Explore our curated collection of health resources designed to help men and women across Austin and San Antonio understand their symptoms, treatment options, and wellness journey. Each resource is physician-reviewed and written with your questions in mind, drawing on the same patient-centered, whole-person approach we have used to help hundreds of Texans overcome age-related hormone decline.
Understanding how hormones regulate energy, mood, metabolism, sleep, and sexual function, and how levels naturally decline with age, beginning as early as your mid-20s to mid-30s.
Comprehensive guides covering perimenopause, menopause, and plant-derived bio-identical hormones that match the exact chemical structure your body produces, offering a safer, more natural alternative to synthetic hormones.
Information about andropause, the roughly one percent annual testosterone decline men experience after age 30, and the hormone replacement approaches that restore energy, strength, focus, and libido.
Educational content about hypothyroidism, a condition affecting more than 27 million American adults, plus thyroid testing and treatment strategies aimed at maintaining consistent, optimal hormone levels.
Science-based approaches to medical weight loss, metabolism optimization, and sustainable wellness habits.
Understanding hormone testing, what your lab results mean, and how we use data to personalize your treatment.
Many patients come to us feeling dismissed by traditional healthcare or told their symptoms are just part of aging. Fatigue that doesn’t improve with rest, weight gain despite diet and exercise, mood changes that seem out of character, sleep disruption, and declining libido are not things you simply have to accept. These symptoms often point to hormonal imbalances that can be identified through comprehensive testing and addressed with personalized treatment approaches. Our educational resources help you recognize patterns in your symptoms and understand the underlying biology that may be contributing to how you feel.
Dr. Khym B. Zarzuela, D.O., and our team of experienced Nurse Practitioners and Physician’s Assitants believe in treating the whole patient, not just isolated symptoms. He believes lab work alone provides only a one-dimensional picture, which is why we take time to listen and understand each patient’s story before recommending treatment. We provide information that helps you advocate for yourself and make informed decisions about your health journey across our Austin and San Antonio locations.
Each treatment we offer is backed by scientific research and tailored to your individual needs. Our educational resources explain how these therapies work and what you can realistically expect.
Effective hormone therapy begins with thorough testing that goes beyond basic panels. Our educational resources explain why we test multiple hormones, how timing affects results, and what optimal ranges look like versus just normal ranges. You’ll learn about our testing, blood work, and other diagnostic tools we use to create your baseline and monitor your progress. Understanding your lab results empowers you to be an active participant in your treatment. We believe patients should understand not just what we’re testing for, but why each marker matters and how it relates to your symptoms. This knowledge helps you track improvements and recognize when adjustments might be needed. Many patients find that learning about their hormone levels and what influences them helps them make lifestyle choices that support their treatment goals.
Dr. Khym B. Zarzuela, D.O., is an AARM (Age Management Medicine) practitioner who has embraced the principles of anti-aging medicine into his practice of whole-patient wellness. He has practiced family and urgent care medicine in the Central and South Texas area since 1994, and in late 2010 he began focusing on the benefits of hormonal replacement and natural supplements for his patients. He completed his residency in Family Medicine and finished medical school at the Texas College of Osteopathic Medicine in Fort Worth.
Our nurse practitioners, Sidnee Mitchell, FNP-C, and Michelle Gray, N.P., work closely with patients throughout treatment, providing ongoing education and support at our San Antonio and Austin offices. Our team’s commitment to personalized care means we take time to explain your options, answer your questions, and help you understand what to expect, building our approach around whole-patient wellness rather than symptom management alone.
Hearing from other patients can provide valuable perspective as you consider your treatment options. Our patient testimonials share real experiences with hormone therapy, from initial consultations through ongoing treatment.
Common questions about hormone therapy, testing, and treatment approaches.
A: We offer comprehensive guides covering hormone health basics, treatment options, laboratory testing, symptom recognition, and wellness optimization. All resources are physician-reviewed and designed to help patients make informed decisions about their health journey.
A: If you’re experiencing persistent fatigue, unexplained weight gain, mood changes, sleep issues, or declining libido, comprehensive hormone testing may provide valuable insights. Our educational resources help you recognize symptom patterns that may indicate hormonal imbalances.
A: Your initial consultation includes a comprehensive health history review, discussion of your symptoms and goals, and explanation of testing options. We take time to educate you about hormone therapy and answer all your questions before recommending any treatment approach.
A: Most patients begin noticing improvements within two to three weeks, with libido, body composition, and energy often continuing to evolve over the following 3 to 6 months. Results vary based on individual factors, starting hormone levels, and treatment approach. We provide detailed timelines and expectations during your consultation.
A: Hormone replacement therapy is typically not covered by insurance, and patients pay out of pocket. We provide transparent pricing and discuss all costs during your consultation so you can make an informed decision about your treatment investment.
A: Follow-up scheduling varies by treatment type and individual response. Most patients have check-ins at 6-8 weeks initially, then every 3-6 months for ongoing monitoring and optimization. We adjust this schedule based on your progress and needs.
Schedule a consultation to discuss your symptoms, review your health history, and explore personalized treatment options. Our comprehensive approach begins with understanding your unique needs and goals.