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Hormones and metabolic health

Your symptoms have a reason. Let's find it together.


From fatigue and brain fog to weight changes and mood shifts, your hormones, metabolism, stress, and lifestyle are all connected. We take a whole-person approach to uncover what is really going on, and create a personalized plan to help you feel like yourself again.

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For men

Optimize testosterone, energy, muscle, mood, and metabolic health at every stage of life.

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For women

Support your hormones through every phase, from cycles to perimenopause and beyond.

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  • Doctor-led care
  • Advanced testing
  • Personalized treatment
  • Whole-person approach
Take the hormone health quiz
  • 100% confidential
  • Takes 3 minutes

Common reasons people come to LivBTR

Signs your hormones or metabolism may be out of balance

  • Weight gain that is hard to lose
  • Low energy or fatigue
  • Brain fog or poor concentration
  • Mood changes or increased anxiety
  • Poor sleep or waking tired
  • Low libido
  • Hot flashes or night sweats
  • Irregular cycles
  • Hair thinning
  • Feeling off without answers

You have been told your bloodwork is normal, but you still do not feel like yourself. We believe symptoms deserve answers, not assumptions.

How we look at it

Your body does not work in separate systems

Weight gain is not always about calories. Fatigue is not always about sleep. Mood changes are not always stress. Hormones interact with everything below, so we look at the complete picture instead of one symptom at a time.

  • Hormones
  • Metabolism
  • Sleep
  • Stress
  • Nutrition
  • Gut health
  • Movement
  • Medications
  • Lifestyle
  • Mindset
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Our integrated approach

Every health journey is different

Your personalized pathway is built from the pieces below, in the order that fits you. Some people need two of them; some need most of them.

  • Medical assessment
  • Diagnostic testing
  • Bloodwork
  • Hormone evaluation
  • HRT or TRT options
  • Prescription optimization
  • Nutrition coaching
  • Stress and lifestyle support
  • Movement programming
  • Behaviour change
  • Pharmacist counselling
  • Ongoing education and support
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    Diagnostic testing

    Better information leads to better decisions

    Through advanced lab work and functional testing, we help uncover factors that may be contributing to your symptoms.

    Examples may include

    • Thyroid, blood sugar, and insulin
    • Cholesterol and lipids
    • Iron and vitamin levels
    • Hormone and inflammatory markers
    • DUTCH hormone testing
    • Adrenal and cortisol testing
    • Gut health and food sensitivity
    Learn more about testing
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    Hormone therapy (HRT)

    Explore whether hormone therapy may be right for you

    For some people, hormone therapy is an appropriate option for managing symptoms. Treatment decisions are made by a licensed provider based on your individual health and clinical assessment.

    Our HRT program includes

    • Virtual medical consultations
    • Symptom assessment
    • Review of medical history
    • Bloodwork when appropriate
    • Discussion of treatment options
    • Ongoing follow-up care
    • Pharmacy counselling and prescription fulfilment
    Learn more about HRT
  • A woman sitting cross-legged on a deck outdoors in the early morning, eyes closed.

    Stress solutions

    Stress affects more than you think

    Chronic stress can influence sleep quality, appetite and cravings, blood sugar regulation, hormonal balance, mood and energy, and weight management.

    Our stress support may include

    • Lifestyle coaching
    • Sleep optimization
    • Mindfulness strategies
    • Nervous system regulation
    • Recovery planning
    • Behaviour-change support
    Learn more about stress solutions
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Prescription optimization

Get the most from your treatment

Whether you are taking thyroid medication, hormone therapy, GLP-1 medications, or anything else, our pharmacist-led review helps you reduce symptoms, improve efficacy, and get the best possible outcome.

  • Review medications and interactions
  • Optimize timing and dosing
  • Support nutrition and hydration
  • Improve treatment adherence
  • Manage side effects
  • Review compatible supplements
  • Prepare questions for your provider
  • Ongoing pharmacist support
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Transform 360

Sustainable health starts with sustainable habits

Transform 360 is our signature lifestyle program, designed to help daily habits support long-term metabolic health and overall well-being.

  • Nutrition
  • Movement
  • Hormones
  • Gut health
  • Sleep
  • Stress management
  • Behaviour change
  • Mindset
  • Healthy habits
  • Sustainable results

How it works

From quiz to plan

  1. 01

    Take the quiz

    Answer a few questions about your symptoms, health history, and goals.

  2. 02

    Meet your provider

    Connect virtually with a licensed practitioner to get to the root cause.

  3. 03

    Testing if needed

    Advanced lab and functional testing helps reveal what is going on beneath the surface.

  4. 04

    Personalized plan

    Receive a plan built around your hormones, metabolism, and lifestyle.

  5. 05

    Treatment and support

    Access treatment options, pharmacy support, and expert guidance every step of the way.

  6. 06

    Ongoing results

    We track your progress and adjust your plan so you can feel your best long term.

One team, three roles

Where each part of your care happens

LivBTR educates and coaches. Border Medical assesses and prescribes. Border Pharmacy fills and ships.

  • LivBTR

    Wellness Solutions

    • Practitioner consults
    • Functional testing
    • Transform 360
    • Nutrition and movement
  • Border Medical

    Medical

    • Virtual MD and NP consults
    • Bloodwork orders
    • HRT and TRT assessment
    • Prescribing decisions
  • Border Pharmacy

    Pharmacy

    • Prescription fulfilment
    • Medication counselling
    • Supplements
    • Home delivery

Frequently asked questions

My bloodwork came back normal. Why do I still feel unwell?

Standard panels are a snapshot and do not capture everything, particularly where hormones fluctuate. Normal results do not mean your symptoms are not real, and they are often the reason people arrive here in the first place.

Is this for men or women?

Both. Hormone and metabolic health affects men and women differently, so the pathway branches accordingly, but the approach of looking at how the systems connect is the same.

Do I need hormone therapy to take part?

No. Hormone therapy is one option among several, and it is not right for everyone. Testing, lifestyle work, stress support, and nutrition are all pathways in their own right.

Is functional testing the same as a medical diagnosis?

No. Functional testing offered through LivBTR is for educational and wellness support purposes. It is not intended to diagnose, treat, cure, or prevent any disease, and it does not replace care from a licensed medical practitioner.

Start with understanding

You do not need to know which test to ask for or whether HRT is right for you. Take the quiz and we will help you find answers and create a plan that fits.

Take the hormone health quiz
  • 100% confidential
  • Takes 3 minutes
  • No obligation
  • Canadian licensed providers

    Assessment and prescribing by licensed practitioners.

  • Secure and private

    Your health information is encrypted and kept confidential.

  • Evidence-informed approach

    Guidance grounded in clinical evidence, not trends.

  • Medications delivered across Canada

    Filled by Border Pharmacy, or any pharmacy you choose.

The information provided here is for educational purposes and is not intended as medical advice. Medical assessment and prescribing decisions are made independently by licensed physicians or nurse practitioners. Testing availability and scope may vary by province.

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