Hormone Testing & Bioidentical Hormone Therapy

Comprehensive hormone assessment and bioidentical hormone replacement therapy (BHRT) including saliva and blood testing for estrogen, progesterone, testosterone, DHEA, cortisol, thyroid panel (TSH, free T3, free T4, reverse T3, antibodies), and adrenal stress markers. Physician-compounded bioidentical hormones tailored to individual lab results. Available as topical creams, troches, or bioidentical pellets. Supervised by Dr. Rashmi Gulati MD and team at Patients Medical, NYC.

Patients Medical's hormone assessment and bioidentical hormone replacement therapy (BHRT) program is a physician-supervised protocol that begins with comprehensive laboratory evaluation and produces individualized compounded hormone prescriptions calibrated to each patient's biochemistry. The diagnostic phase includes both saliva and blood-based hormone testing covering a broad endocrine spectrum: reproductive hormones (estradiol, estrone, estriol, progesterone, testosterone, DHEA-S), adrenal markers (morning cortisol, DHEA, a four-point salivary cortisol curve for the adrenal stress panel), and a full thyroid panel (TSH, free T3, free T4, reverse T3, total T3 and T4, thyroid peroxidase antibodies, thyroglobulin antibodies, and thyroid-stimulating immunoglobulin when indicated). The multi-point approach — using both saliva (which reflects free, bioavailable hormone fractions) and serum (which reflects total bound + free hormone pools) — provides a more comprehensive view of hormone bioavailability than single-matrix testing alone. Bioidentical hormones used in BHRT have the same molecular structure as endogenous human hormones, distinguishing them from synthetic progestins and conjugated equine estrogens used in conventional hormone replacement. Preparations are compounded by licensed pharmacists to precise doses prescribed by the physician, available as transdermal creams, sublingual troches, vaginal formulations, or subcutaneous bioidentical hormone pellets — the latter providing sustained hormone release over 3–6 months without daily dosing. The practice's gynecologist, Dr. Emine Cosar, specializes in hormonal health for women, while the broader physician team addresses testosterone optimization and adrenal support for men and women. Thyroid optimization protocols address both primary hypothyroidism and subclinical thyroid dysfunction identified through comprehensive testing. All BHRT is physician-directed with periodic monitoring labs to verify therapeutic hormone levels and adjust dosing as needed.