Functional Medicine

HormoneSynergy is a concierge age management practice following the principles of functional medicine. We focus on the underlying causes of aging and your symptoms or disease process and integrate evidence-based therapies and recommendations based on physiology (how the body works).

Treatment is individualized and comprehensive. We are most successful working with individuals and couples who are committed to preventing, slowing, and reversing diseases of aging and who share our vision of achieving vibrant health and longevity.

Your treatment may include bioidentical hormones, testosterone supplementation, nutraceuticals (pharmaceutical-quality supplements), IV therapy, prescription medications (when necessary), diet and lifestyle modifications, cardiovascular, neurotransmitter and brain support.

Becoming a Patient

HormoneSynergy has two options for services:

HormoneSynergy Optimal Aging Assessment (Required for all new patients) - This two hour initial consultation with Dr. Retzler to discuss your goals, current health concerns, past medical history, and family history. During this visit you will develop an extensive, individualized treatment plan to help reach your health goals.

This treatment plan outlines diet and lifestyle suggestions, nutraceutical recommendations, bioidentical hormone options, and prescription medications if needed.

HormoneSynergy Way™ Concierge Medicine Membership - For those who want to become a patient of Dr. Retzler after they receive their Optimal Aging Assessment .

Step One:
HormoneSynergy Optimal Aging Assessment

This assessment will likely be the most comprehensive evaluation of your health that you’ve ever received. This option includes:

  • Detailed Lab Interpretations: Lab work consisting of hormone evaluation, advanced cardiovascular risk assessment, and if indicated, genetic tests to detect variants in genes that may influence aging, cardiovascular disease, dementia, and cancer risk. You will receive a written interpretation of all results.

    Hormone evaluation includes adrenal function (DHEA-S and cortisol), thyroid function (TSH, free T4, free T3, and thyroid antibodies if indicated), sex steroids (estradiol and testosterone), and pregnenolone. Additional hormones (progesterone, IGF-1, PTH, gonadotropins FSH, LH) are tested if indicated.

    A comprehensive metabolic panel, hemoglobin A1c, insulin level and HOMO-IR helps determine diabetes risk, liver health, kidney function, and electrolyte levels.

    Homocysteine, inflammatory markers (hsCRP, and Lp-PLA2 and MPO if indicated) aids in assessing methylation status, inflammation, and blood vessel health.

    State-of-the-art cardiovascular tests including advanced lipid tests (LDL-P, apoB, small dense LDL, HDL subpopulations, apoA-1, Lp(a)) are measured. If needed, cardiac muscle function is assessed by measuring cardiac troponin-T and NT-proBNP.

    Fatty acids, vitamin B12, vitamin D, Coenzyme Q10, iron, and other nutrients (based on individual need) are tested.

    Genetic tests may include ApoE genotype, MTHFR genotype, and with a history or concern of blood clots, prothrombin and factor V Leiden genotype. SLOCO1B1 may be ordered to screen for possible statin-induced myopathy.

  • Carotid artery ultrasound with carotid intima media thickness measurement detects plaque and can assess arterial thickness (carotid intima media thickness or “CIMT”). The carotid arteries provide a “window” to the coronary arteries (the arteries that feed the heart) since carotid plaque >1.5 to 2.0 mm usually correlates with plaque in the coronary arteries. Carotid plaque and increased CIMT may indicate increased stroke and dementia risk.
  • Computerized, validated neurocognitive testing helps assess memory and brain function.
  • Written interpretation with treatment suggestions is provided at your initial appointment.

  • Brain system questionnaire (developed by Daniel Amen, MD) screens for neurotransmitter imbalances, attention deficit, and mood disorders and helps determine treatment approach.

  • Seca mBCA 515 Body Composition testing provides a highly accurate assessment of fat (including visceral or “belly” fat) and muscle percentages and basal metabolic rate (calories burned at rest). After age 30, many people lose 3% to 5% of their muscle mass per decade. Body composition testing provides a foundation to develop a plan to rebuild and maintain muscle.

  • Optimal aging questionnaire provides a thorough lifestyle evaluation with written recommendations

  • Full 1.5 - 2 hour consultation with Dr. Retzler to review all results, answer questions, discuss bioidentical hormone replacement, prescription medication and supplement options.

Step Two:
HormoneSynergy Way™ Concierge Medicine Membership

For those who choose to partner with Dr. Retzler to create and maintain a plan to achieve optimal health and vitality with the goal of treating and preventing the most common diseases with aging and extending their "health span".

Concierge medicine is a patient-focused relationship between a doctor and his or her patient where the patient pays a fee for improved access and high-quality, individualized medical care. With concierge care the focus is shifted away from a symptom management, disease maintenance approach toward a preventive, health-centered one.

If you want Dr. Retzler to monitor your care (after you complete the Optimal Aging Assessment) and to prescribe hormones and / or medication you must become a HormoneSynergy Concierge Member which requires a monthly fee.

Concierge membership benefits include:

  • Private EMR communication privileges with Dr. Retzler

  • Yearly Repeat complimentary neurocognitive testing

  • Yearly Repeat complimentary body composition testing

  • $100 credit toward the purchase of nutraceuticals (pharmaceutical-quality supplements).

Optional Testing / Additional Fees.

  • VO2 Max to determine your aerobic fitness. VO2 max is considered one of the best indicators of your lung and cardiovascular health and endurance.

  • Additional Testing / Screenings as recommended by Dr. Retzler after thorough examination and interpretation of lab results.
  • Peptides. A fee of $25 per month will be charged to patients receiving peptide prescriptions. This fee is in addition to the monthly concierge fee and will help cover the cost to monitor your peptide prescription(s)—e.g. EMR communications, possible lab testing, and dosage adjustments. The fee will also support Dr. Retzler in her extensive time-investment to read studies, collaborate with other physicians who use peptides, collect case examples and other data, and maintain membership and contribute to the International Peptide Society and other organizations actively involved in sharing information about the medical use of peptides.
All follow up appointments are charged at fee for service rates. Fees are determined by time and complexity of decision making.
  

Insurance 

We do not bill nor we will we receive any payments from insurance companies.

Initial laboratory testing can cost between $0 and $500 depending what testing Dr. Retzler believes is right for you based on your initial questionnaires.

In order to provide individualized, comprehensive care, we do not participate with any health insurance companies. We do not bill insurance companies or accept reimbursement from any insurance companies, nor are we a Medicare provider. 

You may attempt reimbursement for office visits / labs by submitting a health insurance claim form with diagnosis codes to your insurance company (we will provide and help fill out this form for you).

Please note: Dr. Retzler makes NO profit on lab testing, prescription medications or hormones. All lab fees due will be provided directly to the lab that processes them. We do encourage our patients to use their health savings accounts if and when possible. The cost of prescription medications, Hormones, Peptides etc. are paid directly to the pharmacy. While some insurance will cover the cost we highly recommend patients use GoodRX for any out of pocket prescriptions

If you have additional questions please visit our FAQ page

If you believe our comprehensive approach to longevity matches your health philosophy and needs, we'd be delighted to schedule your initial testing and appointment. We look forward to partnering with you in helping you achieve vibrant health and optimal aging. 

Please feel free to contact our office to set up a phone appointment to discuss your specific needs, goals, and questions.