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Thyroid PCOS/PMOS Adrenal Menopause

Your hormones aren't broken. They're imbalanced.

We test what others skip — full thyroid panels, DUTCH hormone mapping, insulin & cortisol rhythms — and treat the root cause, not just the lab number.

No referral needed Tempe or virtual across AZ

What We Test

Thyroid

TSH · Free T3 · Free T4 · RT3 · Antibodies

Reproductive

Estrogen · Progesterone · Testosterone · DHEA

Adrenal

4-point cortisol · DHEA-S · Cortisol metabolites

Metabolic

Fasting insulin · HbA1c · Lipids · Glucose

What We Treat

Four hormonal systems. One root-cause approach.

Most Common

Thyroid Disorders

Hashimoto's, hypothyroidism, hyperthyroidism — we run the full panel, not just TSH. Because "normal" TSH doesn't mean your thyroid is fine.

Hashimoto's Hypothyroid Free T3 / T4

TSH · Free T3 · Free T4 · Reverse T3 · TPO · TG Antibodies

PCOS/PMOS

Irregular cycles, acne, hair loss, weight gain. We address insulin resistance, inflammation, and androgen excess — not just birth control pills.

Insulin Resistance Androgens Cycle Health

Adrenal Fatigue

Wired-but-tired, afternoon crashes, salt cravings. When cortisol is off, everything downstream is off.

Cortisol HPA Axis

Menopause

Hot flashes, sleep disruption, brain fog. We optimize the transition naturally.

Perimenopause Estrogen

Recognize the Signs

Symptoms your doctor may be dismissing.

Unexplained weight gain Crushing fatigue Hair thinning or loss Irregular periods Anxiety or mood swings Brain fog Hot flashes or night sweats Acne or cystic breakouts Low libido Cold hands & feet Insomnia Afternoon energy crash

Our Approach

Beyond "your labs are normal"

Most doctors check TSH and call it a day. We run comprehensive panels — Free T3, Free T4, Reverse T3, antibodies, cortisol rhythm, insulin, DHEA, estrogen metabolites — and interpret them through optimal ranges, not just reference ranges.

Your treatment plan is built on your labs, your symptoms, and your goals. No cookie-cutter protocols.

The Difference

3 doctors review every case

Your hormone case isn't seen by one doctor in a vacuum. All three of our NMDs collaborate — bringing different specialties, different perspectives, and one unified plan.

Request your first visit

Advanced Diagnostics

The labs most doctors skip.

Checking TSH alone misses 80% of the picture. We run comprehensive hormone testing that shows exactly what's happening — and why.

6+ Thyroid markers tested (not just TSH)
24hr Cortisol rhythm mapped with DUTCH
35+ Hormone metabolites analyzed

DUTCH Complete

Dried urine test mapping cortisol rhythm, estrogen metabolites, androgens, melatonin, and organic acids in one comprehensive panel.

Full Thyroid Panel

TSH, Free T3, Free T4, Reverse T3, TPO antibodies, and thyroglobulin antibodies. The full picture, not just one number.

Metabolic & Insulin Panel

Fasting insulin, glucose, HbA1c, and lipid panel. Insulin resistance drives PCOS/PMOS and weight resistance.

Adrenal Stress Panel

4-point cortisol curve, DHEA-S, and cortisol metabolites. Maps your stress response across the full day.

How We Treat

Your hormones are an orchestra. We tune the whole ensemble.

Thyroid & gut are connected

20% of T4-to-T3 conversion happens in the gut. If your microbiome is off, your thyroid medication won't work as well as it should.

Cortisol steals progesterone

Under chronic stress, your body diverts progesterone to make cortisol (the "pregnenolone steal"). This drives PMS, irregular cycles, and anxiety.

Insulin drives androgens

High insulin tells the ovaries to produce more testosterone. PCOS/PMOS treatment that ignores insulin resistance will fail. We address metabolism first.

Estrogen needs a clear exit

If your liver and gut aren't processing estrogen properly, it recirculates — driving fibroids, heavy periods, and estrogen dominance.

Your Protocol

1

Comprehensive Testing

Full hormone panel + metabolic markers

2

Root-Cause Analysis

3-doctor review of all findings

3

Personalized Protocol

Nutrition, supplements, botanicals, lifestyle

4

Monitor & Adjust

Re-test, refine, and optimize over time

Collaborative Care

Three doctors collaborate on your hormones.

C

Dr. Carie Perrino

NMD, RDN, CLT

Nutrition · Gut-Hormone Axis

S

Dr. Spencer Warren

NMD

Fertility · Thyroid · PCOS/PMOS

B

Dr. Bailey Newman

NMD

Acupuncture · Hormone Support

Ready?

Stop guessing. Start testing.

Your first visit is 75–90 minutes — enough time to review your full history, map your hormone landscape, and build a plan that actually addresses the root cause. Not a 10-minute visit with a birth control prescription.

No referral needed In-person in Tempe or virtual across Arizona
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