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Functional Medicine
Functional Medicine

Hormone Optimization

Restore vitality, energy, and well-being through personalized bioidentical hormone therapy guided by advanced diagnostics and tailored to your unique biochemistry.

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Understanding Hormones

Why hormone balance matters

Hormones are chemical messengers that regulate virtually every physiological process in your body, from metabolism and immune function to mood, cognition, and sexual health. As we age, hormone production naturally declines, but this process is often accelerated by chronic stress, environmental toxins, poor sleep, and nutritional deficiencies.
The result is a cascade of symptoms that many patients accept as normal aging: persistent fatigue, weight gain concentrated in the midsection, mental fog, decreased libido, and poor sleep. These are not inevitable; they are signals of correctable imbalances.
At Allure MD, we use comprehensive testing, including the DUTCH test for hormone metabolite mapping, to develop a complete picture of how your body produces, processes, and eliminates hormones. This level of analysis goes far beyond standard blood panels and allows us to identify dysfunction at its source.
When appropriate, we integrate peptide protocols such as CJC-1295 and Ipamorelin to support natural growth hormone production, complementing bioidentical hormone therapy for a comprehensive optimization strategy. Learn more about our peptide protocols at NewportBeachPeptides.com.
Signs & Symptoms

Is hormone optimization right for you?

Persistent fatigue despite adequate sleep
Unexplained weight gain or resistance to weight loss
Mood instability, anxiety, or depression
Decreased libido or sexual dysfunction
Hot flashes or night sweats
Brain fog, poor memory, or difficulty concentrating
Loss of muscle mass or strength
Sleep disturbances or insomnia
Hair thinning or loss
Dry skin or accelerated skin aging
Decreased exercise recovery
Low motivation or loss of drive
Treatment Options

A comprehensive approach to hormonal health

Bioidentical Hormone Therapy

Bioidentical hormones are derived from plant sources and are structurally identical to the hormones your body produces naturally. Because they bind to your receptors the same way endogenous hormones do, they are metabolized through the same enzymatic pathways, potentially reducing the side-effect profile associated with synthetic alternatives. We use custom-compounded formulations tailored to your unique hormonal fingerprint.

  • Custom-compounded formulations based on lab results
  • Estrogen, progesterone, and testosterone optimization
  • DHEA and pregnenolone supplementation
  • Pellet, topical, and sublingual delivery options
  • Ongoing dose titration with follow-up labs

Comprehensive Hormone Testing

Accurate diagnosis begins with comprehensive testing. We go beyond standard hormone panels to evaluate how your body produces, metabolizes, and clears hormones. The DUTCH test (Dried Urine Test for Comprehensive Hormones) provides a complete map of hormone metabolites, revealing patterns that blood tests alone cannot detect.

  • DUTCH test for hormone metabolite mapping
  • Serum and saliva hormone panels
  • Thyroid cascade (TSH, free T3, free T4, reverse T3, antibodies)
  • Adrenal stress index with cortisol curve
  • Sex hormone-binding globulin (SHBG) analysis

Thyroid Optimization

The thyroid gland regulates metabolic rate, energy production, and body temperature. Subclinical thyroid dysfunction is widely underdiagnosed because standard screening relies on TSH alone. Our comprehensive thyroid assessment evaluates the full cascade of thyroid hormones and autoimmune markers to identify dysfunction long before it reaches clinical thresholds.

  • Full thyroid panel including reverse T3 ratio
  • Thyroid antibody testing (TPO, thyroglobulin)
  • Iodine, selenium, and zinc assessment
  • Medication optimization for hypothyroidism
  • Hashimoto's autoimmune management

Adrenal & Cortisol Support

Chronic stress disrupts the hypothalamic-pituitary-adrenal (HPA) axis, leading to cortisol dysregulation that manifests as fatigue, weight gain, insomnia, and anxiety. We assess your diurnal cortisol rhythm and employ targeted interventions including adaptogenic herbs, phosphatidylserine, and lifestyle modifications to restore healthy stress response.

  • Four-point cortisol rhythm mapping
  • DHEA-S and cortisol ratio analysis
  • Adaptogen therapy (ashwagandha, rhodiola, holy basil)
  • HPA axis restoration protocols
  • Sleep hygiene and circadian alignment
Your Provider

Dr. James Rosing, MD, FACS

Stanford-Trained Surgeon & Functional Medicine

Dr. James Rosing is a Stanford-trained, FACS-certified plastic surgeon with over 14 years of experience and specialized expertise in hormone optimization. He takes a comprehensive, data-driven approach to identifying and treating hormonal imbalances, combining advanced diagnostic testing with bioidentical hormone therapy and peptide protocols.

His philosophy centers on optimizing the patient rather than normalizing lab values. He considers the full clinical picture, including lifestyle, stress, sleep, nutrition, and genetic factors, to develop protocols that produce meaningful, lasting improvements.

About Dr. Rosing
Common Questions

Frequently asked questions

Related Services

Cardiometabolic OptimizationEpigenetic Optimization

Recommended Reading

Hormone Optimization GuideDownloadable Guide

Start your hormone optimization journey

Take the first step toward restored energy, vitality, and well-being with a comprehensive hormone evaluation.

Schedule ConsultationCall (949) 706-7874