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The Importance Of Hormone Balance In Women

Women get used to being told they're "normal" for their age. We disagree.

Treatable symptoms associated with hormone imbalance:

  • Hot flashes, night sweats, mood swings.
  • Afternoon slumps, low energy, lethargy.
  • Brain fog, difficulty multitasking, mental exhaustion.
  • Loss of libido or interest in intimacy.
  • Inexplicable weight gain or loss of muscle mass.

Diminished hormone production can show up in uncomfortable ways. Medically-guided bioidentical hormone replacement therapy helps re-balance hormones and take you from 'survive' to 'thrive'.

How Women Benefit from Balanced Hormones:

Bioidentical Hormone Replacement Therpay (BHRT) utilizes hormones that are chemically identical to those produced by your body. With these hormones:

Reclaim Intimacy and Desire - Boost libido and improve overall sexual function.

Support Weight Management - Improve metabolism and feel at home in your body.

Restore Energy Levels - Clear brain fog and reduce lethargy for sustained energy throughout the day.

Promote Better Sleep - Experience restful, uninterrupted sleep.

Improve Mood Stability - Reduce mood swings for a more balanced emotional state.

Alleviate Hot Flashes - Reduce discomfort and improve quality of life.

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About Savannah Age Management Medicine's Hormone Program

Expert-Guided Hormone Rebalancing

You can't simplify complex medicine. Our medical providers take time to understand not just what you're experiencing, but how it's affecting your relationships, career, and daily joy.

Patient Appointment
1

Shaping your journey

Your health journey begins with an initial consultation with our team. We'll get to know you and get familiar with your symptoms. Together, we will begin to create a vision of what your life could look like when you're feeling more like yourself again. After discussing the total treatments available at Savannah Age Management, we can begin to create a roadmap for your transformation. This consultation can be done in-person or virtually in a low-pressure, inviting atmosphere where all questions are welcome.

Doctor Research
2

Establishing a health baseline

We use your lab work to establish a data-informed baseline of your current health. We interpret your blood work differently than most providers, and will be looking to see if your various levels are in an “optimal” vs. a “normal” range. Your lab results will help us better understand how you're feeling. We often say that we treat the patient, not the number, so your personal report on your symptoms will help us understand the total picture of your health.

Women Interaction
3

Define and launch your treatment plan

After identifying your symptoms and establishing your health baseline, we'll create a custom treatment plan based on your goals, timeline, and budget. If you are a fit for Bioidentical Hormone Replacement Therapy (BHRT), your treatment plan will include carefully measured and administered hormones, and may include other multi-disciplinary therapies offered by our clinic. You will leave with comprehensive information and training on your treatment protocol and a direct line to our team for questions.

Included As A Patient

Take full advantage of your benefits as a Savannah Age Management Medicine patient.

Body Composition
Analysis
Nutritional
Guidance
Functional Movement
Training
Treatment
Optimization
Quick Care Access
Savings On
Supplements
Membership Pricing on
Additional Services

Feel the Difference - Inside and Out

I have been a patient of Dr. Collins for four years, and he and his staff are amazing. My quality of life has truly been transformed since beginning hormone replacement therapy. My energy level, ability to work out, stamina, sleep issues, as well as intimacy issues have all made dramatic improvements. Dr. Collins is so thorough and really listens to your concerns. I would highly recommend this practice.

Paula P.

I've been working with SAM for several years now. Dr. Collins is an incredible pioneer in this medical specialty. I could not imagine life without their hormone replacement therapy and I have complete confidence in his expertise. I feel energetic and vital. The practice is the absolute best I've ever experienced. Dr. Collins' staff is amazing. I've worked with another lowcountry concierge practice and they weren't even in the same league. I can't say enough good things about SAM.

Marty P.

Really happy with my results of the HRT, feeling so much better! So grateful for the NPs and doctors for always being available whenever I need them. Very caring and knowledgeable group of practitioners.

Laura B.

There are just no words to express the difference I feel in my life now. I went from being depressed, no energy, no enthusiasm, to feeling 10 years younger, sleeping better, more energy! Plus the staff is very easy to work with and always listen to the patient. Thanks for giving me back my life!

Donna F.

I've been with Savannah Age Management since 2018. I was an older mom going through perimenopause. My husband suggested I go see them and it changed my life. Not only did my perimenopause symptoms go away, I felt 10 years younger. So, not only could I keep up with the kids, I still had energy for mommy daddy time. I'll be staying with the Savannah Age Management Team until I'm ready to be old!

Angie G.

Frequently asked questions

Deciding on Bioidentical Hormone Replacement Therapy (BHRT) is important, and you likely have questions. Here are answers to common questions to help you make an informed decision.

About BHRT
What is BHRT?

Bioidentical Hormone Replacement Therapy (BHRT) uses hormones that are chemically identical to the ones your body naturally produces. It is designed to restore balance and relieve symptoms of hormone deficiencies or imbalances, particularly during aging, menopause, or andropause.

Differences between BHRT, HRT, and TRT

BHRT is the most comprehensive way to treat dysregulated hormone levels in both men and women. Click the link below for more information on the differences between these treatment methods.

Difference Between BHRT, HRT & TRT and Why it Matters

How do I know if I need BHRT?

Signs that males and females might need BHRT:

  • Fatigue or energy loss
  • Loss of libido or arousal response
  • Irregular menstrual cycles
  • Hot flashes or night sweats
  • Mood changes or fluctuation
  • Memory issues
  • Weight gain
  • Sleep problems
  • Muscle loss
How is BHRT different from traditional hormone therapy?

BHRT hormones match your body's natural hormones exactly. Our program is designed to tailor dosing precisely to your levels, symptoms, and needs. For more even and sustained results, our program leverages injections rather than pellets.

About Savannah Age Management's BHRT Program
How long does it take to see results?

Patients will begin to experience initial improvements in the first 2-3 weeks, with full benefits within 3-6 months. Regular monitoring and adjustment of medication levels may be required.

What benefits can I expect from treatment?

Benefits of BHRT include but are not limited to:

  • Improved energy levels
  • Better sleep quality
  • Enhanced mood stability
  • Increased mental clarity
  • Improved libido
  • Better muscle tone
  • Reduced hot flashes
  • More stable weight management
Are hormone medications, lab work, and appointments included?

Patient cost includes appointment and assessment time, fitness evaluation and recommendation, body composition scans, nutritional guidance, in-office lab draws, quick care, and access to Fullscript supplements. The cost of labs and medications are up to the patient, or can be billed through insurance. Most insurance companies will cover the cost of lab work, but may not cover the cost of hormone medications. Please note that we do have a partnership with PatientFi to help make payments easier.

Do you offer pellets?

No. In our experience, pellets are invasive, difficult to manage, and do not evenly deliver hormones.

Can your office serve as my Primary Care Physician?

We can offer Quick Care for things such as a sinus infection, COVID, Urinary Tract Infection,etc. However, we recommend you maintain a relationship with a Primary Care Physician or specialist for any chronic conditions you may have.

Will you refill medications that I am currently taking from my other physicians such as blood pressure medication, cholesterol medication, heart medication, etc.

No. These are medications for chronic conditions that should be managed with your specialist or Primary Care Physician.

Do I have to come into the office every week to get my testosterone injections?

No. We will teach you how to administer these medications on your own at home.

What if I need to see one of your providers during the year? Will I be able to make an appointment and be seen or will this be an extra fee?

Within reason, our providers will make themselves available to see you during the year if you have questions on your progress or treatment protocol. Additional services outside of the scope of BHRT can be administered for a fee.

Once I become a BHRT patient, do I receive a discount off of any of the other additional services that you offer?

Yes. Active BHRT patients will receive 10% of all other services offered in the clinic.

Explore Other Treatments We Offer

We go beyond hormonal health to provide a wide range of treatments tailored to support your overall wellness, vitality, and confidence.

Muscle Pain

Platelet-Rich Plasma (PRP) therapy

Accelerate healing and rejuvenation using your body's natural growth factors.

Muscle Pain

Sexual Performance Enhancement & Rejuvenation

Boost intimacy and confidence with non-invasive treatments tailored to your needs.

Happy Couple

Concierge medical weight loss

Achieve sustainable results with expert guidance and personalized weight management plans.

Transforming Health as Savannah's Best Since 2010

The team at Savannah Age Management Medicine has served the Savannah and Pooler communities since 2010. It is our pleasure to bring transformational treatments to our patients, so they can live more active and vibrant lives than they ever thought possible. We're proud to have been named the Best Hormone Doctor in Savannah for over 10 years in a row. We would be delighted to be your partner on your journey to health optimization.

Best of Pooler 2025 Winner
Best Awards of Savannah 2025
Best Awards of Savannah 2024 Winner
Best Awards of Savannah 2024 Winner
Best Awards of Savannah 2023 Winner
Best Awards of Savannah 2022 Winner
Best Awards of Savannah 2021 Winner
Best Awards of Savannah 2020 Winner
Best Awards of Savannah 2019 Winner

Patient Testimonials

Real success stories

See how we've helped our clients transform their lives.

As a former D1 athlete with seven varsity letters, fitness has always been central to my life. In my seventies, aging challenges emerged - fatigue, poor sleep, and weight gain to nearly 230 pounds despite staying active.

After hearing Dr. Collins discuss Optimal Hormone Therapy, I had my testosterone tested, which revealed severely low levels. Within three weeks of starting twice-weekly T shots and supplements, I noticed improvements. My enhanced stamina enabled longer workouts, and I began building muscle at 72.

The program costs were modest, including ongoing prescriptions and blood reviews. Dr. Collins never pressured me and even suggested where to find the best supplement prices. His thorough physicals go beyond standard bloodwork, and both my wife and I are grateful for how this treatment has helped maintain my active lifestyle. I dropped to my high school weight of 200 pounds, and my bloodwork improved significantly.

David P.

Who We Are

Leaders in Age Management and Wellness

The Savannah Age Management Medicine team is dedicated to improving your quality of life through advanced age management practices. We pair years of experience, the latest research and technology and a commitment to personalized solutions for unprecedented results. Enjoy a warm, welcoming approach to health optimization.

Ready to transform your health?

Take the first step towards a healthier, more vibrant you.