick script and out the door, this isn't the right practice. If you want hormones evaluated and managed the way they should be, you're in the right place.
Every patient in this program is seen in person by a physician. The evaluation is thorough. The treatment plan is personalized. The delivery format is matched to how you actually live — not to a one-size algorithm.
A thorough hormone consultation with Dr. Fontaine — not a ten-minute retail visit with a rotating PA, and not a remote check-in from a chart.
We use bioidentical hormone replacement therapy (BHRT) and offer every major delivery format — because the right treatment is the one that fits into your life, not the one that fits an algorithm.
The goals patients bring to hormone optimization — better energy, healthier weight, restored sexual function — often involve more than hormones alone. These services are offered within the same practice, by the same physician.
Physician-directed weight loss support, including GLP-1 medications where clinically appropriate — integrated with your hormonal and metabolic picture, not prescribed in isolation.
A full set of medical treatment options for erectile dysfunction and sexual health — evaluated by a physician who understands the hormonal drivers as well as the vascular ones.
Women's sexual health is routinely under-addressed. This program offers medical treatment options rather than dismissal — because low libido, discomfort, and dysfunction are treatable.
This program is a focused offering — distinct from the flagship FontaineMD Method Cardiometabolic Evaluation. It's designed for two specific groups of patients, and we're upfront about that.
You are otherwise healthy — you exercise, you take care of yourself — but you've noticed hormonal shifts. Energy is off. Sleep is lighter. Recovery is harder. Mood, libido, and body composition are trending the wrong direction.
You're not sick. You just want your hormones evaluated and managed by someone who knows what they're doing.
You already have a physician managing your cardiovascular and metabolic health well — and you're not looking to change that. But you need or want hormone optimization, and you want it done by a physician with the depth of experience to do it right.
We can be that specialist without replacing your existing care.
If you don't yet have a physician managing your cardiovascular, metabolic, and cognitive health — or if you want a fuller picture before starting hormones — The FontaineMD Method Cardiometabolic Evaluation is the more complete way in. Hormone Consultation fees may be applied toward the Evaluation for patients who upgrade shortly after their initial visit. See the Evaluation →
A thorough consultation with a physician who knows the nuances of HRT. In person. In depth. Delivered how you actually live.
Schedule a Consultation →