nnPhysician-led hormone evaluation and ongoing telehealth care for eligible California patients in Palo Alto and the San Francisco Peninsula & South Bay. Care is provided by David Nazarian, MD, from our Los Angeles practice.
For Peninsula and South Bay patients with demanding schedules, telehealth can provide structured hormone evaluation and follow-up while reducing unnecessary travel to Los Angeles.
We serve eligible patients in Palo Alto, Menlo Park, Mountain View, Redwood City, Stanford-area communities and the surrounding Peninsula. The goal is not to replace local primary, emergency, or specialty care. Instead, telehealth provides access to a physician-led hormone evaluation when remote care is appropriate.
Visits may address menopause and perimenopause symptoms, testosterone deficiency, estrogen and progesterone questions, thyroid concerns, metabolic and insulin-related issues, cortisol and adrenal disorders, and other symptoms that may have a hormonal component.
Comprehensive history: Symptoms, medications, medical history, prior hormone treatment, family history and health goals are reviewed.
Targeted testing: Laboratory testing is selected according to the clinical question rather than using the same panel for every patient.
Individualized recommendations: Results are interpreted in the context of overall health. Hormone medication is considered only when clinically appropriate and after discussion of alternatives, limitations and important risks.
Follow-up and monitoring: Ongoing care may include repeat laboratory testing, symptom review, dose adjustment when indicated and coordination with other clinicians.
Women: Telehealth evaluation may include perimenopause, menopause, hot flashes, sleep changes, genitourinary symptoms, changes in libido, bone-health considerations, and questions about estrogen or progesterone therapy.
Men: Evaluation may include symptoms associated with testosterone deficiency, sexual health concerns, body-composition changes, fertility considerations, sleep and metabolic factors, and questions about testosterone therapy.
Symptoms such as fatigue, mood changes, weight changes, hair changes and low libido are not specific to hormone deficiency. A broader medical evaluation may be necessary before attributing them to hormones.
Appropriate laboratory work may be obtained locally and reviewed by telehealth. Patients are referred for in-person assessment when physical examination or local diagnostic testing is needed.
Prescriptions are not guaranteed. Medication is prescribed only when the physician determines that it is medically appropriate and legally permitted. Patients with urgent or potentially serious symptoms should seek appropriate in-person or emergency care.
Dr. David Nazarian is board certified in Internal Medicine. His approach considers hormone findings alongside cardiovascular health, bone health, metabolic factors, sleep, medications, lifestyle and other medical conditions when relevant. The objective is an evidence-informed evaluation rather than treatment based on symptoms or a single laboratory value alone.
Do you have a physical hormone clinic in Palo Alto?
Our physical practice is in Los Angeles. This page describes telehealth access for eligible California patients in Palo Alto and surrounding communities.
Can I complete the entire evaluation online?
Many consultations, result reviews and follow-ups can be completed remotely, but some clinical situations require an in-person examination, imaging, procedure or local specialist evaluation.
Will I automatically receive hormone medication?
No. Treatment depends on the clinical evaluation, appropriate testing, diagnosis, contraindications and applicable requirements.
Where can I learn more?
Visit our California Telehealth Hormone Services page or schedule a consultation to discuss whether telehealth is appropriate for your situation.
David Nazarian, M.D., is Board-Certified in Internal Medicine by the American Board of Internal Medicine and has completed advanced bioidentical hormone replacement therapy training through WorldLink Medical. He provides physician-led hormone evaluation and individualized care for women and men, with an emphasis on comprehensive assessment, patient education, safety, and ongoing follow-up.
Hormone Replacement Therapy LA provides physician-led hormone evaluation and individualized care in Beverly Hills and Los Angeles with David Nazarian, M.D.
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