Something's dimmed and it's hard to name. You're not unwell — you've just dropped a gear, and the version of yourself from a few years ago feels a little out of reach.

Some of that is ordinary. Some of it is measurable — sleep, thyroid and metabolic markers, nutrient status, and hormonal changes that happen quietly enough that you adapt around them. Your consultation looks at what's changed, over what period, and what your bloodwork actually shows.

What we work with is below. Which of it applies to you — if any — is determined by your provider after an evaluation, including anything you'd rather discuss privately.