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If you have been dealing with fatigue, brain fog, weight changes, or other signs of hormone imbalance, our team is here to help. Schedule a consultation to review your symptoms and build a treatment plan that supports long-term health and daily well-being.

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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.

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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.

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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

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Kim
1 days ago
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I have had two appointments with Dr Mancuso and both were top tier. She is not only a wonderful doctor but extremely personable and a delight to talk to. I wouldn’t dream of going anywhere else!
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Wanda Vereen
1 days ago
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An Exceptional SKINVIVE™ Experience — Five-Star Excellence! Dr. Mancuso’s exceptional SKINVIVE™ application skills deserve the highest recognition. Her professionalism, meticulous attention to technique, and remarkable precision demonstrate that SKINVIVE™ is far more than a treatment—it is a specialized aesthetic procedure that demands advanced knowledge, refined technique, and an exceptional level of expertise. I wholeheartedly recommend Dr. Mancuso to anyone seeking a highly skilled aesthetic professional who prioritizes precision, quality, and beautiful, natural-looking results. Her commitment to excellence, dedication to her craft, and ability to deliver care with confidence and precision truly distinguish her in the field of aesthetics. Five stars for outstanding technique, exceptional precision, and an unwavering commitment to aesthetic excellence! Dr. Mancuso sets an exemplary standard for SKINVIVE™ application, and her expertise deserves to be celebrated. I can’t wait for part 2 of my treatment session!
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Jill Greenwald
1 days ago
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Dr. Mancuso is the best! I’ve been to a lot of injectors over the last 10 years. I’m so glad I found her. Not all injectors know what they are doing or use good products that last. Her skillset is extremely strong and she uses things that last. She is also caring, funny, and really listens.
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Susan Dunbar
1 days ago
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Pam did a consultation first which consisted of a detailed review of my skin using special camera’s. I could see the sun damage that is not visible yet, eye opening! Pam, developed a program and helped me fine tone the products that I use. I had my first chemical peel this week. After executing the program Pam has planned for me, she will do another camera evaluation to review my progress. Pam explains everything fully and she takes her time with you to make sure you have all your questions answered. I highly recommend Pam!
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Lidia Juarez
1 days ago
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I booked both my sessions with Kristin and highly recommend. She does a fantastic job and my skin is glowing and so healthy afterwards. I also appreciate Kristin’s expertise in understanding my specific skin concerns and helping me figure out what makes the most sense in terms of treatments for more preventative measures. Whether you need to get your skin and face snatched for an event or as part of ongoing maintenance for a self-care day, I highly recommend seeing Kristin.
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Carrie Pelton
2 days ago
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This was my first time getting a Hydrafacial at the Madison Wellness Center and Pam Hylton took wonderful care of me. She gave me a thorough skin consultation and she checked my comfort level, and product history. Throughout the entire treatment, Pam was friendly, patient, gentle, and helpful. The atmosphere was clean and welcoming and my skin felt deeply hydrated and smooth afterward. Pam is truly a knowledgeable skincare expert who takes the time to ensure her clients are completely satisfied. I would highly recommend her to anyone. I have already scheduled additional appointments with her and am thrilled to become one of her regular clients.
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Jorico Canty
2 days ago
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All of the staff here are very professional and know what they are doing. I was impressed with the cleanliness and the customer service. Book these folks asap for your health and wellness needs!
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Christy Beck
2 days ago
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Thank you, Pam for helping my face to glow. You're the best!
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Jennifer Hedden
2 days ago
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They are professional, listen to what you want to achieve and give amazing results. The staff is so sweet also
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Z Z
2 days ago
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Cannot really say enough great things about all the staff and services provided by the Madison Wellness team and Dr. Chad! Truly as outstanding experience!
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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.

FAQs

Are hormones safe?

Hormone therapy is considered safe when it is prescribed and monitored by a qualified provider. The FDA has removed the black box warnings that were previously associated with hormone replacement therapy after reviewing updated evidence on safety. Your treatment plan is based on your symptoms, lab results, and overall health to ensure proper dosing. Regular follow-up visits allow your provider to track your response and adjust your plan when needed.

How long does it take to feel better once treatment begins?

Many patients begin to notice improvements in energy, sleep, and clarity within a few weeks. Hormone levels continue to stabilize over the first few months, and full benefits are often seen with consistent follow-up and proper dosing.

Can hormone therapy help with weight gain or low energy?

Hormone imbalance is a common cause of unexplained fatigue and weight changes. When hormone levels are restored, many patients report more steady energy, clearer focus, and improved ability to lose weight with healthy habits.

Where can I get hormone therapy near me in Madison, AL?

Madison Wellness and Aesthetic Center provides bioidentical hormone replacement therapy, EvexiPEL® Pellet Therapy, and individualized hormone care for patients in Madison, AL and the surrounding communities. Our clinic offers thorough evaluations, customized treatment plans, and ongoing monitoring to support safe and effective results.

Schedule a Consultation

If you have been dealing with fatigue, brain fog, weight changes, or other signs of hormone imbalance, our team is here to help. Schedule a consultation to review your symptoms and build a treatment plan that supports long-term health and daily well-being.

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