
Hormone optimization for women, built around you — your symptoms, and how your body actually responds over time.
“A blood draw is a Polaroid — useful, but it never tells the whole story.”
Progesterone often drops first — quietly, in your mid-30s — long before anyone thinks to test for it.
Testosterone follows, steady and unnoticed, taking your drive and energy with it.
Estrogen doesn't decline at all in a straight line — it spikes and crashes, which is exactly why a single lab draw can look "fine" while you feel anything but.
A blood draw captures one moment in time. Hormone levels can vary based on the time of day, where you are in your cycle, the timing of hormone therapy, and your own individual physiology.
Then there’s SHBG — sex hormone-binding globulin. SHBG binds hormones such as testosterone and estradiol and influences how much is available for your body to use. Two women can have the same total testosterone level on paper and have very different free hormone levels, symptoms, and treatment responses.
Your body also metabolizes hormones differently from someone else’s. One person may convert more testosterone into DHT, for example, while another may not. Genetics, enzyme activity, medications, metabolic health, and other individual factors can all influence how your body responds.
That’s why there isn’t one “perfect” hormone number that every woman should reach.
At AdoreU, your labs are interpreted alongside your symptoms, health history, and response to treatment — by the same provider who knows your story.
Not a number in isolation. You.
Hormones can have a powerful impact on how you feel — but they’re not working in isolation.
Sleep, stress, nutrition, exercise, thyroid function, metabolic health, medications, inflammation, and other health conditions can all influence symptoms like fatigue, weight changes, brain fog, mood, sleep, libido, and how well you respond to hormone therapy.
That’s why the goal isn’t simply to “balance your hormones.” It’s to understand what may be contributing to how you feel and address the pieces that are actually worth addressing.
There are more advanced tests available, including DUTCH hormone testing, GI-MAP testing, and other specialty labs. When those tests are likely to give us information that could meaningfully change your treatment plan, they can absolutely be useful - and I can order them.
But I don’t believe in ordering expensive testing simply because it exists.
If your history, symptoms, standard labs, and treatment response already give us enough information to take a thoughtful next step, I’d rather use that information to move forward than spend your money looking for another number.
Good care isn’t about ordering the most tests. It’s about knowing which information matters — and what to do with it.
Progesterone often drops first — quietly, in your mid-30s — long before anyone thinks to test for it.
Testosterone follows, steady and unnoticed, taking your drive and energy with it.
Estrogen doesn't decline at all in a straight line — it spikes and crashes, which is exactly why a single lab draw can look "fine" while you feel anything but.
Think of a lab result as a snapshot, not a full picture — it captures one moment, on one morning, at one point in your cycle. This is why generalist hormone care so often misses the mark: a single number, read in isolation, treated as the whole story.
At AdoreU, your labs are read alongside your symptoms, by the same provider, every time. Not a number in isolation. You.
Hormone therapy isn’t a one-time prescription — it’s an ongoing process of understanding your symptoms, reviewing your labs, and adjusting treatment as your body changes.
At AdoreU, bioidentical hormone pellet therapy is my preferred method of hormone delivery for women when it is clinically appropriate. Pellets have been the foundation of my hormone practice from the beginning because they provide a steady release of hormone over time without the need to remember daily pills, patches, or injections.
Your treatment is never based on a preset dose or a single lab number. Your plan is individualized using your symptoms, health history, lab results, goals, and how your body responds to treatment.
Your program may include:
Comprehensive hormone and wellness lab evaluation
Personalized interpretation of your results
Individualized bioidentical hormone pellet therapy
Estradiol and/or testosterone based on your individual needs
Progesterone or other hormone support when clinically appropriate
Follow-up labs and ongoing monitoring
Adjustments based on your symptoms, lab results, and treatment response
Evaluation of other factors that may be affecting how you feel, including thyroid, sleep, stress, metabolic health, nutrition, and lifestyle
The goal isn’t simply to get your hormones into a reference range. It’s to find the treatment that helps you feel better while supporting your health for the long term.
Your first step is a comprehensive evaluation and baseline lab work. We’ll talk about what you’ve been experiencing, what has changed, your health history, your goals, and what you want to feel different.
Once your labs are available, we sit down and review them together.
Your results aren’t reduced to “normal” or “abnormal.” We look at your individual values, how they compare with previous labs when available, what has changed over time, how you’re feeling, and how those results fit with your symptoms and goals.
Because a lab value only matters when we understand what it means for you.
At AdoreU, bioidentical hormone pellet therapy is my preferred method of hormone delivery for women when clinically appropriate.
Your dose is individualized based on your symptoms, lab results, health history, goals, and previous response to treatment. The tiny pellets are placed beneath the skin during a brief in-office procedure and gradually release hormone over time, without daily pills, patches, or injections to remember.
Other hormone delivery methods may be appropriate in certain situations, but pellet therapy remains my preferred approach for women who are good candidates.
Hormone care shouldn’t feel like a five-minute appointment.
At every follow-up, we sit down and talk about you — how you’re feeling, what has improved, what hasn’t, any new concerns, and what you want to work on next.
When labs are needed, we don’t simply look at whether they fall inside a reference range. We compare them with your previous results, your symptoms, your treatment response, and your goals before deciding whether anything should change.
Sometimes the right decision is to adjust treatment. Sometimes it’s to stay exactly where we are. And sometimes your symptoms tell us we need to look beyond hormones altogether.
The goal is thoughtful care that evolves with you — not chasing a number on a lab report.
If you are looking for a provider who will take the time to listen, explain your options, help you understand your results, and build a plan around you, you’re in the right place.
Tell us a little about what you’re looking for.
Our Patient Care Coordinator will help answer your initial questions and get you scheduled for the appropriate appointment.
Your first step is a conversation.
Call or Text: (636) 486-6770
Fax: (866) 783-4604
Email: [email protected]
AdoreU
Located Inside Solo Studios
Suite 10
111 Church St.
O'fallon, Missouri
Nurse practitioner-owned and operated in O'Fallon, MO. Serving patients throughout St. Charles County.
By Appointment Only
Appointments are scheduled in advance.
Our team is available Monday–Friday, 9:00 AM–5:00 PM for scheduling and general inquiries by call or text.