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Hormones: Normal vs Optimal

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Hormones: Normal vs Optimal

I went to medical school and residency training and learned my share about hormones. From what I learned in “traditional” school medicine is to look at “reference ranges” (aka “normal ranges”) on laboratory forms when deciding if a test result is normal or abnormal.

Since learning about bio-identical hormone replacements my thinking about lab testing has changed. In age management we differentate “normal” and “optimal”. A “normal” lab value (hormone level) means that the number is within a range of other healthy adults in a similar age group. Yes, normal values depend on what age you are in, so a “normal” test result for a 65 year old may be “abnormal” in an 18 year old.

Going back to the theory that the signs and symptoms of aging (aches and pains, memory loss, fatigue, loss of sexual drive, etc..) may be caused by a decline in hormone levels as you get older, ask yourself: “What would happen if hormone levels would NOT decline with aging?”.

And exactly this is what age management is all about. We don’t consider the “normal” values of laboratory test results, we have a subset of “optimal” that we go for when replacing hormones in aging patients. Actually more important than any numbers on a lab form are signs and symptoms. After all, we treat the patient, not the lab form.

Learn More About Hormone Replacement:

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About the Author:

President, Medical Director: Jan Trobisch, MD

Dr. Jan Trobisch was born and raised in Berlin, Germany. He began his journey into medicine at the esteemed Freie Universität Berlin, graduating in 1999. Driven by an eagerness to broaden his experience and knowledge, he moved to the United States in 2000. There, he undertook and completed his residency training in Internal Medicine at Kern Medical Center in Bakersfield, California, by 2004.

After his residency, Dr. Trobisch worked as a hospitalist and served as an attending physician for the residency program. His passion for helping people overcome their struggles led him to work in outpatient addiction recovery treatment. In his quest to provide a comprehensive and integrative approach to wellness, Dr. Trobisch founded the Synergy Wellness Center in 2009.

In the decade-plus since its inception, Synergy Wellness Center has experienced significant growth and expansion. The center is committed to offering a wide array of services, including medical weight loss, hormone optimization, medical aesthetics, and addiction recovery treatments. Emphasizing comfort and tranquility for its patients, Synergy is known for its luxurious, spa-like environment, blending the aesthetics of a wellness spa with the rigor and expertise of a medical facility.

With his multifaceted medical expertise and commitment to holistic well-being, Dr. Trobisch continues to lead the Synergy Wellness Center, shaping it into a beacon of integrative health and wellness.

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