Authored by Dr. Aleksandra Raykher
Dr. Aleksandra Raykher, MD, is a hormone health and clinical nutrition specialist at Aligned Modern Health with decades of experience in internal medicine, metabolic health, and bioidentical hormone therapy (BHRT). She helps patients restore balance and vitality through personalized, integrative care rooted in evidence-based medicine.
Hormones regulate nearly every function in the body, from metabolism and mood to energy levels and cognitive function. As people age, natural hormonal changes occur, often bringing unwelcome symptoms such as fatigue, weight gain, brain fog, sleep disturbances, and shifts in libido. While these changes are a natural part of the aging process, they do not have to diminish quality of life.
Bioidentical Hormone Replacement Therapy (BHRT), including Testosterone Replacement Therapy (TRT) and estrogen replacement, offers a safer, more effective alternative to traditional Hormone Replacement Therapy (HRT). It uses plant-derived hormones that are structurally identical to those naturally produced by the body. When tailored to individual needs, BHRT can help restore balance and optimize overall well-being.
Understanding Hormonal Changes
Hormones such as estrogen, progesterone, and testosterone influence a wide range of physiological processes. As we age, these hormone levels decline, leading to noticeable changes in both men and women:
- For women, estrogen and progesterone levels fluctuate and decline during perimenopause and menopause. These shifts can lead to hot flashes, mood swings, brain fog, disrupted sleep, and decreased bone density.
- For men, testosterone gradually decreases with age, often resulting in fatigue, reduced muscle mass, weight gain, lower libido, and mood disturbances.
While these hormonal changes are natural, they do not have to be endured without support or solutions. Restoring hormonal balance through personalized therapy can significantly improve overall health and well-being.
The Benefits of Hormone Therapy
Optimizing hormone levels can lead to a range of benefits for both men and women, including:
- Increased Energy – Supporting sustained energy levels throughout the day.
- Improved Mood and Cognitive Function – Reducing brain fog, irritability, and mood swings.
- Better Sleep Quality – Enhancing sleep cycles for deeper, more restorative rest.
- Metabolic and Weight Support – Helping to prevent or reverse age-related weight gain.
- Enhanced Libido and Sexual Health – Addressing changes in sexual desire and function.
- Stronger Bone and Cardiovascular Health – Supporting long-term wellness and reducing age-related risks.
At Aligned Modern Health, we take a holistic, patient-first approach to Bioidentical Hormone Replacement Therapy (BHRT) and Testosterone Replacement Therapy (TRT). Our expert-led care focuses on restoring hormonal balance safely and effectively, helping you feel like yourself again and regaining your vitality.
Here’s what sets Aligned Modern Health’s approach apart:
- Expert Clinical Care Team: Our team of Medical Doctors, Nurse Practitioners, and Clinical Care Coordinators collaborate to deliver impactful, science-backed hormone therapy with ongoing support.
- Comprehensive Testing: We conduct advanced hormone analysis and full diagnostic panels, including bloodwork, to assess hormone levels and overall hormonal health.
- Personalized Treatment Plans: Every patient receives a customized BHRT or TRT plan, designed to meet their unique needs and adjusted over time through regular monitoring.
- Whole-Body Wellness Integration: We go beyond hormone therapy by incorporating nutrition, stress management, sleep optimization, and movement strategies to enhance treatment effectiveness and support long-term health.
Is Hormone Therapy Right for You?
Symptoms such as persistent fatigue, low mood, weight gain, disrupted sleep, or cognitive difficulties can often be traced back to hormonal imbalances. Many individuals go years without realizing that their symptoms are linked to declining hormone levels. Addressing these imbalances can be life-changing.
Taking the Next Step
You deserve to feel strong, clear, and energized—at every stage of life. Our expert team is here to help you reclaim your vitality with real, lasting results. Schedule an appointment with Aligned Modern Health today. Your future self will thank you.
