Dr Cara Flamer, MD CCFP
Your trusted source for evidence-based
integrative medical care & bioidentical hormonal balancing


Symptoms are your body's way of asking for your attention, and indicate that you may benefit from a hormonal assessment.
Dr Flamer's Vision for your healthcare:
Do You Want To:
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Feel better
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Lose weight
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Have more energy
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Improve your sleep
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Eliminate hot flashes or night sweats
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Improve your sex drive
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Improve your mood
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Reduce symptoms associated with your menstrual cycle
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(heavy cramping,/bleeding or PMS)
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Alleviate your symptoms of menopause or andropause
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Age in the most proactive way possible
You can experience symptoms of hormonal imbalance at any age. If you are in your 20's or 30's and you are a woman, this may show up as heavier periods, irregular periods, bad PMS, fibroids, endometriosis, ovarian cysts or thyroid issues. If you are in your 40's it is likely showing up as perimenopause feeling snappy, depressed, and tired (and maybe irregular periods as well). If you are approaching or recently past menopause, you may have all of the above PLUS hot flashes and night sweats, and vaginal dryness. And hormonal imbalances don't just occur for women. Men may that the muscles you used to have are turning more into fat, and you have lost your "edge". That may very well be symptoms of andropause, a slow decline in testosterone levels.
Whether you have these symptoms or not, it is important to look at the balance of your hormones. We know that as we age, our hormone levels decline naturally. If hormone levels are low in your tissues, hundreds of cellular functions are impaired because the necessary ingredients for celllular reactions to take place, hormones, are missing. Even if you don't have symptoms it is possible you have a deficienecy of one or more hormones in your tissue.
Hormone deficiencies are associated with a myriad of "illnesses of aging": high blood pressure, high cholesterol, osteoporosis, cardiovascular disease, macular degeneration, and Alzheimer's disease, and many more.
Our Vision for Your Optimal Vitality as you Age:
Our goal is to help assess which hormones are imbalanced, and restore them to appropriate levels using natural supplements and/or bioidentical hormones. We use your personal experience/symptoms as well as saliva testing in addition to blood testing, because standard blood tests will not pick up tissue levels of hormone, only what is circulating in your blood. And what is circulating in your blood may not accurately represent what is going on inside your tissues. This is especially true for the hormones progesterone, estradiol, testosterone, DHEA and cortisol. We also have advanced testing for thyroid function, as many people with low thyroid output will have normal blood levels. When these people are treated with appropriate supplementation and/or thyroid support, their symptoms improve.
Every person is unique and will respond differently to a given situation. You could take 2 people, each with very low levels of hormones, and one may have no symptoms and the other may have multiple. This is because there are MANY different factors that affect the extent to which we feel symptoms. At the CPM, we acknowledge and value this, and is taken to account when we are creating your personalized treatment plan. (Please see other page for more info on our various approaches used!)
We encourage you to peruse our website and read more about the efficacy, safety and science behind bioidentical hormones, and for more details on what other modalities we can incorporate into your treatment plan!
At GSH Medical, we encourage and support our patients to take charge of their own health and play an active, on-going role in their own health and well-being.
The current approach to our health and aging is anything but proactive. We typically wait for symptoms to develop within our bodies, disrupt our lives, and then we react, often with a short-term or perspective or a bandaid approach.
Our clinic is founded on the premise that the path towards true health, necessitates treating the 'whole person' with a “proactive” approach with regard to all areas of your well-being; physical, mental and spiritual.
We firmly believe that the our treatment model represents the future of healthcare; holistic and empowering.
Our evidence-based approach to hormone replacement is based on rigourous science and proven methodologies.
Our treatment program is designed to support the source of wellness within you, allowing your body to do what it does naturally: be vital and healthy!