Persistent fatigue
Energy that rest does not restore — one of the most common signs of declining hormone production in both women and men.
Sieveking/Functional Medicine/Hormone Optimization & BHRT
Hormone Optimization & BHRT
Physician-Led · Bioidentical · Individually Dosed
Hormones influence nearly every aspect of your health, and as we age, production naturally changes. For some, those changes bring fatigue, weight gain, reduced muscle mass, poor recovery, diminished libido, brain fog, and mood shifts. Hormone optimization through the Ageless Solutions program at Sieveking Plastic Surgery in Franklin, Tennessee, restores the balance that supports energy, metabolism, brain function, sleep, sexual wellness, and healthy aging.
Restore balance. Reclaim vitality. Age with strength and confidence.
- 01Consultation
- 02Testing
- 03Protocol
- 04Monitoring
Treat the patient — not simply the laboratory reference range.
Hormone optimization is the careful evaluation and treatment of hormone deficiencies or imbalances that develop with aging, stress, metabolic disease, menopause, and other health conditions. Because “normal” laboratory values do not always represent optimal health, treatment decisions are never based on a single number alone — the evaluation weighs your symptoms, history, lifestyle, body composition, and cardiovascular risk alongside comprehensive testing, including total and free hormone levels when appropriate.
The goal is not to create supraphysiologic hormone levels, but to restore hormones to healthy physiologic ranges that support improved function, vitality, and long-term wellness. Dr. Sieveking — board-certified in anti-aging medicine and in wound management through The American Board of Wound Management (ABWM) in addition to plastic surgery — combines advanced laboratory testing, evidence-based medicine, and highly personalized treatment plans.
The approach
Balance for women. Strength for men.
Many women assume fatigue, weight gain, brain fog, poor sleep, and declining muscle tone are simply part of getting older. They aren’t always. The transition through perimenopause and menopause affects virtually every organ system, and prolonged hormone deficiency can significantly impact quality of life. For appropriately selected women, bioidentical estrogen, progesterone, and testosterone may improve energy, sleep, mental clarity, mood, sexual wellness, bone health, lean muscle, and skin — with every plan individualized to symptoms, age, medical history, cancer risk, and cardiovascular health.
For men, low testosterone affects far more than sexual health — it influences muscle mass, metabolism, cardiovascular health, cognition, bone density, recovery, and motivation, often years before laboratory values fall outside a traditional range. Dr. Sieveking emphasizes evaluating free testosterone in addition to total: two men with identical totals can feel dramatically different, because the biologically active hormone is the free fraction.
Hormone replacement has been surrounded by misinformation for decades, and modern research has challenged many long-held assumptions about appropriately prescribed, carefully monitored therapy. Every patient receives an individualized discussion grounded in current evidence, personal and family history, and comprehensive laboratory testing — not outdated, one-size-fits-all recommendations.
The symptoms hormone optimization resolves.
A protocol built around the concerns that brought you to consultation — not a standard template.
Weight and muscle change
Stubborn weight gain, increased abdominal fat, and loss of lean muscle despite unchanged habits.
Brain fog and mood
Reduced clarity, flat mood, and diminished motivation that track hormonal shifts more than circumstance.
Sleep disruption
Difficulty falling or staying asleep — sleep is both a casualty of hormone imbalance and a key regulator of recovery.
Low libido
Diminished desire and performance in both women and men, including menopause-related changes and low testosterone.
Bone and long-term health
Loss of bone density, slower recovery, and rising cardiovascular and metabolic risk as hormonal support declines.
What your plan may include
A personalized approach to bioidentical therapy.
No two patients experience hormone decline the same way, so every treatment plan is individualized — spanning the hormones themselves and the foundations that support them.
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Testosterone, estrogen, progesterone
Testosterone evaluated as both total and free levels; estrogen and progesterone balanced to your stage of life and history — with DHEA when clinically appropriate.
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Thyroid within the full picture
Thyroid hormones assessed as part of the broader endocrine picture, because no hormone acts alone.
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Lifestyle and nutrition
The foundation that supports any hormonal intervention, with nutritional supplementation targeted to your laboratory findings.
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Sleep optimization
A key regulator of hormone production and recovery, addressed directly rather than left to chance.
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Exercise programming
Tailored to preserve lean mass and support metabolic health as your levels are restored.
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Long-term health
Hormones support cardiovascular health, insulin sensitivity, bone density, cognition, and physical independence — one component of a comprehensive longevity strategy.
Combined with nutrition, exercise, sleep, and metabolic health, hormone optimization becomes more than symptom relief — it is a foundation for more healthy years.
What to expect: your comprehensive evaluation.
01
Consultation
History, symptoms, and lifestyle
Every program begins with a detailed consultation: complete medical and family history, prior hormone therapy, and a review of symptoms evaluated alongside — not instead of — laboratory data, plus nutrition, sleep, stress, and activity.
02
Testing
Comprehensive laboratory work
Comprehensive hormone testing with total and free levels where appropriate, thyroid evaluation, metabolic assessment including glucose and insulin markers where indicated, body composition, and cardiovascular risk assessment.
03
Protocol
A plan built from your numbers
Dr. Sieveking designs a personalized strategy around your health goals, not simply your age. Whether hormone therapy is appropriate for you is a medical determination made after evaluation — never assumed from symptoms alone.
04
Monitoring
Refined over the long term
Many patients notice improvement within several weeks, while changes in body composition, bone health, and metabolism develop gradually over months. Levels are retested and protocols refined on a defined cadence.
Why Sieveking
Meet Dr. Sieveking
Why choose Sieveking for hormone optimization in Franklin, TN.
Directed by Dr. Sieveking · Led by Jan Stanley RN, MS
Hormone optimization is both a science and an art. Successful treatment requires more than writing a prescription — it requires experience, careful monitoring, individualized dosing, and an understanding of how hormones interact with metabolism, nutrition, exercise, inflammation, and healthy aging.
Sieveking Plastic Surgery at 1200 Old Hillsboro Road in Franklin, Tennessee, is the only practice in Middle Tennessee that integrates world-class plastic surgery, advanced medical aesthetics, and clinical functional and longevity medicine under one physician at a single address. Through Ageless Solutions, patients throughout Franklin, Brentwood, Williamson County, and greater Nashville have access to a level of integrated care that is rare in this region.
The mission is simple: help you feel stronger, think clearer, move better, and enjoy more healthy years of life — with every protocol physician-directed and nurse-managed by the same team, year after year.
Membership & investment
Cost of hormone optimization.
The cost of hormone optimization depends on the hormones prescribed, the delivery method, and the cadence of laboratory monitoring your protocol requires. Because every plan is individualized, pricing is reviewed transparently at consultation — including what each phase of testing, medication, and follow-up involves.
Ageless Solutions is structured for continuity, with membership options that keep monitoring and refinement continuous rather than episodic. HSA and FSA funds are accepted.
Questions, answered.
The questions most prospective patients ask before booking a consultation.
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Like any medical therapy, hormone replacement has potential benefits and risks. Treatment decisions are always individualized and based on a comprehensive medical evaluation, current evidence, and ongoing physician monitoring — and these considerations are reviewed with you in detail before any plan is finalized.
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Not necessarily. Treatment recommendations depend on your symptoms, overall health, medical history, and goals — not age alone. A thorough evaluation is the appropriate way to answer this question for your individual situation.
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Symptoms alone are not enough. A detailed clinical evaluation is combined with advanced laboratory testing to determine whether hormone imbalance is contributing to how you feel. Because “normal” reference ranges do not always reflect optimal function, results are interpreted in the context of your complete health picture.
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Many patients begin noticing improvements within several weeks, while changes in body composition, bone health, metabolism, and overall wellness often develop gradually over several months. Timelines vary from person to person and depend on your starting point and how your body responds.
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Yes. Hormone optimization at Sieveking Plastic Surgery is offered to both men and women, with treatment plans built around the distinct hormonal patterns, symptoms, and risk factors relevant to each patient.
More in Functional Medicine.
Hormones & Vitality
Metabolism & Regenerative
Begin your journey
Begin physician-led hormone optimization in Franklin, TN.
If you are experiencing fatigue, brain fog, weight gain, poor recovery, reduced libido, or sleep problems, you do not have to accept them as a normal part of aging. Schedule a consultation at the Franklin office to discover whether personalized hormone optimization can help you restore your health, vitality, and confidence.
1200 Old Hillsboro Road, B2 · Franklin, Tennessee
Mon–Thu 9–4:30 · Fri by appointment