Comprehensive Hormone
Health Evaluations
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Your Hormone Expert
Dr. Josie Tenore, MD, MSc
"Many patients come to us after being told their symptoms are just part of aging. At TREVI, we take a comprehensive approach advanced testing, evidence-based protocols, and a physician who listens. The research on bioidentical hormones has evolved significantly."
Dr. Josie is a board-certified family physician and founder of TREVI. She earned her MD from the University of Toronto and a Master of Science in Public Health from Harvard University. With advanced training in hormone optimization and regenerative medicine, she specializes in comprehensive hormone evaluations and personalized treatment protocols.
Common concerns that may have a hormonal component
Hormonal changes can affect many aspects of daily life and comprehensive testing can help identify the cause.
Brain Fog
Difficulty concentrating, memory issues, mental cloudiness
Fatigue
Persistent exhaustion despite adequate rest, low energy throughout the day
Stubborn Weight
Difficulty managing weight despite consistent diet and exercise efforts
Low Libido
Decreased desire, changes in intimacy and connection
Sleep Issues
Trouble falling asleep, night sweats, waking exhausted
Understanding modern hormone therapy
Some physicians still reference older research that studied synthetic hormones not the bioidentical hormones available today. Here is what the current research shows:
- Women on estrogen alone had a lower incidence of breast cancer
- Women on hormones had lower rates of colon cancer and osteoporosis
- Women diagnosed with breast cancer while on hormones had better outcomes
- The ELITE study showed HRT within 6 years of menopause protects hearts
- Access to hormone-prescribing physicians varies by state comprehensive care may require a specialist
Dr. Josie's Approach
A comprehensive evaluation designed to understand your unique hormonal picture and create a personalized plan.
Comprehensive Blood Panel
Advanced hormone testing that goes beyond standard panels evaluating not just reference ranges, but optimal levels for each individual.
Lab Review & Consultation
In-depth review of lab results, reported symptoms, and health goals. TREVI takes the time to listen and explain.
Personalized Plan
Custom protocol with bioidentical hormones, ongoing monitoring, and support designed to optimize each patient's outcomes.
Addressing Your Concerns
"Is hormone therapy safe?"
TThe Women’s Health Initiative study evaluated specific hormone formulations. Today, physicians consider multiple treatment options and evaluate potential risks and benefits individually. Hormone therapy may be appropriate for some patients when prescribed and monitored by a qualified physician.
"Am I the right age for hormone therapy?"
Hormonal changes can begin as early as the 30s (perimenopause often starts 8-10 years before menopause). Research, including the ELITE study, has shown potential benefits for patients starting HRT at various ages. The key is individualized assessment rather than arbitrary age cutoffs.
Request a hormone consultation with Dr. Josie
Take the first step toward understanding hormone health. Our team will reach out within 24 hours to schedule a consultation.
- Comprehensive hormone testing
- Bioidentical hormone therapy
- Physician-led, evidence-based care
- Ongoing monitoring and optimization
Request Your Consultation
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Individual results may vary. This content is for informational purposes only and does not constitute medical advice. Consult with a healthcare provider to determine if treatment is appropriate for you.