Hormone Balance
Hormones affect everything: your energy, your mood, your sleep, your skin, and that quiet sense that something is just off. At Abōde, our hormone balancing program is led by Courtney Peabody, FNP, whose clinical background means your care goes deeper than a checklist. We start with comprehensive lab work and a real conversation about how you're actually feeling day-to-day, not just what a single number says on paper.
Whether you're navigating the early shifts of perimenopause, managing menopause symptoms, or noticing changes you can't quite explain, we're here to help you understand what's happening and build a plan that supports your long-term health and quality of life.
What Hormone Imbalance Can Look Like
Hormonal shifts rarely announce themselves clearly. More often, they show up as a collection of smaller changes that build quietly over time, easy to dismiss, but worth paying attention to.
Common signs of hormonal imbalance include:
- Fatigue that doesn't improve with rest
- Difficulty sleeping or waking throughout the night
- Mood changes, irritability, or a low-grade sense of anxiety
- Brain fog or difficulty concentrating
- Weight changes, especially around the midsection, that don't respond to diet or exercise
- Low libido or changes in sexual function
- Irregular periods or changes in cycle length or intensity
- Hot flashes, night sweats, or unexpected temperature shifts
- Thinning hair or changes in skin texture
- A general sense that you don't feel like yourself
If several of these resonate, a hormone evaluation is a reasonable and worthwhile next step, not to diagnose a problem, but to understand where you are so you can make informed decisions with a provider you trust.
Our Approach to Hormone Balancing
Hormone care at Abōde is never one-size-fits-all. Courtney uses comprehensive lab panels to build a clear picture of where your hormones currently stand, then combines that data with a detailed conversation about how you're feeling and what you're hoping to improve.
From there, she creates a customized protocol that may include:
- Bioidentical hormone replacement therapy (BHRT)
- Estrogen and progesterone support for perimenopause and menopause
- Testosterone therapy for women experiencing low energy, changes in libido, or muscle loss
- Thyroid evaluation and support
- Ongoing lab monitoring to adjust your protocol over time
We revisit your labs and your symptoms regularly, because optimal hormone balance isn't a set-it-and-forget-it prescription. It evolves with you.
Is Hormone Therapy Right For You?
Hormone therapy isn't just for women deep in menopause. Many of Courtney's clients begin exploring HRT in their late 30s or 40s, often years before they expect to need it, when symptoms begin affecting their daily quality of life in ways that are hard to ignore.
You may be a good candidate if you are:
- Experiencing symptoms of perimenopause or menopause
- Struggling with fatigue, mood shifts, or sleep disruption that has no clear explanation
- Noticing changes in libido, body composition, or cognitive clarity
- Interested in a proactive, preventive approach to long-term hormonal health
The best way to know is to start the conversation. Courtney will review your history, your symptoms, and your labs before making any recommendations.
Frequently Asked Questions
What is HRT, and how does it work?
Hormone replacement therapy (HRT) restores hormones that have declined due to age, perimenopause, menopause, or other factors. Depending on your needs, your protocol may include estrogen, progesterone, testosterone, or a combination. At Abōde, Courtney uses bioidentical hormones, compounds that are structurally identical to those your body naturally produces, and delivers them in the form that works best for your lifestyle and goals.
Is HRT safe?
When appropriately prescribed and monitored by a qualified provider, bioidentical HRT is considered safe for most women. Risks vary based on your personal health history, the hormones used, the dosage, and your age. As an FNP, Courtney reviews your full medical history before recommending any protocol and monitors your response over time to ensure your treatment continues to be appropriate and effective.
How do I know if my hormones are imbalanced?
Lab work gives us the most accurate picture of your hormone levels. That said, symptoms matter just as much. Many clients come in because something feels off: they're tired, gaining weight, not sleeping, or simply not feeling like themselves, and labs give us the clinical context to understand why. Courtney looks at the full picture, not just a single number.
What hormones do you test?
The panel typically includes estrogen (estradiol), progesterone, testosterone (free and total), DHEA-S, cortisol, and thyroid hormones (TSH, free T3, free T4), along with any additional markers relevant to your symptoms. Courtney reviews every result with you in full.
How long until I feel a difference?
Most clients begin noticing improvements within four to eight weeks of starting hormone therapy. Better sleep and more consistent energy tend to come first, followed by mood stability and other symptom relief. Full results typically develop over three to six months as your protocol is refined.
Do you offer testosterone therapy for women?
Yes. Testosterone plays an important role in women's health, including energy, libido, mood, and muscle maintenance, and it declines significantly with age. Women's testosterone therapy is dosed carefully and monitored closely by Courtney, and it can make a meaningful difference for clients experiencing low energy, body composition changes, or reduced libido.
Can I combine hormone therapy with other Abōde treatments?
Absolutely. Many clients pair hormone balancing with aesthetic services including skin treatments and laser therapies. Hormonal health affects your skin, your energy, and your overall sense of wellness, so taking a comprehensive approach often supports better results across the board.
What is the difference between HRT and the GLP-1 Wellness Check program?
HRT focuses on restoring hormonal balance to address symptoms like fatigue, mood changes, sleep disruption, and weight shifts caused by declining hormone levels. The Wellness Check is a separate program that uses GLP-1 medications alongside lab work and clinical monitoring to support intentional weight loss. Many clients benefit from both, because hormonal imbalance can make weight management significantly harder, and addressing both together often produces better outcomes than either approach alone.
Why Clients Choose Us
Clients come to Abōde for more than hormone balancing. They come for an experience that's calm, medically grounded, and built around their long-term goals. With Courtney's clinical expertise guiding every step, you'll never be rushed, pressured, or left without answers. Instead, you'll find thoughtful care, real results, and a chance to feel at home in your skin.