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 clinic.