Conventional medicine has a standard for hormone levels. We have a different one. Lab reference ranges are built on population averages, not on what produces peak vitality, mental clarity, and physical performance.
At ARBOUR, we target optimal physiological levels , the range at which our patients report feeling their best, their biomarkers reflect genuine health, and their quality of life reflects what they've worked so hard to build.
Hormone imbalance rarely announces itself. It shows up quietly, in symptoms most people have learned to accept. Fatigue that sleep doesn’t fix. Muscle loss despite the gym. A mood that’s harder to manage. A mind that won’t quite focus the way it used to. If that sounds familiar, your hormones may be working against you rather than for you. That’s exactly what we’re here to change.
If that sounds familiar, your hormones may be working against you, not for you. That's exactly what we're here to change.
What We Treat
Delivery Methods
Labs & Access
Benefits, Process & Programs
Hormone imbalance is rarely dramatic. It's the slow accumulation of symptoms that each seems explainable on its own, until you realize they all point to the same root cause.
Recognizing more than three of these symptoms is clinically significant. It's time to look at the full hormonal picture.
Our Hormone Score Quiz takes 2 minutes and gives you a personalized assessment, along with your recommended next step.
Our Process
Your first visit begins with a thorough clinical conversation, symptoms, history, goals, lifestyle. We treat the whole person, never a lab number in isolation. Available in-office or via telehealth.
We order a complete lab panel through LabCorp or Quest Diagnostics, covering every relevant hormone, a full thyroid picture (including free T3, free T4, and reverse T3), metabolic indicators, and inflammatory biomarkers. Not just TSH. Not just total testosterone. The complete picture, because treating part of it is guesswork.
Results reviewed in detail. Your protocol is built around your specific physiology, goals, and lifestyle, choosing the right hormones, the right delivery method, and the right dosing for you specifically.
Hormone therapy is not a prescription it’s designed for you. We monitor labs regularly, adjust protocols as your body responds, and stay with you through every stage of your optimization journey.
Our Process
Testosterone Therapy
Intramuscular or subcutaneous testosterone cypionate: precise dosing, consistent levels, and cost-effectiveness. This gold standard of men's hormone therapy is increasingly preferred for women.
BHRT
Bioidentical hormone pellets inserted subcutaneously, delivering consistent hormone levels for 3–6 months without daily administration. Ideal for patients seeking convenience and stability.
Testosterone Therapy
Compounded testosterone cream is applied daily. Flexible dosing, easy titration, and well-suited for patients who prefer non-injectable delivery.
Women's Hormones
Bioidentical estradiol and progesterone. oral, topical, or vaginal formulations. Tailored to your cycle status, symptoms, and health history. Perimenopause through post-menopause.
Foundational Hormones
The precursor hormones that influence testosterone, estrogen, cortisol, and cognitive function. Often overlooked, always included in a complete ARBOUR assessment.
Thyroid & Adrenal
Full thyroid panel including free T3, free T4, and reverse T3. Adrenal function and cortisol rhythm assessment. These hormones are most commonly missed by conventional medicine.
Your Lab Panel
Your conventional doctor likely ran TSH and total testosterone. We order a complete panel because treating hormones without full context is guesswork.
Common Questions
Lab reference ranges reflect the average population, which includes a large number of people who are symptomatic, sedentary, or aging without optimization. At ARBOUR, we target the range at which patients consistently report peak energy, clarity, and performance. That range is often significantly higher than what a conventional provider considers acceptable.
When prescribed and monitored by a qualified clinician, bioidentical hormone therapy has an excellent safety profile. Every ARBOUR patient receives regular lab monitoring to ensure levels remain in the optimal and safe range. We never set and forget. ongoing oversight is built into every protocol.
Absolutely. Low testosterone in women is one of the most underdiagnosed contributors to fatigue, low libido, cognitive decline, and muscle loss. Our female hormone protocols include testosterone alongside estrogen, progesterone, DHEA, and thyroid, the complete picture that most providers miss.
Most patients notice initial improvements in energy and sleep within 2–4 weeks. Libido, body composition, and cognitive changes typically become evident at 6–12 weeks. Full optimization, where all biomarkers and symptoms align, generally occurs at 3–6 months with appropriate protocol adjustments along the way.
ARBOUR operates as a cash-pay practice, which allows us to provide the depth of care and personalization that insurance-based medicine cannot accommodate. We accept HSA and FSA funds, and provide detailed receipts for potential out-of-network reimbursement. Lab orders are sent to LabCorp or Quest, where many patients have partial coverage.
Yes. Initial consultations and follow-up appointments are available via telehealth for patients throughout Michigan. Lab work is ordered to your nearest LabCorp or Quest location. Procedures requiring in-person visits, such as pellet insertion, are performed at our Ann Arbor clinic.
Begin Your Hormone Journey
Schedule a hormone consultation, in-person in Ann Arbor or via telehealth. We'll review your symptoms, your goals, and design the right lab panel to give us the full picture before we recommend anything.
Physician-collaborative practice · Accepting new patients in Ann Arbor & Southeast Michigan
Regenerative medicine and aesthetic arts — where science meets the artistry of transformation. Ann Arbor, Michigan.
