Hormone Replacement Therapy for Women
in Atlanta
Personalized, bioidentical hormone replacement therapy for perimenopause and menopause, designed around your unique physiology. Comprehensive laboratory evaluation, individualized protocols, and ongoing monitoring by Jordan Carney, CRNP and Dr. Ched Garten at Paragon Sports Medicine
Signs You Might Have a Hormonal Imbalance
Do any of these sound familiar?
If 3 or more of these sound familiar, your hormones may be out of balance. A simple blood test at Paragon can tell you in 48 hours.
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Hot flashes and night sweats disrupting sleep and daily comfort
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Mood changes, anxiety, irritability, and emotional instability
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Persistent fatigue and low energy despite adequate rest
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Brain fog, poor concentration, and memory concerns
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Reduced libido and changes in sexual comfort or function
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Irregular periods or changes in menstrual cycle
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Sleep disturbances and difficulty recovering overnight
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Joint pain, muscle weakness, and slower physical recovery
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Bone density loss and increased fracture risk
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Vaginal dryness and genitourinary symptoms
A thorough laboratory evaluation is required before any treatment decisions are made. Symptoms alone are not sufficient for diagnosis.
Hormonal Decline Affects Far More Than Symptoms
Research has established clear connections between hormonal decline in women and a range of metabolic, cardiovascular, and cognitive conditions.
For many women, the menopausal transition is not an isolated hormonal event. It is part of a broader health picture that, when addressed comprehensively, can lead to meaningful improvements in long-term wellbeing.
Hormone replacement therapy is not a treatment for any of the conditions listed above. However, addressing underlying hormonal deficiency can be one component of a comprehensive approach to long-term health. Jordan Carney and Dr. Garten evaluate each patient's full health picture before making any recommendations.
What We Test Before and During Treatment
Safe hormone replacement requires a thorough understanding of your baseline hormonal and metabolic health. We evaluate a comprehensive panel, not just estrogen, to ensure accurate diagnosis, appropriate candidacy, and responsible ongoing monitoring throughout your care.
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Estradiol (E2)
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Progesterone
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Total Testosterone
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FSH and LH
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DHEA-S
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Full Thyroid Panel (TSH, Free T4, Free T3, T4, T3, Thyroglobulin Antibodies, TPO Antibodies, Reverse T3)
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Vitamin D
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Vitamin B12
There is no FDA approved testosterone product for women in the United States. Any use in women is off label and typically involves a compounded preparation.
If insulin resistance has not been previously evaluated by your primary care provider, we will also assess fasting insulin, glucose, and HbA1c. Additional labs may be added based on your individual presentation.
Our approach for Hormone Optimization at Paragon
There is no single HRT protocol that works for every woman. Your hormonal profile is shaped by your genetics, medical history, where you are in the menopausal transition, your symptoms, and your long-term health goals. At Paragon, we take the time to understand your full picture before we build a plan around it.
KNOW YOUR BASELINE
Before any recommendations are made, we run a comprehensive hormonal and metabolic panel. For women this includes estradiol, progesterone, FSH, total testosterone, a full thyroid panel, vitamin D, vitamin B12, and DHEA-S. Where needed, we also assess for insulin resistance. Nothing is assumed. Everything is measured.
YOUR INITIAL CONSULTATION
We take a detailed medical history, explore your hormone-related symptoms, and understand your goals. We educate you on perimenopause, menopause, and HRT, including safety and efficacy, methods of administration, potential side effects, and what bioidentical means. Your treatment plan is built around both your lab results and your clinical symptoms.
EARLY CALIBRATION
Four to eight weeks after starting therapy, we repeat the necessary labs to evaluate your therapeutic levels and how your body is responding. Adjustments are made based on your data and how you feel. Both matter equally.
LONG-TERM PARTNERSHIP
Once stable, we see you every four to six months. We repeat labs and adjust your protocol based on both your current levels and how you feel. Our goal is to improve your quality of life by restoring your hormones to optimal, but still physiologic, ranges. Every decision weighs objective data alongside how you feel, because finding your right protocol is a deeply individualized process.
When Hormone Replacement May Not Be Appropriate
Hormone replacement therapy is not right for everyone, and careful screening is an important part of our process.
Systemic estrogen therapy is not recommended for women with any of the following:
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Undiagnosed abnormal vaginal bleeding
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Known or suspected breast cancer, or a history of breast cancer
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Known or suspected estrogen-dependent cancer, including cancer of the uterine lining
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Active or previous blood clot in a vein or lung (DVT or pulmonary embolism)
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Active or previous stroke or heart attack
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A known clotting disorder, including protein C, protein S or antithrombin deficiency
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Active liver disease or impaired liver function
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Known allergic reaction to the hormone preparation or any of its ingredients
Hormone Replacement Therapy:
Your Questions, Answered
Atlanta's Performance and Longevity Medicine Practice
Paragon Sports Medicine is a non-surgical sports medicine and regenerative medicine practice based in Atlanta, GA. Founded by Dr. Ched Garten, Paragon was built around a single principle: that the most effective care comes from understanding the whole patient, not just treating isolated symptoms.
What began as a practice rooted in elite sports medicine has grown into a comprehensive Performance and Longevity Medicine clinic serving professionals, executives, and active adults across Atlanta. Every service is designed around precision, evidence, and long-term health.
From regenerative therapies and peptide optimization to testosterone replacement and sports medicine, Paragon brings the same standard of care once reserved for professional athletes to anyone committed to performing and living at their best.
THE PROVIDERS BEHIND YOUR PROTOCOL
Meet the passionate professionals who make Paragon's mission possible—
experts who treat not just injuries, but the dreams and aspirations behind them.
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Dr. Ched Garten
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Jordan Carney, CRNP
If your symptoms are still coming and going and you have not fully reached menopause, that earlier stage has its own approach. Learn about our perimenopause treatment in Atlanta.
This is one part of our broader approach to hormone replacement therapy in Atlanta.
Request a consultation
At Paragon Sports Medicine, Jordan Carney, CRNP and Dr. Ched Garten provide comprehensive, evidence-based hormone replacement therapy designed around your unique physiology. Whether you are navigating perimenopause, menopause, or simply want a clearer picture of where your hormones stand, we are here to help you understand your options and make informed decisions about your health.
Request a consultation
At Paragon Sports Medicine, Jordan Carney and Dr. Ched Garten provide comprehensive, evidence-based hormone replacement therapy designed around your unique physiology. Whether you are navigating perimenopause, menopause, or simply want a clearer picture of where your hormones stand, we are here to help you understand your options and make informed decisions about your health.