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.
What “optimal physiological levels” means at Arbour Longevity
We don’t treat to population averages. We target the precise range where three measures align:
• How you feel: patients consistently report being at their best
• What we measure: biomarkers reflect genuine, durable health
• How you live: quality of life matches everything you’ve worked to build
That intersection is the standard every Arbour Longevity protocol is built around.
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, 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.
Experiencing more than three of these symptoms is clinically significant. It's time to look at the full hormonal picture.
Our Hormone 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 isn't a one-size-fits-all 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.
Treatment Options
Testosterone Therapy
Intramuscular or subcutaneous testosterone cypionate: precise dosing, consistent levels, and cost-effectiveness. This gold standard of men's hormone therapy is increasingly requested by women.
BHRT
Bioidentical hormone pellet 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 Longevity 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 Longevity, 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 a strong safety record when monitored. Every Arbour Longevity 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 Longevity 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, Dexter clinic.
Begin Your Hormone Journey
Schedule a hormone consultation, in-person in Ann Arbor, Dexter 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.
Clinician-led longevity practice based in Ann Arbor, Dexter, Michigan.
Now accepting new patients from Ann Arbor, Dexter, Saline and across Washtenaw, Livingston, Wayne, Oakland, Monroe, and Jackson Counties throughout Southeast Michigan.
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.
Experiencing more than three of these symptoms is clinically significant. It's time to look at the full hormonal picture.
Our Hormone Quiz takes 2 minutes and gives you a personalized assessment, along with your recommended next step.
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 Longevity, 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 a strong safety record when monitored. Every Arbour Longevity 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 Longevity 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, Dexter clinic.
Begin Your Hormone Journey
Schedule a hormone consultation, in-person in Ann Arbor, Dexter 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.
Clinician-led longevity practice based in Ann Arbor, Dexter, Michigan.
Now accepting new patients from Ann Arbor, Dexter, Saline and across Washtenaw, Livingston, Wayne, Oakland, Monroe, and Jackson Counties throughout Southeast Michigan.
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.
What “optimal physiological levels” means at Arbour Longevity
We don’t treat to population averages. We target the precise range where three measures align:
• How you feel: patients consistently report being at their best
• What we measure: biomarkers reflect genuine, durable health
• How you live: quality of life matches everything you’ve worked to build
That intersection is the standard every Arbour Longevity protocol is built around.
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, 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.
Experiencing more than three of these symptoms is clinically significant. It's time to look at the full hormonal picture.
Our Hormone 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 isn't a one-size-fits-all 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.
Treatment Options
Testosterone Therapy
Intramuscular or subcutaneous testosterone cypionate: precise dosing, consistent levels, and cost-effectiveness. This gold standard of men's hormone therapy is increasingly requested by women.
BHRT
Bioidentical hormone pellet 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 Longevity 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 Longevity, 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 a strong safety record when monitored. Every Arbour Longevity 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 Longevity 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, Dexter clinic.
Begin Your Hormone Journey
Schedule a hormone consultation, in-person in Ann Arbor, Dexter 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.
Clinician-led longevity practice based in Ann Arbor, Dexter Michigan.
Now accepting new patients from Ann Arbor, Dexter, Saline and across Washtenaw, Livingston, Wayne, Oakland, Monroe, and Jackson Counties throughout Southeast Michigan.
Why Pellets
Pellets release hormones steadily and are positioned as avoiding the highs and lows some people experience with creams or injections.
One insertion is described as providing months of therapy, without daily pills, creams, or patches.
Pellets are selected and dosed based on labs and symptoms, with individualized number and strength.
Post-insertion labs around 4–6 weeks are used to confirm target range and guide future dosing choices.
Mechanism of Action
Pellet therapy is described as a “steady BHRT option.” A rice-grain-sized pellet contains bioidentical estrogen, testosterone, or a tailored mix, and is implanted under the skin, typically in the hip/buttock fat, during a quick office procedure. Local anesthetic is used, a small incision is made, and the pellet is inserted with a specialized device. The pellet then dissolves gradually, releasing hormone continuously into the bloodstream.
Hormone therapy is not one-size-fits-all. Every protocol at Arbour Longevity is individualized based on a thorough clinical evaluation, including symptom assessment, baseline laboratory testing, and a detailed review of your personal and family medical history.
For women considering hormone therapy: Candidacy is assessed in the context of factors such as history of blood clots, stroke, breast or other estrogen-sensitive cancers, and cardiovascular risk. Our providers prescribe the lowest effective dose, monitor your response through scheduled follow-up labs, and re-evaluate your protocol regularly. Hormone therapy is not appropriate for every patient, and certain populations carry elevated risk that must be weighed carefully.
For men considering testosterone therapy: A complete baseline panel is required before initiating treatment. Ongoing monitoring includes PSA and prostate health markers, hematocrit, hormone levels, and metabolic markers. These same clinical principles apply whether testosterone is delivered through injections, creams, or pellets. The delivery method does not change the standard of care.
A note on results and educational content: Outcomes vary based on individual biology, adherence, and baseline health status. No specific result is guaranteed. The information on this page is educational and is not a substitute for personalized medical advice. Reading this page does not establish a provider-patient relationship. To determine whether hormone therapy is appropriate for you, schedule a consultation with one of our providers.
Common Questions
Pellet duration varies by sex and individual metabolism. For women, pellets typically last 3 to 6 months. For men, the average range is 3 to 4 months, due to higher testosterone metabolism and dosing requirements. Your provider will track your specific timeline at your follow-up labs and refine the schedule based on how your body responds.
At Arbour Longevity, pellets are formulated with bioidentical estrogen, testosterone, or a customized combination, depending on your labs, symptoms, and clinical goals. Every formulation is compounded to meet your individual protocol. We do not use synthetic hormones.
The pellet insertion is a quick in-office procedure, typically completed in under 15 minutes. After applying a local anesthetic, your provider makes a small incision (usually in the upper hip area) and inserts the pellets just beneath the skin. Most patients report feeling only the initial numbing injection. The site is closed with steri-strips, no stitches required, and you return to normal activity the same day with light restrictions for 24 to 48 hours.
Your first follow-up lab is scheduled 4 to 6 weeks after insertion. This timing allows your hormone levels to fully stabilize, giving your provider an accurate read on whether you have reached your optimal physiological range. These labs guide all future dosing decisions and ensure your protocol is calibrated to how you feel and function, not just to a number on a chart.
Most patients require 2 to 4 maintenance visits per year, depending on your individual pellet duration and protocol. This is one of the most adherence-friendly modalities in hormone optimization. No daily pills, no creams, no weekly injections. Just a handful of brief appointments to keep your levels steady year-round.
BioTE is a structured pellet protocol developed for clinical consistency, including pellet sourcing, dosing algorithms, and provider training standards. Arbour Longevity uses BioTE-certified protocols as the foundation of our pellet therapy program, layered with our own personalized approach to lab interpretation, symptom tracking, and protocol refinement. Your provider will walk you through exactly how this applies to your treatment at your consultation.
Ready to Begin
If you’re looking for a BHRT delivery option designed for consistency and convenience, pellet therapy may be a fit. Start with an evaluation and a lab-guided plan, then choose the delivery method that matches your goals and lifestyle.
Information on this website is educational and not a substitute for professional medical advice. Individual results vary and outcomes are not guaranteed.
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