medAge Biltmore Park · Suite 218, Asheville NC · Call 828-684-1212
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Fatigue, weight gain, brain fog, low libido, mood changes — these symptoms are common. They are also frequently the result of hormonal imbalance that responds well to proper clinical assessment and management. Dr. Sarah Long leads medAge's hormone optimization program with a data-driven, whole-body approach.
Hormonal changes are often dismissed as "just aging" — or misattributed to stress, sleep, or lifestyle. Many patients arrive at medAge having lived with these symptoms for years without a clear diagnosis. A comprehensive hormone panel often reveals a clinical picture that explains everything.
Fatigue that doesn't resolve with sleep
Weight gain, especially around the abdomen
Hot flashes, night sweats, or temperature dysregulation
Low libido or changes in sexual function
Mood changes, irritability, or anxiety
Brain fog or difficulty concentrating
Hair thinning or changes in skin quality
Vaginal dryness or discomfort
Fatigue and reduced energy or motivation
Decreased muscle mass despite regular exercise
Increased body fat, especially visceral
Low libido or erectile dysfunction
Mood changes, depression, or irritability
Reduced strength or exercise tolerance
Sleep disturbances
Brain fog or cognitive changes
Comprehensive assessment and management of female sex hormones — addressing perimenopause, menopause, and hormonal imbalance at any age. Dr. Long uses bioidentical hormone therapy when appropriate, customized to your labs, symptoms, and health history. Protocols are evidence-based and individually tailored.
Low testosterone (hypogonadism) is underdiagnosed and significantly impacts quality of life, body composition, mood, and sexual function. Dr. Long provides comprehensive male hormone assessment and testosterone replacement therapy (TRT) with careful monitoring of hematocrit, PSA, and other relevant markers.
Thyroid dysfunction — both hypothyroidism and subclinical thyroid issues — is frequently missed on standard lab panels that only check TSH. Dr. Long orders comprehensive thyroid panels including Free T3, Free T4, and thyroid antibodies, and evaluates symptoms alongside labs rather than treating numbers alone.
Chronic stress, poor sleep, and high-demand lifestyles dysregulate cortisol — affecting energy, weight, immune function, and hormonal balance throughout the body. Adrenal assessment and cortisol optimization are integrated into Dr. Long's comprehensive hormone evaluation.
We don't recommend a hormone protocol until we have a complete laboratory picture. This includes sex hormones, thyroid markers, adrenal function, metabolic panels, and nutritional status. The plan follows the data — not a standard protocol.
Lab reference ranges are designed for population health, not individual optimization. Dr. Long evaluates how you feel alongside your labs — because a patient whose numbers are "in range" but who feels terrible is not optimized.
Hormone optimization is not a one-time prescription. Dr. Long monitors your response, adjusts protocols based on follow-up labs and symptom changes, and integrates hormone management into your broader health picture at medAge.
Dr. Long brings advanced training in functional and longevity medicine to hormone optimization at medAge. She approaches hormonal health as an integrated system — not a single lab value to correct — and builds protocols that address the whole clinical picture rather than chasing isolated numbers.
Read Dr. Long's full bio →Book a hormone optimization consultation with Dr. Long at medAge. We'll run a comprehensive lab panel, review your symptoms, and build a protocol designed for your clinical picture — not a generic template.
$75 new patient deposit · applied toward your first visit