Conditions We Treat
Hormonal Conditions
Understand the underlying hormonal imbalances behind your symptoms — and how Dr. Bruice addresses root causes rather than masking them.
Men's Health
Low Testosterone
Low testosterone affects energy, mood, body composition, and sexual health in men of all ages. Dr. Bruice has treated testosterone deficiency since 1998.
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Women's Hormonal Health
Menopause
Menopause marks the end of menstrual cycles as estrogen and progesterone fall. Dr. Bruice helps women navigate this transition with bioidentical hormone therapy tailored to each patient.
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Women's Hormonal Health
Perimenopause
Perimenopause begins years before the last menstrual period as ovarian production becomes erratic. Progesterone drops first, followed by estrogen — often unrecognized for years.
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Men's Hormonal Health
Andropause
Andropause is the gradual decline of testosterone and other androgens in aging men. It occurs slowly — often unrecognized for years while symptoms accumulate.
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Women's Hormonal Health
Estrogen Dominance
Estrogen dominance occurs when estrogen is high relative to progesterone — causing heavy periods, weight gain, mood swings, and fibrocystic symptoms.
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Thyroid Health
Hypothyroidism
Hypothyroidism is underdiagnosed when relying solely on TSH. Dr. Bruice evaluates the full thyroid panel to identify functional hypothyroidism even when TSH appears normal.
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Thyroid Health
Hashimoto's Thyroiditis
Hashimoto's is an autoimmune condition where the immune system attacks the thyroid. It's the most common cause of hypothyroidism — frequently missed without antibody testing.
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Metabolic Health
Hormonal Weight Gain
When diet and exercise aren't working, hormones are often the hidden driver — low thyroid, low testosterone, estrogen dominance, high cortisol, and insulin resistance all cause fat gain that can't be exercised away.
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Adrenal Health
Adrenal Fatigue
Chronic stress depletes adrenal reserve, dysregulates cortisol patterns, and drains DHEA — creating a cascade of fatigue, hormonal imbalance, and immune dysfunction that standard medicine often misses.
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Men's Sexual Health
Low Libido in Men
Diminished sex drive in men is almost always hormonal at its root. Dr. Bruice identifies and treats the specific hormonal driver — whether testosterone, thyroid, estrogen excess, or medication side effect.
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Women's Sexual Health
Low Libido in Women
Female libido is hormonally complex — driven by testosterone, estrogen, progesterone, thyroid, and psychological factors. Dr. Bruice evaluates and treats each component.
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Cognitive Health
Brain Fog
Brain fog — difficulty thinking clearly, poor memory, and mental fatigue — is one of the most common hormonal symptoms. Dr. Bruice identifies the specific hormonal driver and restores cognitive clarity.
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Energy & Fatigue
Hormonal Fatigue
Persistent fatigue that doesn't resolve with rest or sleep has a cause. Dr. Bruice systematically evaluates all hormonal and metabolic drivers — rather than attributing fatigue to stress or age.
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Bone Health
Bone Loss & Osteoporosis
Estrogen is the primary bone-protective hormone — and its loss at menopause drives rapid bone density decline. Dr. Bruice addresses bone health as a core component of hormone optimization.
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Mental Health
Hormonal Mood Disorders
Depression and anxiety that haven't responded to psychiatric medications may have a hormonal root cause. Dr. Bruice identifies hormonal contributors and addresses them alongside or prior to psychiatric treatment.
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Growth Hormone
Adult Growth Hormone Deficiency
Growth hormone deficiency in adults causes body fat accumulation, muscle loss, poor sleep quality, reduced vitality, and accelerated aging. Dr. Bruice evaluates and treats adult GHD with precision.
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Energy & Fatigue
Chronic Fatigue Syndrome
CFS and ME are complex conditions, but many patients labeled with CFS have identifiable and treatable hormonal and metabolic deficiencies. Dr. Bruice evaluates the full picture before accepting a CFS diagnosis.
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Hormonal Hair Loss
Hormonal Hair Loss
Hair loss in men and women is frequently hormonal — driven by DHT, low thyroid, iron deficiency, or hormonal transition. Dr. Bruice evaluates the full hormonal picture before attributing loss to genetics.
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Metabolic Health
Insulin Resistance
Insulin resistance affects 1 in 3 American adults — silently causing weight gain, hormonal disruption, cardiovascular disease, and cognitive decline for years before blood sugar rises.
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Women's Health
PMS & PMDD
Premenstrual syndrome (PMS) and PMDD are driven by hormonal fluctuations — particularly progesterone deficiency and estrogen volatility in the luteal phase. Dr. Bruice addresses the root cause rather than masking symptoms.
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Thyroid Health
Thyroid Nodules
Thyroid nodules are extremely common — found in up to 65% of the population on ultrasound. Most are benign. Dr. Bruice evaluates nodule characteristics and coordinates appropriate follow-up.
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Men's Health
Testosterone Deficiency Syndrome
Testosterone deficiency syndrome is the clinical recognition that low T causes systemic effects beyond just libido — including cardiovascular risk, bone density, metabolic health, and cognitive function.
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Women's Health
Vaginal Atrophy & GSM
Genitourinary Syndrome of Menopause (GSM) — formerly called vaginal atrophy — causes vaginal dryness, painful intercourse, urinary urgency, and recurrent UTIs. It's highly treatable yet rarely discussed.
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