PrimeLife clinic Services

Hormone health

We specialize in optimizing and balancing hormones for both women and men. If your hormones are low, we help your body fill the gap to prevent cellular depravation, which can lead to symptoms and potential disease.

For men, we offer testosterone replacement therapy while ensuring estrogen levels are balanced. We also consider replacing progesterone, a forgotten hormone in men. My strong preference is to work with men as part of a couple, rather than as an individual patient.

For women, we manage polycystic ovary syndrome (PCOS), perimenopause symptoms, and menopause symptoms for women. It is a privilege of live long enough to go through the menopause transition. Menopause is a mandatory; suffering is not. Testosterone, estrogen, and progesterone replacement are considered for all women! This is part of what sets our clinic apart, we replace testosterone as needed in women.

PrimeLife believes it is time for you to live life to the fullest! Our customized plans support your overall well-being, vitality, and longevity.

What to expect during your Hormone replacment journey

First visit: Together we will review your labs, review completed symptom assessment questionnaires, document your health history, review current medications and supplements, obtain a baseline InBody scan, and discuss risks versus benefits. If you decide to proceed with bioidentical hormone replacement therapy (BHRT), a four-month supply will be prescribed and delivered to your home. At least one consultation must be in person. Telehealth visits are an option for follow up appointments.

Second visit: This will take place 2-3 months after your initial visit. Prior to this visit, repeat hormone labs only. Lab collection should be six to ten weeks after starting BHRT. Together, we will review your lab results, reassess your symptoms, and then prescribe a three-month supply of HRT with dose adjustments as needed.

Third visit: prior to your visit, repeat hormone labs. During your visit, we will review symptoms, review labs, and then reorder 3 to 6 months of BHRT.

By the third or fourth visit, most individuals achieve optimized and balanced hormones. If receiving testosterone replacement, we can prescribe up to six months of HRT. For those who are not receiving testosterone, we can prescribe up to 12 months of BHRT.

It is important to note that a clinic visit with lab work is required each time hormones are prescribed. This ensures that your treatment continues to align with your ongoing needs.

PrimeLife carefully and slowly fills your body’s unique hormone needs.

Weight Loss

Weight gain is a common symptom during perimenopause and at PrimeLife, we understand that this is not simply a matter of willpower. Various factors, including hormone imbalances, contribute to weight changes during this time. We provide personalized plans that include routine assessments, body composition scans, medications, supplements, exercise objectives, and nutritional goals.

Our expert medical management includes options like GLP-1 receptor agonists, such as, semaglutide (Ozempic or Wegovy) and tirzepatide (Mounjaro or Zepbound). These medications are FDA approved to treat diabetes, promote weight loss, and reduce the risk of cardiovascular disease. In accordance with a law passed in March 2025, Tirzepatide is availble for FDA approved name brand use only. Our clinic uses a national compound pharmacy when prescribing semaglutide and supports a variety of off label indications of use to ensure comprehensive care tailored to your needs.

Sexual health

Sexual health support encompasses managing:

  • vaginal dryness

  • vulvovaginal disorders

  • urinary health concerns

  • pain with intercourse

  • hyposexual desire disorder (HSDD)

  • erectile dysfunction

  • premature ejaculation

  • low libido

Treatment options may include hormone therapy, lifestyle changes, cognitive approaches, supplements, and medications.

A significant “orgasm gap” exists between men and women. Men’s orgasm rates range from 70% to 85%, while women’s range from 46% to 58% (Gesselman et al., 2024).

Quality sexual intimacy plays a vital role in enhancing emotional connections which contribute to healthy long-term relationships and improve quality of life. Ultimately, everyone deserves to experience orgasms and enjoy fulfilling sexual experiences.

Gesselman, A. N., Bennett-Brown, M., Dubé, S., Kaufman, E. M., Campbell, J. T., & Garcia, J. R. (2024). The lifelong orgasm gap: exploring age's impact on orgasm rates. Sexual medicine, 12(3), qfae042.

Longevity medicine

is an emerging field aimed at improving healthspan and lifespan by specific dietary and exercise regimes, as well as by biomedical interventions aimed at delaying or slowing the aging process. At PrimeLife we promote healthy lifestyle and offer geroprotectors. A geroprotector is a compound that can stop or reverse the process of cellular aging. Studies have suggested different nutrients, peptides, and hormones can operate as geroprotectors. Some examples are micronutrients, melatonin, carnosine, glutathione, NAD+, GLP-1 receptor agonists, metformin, and hormones.

LIVE EVENTS

Join us for free community events focused on hormones, sexual health, and longevity. Our goal is to empower you with knowledge and resources so you can take control of your health.

Sign up to learn more and connect with others on a similar journey toward better well-being!

Event: The Menopause Transition- What You Need to Know

Date: Sunday May 18, 2025

Time: 2-6pm

Location: The Ridge activity center in Bothell, WA.

Sign up to register (add a plus one and bring a friend) to attend: Free Event: Menopause- What you need to know

This free community education event is for women only.

This 2.5 hour session brings together a diverse panel of experts to provide valuable insights into the physical, emotional, and lifestyle aspects of menopause. After the presentations, women will be given space to reflect and connect.

What to expect:

  • Engaging presentations from 8 healthcare professionals who specialize in caring for women during midlife and beyond

  • 1.5 hours’ time to reflect and recharge following the sessions

  • “Ask the Experts” table for personalized questions

  • Educational posters and interactive materials

  • Opportunities to connect and foster community support

  • Spanish and Telugu translation

Whether you're just beginning the transition or supporting someone who is, this is the event for you.

*Please no food or children at this event. This is a safe space for women only.

Free Community education

Event: Learning about “Low T” and what to do about it.

Date: Saturday July 26, 2025

Time: 2:00 PM - 3:00 PM

Location: Richmond Beach Library

19601 21st Ave NW Shoreline, WA 98177

No preregistration required. This event is intended for men.

*Please no food or children at this event.

Watch for more Education Events at king county and Sno-Isle libraries

“You can’t enjoy wealth if you can’t enjoy health.”

-anonymous