Bioidentical Hormone Therapy in San Diego, CA
Comprehensive bioidentical hormone therapy in San Diego — estrogen, progesterone, testosterone, thyroid, and adrenal support. Personalized HRT by Dr. Joseph Dubroff, N.D.
"My Doctor Says My Labs Are Normal. But I Don't Feel Normal."
If you've been told your labs are within range while you're still feeling exhausted, foggy, anxious, sleeping poorly, gaining weight you can't lose, or noticing changes in your libido, mood, or strength — you are not imagining it. The conventional reference ranges most doctors use to say "you're fine" are extraordinarily wide, and they were built around populations of mostly older, mostly unwell people.
Optimal isn't the same as normal. Dr. Dubroff orders comprehensive hormone, thyroid, and adrenal panels — including the markers most primary care physicians don't run — and reads them against optimal ranges, not just whatever your insurance considers acceptable.
What Bioidentical Hormone Therapy Actually Is.
Bioidentical hormones are molecularly identical to the hormones your body makes naturally. Unlike synthetic hormone medications — which differ slightly in molecular structure and produce a different cascade of effects — bioidentical hormones bind to the same receptors and behave the same way as your endogenous hormones.
This matters because it means a smaller, more targeted dose can produce a real clinical effect, and the side-effect profile is markedly different. Dr. Dubroff doesn't prescribe a one-size-fits-all protocol. Every plan is built from your specific lab work, your symptoms, your age, and your goals.
Same molecule as your body's own
Compounded estradiol, progesterone, testosterone — molecularly identical to natural hormones. Personalized dosing based on your labs and how you actually feel.
Patented, slightly modified molecules
Synthetic progestins and conjugated estrogens. Different molecular structures, different receptor effects, broader side-effect profile, fixed-dose protocols.
Seven Hormone Pathways. One Comprehensive Practice.
Most clinics treat one hormone in isolation. Dr. Dubroff treats your endocrine system as a whole — because your hormones are connected, and treating one without the others almost always misses the root cause.
Perimenopause & Menopause
Hot flashes, night sweats, sleep disruption, mood changes, libido loss, weight gain. Comprehensive bioidentical estrogen and progesterone protocols matched to where you are in the transition.
Thyroid Treatment
Undiagnosed hypothyroid, reverse T3, free T3, free T4. If your doctor said your labs are "normal" but you're cold, exhausted, and gaining weight — there's almost always more to the story.
Adrenal Fatigue & Cortisol
Chronic stress, burnout, 2 AM wakeups, afternoon crashes. Comprehensive cortisol and DHEA assessment — and protocols to actually rebuild adrenal function instead of medicating around it.
Testosterone Therapy
For men with low T symptoms — fatigue, low libido, reduced strength, mood, brain fog. Bioidentical testosterone protocols that go beyond a number on a lab and address the full hormonal picture.
Estrogen Therapy
Estradiol, estriol, and combination protocols for women experiencing the full range of estrogen-related symptoms — from menopause to surgical hormone loss to chronic estrogen dominance issues.
Progesterone Therapy
The "calming" hormone. Bioidentical oral and topical progesterone for sleep, anxiety, perimenopause symptoms, and balanced HRT — never synthetic progestins.
Enclomiphene
For men who want the benefits of testosterone optimization without suppressing their natural production or fertility. Enclomiphene citrate stimulates endogenous testosterone — a different path to the same goal.
How Hormone Care Actually Works.
Comprehensive Lab Panel
Far more than a basic hormone panel. Dr. Dubroff orders the markers most primary care doctors skip — including reverse T3, free testosterone, DHEA-S, full cortisol, and SHBG — to build a real picture of your endocrine system.
Two-Hour Intake
Your first visit is two hours, in your home. Dr. Dubroff reviews labs alongside your full health history, lifestyle, sleep, stress, and what your symptoms are actually telling us. The protocol comes from this conversation — not a template.
Ongoing Adjustment
Hormone optimization is iterative. Dr. Dubroff retests, refines doses, and adjusts protocols as your body responds. Follow-up calls about your existing plan are always free — you have direct access to your doctor, not a portal.
Hormone Therapy FAQs
Stop Settling for "Within Range."
Book a free consultation. Dr. Dubroff will tell you what comprehensive hormone testing actually looks like — and whether bioidentical HRT is likely to help you.