Hormone imbalances, bloating that won’t quit, weight that won’t move; these aren’t separate problems.

Most doctors have 15 minutes and a standard panel. We have 75-minute visits, 300+ biomarkers, and a protocol built specifically for your biology, not a symptom checklist. We look for the root cause of why you feel the way you do, not just what to prescribe next.

We specialize in hormone imbalance, thyroid dysfunction, chronic fatigue, gut health, perimenopause, weight loss resistance, and metabolic issues. If you've been told your labs are normal but still feel terrible, that's exactly who we're here for.

Reverse T3 is one of the more debated tests in thyroid medicine. We know that reverse T3 can increase during illness, significant calorie restriction, and other forms of physiological stress. Where there is less agreement is whether measuring reverse T3 routinely changes treatment or improves outcomes in otherwise stable patients. For that reason, I don’t view reverse T3 as a standalone diagnostic test for hypothyroidism, and I would not make a treatment decision based on reverse T3 alone. There are situations where I may include it as one part of a broader thyroid evaluation, but I interpret it alongside TSH, free T4, free T3, symptoms, medications, nutritional status, and the patient’s overall clinical picture.

It starts with a 75-minute Initial Visit with Dr. Skrzypek: your health history, symptoms, and what you've already tried. From there, she orders the testing that fits your picture, whether that's DUTCH, GI-MAP, a full thyroid panel, or advanced metabolic work. If you enroll in the 6-Month Program, she reviews every result with you in detail and builds your personalized root-cause plan.

The laboratory measurement itself may be useful, but interpretation is often the bigger issue. Hormone levels can be influenced by cycle timing, age, medications, hormonal birth control, hormone replacement therapy, and other medical conditions. At-home testing also won’t necessarily identify non-hormonal causes of symptoms such as low iron, thyroid problems, sleep disorders, or nutrient deficiencies.

It may be worth reviewing the diagnosis as an adult. Irregular menstrual cycles are common during the first years after menstruation begins, and ovarian appearance can also differ during adolescence. Because of this, PCOS diagnosis in teenagers is approached more cautiously. If you were diagnosed years ago and have never had the diagnosis reassessed, discussing it with your physician may be useful.

Most clients notice meaningful shifts in energy, sleep, and mood within eight to twelve weeks. Root-cause correction is a process: full resolution of deeper issues like gut dysfunction or hormone imbalance typically takes longer, over the course of the 6-month program.

Hormonal birth control can be an important part of PCOS treatment. It can help regulate bleeding, protect the uterine lining, and often improve acne and unwanted hair growth. But birth control does not necessarily address every aspect of PCOS. For example, if insulin resistance or other metabolic concerns are present, those may need to be treated separately. It also suppresses ovulation while you are taking it, so treatment is different when pregnancy is the goal.

Most thyroid tests do not require fasting. However, medications and supplements can affect some laboratory results. If you take thyroid medication, your clinician may give you specific instructions about whether to take it before or after your blood draw. Biotin supplements can also interfere with certain thyroid laboratory assays, so tell your clinician what supplements you are taking before testing. Follow the instructions from the clinician or laboratory ordering your tests rather than changing medications on your own.

Absolutely. We work alongside your existing care team. We don't ask you to stop any current medications and will never make changes to your treatment without a clear, discussed plan. Think of us as an extension of your care, not a replacement.