
Restoring Vitality Through Hormonal Optimization
Persistent fatigue that does not improve with rest is one of the most common complaints among women in their 40s and 50s. Hormonal imbalances, thyroid dysfunction, and adrenal fatigue are among the most common and treatable causes.
These symptoms are medically recognized and often treatable with the right hormonal support.
Estrogen, testosterone, thyroid hormones, and cortisol all play critical roles in cellular energy production. When any of these are out of range, fatigue is a predictable result.
Testosterone, often overlooked in women, is a key driver of energy, motivation, and physical stamina. Testosterone levels decline with age and can contribute significantly to fatigue even when estrogen and progesterone are adequately treated.
Thyroid dysfunction, particularly subclinical hypothyroidism, is frequently missed by standard TSH-only testing. A comprehensive thyroid panel including free T3 and T4 is essential for a complete evaluation.

We test estrogen, testosterone, thyroid (full panel including T3), cortisol, DHEA, and iron studies.
Low-dose testosterone therapy for women is safe, effective, and often transformative for energy and vitality.
We address both overt and subclinical thyroid dysfunction with individualized treatment.
Cortisol dysregulation from chronic stress is a common contributor to fatigue that we evaluate and address.
Schedule a consultation with Gina Schwartz, MS, PA-C at Alignia Wellness in Boca Raton. We'll review your symptoms, run comprehensive labs, and build a personalized plan.