Services
Women’s Treatments
Menopause & Perimenopause Care
Menopause is not a single moment—it is a complex physiological transition that deserves thoughtful, individualized care. Dr. Caselli provides a refined, evidence-based approach to supporting women through perimenopause, menopause, and postmenopause, with a focus on restoring clarity, vitality, symptom relief, and long-term health.
Her care is highly personalized and designed to meet you exactly where you are—whether you are beginning to notice subtle hormonal shifts or are experiencing more significant symptoms affecting your quality of life. Treatment plans may include bioidentical hormone replacement therapy (HRT), lifestyle-based interventions, metabolic support, nutrition, exercise guidance, sleep optimization, and stress management strategies, digestion assessment and cardiovascular risk assessment when appropriate, all thoughtfully tailored to your symptoms, biology, and goals.
Hormone Replacement Therapy (HRT)
When appropriate, hormone therapy including — bioidentical and/or synthetic hormone replacement options — may be used to help relieve symptoms such as hot flashes, night sweats, sleep disruption, brain fog, mood changes, and vaginal dryness. Every treatment plan is individualized based on your symptoms, medical history, risk factors, preferences, and health goals, with careful monitoring and ongoing adjustments to optimize both safety and results.
Personalized, carefully monitored bioidentical hormone therapy may include:
Estradiol
Progesterone
Testosterone
Or others like DHEA, Estriol, etc.
Comprehensive Menopause Support
Care goes beyond hormones alone and may include:
Non-hormonal options for symptom management
Support for sleep, mood, energy, and cognitive changes
Metabolic and body composition support during hormonal transition
Bone health and long-term prevention strategies
Sexual health and libido support
Cardiometabolic risk assessment and prevention
Care is never one-size-fits-all. The focus is precision, safety, and helping you feel like yourself again—at every stage of the transition.
Men’s Treatments
Men’s Hormone & Midlife Health
Midlife in men is often gradual, overlooked, and under-addressed—yet it can significantly impact energy, focus, body composition, mood, and long-term health.
Dr. Caselli provides a refined, evidence-based approach to men’s hormonal and metabolic health, with a focus on restoring vitality, optimizing performance, and supporting healthy aging.
Care is fully individualized and may include hormone optimization, lifestyle interventions, and targeted metabolic support based on your symptoms, goals, and lab findings.
Testosterone Optimization Therapy (when appropriate)
When clinically indicated, bioidentical testosterone therapy may be used to restore physiologic balance and improve symptoms such as low energy, reduced strength, decreased libido, brain fog, and mood changes.
Treatment is carefully monitored and tailored for safety, efficacy, and long-term health.
Comprehensive Men’s Midlife Support
Care may include:
Testosterone evaluation and optimization
Energy, focus, and cognitive performance support
Body composition and metabolic health strategies
Libido and sexual health optimization
Sleep and stress regulation support
Cardiometabolic risk assessment and prevention
Long-term vitality and healthy aging strategies
There is no single pattern of aging in men. Care is never protocol-driven—it is designed around your biology, lifestyle, and goals.
The focus is not just symptom improvement, but sustained performance, resilience, and long-term healthspan.
Body Recomposition
Body Composition & Metabolic Health
Sustainable changes in body composition require more than willpower—they require an understanding of metabolism, hormones, nutrition, and the physiological changes that occur in midlife.
Dr. Caselli provides a precision-based, medically informed approach to weight loss and body recomposition, designed to improve how you feel, function, and age—not just how you look.
Care is fully individualized and may include lifestyle-based metabolic optimization, hormone support, and when appropriate and necessary, GLP-1–based therapies.
Comprehensive Metabolic Support
Care may include:
Personalized nutrition and protein optimization strategies
Resistance training and movement guidance for lean mass preservation
Insulin resistance and metabolic assessment
Hormonal evaluation and optimization (when indicated)
Gut health and digestive support
Sleep and stress optimization for metabolic health
Sustainable weight loss and body recomposition planning
Support for weight regain prevention and long-term maintenance
GLP-1 Medications (when appropriate)
GLP-1 receptor agonists may be used as part of a comprehensive plan only when necessary, to support appetite regulation, insulin sensitivity, and meaningful fat loss in patients who are appropriate candidates.
Medication is always prescribed thoughtfully, with careful dosing, monitoring, and integration into a broader metabolic and lifestyle strategy to support long-term success—not short-term change alone.
A Precision Approach
Body composition is not just about calories—it reflects hormones, inflammation, stress physiology, sleep, and metabolic signaling.
The goal is not rapid, short-term weight loss, but lasting metabolic change that supports energy, strength, confidence, and long-term health.
Digestion Support
Digestive Health & Gut Support
Digestive health is foundational to energy, immunity, metabolism, and overall well-being—yet it is often complex, chronic, and under-investigated.
Dr. Caselli provides a thoughtful, systems-based approach to gastrointestinal concerns, focusing on identifying root causes and restoring optimal digestive function.
Care is highly individualized and may include targeted testing including SIBO testing and treatment, Diagnostic Solutions GI MAPS Comprehensive Stool Analysis, or other testing if indicated.
Treatment may include diet recommendations, herbal or pharmaceutical recommendations that are evidence-based therapies and tailored to your individual needs.
Conditions Commonly Addressed
Suspected or confirmed SIBO
Bloating, gas, and abdominal discomfort
Irregular bowel habits (constipation or diarrhea)
Reflux and upper digestive symptoms
IBS and functional digestive disorders
Comprehensive Gut-Focused Care May Include
Functional gastrointestinal evaluation and testing
SIBO assessment and treatment strategies
Microbiome and gut barrier support
Digestive enzyme and nutrient absorption support
Restoration of healthy motility and digestive rhythm
Long-term gut health maintenance planning
Whole-System Approach
Digestive symptoms are rarely isolated—they often reflect interactions between the gut, nervous system, hormones, and immune function.
The goal is not just symptom suppression, but restoration of resilient, well-functioning digestion that supports energy, clarity, and long-term health.