Douglas Miller, M.D. 
How Hormone Imbalance Affects Weight Loss Our body’s hormones can impact how we lose weight. The endocrine system, which produces hormones, regulates various bodily functions, including metabolism, appetite and fat storage, or adiposity. If you’re having difficulty losing weight despite diet and exercise, a hormonal imbalance might be at play. High cortisol levels, the stress … Read more
Why Testing Your Omega-3 Levels Beats Guesswork When it comes to supplements, most of the market tends to overpromise and underdeliver. At Spartan, we take a different approach. We only recommend supplements when the benefits are clear, the dosing is measurable, and the results can be tracked. Omega-3 fatty acids are a prime example. Decades … Read more
Restful sleep is crucial for your health and well-being. More than just maintaining our energy levels, sleep regulates our hormones, which control everything from mood and metabolism to reproductive health. Still, it can be challenging to prioritize a good night’s rest in our fast-paced world. In fact, up to 35% of adults experience insomnia symptoms, … Read more
The what and why of TRT? Testosterone replacement therapy, TRT, is the art of replacing low or suboptimal testosterone levels, replenished back to normal levels that you had when you were a younger man. Men with low or suboptimal testosterone levels can experience a variety of quality-of-life-altering symptoms, such as fatigue, low energy, low motivation, … Read more
Hormone replacement therapy (HRT) has been available for both men and women for many decades, evolving significantly over time. The concept behind HRT is that as humans age, hormone production naturally declines. This not only leads to uncomfortable symptoms but also increases susceptibility to age-related diseases. There are notable differences between men and women in … Read more
On July 17, 2025, the FDA convened a panel of experts to reevaluate the role of estrogen in menopausal hormone therapy (MHT). Physicians and researchers gathered to discuss the latest evidence around the safety and efficacy of estrogen therapy—especially in light of long-standing concerns that have shaped treatment decisions for over two decades. One possible—and … Read more
Recent outbreaks of measles have been reported across the country, reminding us how contagious and dangerous this virus can be. Measles is not a mild childhood illness—it can cause serious complications like pneumonia, encephalitis, and even death, especially in vulnerable populations. Why It Matters: How to Protect Yourself:The best defense against measles is vaccination. But … Read more
Hormone replacement therapy (HRT) has been used since the 1940s when the FDA approved the marketing of estrogen to treat postmenopausal symptoms. The HRT market has fluctuated over time and has recently experienced a resurgence. The global HRT market is expected to see substantial growth by 2030, driven by an increased occurrence of menopause, a greater awareness of … Read more
What are the Benefits of Testosterone Replacement Therapy? Testosterone is often synonymous with masculinity. It could be said that the hormone is what makes men, “men”. The hormone is responsible for a myriad of physiological and metabolic processes, as well as giving males their characteristic facial and body hair, larger muscles and deep voices. Testosterone … Read more
Symptoms of Low T in Men Testosterone is the predominantly male hormone produced largely by the testes, affecting everything from male features and appearance to sexual drive and even energy, metabolism and mood. Although testosterone production in young males is usually well within medical ranges provided no underlying conditions or injuries exist, as we age … Read more
Its a question I hear on a regular basis. So let me outline the basic steps I usually recommend: 1) Have a qualified trainer perform a functional movement screening. This identifies weaknesses and maladaptive movement patterns that have developed. 2) Work with your trainer through corrective exercise to retrain you to “move like a human.” … Read more
How does the thyroid manage your metabolism? Here is a short video that covers the basics about how your thyroid functions. While just the tip of the iceberg, these basics are something everyone should know. Thyroid conditions are one of the most important, and most common, problems we manage with hormone replacement. Untreated or under treated thyroid … Read more