Why do I need labs if I already know how I feel?

Because the symptoms are not specific. Fatigue and weight gain fit thyroid disease, anemia and sleep apnea as well as they fit low testosterone. Labs are how you avoid treating the wrong thing for six months.

How soon will I feel different?

It varies by hormone and by symptom. Sleep and mood often shift earliest, while changes in body composition take longer and depend on what else you are doing. Your clinician will set expectations against your own starting numbers.

Pellets, injections or creams?

A real decision with real tradeoffs. Pellets suit people who want nothing to remember for months. Creams are the most adjustable. Injections sit in between. It gets decided together, based on your labs and your life.

How are personalized hormone preparations handled?

Some hormone preparations are made for you by a licensed pharmacy. Your clinician will explain FDA status and monitoring before anything is prescribed.

Is this the same as what KAYU offers online?

The clinical approach is the same and often the same clinician. The difference is that being local means labs, pellet placement and follow-up happen in a room a few minutes away.

How often do I come back?

Expect a recheck after starting so the dose can be adjusted, then periodic monitoring. The exact cadence depends on the hormone and the delivery method.

Will insurance cover it?

Coverage varies and often does not extend to this kind of care. You will be quoted directly, and Cherry financing is available.

Yes, and it should be a planned conversation rather than an abrupt stop. Symptoms typically return as levels drift back to where they were.

Do you treat men and women?

Both. The panels, the protocols and the risks differ, which is exactly why the lab work comes first.

Hormone therapy in Chatsworth.

Fatigue, weight that will not move, poor sleep and low libido all have hormonal explanations worth ruling in or out. That starts with bloodwork, not with a prescription.

Book Hormone Therapy Or call 323-673-2611

Starts with: Comprehensive labs
First visit: Consult and history review
Delivery: Creams, injections or pellets
Follow-up: Labs rechecked, dose adjusted

Replacing what your labs show is missing.

Hormone therapy means restoring hormones toward a physiologic range when symptoms and bloodwork agree that they have fallen out of it.

The reason this begins with comprehensive labs is that the symptoms overlap with everything. Exhaustion, brain fog and weight gain are equally consistent with thyroid disease, anemia, sleep apnea and depression. Treating a hormone you never measured means potentially missing the thing that was actually wrong.

Delivery method changes the experience more than most patients expect. Creams are adjusted easily and applied daily. Injections are less frequent and give sharper peaks. Pellets are placed under the skin and release steadily over three to five months, which suits people who do not want a daily routine, with the tradeoff that a pellet cannot be dialed back once it is in.

Whether this is the right treatment for you.

Worth booking if

Persistent fatigue, low libido, mood change or sleep disruption
Perimenopausal or menopausal symptoms affecting daily life
Men with symptoms consistent with low testosterone
You want your labs actually explained to you rather than summarized as normal

Probably not if

You have a hormone-sensitive cancer or a history of one
You are pregnant or trying to conceive
You want a prescription without bloodwork, which is not offered here
Your symptoms point to something your labs rule out, in which case you get referred rather than treated

What happens in the room.

History before hormones
The first visit is a conversation about symptoms, timeline, family history and what you have already tried. This is also where conditions that make therapy inappropriate get identified.
Comprehensive labs
A full panel, not a single testosterone or estrogen value. Thyroid, metabolic and other markers are included because they change the interpretation of everything else.
The protocol, then the recheck
Once results are back, you and your clinician choose a starting dose and delivery method together. Labs are repeated after starting so the dose gets adjusted against how you actually responded.

How it is run here: Hormone therapy (HRT) built from your labs.

Who performs this at Chatsworth.

Narine Chilyan

DNP, AGNP-C

Over a decade in healthcare, from ICU critical care to functional medicine. MSN from Chamberlain University, DNP from Charles R. Drew University. Created the Ten Top Tips for Transforming Health - a habit-based program for lasting weight loss and vitality. Her mission at KAYU: redefine beauty and wellness as one.

Read the full bio

Dr. Aram Mkhitarian

Licensed osteopathic physician (DO) with nearly two decades of clinical experience. Graduated from the College of Osteopathic Medicine of the Pacific. Integrates conventional medicine with osteopathic principles and lifestyle-driven care.

Read the full bio

Patients on hormone therapy.

5.0 average from 29 Google reviews

Dr. Narine has given me my life back!! When I came to Dr. Narine I had been suffering from extreme fatigue, muscle weakness, and vertigo that progressively got worse over a period of a year. There were many days I could not walk or even lift my coffee mug to my mouth.
Susan Moore (Paralegal)
November 2025
Dr. Narine was absolutely amazing to come to for IV therapy. She helped to answer questions about hormones and was simply a delightful person. Highly recommend!
Diana Fleenor
January 2026

Risks and what we tell every patient.

Hormone therapy is prescription medical care. It is appropriate only after a licensed clinician reviews your history, examines you and interprets comprehensive laboratory testing.

Hormone therapy is not appropriate for everyone. It is generally avoided in people with a history of hormone-sensitive cancer, unexplained vaginal bleeding, active liver disease, or a history of blood clots or stroke, among other conditions.

Risks vary by hormone, dose, delivery route, your age and how long you are treated. Possible effects include changes in blood pressure, cholesterol, red blood cell count, mood and skin. Estrogen and testosterone therapies each carry their own specific risk profiles, which your clinician will go through with you before you start.

Pellet therapy carries the risks of a minor in-office procedure, including bruising, infection and extrusion at the insertion site. Because a pellet releases over months, a dose cannot be reduced once it is placed.

Ongoing monitoring is part of the treatment and not an optional add-on. Therapy without follow-up labs is not offered here.

Hormone Therapy questions.

Why do I need labs if I already know how I feel?: Because the symptoms are not specific. Fatigue and weight gain fit thyroid disease, anemia and sleep apnea as well as they fit low testosterone. Labs are how you avoid treating the wrong thing for six months.
How soon will I feel different?: It varies by hormone and by symptom. Sleep and mood often shift earliest, while changes in body composition take longer and depend on what else you are doing. Your clinician will set expectations against your own starting numbers.
Pellets, injections or creams?: A real decision with real tradeoffs. Pellets suit people who want nothing to remember for months. Creams are the most adjustable. Injections sit in between. It gets decided together, based on your labs and your life.
How are personalized hormone preparations handled?: Some hormone preparations are made for you by a licensed pharmacy. Your clinician will explain FDA status and monitoring before anything is prescribed.
Is this the same as what KAYU offers online?: The clinical approach is the same and often the same clinician. The difference is that being local means labs, pellet placement and follow-up happen in a room a few minutes away.
How often do I come back?: Expect a recheck after starting so the dose can be adjusted, then periodic monitoring. The exact cadence depends on the hormone and the delivery method.
Will insurance cover it?: Coverage varies and often does not extend to this kind of care. You will be quoted directly, and Cherry financing is available.
Can I stop?: Yes, and it should be a planned conversation rather than an abrupt stop. Symptoms typically return as levels drift back to where they were.
Do you treat men and women?: Both. The panels, the protocols and the risks differ, which is exactly why the lab work comes first.

Often booked alongside.

This care also exists remotely. See how hormone therapy works through KAYU online.

Get the labs read properly.

A consult and a comprehensive panel tell you whether hormones explain how you feel, and whether treating them is the right move for you.

Book Hormone Therapy

Or call 323-673-2611