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.

Book Now
Play

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

Play

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

Posted on Google Google
Kayla Fitzgerald
43 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
If I could give ten stars I would. I am very anxious when it comes to any sort of Botox injections or Xeomin. I have been here three times now and Dr. Mancuso and her assistant have been nothing less than exceptional with their care, I normally never listen to anyone’s advice regarding anything at all 😆 but I took a chance and I have never been more pleased with my results before! The facility is clean. The staff is Very kind, warm and informative. As someone who has co owned and ran clinics. This is the place you need to invest your time and care in, You will not be disappointed!
Posted on Google Google
Michael Price
52 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
The Bioidentical Hormone Replacement Therapy procedure I experienced exceeded my expectations. Amanda was very professional and performed the Hormone Replacement procedure rapidly with zero pain. Thank you Amanda for a great medical experience which has reenergized my life. I wish I had done this several months ago.
Posted on Google Google
cindy pagan
57 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Prompt service. Very informational. Will be coming back
Posted on Google Google
Amy P
99 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Second time here and felt like family. I have seen Pam and she improved my rosacea a ton with a facial routine. I had Botox and fillers the second time and loved the personal skills each individual has provided. It felt like "My people".
Posted on Google Google
Nicoleta Hargrove
99 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I love Dr. Mancuso! She is very professional and she has always done a great job!
Posted on Google Google
Bridgette Browning
103 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I had the most amazing experience with my aesthetician Pam today! From the moment I walked in, I felt welcomed and cared for. her professionalism, attention to detail, and expertise made the entire appointment relaxing and enjoyable. My skin feels refreshed, glowing, and healthier than ever. Pam took the time to listen to my concerns, explain each step of the treatment, and provide personalized recommendations for maintaining great results. If you're looking for someone who truly cares about their clients and delivers outstanding service, I highly recommend booking an appointment. Thank you Pam for making me feel confident and beautiful—I can't wait for my next visit!
Posted on Google Google
Gabrijela Thayer
107 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
The best hair removal experience!
Posted on Google Google
Roderick Matthews
126 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Lindsey is a true subject matter expert. Her bed side manner makes the wellness experience great. I really appreciate her.
Posted on Google Google
Melissa Keith
134 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Love, love, love this place! It does such a great job taking care of me! I do so much with them which includes Botox, filler, laser, HRT, and Hashimoto’s/thyroid treatments and they are the best! Every visit has been top notch! Dotty, thanks so much for the gift today!!! It was very thoughtful and very much appreciated. A hormone consult provided perfect insight on why part of my life felt flipped (from hormone imbalance.) Treatment has been a great experience. Chose them because of the bio hormones and long history of experience. Professional, organized, and experts in their craft. The WHOLE staff is AMAZING. A visit/treatment with them always makes my life better.
Posted on Google Google
Christy Weldy (Christy)
134 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I am so thankful to have found Madison Wellness and Aesthetics Center! They have been super helpful in helping with vitamin supplements, the hormone pellet process and hormone pills. Everyone there is so friendly and welcoming and I feel so comfortable with all of them. I highly recommend them to anyone going through perimenopause, menopause or any other hormonal imbalances.
Verified by Trustindex
Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more

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.

Accessibility Toolbar