✦ Women's Health

Hormonesinrhythm.

Cycles that feel predictable, energy that stays through the afternoon, mood that holds steady — without guesswork.

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Dr. Kefferputz in conversation with a patient

✦ The pattern

“Most women I see have been told their labs are normal. Normal isn't the same as optimal, and your symptoms are real.”

Hormones don't live alone. They sit at the centre of a system that runs on sleep, stress, blood sugar, gut health and nutrient status. When one of those drifts, the whole pattern shifts — and you feel it long before a standard panel catches it.

My job is to map the full picture: where you sit on your cycle, what your stress system is doing, how your thyroid is converting, and what's getting in the way of your body making and clearing hormones the way it should.

✦ Worth knowing

Three things to hold onto.

It's a system, not a single number

Estrogen, progesterone, testosterone, cortisol and thyroid all talk to each other. We test the conversation, not just one voice.

Symptoms are signal

Heavy periods, sleep that breaks at 3am, mood shifts before your cycle — these are data, not something to push through.

Most cases respond fast

With targeted testing and the right inputs, most women feel a clear shift inside the first three months.

✦ The work

How I think about hormone balance.

What's likely driving it

The most common patterns I see are estrogen dominance (often paired with sluggish detox or progesterone insufficiency), thyroid under-function flying below standard reference ranges, and adrenal output that's been running too hard for too long. Less common but worth ruling out: PCOS, perimenopause arriving earlier than expected, and nutrient deficiencies that quietly tank hormone production.

How I test

Standard bloodwork is the starting point — full thyroid panel, sex hormones timed to your cycle, fasting insulin and a metabolic picture. Where it adds clarity I'll add a DUTCH urine panel to see how you're metabolizing estrogen, or salivary cortisol mapping if your stress curve is the question.

What treatment looks like

A protocol tailored to your pattern: targeted nutrients, herbal medicine, and lifestyle adjustments that move the levers. When the case calls for it, bioidentical hormones, prescriptions, or IV therapy join the plan. Always with retesting, so we're tracking real change.

✦ How I'd work with you

Considered.
Tested.
Re-tested.

I work in 12-week cycles. We test, we move, we re-test. Your protocol is built from your data, not a template — and it gets revised when your body asks for something different.

Therapies I'd likely use

Bioidentical hormones Functional lab testing IV & injection therapy IFS therapy

✦ Common questions

You're probably wondering.

My family doctor says my labs are normal — why do I still feel off?

Standard reference ranges are built from a wide population, including people who aren't well. Functional ranges are tighter and ask a different question: where do your numbers need to be for you to feel well? That's the lens I use.

Will I need hormone replacement?

Not always. Most women in their 30s and early 40s do well with nutrient, herbal and lifestyle protocols. If we get into perimenopause or your case calls for it, bioidentical hormones are an option I prescribe and monitor closely.

How long until I feel different?

Energy and sleep often shift in the first 4–6 weeks. Cycle changes typically settle by month three. We retest at 12 weeks so the plan is based on data, not how you remember feeling.

✦ Next step