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1036 Volvo Parkway, Suite 2, Chesapeake, VA 23320 ph:(757) 410-5462 a division of MidAtlantic Women's Care, PLC.

Synergy Tips

Synergy TipsSerum v/s salivary hormone testing

An ongoing battle rages within the field of anti-aging medicine as to the importance of testing hormones in the serum (blood) versus saliva.

As this topic gains media coverage, we'd like you to know our professional opinions. At Synergy, we primarily utilize serum testing.

I recently attended the national conference of the American Academy of Anti-Aging Medicine and one of the keynote addresses was on this topic. At the beginning of the conference, the speaker asked the physicians for a show of hands of who tested serum and who tested saliva. In a room of approximately 3,000 physicians, the results were 50/50.

Anti-aging pioneer Dr. Neal Rouzier, my mentor, believes physicians should practice "evidence-based medicine" -- which at this time supports the use of blood testing. Dr. Ryder and I agree with him.

At Synergy, we test serum for progesterone, dhea, thyroid, estrogen and testosterone levels. We use saliva to test cortisol.

Where saliva testing falls short
The thought process behind saliva testing is that saliva represents the level of active hormone in tissue rather than blood. However, a recent study on progesterone compared serum versus salivary testings and showed an enormous discrepancy between the two tests in the same patient at the same time.

Obviously this is a big problem as progesterone is critical to protect the uterus and breast against the effects of estrogen. A serum level of 10 ng/ml is generally thought to convey protection against uterine cancer; whereas no studies have been done to document what level of salivary hormone would be protective.

Good doctors choose protocols that have the research to support their validity. Serum testing has been documented as the best way to perform hormone testing.

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About Synergy

Free Seminar
Our next free seminar will be held in Spring 2019 and will focus on bioidentical hormone therapy and optimal aging for women and men. If you have questions and cannot wait until then, please call us at (757) 410-5462. Seminars are held in our office in Chesapeake (Greenbrier area).
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What Women Say here.
Synergy, located in Chesapeake, Virginia, is an integrative medical center for women that combines the best of traditional and holistic medicine. We specialize in integrative treatments for menopause, sleep disorders, fatigue, loss of energy, digestive problems, gynecologic problems, and chronic medical conditions including chronic pain. Our services include bioidentical hormone treatment, hormone replacement therapy, anti-aging medicine, cancer treatment therapy, medical acupuncture, herbal medicine, nutritional medicine, and massage therapy. The integrative center serves women in Chesapeake, Virginia Beach, Norfolk, Portsmouth, Williamsburg, Hampton Roads, Eastern Shore, Richmond, Virginia, and North Carolina.


For more details, please contact us at (757) 410-5462 or

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