Your Hormones Affect Everything.
Getting Them Right Changes Everything.
Personalized bioidentical hormone therapy for women and men, addressing hormonal imbalances, metabolic decline, and age-related hormone changes through advanced testing and individualized treatment. Serving patients throughout Dallas, DFW, Irving, and Las Colinas.
Schedule a Free Consultation with Our New Patient Coordinator:
Or fill in the Inquiry Form below, and we will contact you.
Hormone Optimization for Women and Men
Hormones are chemical messengers that influence nearly every physiological process in the body—metabolism, energy, mood, sleep, cognitive function, sexual health, and more. They also work together as an interconnected system: when one hormone is disrupted, others are often affected as well.
Both women and men experience hormonal shifts throughout their lives. These changes can be gradual or sudden, and they are not limited to the obvious milestones of perimenopause, menopause, and andropause. Diet, chronic stress, illness, medication, lifestyle, and environmental factors can all disrupt hormone balance at any age.
At Forum Health Las Colinas, hormone optimization means identifying the specific imbalances affecting your health through comprehensive testing and correcting them with a personalized, medically supervised program. We prescribe only bioidentical hormones produced to exacting standards in qualified compounding pharmacies.
What is Bioidentical Hormone Replacement Therapy (BHRT)?
Bioidentical hormones are plant-derived compounds that are structurally identical to the hormones naturally produced by the human body. Unlike synthetic hormones, which have a different chemical structure, bioidentical hormones are designed to interact with the body’s hormone receptors in the same way as its own hormones.
BHRT uses these bioidentical compounds to restore hormone levels that have declined or become imbalanced, supporting the body’s return to optimal function. Because dosing is based on individual lab results and symptoms, rather than standardized protocols, the approach is inherently personalized.
Average life expectancy has increased significantly, but hormone production still declines with age. Hormone optimization addresses the gap between how long people live and how well they function during those years.
Signs You May Benefit from Hormone Optimization
Hormonal imbalances rarely develop suddenly. They are typically the result of cumulative physiological and lifestyle factors that gradually compromise the endocrine system. Common signs include:
Persistent fatigue or low energy- Weight gain or difficulty losing weight, particularly around the abdomen
- Loss of muscle mass
- Low libido or sexual health concerns
- Sleep disruption or insomnia
- Brain fog, poor concentration, or memory lapses
- Mood changes, anxiety, or depression
- Irritability
- Hot flashes or night sweats
- Hair loss or thinning
- Skin changes—thinning, wrinkling, or loss of elasticity
- Headaches or migraines
- Muscle and joint pain
- Irregular periods or fertility concerns
- Erectile dysfunction
- Insulin resistance or abnormal cholesterol
- Decreased ability to handle stress
Persistent fatigue or low energyFor women-specific hormonal concerns, including perimenopause, menopause, PCOS, and estrogen dominance, visit our Hormones for Women section.
What Hormone Optimization Can Address
Properly balanced hormones have a broad impact on how patients feel and function day to day. Hormone optimization may support improvements in:
Energy & Fatigue
Hormone imbalance—including thyroid, adrenal, and sex hormone dysfunction—is one of the most common and overlooked contributors to chronic fatigue. Restoring balance frequently produces significant improvements in sustained energy levels.
Body Composition and Weight
Multiple hormones influence body composition, including how the body stores fat and builds muscle. Hormone optimization, combined with a healthy diet and appropriate exercise, can support healthy weight management and reduce abdominal fat accumulation.
Cognitive Function
Brain fog, poor concentration, and memory lapses are frequently linked to hormonal imbalance. Optimal hormone levels support mental clarity, focus, and cognitive performance, and can make a meaningful difference for patients who have struggled with these symptoms for years.
Libido and Sexual Health
A decline in libido is one of the most common symptoms of hormonal imbalance in both women and men. Hormone optimization, including testosterone and estrogen balance, often produces a meaningful improvement in sexual health and function.
Sleep
Hormonal disruption is a leading cause of sleep difficulty in adults over 40. Progesterone, estrogen, testosterone, and cortisol all influence sleep quality. Restoring balance can significantly improve the ability to fall asleep, stay asleep, and achieve restorative rest.
Mood and Emotional Well-being
Anxiety, depression, and irritability are frequently tied to hormonal imbalances, not just psychological factors. Addressing the underlying hormonal cause can produce meaningful improvements in emotional stability and resilience.
Skin, Hair, and Bone Health
Estrogen, testosterone, and thyroid hormones all play a role in skin integrity, hair growth, and bone density. Hormone optimization can help slow age-related changes in these areas and, in some cases, reverse them.
“I struggled for months with symptoms of menopause (hot flashes, brain fog, weird pangs in my gut, stubborn weight gain, feeling sick all the time, difficulty getting out of bed, low energy) and I was completely fed up with traditional medicine. Nothing I was doing was helping me. So, I reached out to Forum Health Las Colinas as a last-ditch effort to get my symptoms under control. Without a doubt, it was the smartest decision I made!
“My provider dove deep into my blood panel to uncover the deficiencies I had and then presented me with a plan to fix them. AND IT WORKED! She helped me balance my hormones, create a list of high-grade supplements tailored to my specific needs, and guided me on nutrition and exercise. I followed the plan and within 3 months my A1C is down from 5.7 to 5.1! In fact, all my numbers that were too high in my original blood panel are now back in a normal range.
“I feel fantastic…my energy is back, my brain is thinking clearly, and the weight is starting to come off! Thank you! I am so grateful for your knowledge and expertise. If you’re at wits’ end with menopause symptoms, do yourself a favor and call Form Health Las Colinas!” – Jennifer
Schedule a Free Consultation with Our New Patient Coordinator:
Or fill in the Inquiry Form below, and we will contact you.
Comprehensive Testing and Treatment
The foundation of effective hormone optimization is accurate, comprehensive testing. We do not rely on limited panels or standard reference ranges alone; we evaluate a full picture of hormonal and metabolic health and consider your symptoms alongside your lab results.
Our hormone optimization program includes:
- Comprehensive laboratory testing covering sex hormones, thyroid, adrenal function, metabolic markers, and nutritional status
- In-depth provider consultation and health assessment
- Personalized treatment plan based on your individual lab results and symptoms
- Bioidentical hormones prescribed and compounded to your specific needs
- Nutritional guidance and targeted supplementation
- Regular follow-up labs and dose adjustments over time
Hormone optimization is an ongoing, monitored program, not a one-time prescription. Follow-up and fine-tuning are built into the process.
Why Choose Forum Health Las Colinas for Hormone Optimization
- Personalized, not templated — treatment is based on your comprehensive labs and symptoms, not age averages or one-size-fits-all protocols
- In-office and telemedicine appointments available
- Custom dosing with follow-up labs for precise adjustments over time
- Experienced providers who specialize in hormone optimization for both women and men
- Integrated approach — hormone health evaluated alongside thyroid, gut, metabolic, and nutritional health
- 5-star patient feedback for attentive providers and clear communication
Meet Our Providers
Forum Health Las Colinas is led by a team of experienced physicians and clinicians specializing in hormone optimization and functional medicine, serving patients throughout Dallas, DFW, and Las Colinas.
Dr. Kyler Elwell
Dr. Kyler Elwell is a board-certified physician who transitioned to functional medicine after years of practicing as an obstetrician-gynecologist. She completed her medical degree at the University of Texas Medical Branch in Galveston and her residency at UT Southwestern. Dr. Elwell is also board-certified in obesity medicine, giving her particular expertise in the relationship between hormones, metabolism, and long-term health.
Dr. Brad Silver
Dr. Brad SilverDr. Brad Silver is a board-certified Emergency Medicine physician with over 15 years of experience at one of the country’s busiest Level 1 trauma centers. At Forum Health Las Colinas, he focuses on men’s health, hormone optimization, metabolic health, and performance, applying his diagnostic depth to functional medicine and root-cause care.
Debra Bluestein, NP
Debra Bluestein, NPNurse Practitioner Debra Bluestein has specialized in bioidentical hormone replacement therapy since 2011, working with both women and men. She brings a functional medicine approach to hormone optimization, anti-aging, nutrition, and supplementation, with over two decades of experience as a nurse practitioner supporting patients in achieving long-term hormonal health.
Kam Neal, PA-C
Kam Neal, PA-CPhysician Assistant Kam Neal is a certified PA licensed by the Texas Medical Board, with a background in biology and a master’s degree in health services from the University of Oklahoma Health Sciences Center. She applies a functional medicine lens to patient care, working across hormones, metabolic health, and chronic wellness concerns.
Jordyn Ghanem, NP
Jordyn Ghanem, NPJordyn Ghanem is a board-certified Family Nurse Practitioner who earned her MSN, Magna Cum Laude, from Texas Woman’s University. She brings experience across integrative medicine, aesthetics, pediatric cardiology, and surgical specialties. Jordyn expanded Forum Health Las Colinas’s offerings to include aesthetic services and is known for her patient-centered, root-cause approach to care.
Meet The Full Forum Health Las Colinas Team
Insurance & Payment Information
Forum Health Las Colinas operates outside of insurance networks in order to provide the depth of care, testing, and time with patients that a root-cause approach requires. However:
- Patients with PPO insurance plans may be eligible for partial reimbursement for office visits and can apply costs toward their deductible.
- Many standard laboratory tests are covered by insurance. We recommend verifying your specific plan’s coverage.
- HMO plans typically do not cover office visits, but may cover lab work.
- Self-pay discounts are available through Quest Diagnostics.
Our New Patient Coordinator will walk you through costs and payment options clearly before you begin — there are no surprises.
Start with a Free Phone Consultation
Start with a Free Phone ConsultationIf you are experiencing symptoms of hormonal imbalance or simply want a clearer understanding of how your hormones are affecting your health, our New Patient Coordinator is ready to help.
We serve patients throughout Dallas, DFW, Irving, and Las Colinas, with both in-office and telemedicine appointments available.
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