Hormone Health

Hormones influence energy, sleep, metabolism, mental clarity, mood, and how your body feels day to day. When hormone levels shift or decline, the changes can be gradual, and they often show up in ways that interfere with your quality of life. 

Understanding Hormone Imbalance

Hormone changes can happen at any age, but they are more common during periods of stress, after major life changes, and as part of the natural aging process. Symptoms vary widely from person to person, which is why thorough testing and individualized care are important.

Common Symptoms of Hormone Imbalance

Hormone imbalance can affect nearly every system in the body. People often notice one or more of the following changes:

• Low energy or constant fatigue
• Weight gain or increased difficulty losing weight
• Mood swings or irritability
• Trouble concentrating
• Brain fog
• Sleep problems
• Lower libido
• Hot flashes or night sweats
• Changes in muscle strength
• Increased anxiety
• Irregular cycles or new menstrual changes

These symptoms do not always point to hormone issues, but they are common indicators. A simple set of lab tests can identify what your body needs.

What Causes Hormone Imbalance

There is no single cause of hormone shifts. The most common factors include aging, perimenopause, menopause, low testosterone, thyroid disorders, chronic stress, poor sleep, nutritional deficiencies, and certain medical conditions. Our team reviews your symptoms, medical history, lifestyle, and lab results to understand the full picture.

How Hormone Therapy Works

Hormone therapy restores low or declining hormone levels using biologically identical hormones. These hormones match the structure of the hormones your body produces naturally. Treatment is customized for each patient and adjusted over time based on how you feel and how your body responds.

At Madison Wellness and Aesthetic Center, your treatment plan may include pellets, injections, creams, or a combination of therapies. Your provider will discuss each option during your consultation.

Bioidentical Hormone Replacement Therapy for Women

Women experience shifting hormone levels during perimenopause and menopause, but symptoms can appear much earlier. Hot flashes, night sweats, weight gain, mood changes, and low libido are some of the most common concerns. Hormone therapy can help regulate these changes and support steadier energy, clearer thinking, and improved sleep.

Explore Hormone Therapy For Women

Bioidentical Hormone Replacement Therapy for Men

Men may experience declining testosterone levels as early as their 30s and 40s. Low testosterone can cause fatigue, reduced muscle strength, weight gain, poor sleep, lower libido, and mood changes. Hormone therapy can help restore healthy levels and support physical and mental well-being.

Explore Hormone Therapy For Men

Hormone Pellet Therapy

Pellet therapy is one of the most consistent and long-lasting ways to stabilize hormone levels. Small pellets are placed just under the skin, where they release a steady dose of hormone over several months. Many patients prefer pellets because they avoid daily dosing and keep hormone levels more stable.

We use EvexiPEL® Pellet Therapy, a bioidentical hormone delivery system designed for steady, predictable hormone support. Our team has performed more than 16,000 pellet procedures and has focused on bioidentical hormone therapy for over 15 years. This level of experience helps us provide individualized dosing based on your lab values, symptoms, and long-term goals.

Why Patients Choose Madison Wellness and Aesthetic Center

Our clinic takes an integrative approach to hormone care. We look beyond symptoms to understand what is happening inside the body, and we tailor treatment for each patient. 

Your care includes:

• One-on-one consultations
• Detailed lab testing
• A customized treatment plan
• Careful monitoring and follow-up
• Supportive guidance throughout your treatment

Our goal is to help you regain stable hormone function and improved daily well-being.

What Our Patients Says

Meet Our Providers

Each member of our team offers specialized training and a strong commitment to safe, effective hormone care.

Chad Gilliam, PA-C

Chad Gilliam is a hormone specialist and wellness practitioner with advanced training in endocrinology and more than 15 years of clinical experience. He focuses on hormone optimization, thyroid health, and comprehensive, preventive care that supports long-term wellness.

Dawn Mancuso, MD

Dr. Dawn Mancuso has more than 30 years of experience in primary care, occupational medicine, and geriatrics. She incorporates EvexiPEL® Pellet Therapy and regenerative treatments to support hormone balance, confidence, and overall well-being.

Amanda Lucker, RN

Amanda Lucker is a certified EvexiPEL® practitioner with 22 years of nursing experience across intensive care, surgery, and functional medicine. She provides personalized bioidentical hormone therapy for women and men, with a strong focus on patient education and compassionate, individualized care.

Areas We Serve

We provide hormone therapy for patients across Madison and the surrounding areas, including Decatur, Hampton Cove, Gurley, Owens Cross Roads, Athens, Big Cove, Huntsville, and Cullman.

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