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SERVICE

Hormonal Health

Hormonal health is deeply personal—and often quietly disruptive. In our fast-paced world, it’s common to put your own needs last while navigating work, relationships, parenting, aging, and everyday stress. Over time, this can lead to a cascade of symptoms: from fatigue, brain fog, and sleep issues to weight changes, anxiety, irregular cycles, low libido, digestive discomfort, and burnout.

At Luca Holistic Medicine Institute, we look at the whole picture: your lifestyle, lab results, and lived experience. Whether you're navigating puberty, postpartum, perimenopause, andropause, or chronic stress, we offer care that gets to the root.

Hormonal health isn’t just about one hormone—it’s about restoring balance across your entire system so you can feel like yourself again. Our goal is to empower you with clarity, compassion, and tools that truly support long-term wellness.

  • "I feel truly blessed to have found Dr. Hilary Costello 10 years ago. From our very first appointment, her kindness, thoughtfulness, and genuine curiosity stood out. She spent nearly an hour with me, listening and engaging in a way that showed she truly cares—not just about physical health, but mental well-being too. Dr. Costello isn’t like other doctors who rush you in and out; she takes the time to understand you as a person. I now consider her not only an exceptional physician but also a friend. I couldn’t recommend her more highly!"

    Cyle W.

  • I came to see Dr. Costello for achy muscles and low libido thinking I was just getting older now that I'm 51. We found my testosterone to be low and I have been using a testosterone cream that I apply directly to my skin and I feel incredibly better. My health feels renewed and my muscles do not ache anymore despite a very physical job in construction, not to mention improvements with my libido and overall sense of self. I will be forever grateful to Dr. Costello for knowing exactly what I needed and treating me as a whole person.

    Martin B.

  • Perimenpoause is the time to find a doctor to help you to navigate all of the changes that come seemingly out of the blue in the forties. Dr. Costello has helped me understand what's happening in my body and quickly address the symptoms, allowing me to sleep well, feel great, perform at work, and take care of myself and my family of five. She has been able to explain everything to me so I feel educated and aware of my mental, physical, and spiritual well being. The brain health piece was new to me, and I appreciate her up-to-date approach to menopause and beyond. Natural medicine for the win!

    Monique A.

Resources

  • A woman with short, curly hair, wearing a turquoise blouse, smiling with eyes closed, holding a large pink lily flower close to her face outdoors.

    The Joy of Hormones

    Learn more about the balance and power of hormones and explore our full wellness journal of resources.

    Read More →

  • A woman dressed in a blue top with a knotted waist, wearing jewelry, using a silver laptop on a dark table. There is a large pink flower arrangement in a pink pot on the table.

    Virtual Courses

    Coming soon! Practical tools and expert guidance to support your hormonal health anytime, anywhere, at your own pace.

    Explore Courses →

  • A group of women gathered around a table making holiday wreaths with greenery and decorations in a cozy, well-lit living space.

    Workshop Events

    Join in-person or virtual interactive sessions to explore health in depth with expert guidance and real-time support.

    See Workshops →

FAQs

Why is hormonal health important?

Hormones influence nearly every function in the body—from energy levels and metabolism to mood, sleep, sexual health, and immune function. When hormones are out of balance, they can affect your overall well-being, often in subtle but significant ways.

What are the signs of a hormonal imbalance?

Symptoms of hormonal imbalance can vary from person to person. Many people experience fatigue, unexpected weight changes, mood swings, low libido, irregular or painful menstrual cycles, changes in skin or hair, disrupted sleep, mental fog, or hot flashes. These signs are not limited by age or gender and may be easy to overlook or misattribute to other causes.

What causes hormone imbalances?

Hormone imbalances can be influenced by a variety of factors including chronic stress, poor sleep, nutritional deficiencies, exposure to environmental toxins, digestive and gut health issues, blood sugar imbalances, and natural life transitions such as puberty, pregnancy, perimenopause, menopause, and andropause. Underlying conditions like thyroid dysfunction or polycystic ovarian syndrome (PCOS) may also contribute.

Do you treat men’s hormone concerns?

Yes, hormonal health is just as important for men. We provide care for issues such as low testosterone, fatigue, sleep disturbances, changes in mood, metabolic shifts, and sexual health concerns. Our approach is supportive, confidential, and tailored to meet each individual’s specific goals and needs.

Do you offer hormone testing?

Yes. We use a range of testing methods, including saliva, DUTCH, and blood work, depending on your needs. These tests allow us to gain insight into thyroid function, adrenal health, sex hormones, and metabolic markers. We interpret results holistically, looking at both your lab values and your lived experience.

How does your approach to hormonal health differ?

At Luca Holistic Medicine Institute, we take a comprehensive and individualized approach. Rather than treating symptoms alone, we focus on uncovering the root causes of imbalance. Using a combination of modern diagnostic tools and natural therapies, we support the body’s innate ability to regulate itself. Treatment plans are personalized and may include nutritional guidance, herbal medicine, supplementation, mind-body practices, and support for sleep, stress, and detoxification.

What ages do you treat?

We support hormonal wellness across all life stages—from adolescence and young adulthood to midlife transitions and healthy aging. Whether you're navigating the changes of puberty, preparing for pregnancy, moving through menopause or andropause, or managing long-term stress and burnout, we’re here to help.

Can hormonal imbalances be treated naturally?

In many cases, yes. We often work with nutrition, herbs, and lifestyle changes to gently restore balance. For more complex cases, we may collaborate with other healthcare providers or explore bioidentical hormone therapy when appropriate. Our focus is always on creating sustainable, individualized solutions that support long-term well-being.

How do I get started?

The first step is to schedule a consultation. Together, we’ll explore your health story, clarify your goals, and design a plan that fits your life, your values, and your vision for health.

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Solutions Together

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  • Comprehensive care for hormonal balance, menstrual health, fertility, perimenopause, and more — with an emphasis on long-term vitality and prevention.

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  • Natural, effective solutions for chronic skin conditions including acne, eczema, and rosacea — combining internal medicine with targeted topical treatments.

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