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✦ Functional Medicine Approach  ·  Telehealth Statewide  ·  Chatsworth  ·  Santa Barbara

Longevity & Functional Medicine Conditions We Treat

Longevity medicine is root-cause healthcare — identifying and treating the hormonal, metabolic,
and cellular imbalances that drive how you feel, not just the symptoms they produce.
Here is every condition we evaluate and treat at Naya Wellness, with the clinical thinking behind each one.

12 Longevity Conditions
5 Condition Categories
Functional Medicine Approach
DUTCH Testing Available
CA-Wide Telehealth

Naya’s longevity program is built on functional medicine principles — root-cause evaluation,
comprehensive lab-driven diagnostics, and individualized treatment protocols that address
what is actually driving your symptoms. Most patients arrive having been told their labs are
“normal.” We run a more complete panel, read it in the context of your symptoms, and treat
the imbalances standard care routinely misses.

📍 Available via telehealth statewide across California


01

Hormonal Health

All hormonal treatments are available via telehealth statewide across California
and at our Chatsworth and Santa Barbara clinics.
Every protocol begins with a comprehensive hormone panel — not a single TSH or total testosterone.

Hormone Imbalance & Menopause

Women

A disruption in estrogen, progesterone, or other sex hormones — most pronounced during
perimenopause and menopause, but also present in younger women under chronic stress or
with subclinical hormonal conditions. Symptoms often appear years before a formal menopause diagnosis.

Common signs

  • Hot flashes and night sweats
  • Mood swings, anxiety, or irritability
  • Irregular or absent periods
  • Weight gain, especially in the abdomen
  • Sleep disruption and persistent fatigue
  • Dry skin, hair thinning, or joint discomfort
Bioidentical HRT (BHRT)

Explore BHRT

Telehealth statewide · Chatsworth · Santa Barbara

Low Testosterone

Men & Women

A decline in testosterone below the optimal physiological range — affecting both men and
women. In men, clinically termed hypogonadism or andropause. In women, low testosterone
contributes to low libido, fatigue, and muscle weakness independent of estrogen status.
Standard labs often miss this by testing only total testosterone rather than free levels.

Common signs

  • Persistent fatigue and low stamina
  • Reduced muscle mass and strength
  • Low libido and reduced sexual confidence
  • Mood changes, depression, or low motivation
  • Weight gain and difficulty building muscle
  • Brain fog and reduced drive
Testosterone Therapy (TRT)

Explore testosterone therapy

Telehealth statewide · Chatsworth · Santa Barbara

Thyroid Dysfunction

Men & Women

Underactive thyroid function — hypothyroidism or subclinical hypothyroidism — means the
thyroid does not produce enough hormone to meet the body’s needs. Frequently missed when
only TSH is tested. A complete thyroid panel (free T3, free T4, reverse T3, and antibodies)
often reveals imbalances that a single TSH would not.

Common signs

  • Fatigue despite adequate sleep
  • Unexplained weight gain or difficulty losing weight
  • Sensitivity to cold
  • Dry skin, brittle hair, and hair thinning
  • Constipation and slow digestion
  • Depression, brain fog, and slow reflexes
Thyroid Optimization

Explore thyroid optimization

Telehealth statewide · Chatsworth · Santa Barbara

Sexual Health & Low Libido

Men & Women

Declining sexual function — including low libido, erectile dysfunction in men, and vaginal
dryness or atrophy in women — is one of the most consistently underreported symptoms of
hormone deficiency. It is also one of the most responsive to treatment when the underlying
hormonal driver is identified and corrected.

Common signs

  • Low or absent libido in men or women
  • Erectile dysfunction or difficulty maintaining erections
  • Vaginal dryness, atrophy, or pain with intercourse
  • Reduced arousal or difficulty with orgasm
  • Decreased sexual confidence or emotional disconnection
Testosterone Therapy (TRT)
BHRT

Explore sexual health treatment

Telehealth statewide · Chatsworth · Santa Barbara

Cortisol Dysregulation & HPA Axis Disruption

Men & Women

Disruption of the body’s stress response system — the hypothalamic-pituitary-adrenal (HPA)
axis — resulting in abnormal cortisol patterns. Commonly called “adrenal fatigue,” the
clinical reality is HPA dysregulation: cortisol that is too high at the wrong times, too
low at others, or producing an abnormal daily pattern. DUTCH testing maps this precisely.

Common signs

  • Afternoon energy crashes (2–4 PM low)
  • Wired-but-tired: alert at night, exhausted in the morning
  • Salt or sugar cravings
  • Difficulty recovering from stress or illness
  • Mood instability, anxiety, or irritability under pressure
  • Disrupted sleep despite feeling exhausted
DUTCH Testing
BHRT
Thyroid Optimization

Explore cortisol & HPA treatment

Telehealth statewide · Chatsworth · Santa Barbara

02

Metabolic Health

Medical weight loss and metabolic evaluation are available via telehealth statewide in California.
GLP-1 prescriptions and ongoing monitoring are managed remotely; no office visit required.

Metabolic Syndrome & Insulin Resistance

Men & Women

A cluster of metabolic conditions — excess body weight, elevated blood sugar, insulin
resistance, high triglycerides, and elevated blood pressure — that frequently have an
underlying hormonal driver. Weight that resists diet and exercise is rarely a willpower
problem; it is usually a metabolic or hormonal one.

Common signs

  • Weight that does not respond to diet or exercise
  • Central obesity (abdomen, not limbs)
  • Fatigue and energy crashes after meals
  • Intense carbohydrate and sugar cravings
  • Elevated fasting glucose, HbA1c, or triglycerides
  • High blood pressure
Medical Weight Loss (GLP-1)
Hormone Optimization
Metabolic Monitoring

Explore medical weight loss

Telehealth statewide · Chatsworth · Santa Barbara

03

Energy, Cognition & Sleep

All energy and cognitive support protocols are available via telehealth statewide in California.
Peptides and NAD+ are compounded by licensed U.S. pharmacies and shipped directly to your door.

Chronic Fatigue & Low Energy

Men & Women

Persistent fatigue that does not improve with sleep or rest — a sign of underlying
hormonal, metabolic, or mitochondrial dysfunction, not a lifestyle problem. Commonly
driven by hypothyroidism, low testosterone, estrogen decline, or cellular NAD+ depletion,
each of which is identifiable on comprehensive labs.

Common signs

  • Tiredness that persists regardless of sleep hours
  • Difficulty waking or feeling unrefreshed in the morning
  • Energy crashes throughout the day
  • Reduced capacity for physical or mental exertion
  • Heavy reliance on caffeine to function
Testosterone Therapy
BHRT
Thyroid Optimization
NAD+
CJC-1295 / Ipamorelin

Explore energy support options

Telehealth statewide · Chatsworth · Santa Barbara

Brain Fog & Cognitive Decline

Men & Women

Reduced mental sharpness, focus, or memory that is disproportionate to one’s age —
frequently a direct consequence of hormone deficiency, thyroid dysfunction, or mitochondrial
stress. Often dismissed as aging; often correctable with the right intervention.

Common signs

  • Difficulty concentrating or staying on task
  • Poor short-term memory or forgetfulness
  • Word-finding difficulty or feeling mentally slow
  • Mental fatigue after routine cognitive tasks
  • Reduced motivation or mental clarity
Hormone Optimization
Testosterone Therapy
NAD+ Therapy
Peptide Therapy

Explore cognitive support options

Telehealth statewide · Chatsworth · Santa Barbara

Poor Sleep & Disrupted Recovery

Men & Women

Difficulty falling asleep, staying asleep, or feeling rested is frequently a hormonal
issue, not a behavioral one. Estrogen, progesterone, testosterone, and thyroid hormone
directly regulate sleep architecture. Restoring balance often resolves sleep disruption
without sedatives or sleep aids.

Common signs

  • Difficulty falling asleep despite feeling tired
  • Waking at 2–4 AM and unable to return to sleep
  • Non-restorative sleep — tired on waking regardless of hours
  • Night sweats or temperature dysregulation during sleep
  • Daytime fatigue and impaired focus
BHRT
Thyroid Optimization
Sermorelin
CJC-1295 / Ipamorelin

Explore sleep & recovery support

Telehealth statewide · Chatsworth · Santa Barbara

04

Cellular Aging, Recovery & Gut Health

Peptide protocols and NAD+ therapy are available via telehealth statewide in California.
All peptides are compounded by licensed U.S. pharmacies and shipped directly to you — no office visit required.

Accelerated Cellular Aging

Men & Women

A decline in cellular energy production, DNA repair, and tissue regeneration — measurable
through NAD+ levels and mitochondrial function markers. Manifests as accelerated
fatigue, reduced resilience, and aging that progresses faster than expected for one’s years.

Common signs

  • Fatigue disproportionate to activity level
  • Slow wound healing and reduced tissue regeneration
  • Reduced physical resilience after illness or stress
  • Accelerated visible aging (skin, hair, body composition)
  • General decline in vitality without a clear single diagnosis
NAD+ Subcutaneous Therapy
CJC-1295 / Ipamorelin
Sermorelin

Explore cellular longevity protocols

Telehealth statewide · ships to your door

Slow Recovery & Tissue Repair

Men & Women

Impaired healing of muscles, tendons, ligaments, and soft tissue — slowing recovery
from exercise, injury, or procedures. Particularly relevant for active patients,
athletes, and those managing recurring injuries. Peptide therapy targets the repair
process directly at the cellular level.

Common signs

  • Prolonged muscle soreness after exercise (4+ days)
  • Recurring soft tissue injuries (tendons, ligaments)
  • Slow healing of cuts, bruises, or post-procedure sites
  • Persistent joint discomfort or stiffness
BPC-157
TB-500
Wolverine Protocol

Explore recovery peptide protocols

Telehealth statewide · ships to your door

Gut Lining Dysfunction & Intestinal Permeability

Men & Women

Dysfunction of the intestinal epithelial barrier — commonly called “leaky gut” — in
which the gut lining becomes abnormally permeable. Allows partially digested particles
and toxins to enter the bloodstream, triggering systemic inflammation that affects
energy, skin, mood, and immune function. BPC-157 is one of the few peptides with
direct evidence of gut lining support.

Common signs

  • Bloating and abdominal discomfort after eating
  • Multiple food sensitivities that weren’t present before
  • Fatigue and brain fog after meals
  • Systemic inflammation or unexplained skin issues
  • Recurring digestive complaints without a clear GI diagnosis
BPC-157
Wolverine Protocol

Explore gut lining peptide protocols

Telehealth statewide · ships to your door

Lab-Driven Diagnostics

What We Test — And Why It Matters

Most patients arrive having been told their labs are normal. Standard primary care panels
test one or two markers — we run a comprehensive panel and interpret it alongside your
symptoms, not just against reference ranges. Every longevity plan at Naya is built on this data.

Hormone Panel

  • Testosterone — total & free
  • Estradiol (E2)
  • Progesterone
  • DHEA-S
  • SHBG
  • FSH & LH
  • Prolactin

Thyroid Panel

  • TSH
  • Free T3
  • Free T4
  • Reverse T3
  • TPO Antibodies
  • Thyroglobulin Antibodies

Metabolic Panel

  • Fasting glucose & fasting insulin
  • HbA1c
  • Lipid panel with sdLDL
  • hsCRP (inflammation)
  • Homocysteine
  • CBC with differential
  • Vitamin D & ferritin

Cellular & Peptide Markers

  • IGF-1 (growth hormone proxy)
  • NAD+ levels (add-on)
  • Cortisol (AM serum)
  • DHEA-S
  • Comprehensive metabolic panel

DUTCH Testing

Advanced Hormone Testing — DUTCH Dried Urine Panel

Standard blood panels measure hormone levels at a single point in time.
DUTCH (Dried Urine Test for Comprehensive Hormones) measures hormone metabolites and cortisol patterns throughout the day
— showing how your body is producing, using, and clearing hormones, not just the serum snapshot.
It is particularly valuable for patients with complex or persistent hormone symptoms, those
who have had “normal” blood results despite symptoms, or anyone seeking the most complete
hormonal baseline before starting BHRT or TRT.
Available as an add-on to your standard longevity evaluation.

How It Works

From Consultation to Treatment — Anywhere in California

1

Telehealth Consultation

A 15–30 min video visit with a licensed Naya clinician. Discuss your symptoms, goals, and health history.

2

Lab Review & Evaluation

We order a comprehensive panel — hormone, thyroid, metabolic, and cellular markers — or review labs you already have.

3

Personalized Protocol

Your clinician builds a plan around your results and goals — not a template. Prescriptions go to licensed U.S. pharmacies.

4

Ongoing Monitoring

Regular labs, dosage adjustments, and check-ins to keep your protocol optimized as your body responds.

Frequently Asked Questions

Longevity & Functional Medicine at Naya — Your Questions Answered

Is Naya’s longevity program considered functional medicine?
+
Yes, in principle and in method. Naya’s longevity program is grounded in functional medicine principles: root-cause evaluation rather than symptom management, comprehensive lab-driven diagnostics, individualized treatment protocols, and whole-system thinking that addresses hormonal, metabolic, and cellular health together. Our clinicians evaluate the underlying imbalances — not just the surface symptoms — before prescribing anything. While our clinicians hold FNP-BC and D.O. credentials rather than specific functional medicine board certification, the clinical methodology is consistent with functional medicine practice.
Do you offer DUTCH hormone testing?
+
Yes. DUTCH (Dried Urine Test for Comprehensive Hormones) testing is available as part of our advanced hormone evaluation. Unlike standard blood panels that measure hormone levels at a single point in time, DUTCH testing measures hormone metabolites and cortisol patterns throughout the day — providing a more complete picture of how your body is producing, using, and clearing hormones. It is particularly valuable for patients with complex hormone presentations, persistent symptoms despite normal blood work, cortisol dysregulation patterns, or those seeking the most complete baseline before starting BHRT or TRT.
What lab tests do you order for a longevity evaluation?
+
A standard Naya longevity panel includes: a comprehensive hormone panel (testosterone total and free, estradiol, progesterone, DHEA-S, SHBG, FSH, LH, prolactin); thyroid panel (TSH, free T3, free T4, reverse T3, TPO and thyroglobulin antibodies); metabolic panel (fasting glucose, fasting insulin, HbA1c, lipid panel with sdLDL, hsCRP for inflammation, homocysteine); and CBC with differential. DUTCH dried urine hormone testing is available as an add-on or alternative to standard blood hormone panels. Additional markers — IGF-1, vitamin D, ferritin, NAD+ — are ordered based on your specific symptom profile and goals.
What conditions does longevity medicine treat at Naya?
+
Naya’s longevity program addresses hormone imbalance (including menopause and perimenopause), low testosterone in men and women, thyroid dysfunction, sexual health concerns (low libido, erectile dysfunction, vaginal atrophy), cortisol dysregulation and HPA axis disruption, metabolic syndrome and insulin resistance, chronic fatigue, brain fog, poor sleep, gut lining dysfunction, accelerated cellular aging, and slow tissue recovery. Treatment begins with comprehensive lab diagnostics to identify the root causes driving your symptoms — not a protocol template.
How do I know if I have a hormone imbalance?
+
Common indicators include persistent fatigue, unexplained weight gain, low libido, mood changes, hot flashes, night sweats, brain fog, poor sleep, or difficulty losing weight. Confirmation requires bloodwork. A complete panel tests testosterone (total and free), estradiol, progesterone, DHEA-S, SHBG, FSH, LH, and a full thyroid panel (TSH, free T3, free T4, reverse T3). Standard primary care typically tests only TSH and total testosterone — both can appear within range while free levels are suboptimal. Naya runs the full panel and interprets results alongside your symptoms, not just against standard reference ranges.
What is cortisol dysregulation and how is it treated?
+
Cortisol dysregulation — often called adrenal fatigue or HPA axis dysfunction — refers to disrupted cortisol patterns rather than adrenal failure. Symptoms include afternoon energy crashes, the wired-but-tired pattern (alert at night, exhausted in the morning), salt cravings, difficulty recovering from stress, and mood instability. A single morning cortisol blood draw is insufficient to diagnose this pattern. DUTCH testing maps cortisol output across four time points throughout the day and measures cortisol metabolites, giving a far more complete picture. Treatment addresses the root driver — typically thyroid optimization, BHRT, or lifestyle-level metabolic support — rather than stimulants or adrenal supplements.
What is the difference between TRT and BHRT?
+
Testosterone Replacement Therapy (TRT) specifically addresses low testosterone in men and women. Bioidentical Hormone Replacement Therapy (BHRT) is broader — it replaces estrogen, progesterone, and testosterone using compounds molecularly identical to those the body naturally produces. BHRT is commonly used for women managing perimenopause or menopause. TRT is used across genders for testosterone deficiency. Both are prescribed based on comprehensive lab values and monitored with ongoing bloodwork at Naya — not symptom surveys alone.
Can I receive longevity treatment via telehealth?
+
Yes. Most longevity services at Naya — including hormone optimization, testosterone therapy, thyroid management, medical weight loss, peptide therapy, and DUTCH testing — can be initiated and managed via telehealth anywhere in California. We serve patients from San Diego to Sacramento, the Bay Area, Los Angeles, Orange County, Ventura County, and beyond. Lab orders go to a draw site near you; prescriptions and compounded peptides ship directly to your door. For aesthetic services, in-person visits at our Chatsworth or Santa Barbara clinics are required.
Is medical weight loss just a prescription for a GLP-1 medication?
+
No. Medical weight loss at Naya begins with metabolic and hormonal evaluation — because weight that resists diet and exercise most often has an underlying driver: insulin resistance, thyroid dysfunction, cortisol dysregulation, or hormone imbalance. GLP-1 medications (semaglutide, tirzepatide) are prescribed based on your clinical profile with ongoing metabolic monitoring, dosage adjustment, and lifestyle support. Treating the underlying driver is what differentiates medical weight loss from a prescription-only approach.
Can I combine longevity treatment with aesthetic services at Naya?
+
Yes — and the combination often produces better results than either program alone. Optimized hormones and metabolic health improve skin quality, collagen production, healing speed, and aesthetic outcomes. Many patients manage their hormonal and metabolic health through the longevity program while receiving injectables, lasers, or skin treatments at our Chatsworth or Santa Barbara clinic. It is one of Naya’s distinctive advantages as a practice that offers both under one roof.

✦ Ready to Get Started?

Build Your Personalized Longevity Plan

Book a telehealth consultation with a licensed Naya Wellness clinician. We will review your goals,
health history, and labs — and build a protocol designed specifically for you.

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View All Longevity Services

Chatsworth  ·  Santa Barbara  ·  Telehealth Statewide Across California

Longevity medicine & functional medicine via telehealth — available throughout California

Los Angeles
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Orange County
Sacramento
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Long Beach
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Chatsworth
Ventura County
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And Beyond

Peptide therapies offered through Naya Wellness are prescribed off-label and compounded by licensed U.S. pharmacies for individual patients. Statements on this page have not been evaluated by the Food and Drug Administration. Peptide therapy is not appropriate for everyone — candidacy is determined by a licensed clinician based on your individual health profile. Results vary. This page is for informational purposes only and does not constitute medical advice.

Medically reviewed by Carolyn Pampalone, MSN, FNP-BC · Last reviewed October 2026

Explore the Program

Four Pillars of Hormone Optimization

Peptide Therapy
Recovery, GH, aesthetic & longevity peptides
Thyroid Optimization
Comprehensive testing beyond TSH & treatment
Bioidentical Hormone Therapy (BHRT)
Estrogen, progesterone & more for women
Testosterone Replacement (TRT)
Low testosterone treatment for men