Hormone Replacement Therapy

Restoring balance. Supporting vitality. Aging with intention.

Hormones are not just about reproduction.
They influence energy, mood, sleep, metabolism, muscle, cognition, skin, and long-term resilience.

When hormones decline or become imbalanced — whether gradually with age or more abruptly — the body feels it.

At Terrane, hormone therapy is not about chasing youth.
It is about restoring physiologic balance so the terrain can function the way it was designed to.

All care is structured, physician-led, and individualized. There are no one-size-fits-all protocols.

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 Hormones act as messengers. They help coordinate nearly every system in the body:

  • Energy production

  • Muscle maintenance

  • Fat distribution

  • Brain clarity and focus

  • Mood stability

  • Sleep quality

  • Bone strength

  • Cardiovascular health

  • Skin integrity

When levels shift, symptoms often appear subtly at first — and then progressively.

Why Hormones Matter

Hormone Common signs of imbalance may include:

  • Persistent fatigue

  • Brain fog

  • Mood changes or anxiety

  • Decreased libido

  • Weight gain (especially abdominal)

  • Muscle loss

  • Poor sleep

  • Hot flashes or night sweats (women)

  • Erectile changes (men)

Many people are told this is simply “aging.” We take a more thoughtful view.

Hormone Therapy for Women

Perimenopause & Menopause

Close-up of a smiling middle-aged woman with gray hair and blue eyes, looking happy.

Hormonal changes for women can begin as early as the late 30s and 40s.
Estrogen, progesterone, and testosterone begin to fluctuate before they decline.

This transition can affect:

  • Sleep and nervous system regulation

  • Mood and emotional steadiness

  • Skin elasticity and hydration

  • Muscle mass and metabolism

  • Cognitive clarity

  • Vaginal and urinary health

  • Bone density

Hormone therapy may be appropriate when symptoms are impacting quality of life or long-term health risk.

Comprehensive lab work

  • Symptom patterns

  • Nervous system health

  • Metabolic stability

  • Lifestyle factors

Treatment may include carefully dosed estrogen, progesterone, and/or testosterone when clinically indicated — always under medical supervision.

At Terrane, we evaluate:

Hormone Therapy for Men

Andropause & Testosterone Decline

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Testosterone naturally declines with age — typically beginning in the 30s and progressing gradually.

Low testosterone may present as:

  • Reduced energy

  • Loss of muscle mass

  • Increased abdominal fat

  • Low motivation

  • Brain fog

  • Decreased libido

  • Mood shifts

  • Slower recovery from exercise

However, not every symptom equals low testosterone — and not every man needs therapy.

We begin with a full evaluation including:

  • Comprehensive hormone labs

  • Metabolic markers

  • Body composition

  • Sleep and stress assessment

If therapy is appropriate, treatment is structured and monitored.

We prioritize:

  • Muscle preservation

  • Metabolic health

  • Cardiovascular safety

  • Emotional stability

  • Long-term resilience

You cannot optimize hormones while ignoring:

  • Inflammation

  • Sleep

  • Nutrition

  • Muscle mass

  • Nervous system stress

  • Metabolic health

For this reason, hormone therapy at Terrane is layered within a larger care framework — often beginning with foundational metabolic and nervous system regulation.

Our Philosophy

  • Measured decision-making

  • Ongoing monitoring

  • Education and transparency

  • Collaborative partnership

This is not quick-fix medicine.
This is long-term stewardship of your physiology.

We believe in:

A glass being filled with water, with another empty glass below on a rough stone surface. Sunlight is casting shadows on the surface.

  • This is not a rushed appointment.

    Your consultation is a dedicated, in-depth conversation designed to understand the full picture of your health.

  • Symptoms alone are not enough.
    We use objective data to guide every decision.

  • Hormone therapy is a medical decision.
    It deserves clarity — not hype.

  • If therapy is appropriate, your plan is customized to your physiology and goals.

  • We track:

    • Energy and sleep changes

    • Mood and cognitive clarity

    • Body composition shifts

    • Cardiovascular markers

    • Long-term health indicators

    This ensures your therapy remains effective, balanced, and safe.

what to expect