Age Management & Hormone Therapies

at our clinic in Knightsbridge, London

A hormone deficiency can be associated with significant changes in weight, bone density, cholesterol, cardiovascular function, skin appearance and mental well-being. With decreased hormone levels, even sleep patterns and immune system functions can be affected.

The aim of hormonal therapy is to balance your Endocrine System. As hormones regulate every function in your body, when they are well adjusted; so are you.

As we age there is a naturally occurring decline in a number of hormones – including oestrogen, progesterone and testosterone. An imbalance in these specific hormones can impact us in a variety of different ways, including but not restricted to:

  • Dry and wrinkled skin
  • Memory loss
  • Low libido
  • Erectile dysfunction
  • Vaginal dryness
  • Fatigue
  • Hot flushes and night sweats
  • Mood swings and depression
  • Urinary symptoms
  • Joint pains and muscle aches
  • Hair loss
  • Heart palpitations
  • Migraines
  • High cholesterol
  • Osteoporosis
  • Anxiety
  • Sleep disturbances
  • Decreased strength and lean body mass
  • Decreased bone density

Suitable for Male and Female

  • Thyroid Therapy

    Thyroid Therapy

    Your thyroid gland regulates the production of thyroid hormones, which in turn regulate your metabolism. Thyroid imbalance can arise from the thyroid gland being underactive (hypothyroidism) or overactive (hyperthyroidism).

    Abnormal thyroid function is very common. There are many causes and types of thyroid problems and you will be carefully assessed to ascertain your particular condition. Some thyroid conditions can be treated nutritionally whilst others require hormone intervention.

    Often thyroid conditions are closely related to other hormone conditions. Your doctor may assess your overall hormone levels to identify any other imbalances that may exist.

    The function of the thyroid gland is to produce the hormones that drive your metabolic rate. These thyroid hormones act by boosting your body’s metabolic activity. All physical activities require energy so if your thyroid gland is under-functioning, the symptoms of low thyroid function can be far reaching.

    Common signs & symptoms that your thyroid may be under active include:

    • Susceptibility to the cold
    • Lethargy or fatigue
    • Enlarged thyroid gland (goitre)
    • Difficulty losing weight
    • Depression
    • Dry skin, hair & nails
    • Coarse hair or hair loss
    • Thinning of the eyebrows
    • Heart palpitations
    • Muscle weakness & joint pain
    • Menstrual problems
    • Infertility
    • Sluggish memory & concentration
    • Lowered stress resistance
    • Recurrent infections
    • Hoarse voice

    Thyroid Diagnosis

    Thyroid problems are complex. Even a slightly under-active thyroid can dramatically affect your health. You will not feel physically well until the problem is fixed. If you suspect you have a sluggish or under active thyroid it is recommended that you firstly consider testing your thyroid hormone levels.

    The diagnosis of hypothyroidism or reverse T3 dominance by laboratory testing is carried out by measuring TSH, total T4, T3, and occasionally reverse T3 in the bloodstream. In addition, it is also important to check thyroid antibodies to rule out autoimmune conditions that can affect the thyroid.

    Our doctors understand what a huge impact out of balance thyroid hormones have on your body, both physically and emotionally. They will work with you to look at the nutrition and supplements you need to get your thyroid gland working effectively, and consider a range of medications to suit your needs.

  • Adrenal Therapy

    Adrenal Therapy

    The adrenal gland is responsible for the body’s hormonal response to stress. It produces adrenaline, which stimulates the instant stress hormone response (fight or flight reaction). It also produces cortisol and DHEA, which create the short and long term stress hormone responses. Cortisol suppresses the immune system, breaks down tissues and has generally destructive effect. However, these effects are balanced out by DHEA, which has the opposite effect – activating the immune system and building up tissues.

    Clinical signs and symptoms of adrenal insufficiency usually develop gradually and can include:

    • Severe fatigue
    • Sleep disturbances
    • Feeling ‘tired and wired’ at the same time
    • Difficulties relaxing and/or unwinding
    • Brain fog
    • Relying on stimulants
    • Body aches
    • Increased skin pigmentation
    • Dizziness
    • Weight gain
    • Nervousness
    • Alertness at night
    • Low blood pressure

    Because of the non-specific nature of these symptoms and their slow progression, they are often missed or ignored until, for example, a relatively minor infection leads to an abnormally long convalescence which prompts an investigation.. The term ‘adrenal fatigue’ is not commonly recognised by a lot of doctors which means it is often not looked at until there is a crisis point and the patient presents with severe symptoms.

    Adrenal Diagnosis

    Adrenal insufficiency can be diagnosed by blood tests, saliva testing and special stimulation tests that show inadequate levels of adrenal hormones. Both cortisol and DHEA are essential for life – too little cortisol causes the life threatening disease Addison’s disease, too much causes the debilitating condition Cushing’s syndrome.

    Adrenal Treatment

    If you are found to have insufficient function in your adrenal glands, the best way to treat it is via a holistic approach that looks at nutrition, supplementation with certain vitamins and herbs, a gentle exercise program, medication and a stress management program. As with everything we do at Omniya, the patient is treated as an individual and your program will be designed to specifically fit with your needs and lifestyle.

  • Male Specific

    Andropause (Testosterone Replacement Therapy)

    Andropause (Testosterone Replacement Therapy)

    Andropause symptoms due to declining hormone levels are common in men as they age. The modern lifestyle of high stress levels and poor fitness and nutrition habits paired with an increased life expectancy have a substantial effect on the male body. With your hormone-producing glands being forced to work harder and longer, hormones can become imbalanced over time.

    Symptoms common in men this age are:

    • Erectile dysfunction
    • Loss of sex drive
    • Depression
    • Mood swings
    • Hot flushes
    • Loss of muscle mass
    • Tiredness and lack of enthusiasm/energy
    • Increased sweating
    • Poor concentration/short term memory
    • Irritability

    Your doctor will consider:

    • Hormone optimization including testosterone replacement therapy
    • Fitness assessments including vO2max testing
    • Nutrition and lifestyle factors
    • Personalised supplementation plans
    • Cardiovascular screening
    • Preventative medicine tests such as inflammatory markers such insulin levels, homocysteine, highly sensitive CRP
    • Assessment of body composition and bone strength

    What causes Andropause?

    Whilst the exact cause of the age-related reduction in testosterone levels is not known; studies suggest it is the result of a combination of factors, including:

    • Declining levels of precursor molecules, such as DHEA
    • Increasing body fat (especially belly fat, and therefore increasing aromatase activity), lack of exercise, sedentary lifestyles, poor diet
    • Oxidative damage to tissues responsible for the production of testosterone
    • Reduction in testicular testosterone synthesis due to environmental toxins
    • Nutritional status and liver function
    • Wear and tear

    Andropause Diagnosis

    All men with erectile dysfunction should have a cardiovascular risk assessment and appropriate investigations. Testosterone Replacement Therapy (TRT) also improves bone health, insulin sensitivity, weight control, and mood.

    Levels of oestrogen, progesterone and DHEA are also very important in optimising testosterone function. These are all measured and replaced where necessary when treating symptoms of andropause

    Andropause Treatment

    Raising testosterone levels over the critical level with TRT may alleviate/reduce many and sometimes all of the symptoms of andropause.

  • Female Specific

    Menopause Therapy

    Menopause Therapy

    Menopause is the stage of a woman’s reproductive cycle that occurs as the ovaries stop producing hormones, causing the reproductive system to gradually shut down. The gradual process through which this occurs, which typically takes a year but may last as little as six months or more than five years, is known as perimenopause.

    Menopause can either be natural or surgically induced. A natural or physiological menopause refers to the ceasing of menses that is a part of a woman’s normal ageing process. A surgically induced menopause refers to the ceasing of menses as a result of oophorectomy (removal of the ovaries).

    The average onset of menopause is 50.5 years, but it is becoming more and more common for women to enter menopause at a younger age.

    Below are some of the symptoms women can experience during the perimenopause and menopause:

    • Insomnia
    • Hot flashes
    • Night Sweats
    • Weight gain
    • Aching & Sore Joints
    • Muscle Aches & Pains
    • Heart palpitations
    • Migraine headaches
    • Increase in Allergies
    • Cold Hands and Feet
    • Tingling in Hands and Feet
    • Dizziness
    • Disorientation
    • Fatigue
    • Itchy/Crawly Skin
    • Loss of Libido
    • Breast Swelling & Tenderness
    • Heavy Menstrual Periods
    • Irregular or Erratic Periods
    • Vaginal Dryness
    • Painful Intercourse
    • Urinary Ailments
    • Fibroids
    • Skin Problems
    • Bone Density Loss
    • Depression
    • Anxiety
    • Panic attacks
    • Paranoid thoughts

    Menopause Treatment

    Your doctor will consider, and may recommend therapy for adults suffering from symptom related to menopause if, after adequate laboratory testing and appropriate evaluation a patient may benefit from such treatment.

  • The Process

    The Process

    The Process

    Initial Consultation: £250 & Investigatory Tests

    During your initial assessment, your doctor will discuss your systems and address any questions you may have regarding your treatment. We will also be able to conduct blood tests on the day and arrange further investigations with our affiliated laboratories.

    Investigatory Tests: Various

    Your bloods will first be forwarded to your doctor and, once analysed, will be reviewed at your follow up consultation. Whilst it is difficult to estimate an approximate cost for every client, we have complied a list of the most common test profiles;

    Thyroid Profile: £78
    Menopause Hormone Therapy Profile: £318
    Male Hormone Profile: £435
    Female Hormone Profile: £370
    Comprehensive Female Profile: £449

    First Follow Up Consultation: £150

    Approximately 7-10 days after your Initial Consultation, your investigatory tests will be back and your doctor will then be able to review your results with you. During this consultation, you will be advised on managing your symptoms and, if necessary, you will be prescribed bespoke prescriptions and supplements (alongside recommended lifestyle changes to further improve your symptoms).

    Prescription Medication: Various

    Client comfort is paramount in all we do at Omniya. To ensure this, we host an on-site dispensing pharmacy where your prescriptions will be processed and dispensed. Not in the area? We can also courier or ship orders to you First Class.

    Second Follow Up Consultation (15-30 Minutes): £75-£150

    Four weeks after your First Follow Up Consultation, your doctor will review your progress with your prescribed medication and supplements. At this time, any required adjustments to your prescription can be made.

    Third Follow Up Consultation (15-30 Minutes): £75-£150

    Two months after your Second Follow Up Consultation, you will again meet with your doctor for a progress review. Further blood tests may be required to monitor progress at this time and repeat prescriptions may be issued, where necessary.

    Regular Reviews: £75-£150

    Every two months, we request that you make contact with your doctor for a review of your symptoms and medication. Please note, it is a requirement that your doctor sees you in person on at least a bi-annual basis in order to continue prescribing medicine.

    Regular Blood Tests

    Every three to six months, your doctor requests that you have further blood tests to monitor your progress. These may range from minimal blood tests on a more frequent basis, to full profile tests annually.

At Omniya, our practitioners also provide:

And treatments for:

Frequently Asked Questions for Age Management & Hormone Therapies

  • For Men:

    Your bloods can be tested on any day of year, however, we advise that you have them taken at approximately 9am.

    If you are currently taking hormone therapy, you should have your blood tested exactly 4 hours after taking your morning dose of hormones.

    Typically, you do not need to be fasting for your blood tests, unless you are having fasting insulin tested which you will be advised of beforehand.

    For Women:

    If you are still having periods

    If you are having monthly periods your blood test should be conducted 21 days after the first day of your last period. In the event you are having irregular periods, please do your blood tests at least 16 days after your last period.

    Contraception: If you are using a contraceptive pill, please stop taking the medication and wait for 6 weeks before booking in for your blood test. If you have a coil, you will not need to worry about removing beforehand.

    strong>Hormone Replacement Therapy:
    If you are currently taking hormone replacement therapy, you should have your blood tested exactly 4 hours after taking your morning dose of hormones.

    Typically, you do not need to be fasting for your blood tests, unless you are having fasting insulin tested.

    If you are not having periods:

    If you do not have a monthly menstrual cycle, you can have your bloods tested at any time.

    Hormone Replacement Therapy:
    If you are currently taking hormone replacement therapy, you should have your blood tested exactly 4 hours after taking your morning dose of hormones.

    Typically, you do not need to be fasting for your blood tests, unless you are having fasting insulin tested.

  • Which hormones are used?

    Oestrogen: Used to treat hot flushes, help hair and skin, reduce urinary frequency, cystitis and incontinence, vaginal dryness. Oestrogen also protects against strokes, heart disease, colon cancer, osteoporosis, Alzheimer’s Disease, macular degeneration and cataracts.

    Progesterone: Treats low mood and depression, can improve sleep, help keep hair and skin health, reduce fluid retention and regulates menstrual cycles, premenstrual tension and can help fibroids. Natural progesterone protects against uterine and breast carcinomas, cardiovascular disease, ovarian cysts and fibrocystic disease.

    Testosterone: Important to be regulated in men as it protects against cardiovascular disease, memory, and improves libido, energy and mood. In women, good levels of testosterone improve libido, energy, motivation, muscle and bone strength.

    DHEA: An adrenal hormone that reduces cardiovascular risks by decreasing visceral fat. It stimulates the immune system, restores sexual vitality, improves moods, decreases cholesterol and body fat. It improves memory, increases energy and has anti-cancer properties by enhancing the immune system. It has antidepressant effects.

    Melatonin: Improves sleep pattern as well as depth and quality of sleep. It’s an energiser and mood enhancer. It also increases natural killer cells and modulates immune function. It has powerful anti-oxidative effects.

    Pregnenolone: Is a precursor to other hormones. It functions as a memory enhancer and repairs cells, particularly in the brain and nerve tissues.

    Thyroid hormones: Balancing thyroid function to make sure it is optimum using a range of different medications and supplements.

  • Should I use hormone therapy or just go through my menopause ‘naturally’?

    There is no right or wrong answer for this. Some women have very mild symptoms and can manage them by making changes to their diet, lifestyle and taking certain supplements. Your practitioner can also advise you on this if this is the route you are interested in as she is trained in this ‘integrative approach’ to dealing with menopause, not only hormonal therapy.

    Taking hormone therapy to deal with symptoms of the menopause should not be seen as a ‘failure’. Women today are working well into their 60s, and life is far busier than that of women generations ago, plus life expectancy is going up. If there is a solution that helps women feel great, function better and improves their rate of ageing, why not consider it?

    What sort of hormones should I take?

    In the body, women produce oestrogen, progesterone and testosterone – a combination of all of these works best in women. All the hormones she prescribes have the same chemical structure as what your own body would make, and therefore work in synergy with the body and cause less side effects and risks.

    Sometimes these hormones are specially combined for you, and sometimes they are best to be taken separately. Your doctor will advise what is best for you after a thorough assessment of your symptoms, lifestyle, and evaluation of your blood tests.

    Do some people experience negative effects?

    A small proportion of women may experience some negative effects. This is usually due to the dosage not being quite right, and a simple adjustment can be enough to stop the unwanted effects.
    Common side effects include bloating, breast tenderness and occasionally light vaginal bleeding. Your doctor will advise you on how to deal with this should it occur. The normal procedure would be to stop the treatment completely until the symptoms settle, then restart at a lower dose.

  • What sort of monitoring do I need during the time I am taking hormones?

    Our practitioners recommend a blood test to check your hormone levels at least every 12 months, but every 6 months would be optimum. This is to make sure the levels in your system are adequate to improve your symptoms but also to cause a physiological improvement in your cardiovascular, neurological and bone health. Your practitioner may also recommend a mammogram, bone density scan and pelvic ultrasound scan to check the lining of the uterus and ovaries every 1-2 years. This can be arranged by Omniya if this is more convenient.

    How long can I take hormones for?

    If you are having your regular blood tests, pelvic ultrasound scan, mammogram and bone density scan and the results are favourable there is no reason why you cannot continue with this therapy long term. There are no age restrictions.

    I am worried that HRT causes cancer?

    The evidence has shown a small increased risk in breast, ovarian and uterine cancers with synthetic hormones that do not have the same chemical structure as the hormones made by your body. There has not been a link shown between the hormones that do share the same chemical structure as your own hormones. In fact, some studies have shown a protective effect. It is important to discuss these concerns with your doctor, especially if there is a strong link to female cancers in your family. Your doctor can then advice you on the best route of treatment and the best form of hormones to take for you. It is however important to know that although taking the hormones may not cause cancer, any hormones can cause cancer cells that are already in the body to grow, which is why regular screening is important.