Hormone Optimisation Panel & Protocol

Hormones decline progressively from your mid-30s — testosterone falls 1–2% annually, oestrogen patterns shift, thyroid function declines, and growth hormone secretion drops. Symptoms (fatigue, brain fog, slow recovery, mood shifts, body composition change) are often misattributed to ageing rather than addressed.\n\nDr. Razzak's hormone optimisation begins with a comprehensive panel: total and free testosterone, oestradiol, SHBG, LH, FSH, DHEA-S, full thyroid panel (TSH, free T3, free T4, reverse T3, antibodies), morning cortisol and IGF-1.\n\nThe initial visit reviews results in detail and designs a 90-day protocol — which may include lifestyle modifications, targeted supplementation, peptides (CJC-1295/ipamorelin for GH support), or bioidentical hormone replacement where clinically indicated.\n\nMonthly check-ins follow, with mid-protocol re-testing at 90 days to objectively assess response and adjust dosing.