Hormone Therapy & Wellness
Individualized hormone evaluation and treatment for adults with symptoms that may be associated with hormonal change — beginning with a proper assessment.

Overview
Adults arrive at this subject with symptoms rather than with a diagnosis: fatigue, decreased energy, changes in mood, reduced libido, difficulty sleeping, loss of muscle mass, changes in body composition. Any of those can be associated with hormonal change, and any of them can be caused by something else entirely.
The practice therefore provides individualized hormone evaluation and treatment for adult men and women, and the evaluation genuinely comes first. That means a comprehensive medical assessment, a review of symptoms and health history, and appropriate laboratory testing — before any conclusion about treatment.
When clinically indicated, hormone replacement therapy may be considered as part of a personalized treatment plan. Treatment options may include testosterone therapy and other hormone therapies, chosen on the basis of individual needs, risks, laboratory findings and treatment goals.
Because hormone therapy requires careful medical supervision, patients receive ongoing laboratory monitoring, medication adjustments, and evaluation for potential benefits and adverse effects. The goal is not simply to treat laboratory values, but to provide safe, evidence-informed care that supports overall health, function, vitality and long-term well-being.
Symptoms that may bring you here
These can have several explanations, hormonal and otherwise. Establishing which applies to you is the point of the evaluation.
- Fatigue and decreased energy
- Changes in mood
- Reduced libido
- Difficulty sleeping
- Loss of muscle mass
- Changes in body composition
Care is provided for adult men and women. Symptoms like these are common and often have more than one cause, which is why the assessment comes before any treatment decision.
How the care works
A comprehensive assessment
A full medical assessment together with a review of your symptoms and health history — the context that makes laboratory results meaningful.
Appropriate laboratory testing
Testing chosen for your situation, interpreted alongside how you actually feel rather than on its own.
Treatment considered, if indicated
When clinically indicated, hormone replacement therapy may be considered as part of a personalized plan. Options may include testosterone therapy and other hormone therapies, based on your individual needs, risks, laboratory findings and goals.
Supervised over time
Ongoing laboratory monitoring, medication adjustments, and evaluation for potential benefits and adverse effects.
This may be the right fit if
- Symptoms like fatigue or low energy have been dismissed elsewhere
- You want testing interpreted alongside how you feel, not instead of it
- You are considering hormone therapy and want an honest assessment first
- You are already on hormone therapy and want it monitored properly
- You want the risks explained as clearly as the potential benefits
What a visit looks like
The first appointment
A conversation about symptoms and history, a medical assessment, and agreement on what testing is worth doing.
Reviewing results
Results discussed in the context of your symptoms and goals, including what they do and do not explain.
If treatment follows
A personalized plan with ongoing laboratory monitoring, adjustments over time, and review of both benefits and adverse effects.
- 30+years in healthcareTessy Kadavil, DNP, FNP
- 5.0from 23 Google reviewsVerified on the practice’s Google Business Profile
- CertifiedDementia Person-Centered Care ProviderAlongside certification for buprenorphine therapy
- Mon–Fri8:00am – 5:00pmMedical Center district, San Antonio
Questions about hormone therapy & wellness
What happens during a hormone evaluation?
It begins with a comprehensive medical assessment, a review of your symptoms and health history, and appropriate laboratory testing. Treatment is considered afterwards, in light of what the assessment shows.
Is hormone therapy for women, men, or both?
Both. The practice evaluates adult men and women with symptoms that may be associated with hormonal changes, including fatigue, reduced energy, changes in mood, reduced libido, difficulty sleeping, loss of muscle mass and changes in body composition.
Would I need ongoing monitoring?
Yes. Hormone therapy requires careful medical supervision, so patients receive ongoing laboratory monitoring, medication adjustments and evaluation for both benefits and adverse effects.
Talk it through first
Call the office, describe what is going on, and find out whether hormone therapy & wellness is the right place to start.
Monday – Friday, 8:00am – 5:00pm · Medical Center district, San Antonio