Bioidentical Hormone Therapy

Hormone Replacement Therapy in Snoqualmie, Bellevue & Issaquah

Fatigue, weight gain, brain fog, low libido — these aren't just "getting older." They're signs your hormones need attention. Dr. Stirrett uses bioidentical HRT and functional medicine to restore balance.

Energetic and healthy patient after hormone replacement therapy at Bluewater Medical
— Symptoms · Recognition Section —

Is Hormone Imbalance Holding You Back?

If you're experiencing any of these symptoms, your hormones may be the root cause — not your willpower, your age, or your diet.

Women's Symptoms

  • Unexplained weight gain, especially around the midsection
  • Hot flashes, night sweats, sleep disruption
  • Brain fog, memory issues, difficulty concentrating
  • Fatigue that doesn't improve with sleep
  • Low libido, vaginal dryness, mood swings
  • Anxiety, irritability, depression
  • Hair thinning, dry skin, joint pain

Men's Symptoms

  • Low energy, constant fatigue
  • Loss of muscle mass, increased body fat
  • Brain fog, poor concentration, memory issues
  • Irritability, mood changes, depression
  • Poor sleep quality
  • Weight gain despite diet and exercise
— Tabbed Content · Women / Men / Thyroid —

Hormone Optimization for Every Body

Bioidentical HRT for Women

Perimenopause and menopause are not diseases — but the symptoms can be debilitating. Dr. Stirrett uses bioidentical hormone replacement therapy to restore estrogen, progesterone, and testosterone to optimal levels.

Unlike synthetic hormones, bioidentical hormones are molecularly identical to what your body naturally produces — resulting in fewer side effects and better outcomes.

WHAT WE ADDRESS:

  • Estrogen and progesterone optimization
  • Perimenopause and menopause management
  • Low testosterone in women (yes, women need it too)
  • Adrenal and cortisol support
  • Weight loss resistance related to hormones
  • Sleep, mood, energy, and libido restoration

Men's TRT (Testosterone Replacement)

Low testosterone affects energy, strength, body composition, mood, and libido. Dr. Stirrett optimizes testosterone levels using bioidentical therapy combined with comprehensive lab monitoring.

Includes: total/free testosterone, SHBG, estradiol, PSA, CBC, metabolic panel, thyroid panel

Thyroid Optimization

Thyroid dysfunction is one of the most common — and most missed — causes of weight gain, fatigue, and brain fog. We run comprehensive thyroid panels (not just TSH) and optimize levels functionally, not just to "normal range."

Includes: TSH, Free T3, Free T4, Reverse T3, thyroid antibodies, comprehensive evaluation

Testosterone Replacement Therapy (TRT) for Men

Low testosterone is dramatically under-diagnosed in men over 35. Most doctors only check total testosterone and tell you you're "normal" — but normal lab ranges include the bottom 2.5% of the population.

Dr. Stirrett interprets your hormones through a functional medicine lens, looking for optimal ranges — not just avoiding disease. Combined with comprehensive lab monitoring, this approach restores energy, strength, body composition, and quality of life.

WHAT WE ADDRESS:

  • Bioidentical testosterone optimization
  • Estradiol and SHBG balance to prevent side effects
  • Comprehensive lab monitoring (PSA, CBC, lipids)
  • Energy, libido, and muscle restoration
  • Mood, focus, and motivation improvement
  • Pairs well with GLP-1 microdosing for fat loss

Common Symptoms of Low T

Persistent fatigue, low motivation, declining strength, increased belly fat, low libido, brain fog, irritability, and poor sleep — these are signs your testosterone may be sub-optimal even if labs say "normal."

Pairs With GLP-1 Microdosing

Many men benefit dramatically from combining TRT with GLP-1 microdosing. Together they accelerate fat loss while preserving (and often building) lean muscle mass.

Thyroid Optimization

Thyroid dysfunction is one of the most common — and most missed — causes of weight gain, fatigue, and brain fog. Most doctors run only TSH and tell you you're "fine."

We run a full functional thyroid panel and optimize your levels to where you actually feel your best — not just inside a wide reference range built around population averages.

OUR THYROID PANEL INCLUDES:

  • TSH (Thyroid Stimulating Hormone)
  • Free T3 — the active form your cells use
  • Free T4 — the precursor your body converts
  • Reverse T3 — flags conversion problems
  • Thyroid antibodies — screens for Hashimoto's
  • Functional interpretation, not just "in range"

Why TSH Alone Is Not Enough

TSH is a screening tool, not a complete picture. Many people with "normal" TSH have low Free T3, high Reverse T3, or thyroid antibodies — meaning the gland is struggling and symptoms are real even when standard labs look fine.

Connects to Weight Loss

An underactive thyroid slows metabolism, increases fatigue, and makes weight loss nearly impossible — no matter how disciplined you are with diet or exercise. Optimizing thyroid is often the missing link.

Comprehensive hormone lab testing reviewed during a virtual consult — Bluewater Medical

A Functional Medicine Approach to Hormones — Not Just a Prescription

Most doctors will look at your TSH or testosterone level, tell you it's "normal," and send you home. But "normal" lab ranges include the bottom 2.5% of the population — hardly optimal.

Dr. Stirrett interprets your hormones through a functional medicine lens, looking for optimal ranges — not just avoiding disease. Combined with insulin, inflammation, nutrient, and metabolic markers, we build a complete picture of what's driving your symptoms.

"Your labs are 'normal' but you feel terrible? That's because 'normal' range includes the sickest 10% of the population. I optimize to where you feel your best." — Dr. Stirrett

Hormone Replacement Therapy Serving Snoqualmie, Issaquah, Bellevue & Greater Seattle

All HRT consultations are conducted virtually via secure telemedicine. No commute, no waiting room — just expert care from your home.

— FAQ · HRT —

Hormone Therapy FAQs

What is bioidentical hormone replacement therapy? +
Bioidentical hormones are molecularly identical to the hormones your body naturally produces. Unlike synthetic hormones, they integrate naturally with your body's receptors, often resulting in fewer side effects and better outcomes.
How do you test hormone levels? +
We run comprehensive panels — not just TSH or total testosterone. For women: estradiol, progesterone, testosterone, DHEA-S, cortisol, thyroid panel. For men: total/free testosterone, SHBG, estradiol, PSA, thyroid, metabolic markers. We look at the full picture.
Is HRT safe? +
Bioidentical HRT has a strong safety profile when properly monitored. Dr. Stirrett monitors your labs, symptoms, and health markers throughout treatment to ensure optimal safety and effectiveness.
Can hormone imbalance cause weight gain? +
Absolutely. Hormones control your metabolism, appetite, energy, sleep, and where your body stores fat. Imbalances in estrogen, progesterone, testosterone, thyroid, cortisol, and insulin can all directly cause or contribute to stubborn weight gain.
Do you offer both HRT and GLP-1 weight loss together? +
Yes. Many patients benefit from combining hormone optimization with GLP-1 microdosing. Balancing hormones while using GLP-1 can produce significantly better weight loss results and overall health improvements than either approach alone.

Ready to Feel Like Yourself Again?

Request your appointment with Dr. Stirrett for a comprehensive hormone evaluation and personalized treatment plan.

Request Appointment →
Virtual appointments · Washington State · HSA/FSA accepted