Fatigue you can't shake. Sleep that won't come. Hot flashes that derail your day. A libido that feels like it belongs to someone else. Weight that creeps on no matter what you do. Memory that's not quite what it was.
For too many women, the conversation with their doctor ends with "this is normal" or "we don't really do hormones anymore" — leaving them to grin and bear it for the next twenty or thirty years.
It doesn't have to be that way. These assessments — developed by Dr. Ibrahim and his team at Biltmore Restorative Medicine — surface the symptom patterns that warrant a deeper look. Whether you're 42 and starting to feel the first shifts of perimenopause, or 62 and convinced your best years are behind you, this is the first step in understanding what's actually going on and what your options are.
Both take less than five minutes. Your results help our team understand which areas of your hormonal and metabolic health may benefit most from a deeper look.
Identify the symptom patterns that point to estrogen, progesterone, testosterone, thyroid, or cortisol imbalance. Built around the comprehensive evaluation framework Dr. Ibrahim uses with every patient.
Peptide therapy represents one of the most exciting frontiers in regenerative medicine. This assessment helps determine whether peptides could support your goals around recovery, sleep, skin, body composition, libido, or longevity.
Bioidentical hormone replacement isn't about adding something foreign to your body. It's about restoring what you already had — at the levels you used to have it.
Estrogen, progesterone, and testosterone are not optional accessories. They protect your heart, your bones, your brain, your skin, your urinary tract, and your sense of self. When they decline, the impact is felt everywhere.
In Sailing Through Menopause, Dr. Ibrahim explains why the fear-based narratives most women have been told about HRT don't reflect modern science — and why bioidentical hormones, properly prescribed and monitored, are one of the safest and most under-utilized interventions in medicine.
Your assessment is the starting point. From there, comprehensive labs and a personalized conversation determine which combination of therapies fits your specific situation, history, and goals.
The assessment surfaces the symptom patterns that warrant a deeper look — and gives you a starting framework for the conversation with your physician.
Book a consultation with Dr. Ibrahim's team — in person at Asheville or Greenville, or virtually if you're traveling from out of area. Comprehensive labs are ordered prior to your visit.
Your physician-led, personalized treatment plan is built around your labs, your symptoms, your health history, and your goals — not a one-size-fits-all protocol.
Both are free, confidential, and developed by physicians who treat these conditions every day.