Hormone Testing & BHRT Optimization

TribecaMed's hormone testing and optimization service in Miami Beach addresses one of the most common yet undertreated causes of fatigue, weight gain, low libido, brain fog, and mood changes in both men and women. Under Dr. Jason Shapiro's care — a functional medicine internist with 20+ years of clinical practice and over 10,000 patients treated — every hormone program begins with precise, multi-marker laboratory evaluation rather than symptom assumption.

For men, the panel includes total testosterone, free testosterone, DHT, FSH, LH, DHEA-S, estradiol, SHBG, prolactin, PSA, and the comprehensive DUTCH dried urine test for metabolite mapping. This combination reveals not just whether testosterone is low, but how the body is converting, binding, and clearing hormones — critical information for choosing the correct BHRT delivery method and dose. Optional semen analysis and metabolic co-factors complete the…

For women, the evaluation covers estradiol, progesterone, total and free testosterone, FSH, LH, DHEA-S, SHBG, AMH (ovarian reserve), prolactin, and DUTCH urine metabolites. Cycle timing is coordinated to ensure draws are taken at the correct phase. Thyroid markers, adrenal function, and iron studies are often added, as these frequently contribute to hormonal symptoms that sex-hormone treatment alone will not resolve.