Hormone Imbalances Root Cause Care
Reviewed by Dr. Martin Hart , DC & Dr. Koji Aoki, DC
Hormone Imbalance Practitioners in Columbia, TN | Serving Nashville & Patients Nationwide
Reviewed by Dr. Martin Hart & Dr. Koji Aoki
At Keystone Total Health, we provide practitioner-led, root-cause functional medicine care for hormone imbalances affecting individuals across the United States. While our clinic is based in Columbia, Tennessee, and serves the greater Nashville, TN area, many of our patients travel from across the country to work with our team for comprehensive, in-depth evaluation of complex hormone-related concerns.
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Our approach is designed for individuals who want more than symptom management and are seeking clarity around why hormone imbalances are occurring and how multiple body systems may be involved.
A National Destination for Root-Cause Hormone Care
Keystone Total Health works with clients from across the country, combining:
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Virtual initial evaluations
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Focused, in-person intensive care when appropriate
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Virtual follow-up support
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This model allows us to support individuals regardless of location while still providing the depth and structure complex hormone cases often require. Clients commonly travel to our Columbia, TN clinic from Nashville, throughout Tennessee, and nationwide to participate in the Keystone Root Cause Intensive™.
What Are Hormone Imbalances?
Hormones are chemical messengers that help coordinate communication between the brain, endocrine glands, organs, and tissues. When hormone signaling becomes dysregulated, symptoms can appear—even when standard lab values fall within conventional reference ranges.
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From a root-cause functional medicine perspective, hormone imbalances are often influenced by broader system dysfunction such as:
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Chronic stress and nervous system dysregulation
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Inflammation and immune activation
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Gut and liver function affecting hormone metabolism
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Nutrient and mineral depletion
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Metabolic or mitochondrial stress
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Environmental exposures that may disrupt endocrine signaling
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Rather than focusing on a single hormone in isolation, Dr. Martin Hart and Dr. Koji Aoki evaluate how these systems interact and what may be preventing the body from returning to balance.
Common Symptoms of Hormone Imbalances
Hormone-related symptoms can be diverse and may change over time. Clients commonly seek support for patterns such as:
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Persistent fatigue or low energy
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Difficulty falling asleep or staying asleep
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Mood changes, anxiety, or irritability
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Weight changes or metabolic resistance
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Menstrual irregularities, PMS-type symptoms, or cycle changes
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Low libido or changes in sexual health
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Brain fog or difficulty concentrating
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Temperature sensitivity or reduced stress tolerance
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Because hormones influence nearly every system in the body, symptoms often overlap with other conditions such as gut dysfunction, chronic fatigue, immune dysregulation, and inflammation.
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Advanced Functional Testing for Hormone Imbalances
How We Evaluate Hormonal Dysregulation
Personalized Testing to Clarify Hormone Signaling and Regulation
Through the Keystone Root Cause Intensive™, advanced functional testing may be used when appropriate to gain a deeper understanding of hormone regulation and related system function. Depending on each client’s individual history, symptoms, and goals, testing may include tools such as the DUTCH Complete Hormone Panel, the Vibrant Wellness Hormone Panel, and other specialized assessments selected on a case-by-case basis.
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These evaluations help us explore patterns related to:
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Stress response and cortisol signaling
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Thyroid-related signaling and metabolic function
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Inflammatory and immune influences on hormone regulation
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Gut health and liver pathways involved in hormone metabolism and detoxification
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Nutrient and mineral status that supports healthy hormone production and balance
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All testing is chosen intentionally and personalized to the individual. Results are carefully interpreted by Dr. Martin Hart and Dr. Koji Aoki within the context of the full clinical picture, ensuring findings are integrated thoughtfully rather than viewed in isolation.
Root-Cause Treatment Approach for Hormone Imbalances
Supporting Hormone Regulation at the Systems Level
Rather than focusing on symptom suppression alone, our care plans are designed to support hormone regulation through a whole-body approach. Depending on the individual, recommendations may focus on:
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Nervous system and stress regulation
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Gut and liver support to optimize hormone metabolism
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Metabolic and mitochondrial resilience
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Targeted lifestyle and environmental strategies
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Care is personalized, education-focused, and adjusted over time as the body responds.
Hormone-related symptoms often overlap with stress response, inflammation, gut health, and nutrient status. This FAQ answers common questions about hormone imbalances and how Keystone Total Health supports clients in Columbia, TN, the greater Nashville area, and across the country.
What are hormone imbalances?
Hormone imbalances involve dysregulated hormonal signaling affecting energy, mood, sleep, metabolism, and stress response.
What symptoms suggest hormone imbalance?
Symptoms may include fatigue, sleep disruption, mood changes, weight shifts, temperature sensitivity, cycle irregularity, or low stress tolerance.
Can mold illness affect hormones?
Can Lyme disease impact hormone balance?
Yes. Chronic inflammatory and immune stress from mold illness may influence hormone regulation.
Lyme-related stress may affect adrenal, thyroid, or sex hormone signaling in some individuals.
How are hormone patterns evaluated?
Evaluation may include personalized testing when appropriate, alongside assessment of stress response, inflammation, gut health, and nutrient status.
Why don’t hormones respond to supplements alone?
Hormones are influenced by multiple systems. Without addressing underlying stressors, supplements alone may not create lasting change.
Are hormone imbalances connected to chronic fatigue?
Yes. Hormonal dysregulation can contribute to persistent fatigue and low energy.
Do you work with hormone clients nationwide?
Yes. Keystone Total Health supports clients nationwide through in-person and virtual care.
"The body is intelligent and two people burdened with the same disease do not always have the same root cause. With conditions like infertility, PCOS, or erectile dysfunction, I don't only treat symptoms. My thoughtful and thorough approach involves managing your specific conditions, and supporting your body to restore balance and enhance your personal health."
— Dr. Koji Aoki, Keystone Total Health
Dr. Aoki is a respected Hormone specialist with a dedicated patient base of those suffering or those who have suffered from Hormone Dysregulation. This focused case load enables Dr. Aoki to curate the most complex cases into more quickly and accurately identifying beneficial protocols to help restore health after your body's endocrine system falls out of balance.
Practitioner-Led Hormone Care
Hormone imbalance care at Keystone Total Health is guided by Dr. Martin Hart and Dr. Koji Aoki. Together, they bring extensive experience evaluating complex, multisystem conditions through a root-cause functional medicine framework.
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Their collaborative approach helps ensure hormone concerns are evaluated alongside immune function, inflammation, stress physiology, gut health, and environmental exposures—providing the depth and oversight complex cases often require.
Hormone Imbalance Care in Columbia, TN
Serving Nashville & Clients Nationwide Through the Keystone Root Cause Intensive™
Care is typically provided through the Keystone Root Cause Intensive™, a focused, all-inclusive program designed to bring clarity and direction within a structured timeframe (typically 1–3 weeks).
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While our clinic is located in Columbia, Tennessee, we routinely work with clients from Nashville, across Tennessee, and throughout the United States, combining in-person care with virtual follow-up when appropriate.
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Book Your Keystone Root Cause Analysis™
During your initial one-hour appointment with one of our practitioners, the Keystone Root Cause Analysis™ provides a comprehensive, root-cause evaluation that reviews physical, environmental, and social factors to understand your symptoms and identify personalized next steps.
Jessica M. • Keystone Total Health Patient
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"Dr. Hart and Dr. Aoki have changed my life. Through personalized plans incorporating nutrition, emotional work, detox protocols, along with other therapies, they've helped me achieve a level of health and vitality I never thought possible. Their compassionate care and holistic approach have empowered me to take control of my health. I'm incredibly grateful for their expertise and guidance."
Learn More About Hormone Health
You may also find these educational articles helpful:
Ready to Take
the Next Step?
Hormone imbalances look different for every individual. Our role is to help you understand your unique hormone patterns and the systems influencing them, then provide structured, personalized guidance based on careful clinical analysis—not assumptions or one-size-fits-all solutions.
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If you are navigating ongoing hormone-related symptoms and are seeking a practitioner-led, root-cause-focused evaluation, we invite you to schedule a complimentary discovery call.