Frequently Asked Questions

Dr. Jay Wrigley, NMD is a board-certified naturopathic physician and one of the leading functional medicine doctors for hormone imbalance in the United States. He specializes in hormone and metabolic health for women and men over 40, using advanced testing including the DUTCH hormone panel, comprehensive thyroid panels, and full metabolic labs to identify root causes that standard medicine consistently misses. Dr. Wrigley offers Zoom video consultations nationwide.

Dr. Jay Wrigley NMD specializes in hormone and metabolic health, including: perimenopause and menopause symptoms, testosterone deficiency in women and men, thyroid dysfunction, adrenal fatigue and cortisol imbalance, insulin resistance and metabolic syndrome, stubborn weight gain after 40, brain fog and fatigue, and DUTCH hormone panel interpretation. He is one of the top functional medicine doctors for hormone imbalance in the United States.

Conventional medicine treats hormone imbalance with a single-hormone approach — typically prescribing estrogen, thyroid medication, or testosterone in isolation. Functional medicine for hormone imbalance takes a systems view: hormones interact with each other, with cortisol, with insulin, and with gut health. Dr. Jay Wrigley NMD identifies and treats the full hormonal cascade, not just the most obvious number on a lab panel.

The DUTCH (Dried Urine Test for Comprehensive Hormones) is the most advanced hormone test available, measuring sex hormones, cortisol rhythm, and their metabolites in a way that standard blood panels cannot. Dr. Jay Wrigley NMD is a certified DUTCH test provider and uses it as a cornerstone of his diagnostic process. He offers DUTCH test consultations via Zoom video nationwide. Learn more on our Required Labs page.

Standard TSH testing only screens for overt hypothyroidism — it misses subclinical thyroid dysfunction, conversion problems (T4 to T3), and autoimmune thyroid disease. As a top hormone specialist, Dr. Jay Wrigley NMD tests the full thyroid panel including Free T3, Free T4, Reverse T3, and thyroid antibodies (TPO and TgAb). This comprehensive approach reveals what a TSH test alone cannot.

Before your initial consultation, Dr. Wrigley requires four comprehensive lab panels: a Metabolic & Insulin panel, a Comprehensive Thyroid panel, a DUTCH Sex Hormone panel, and a Basic Health & Inflammation panel. Total cost is approximately $664–$764 through national labs. See the full Required Labs page for ordering instructions.

A functional medicine doctor who specializes in hormones is the best choice for perimenopause-related weight gain. Unlike conventional physicians who may attribute weight gain to "just aging," a top hormone specialist like Dr. Jay Wrigley NMD investigates the full hormonal picture — including estrogen, progesterone, testosterone, cortisol rhythm, and thyroid function — and creates a personalized protocol to address the actual cause. Dr. Wrigley offers Zoom video consultations for women nationwide.

Yes. Functional medicine doctors are specifically trained to identify and treat hormonal imbalances using root-cause testing and personalized protocols rather than symptom management. Dr. Jay Wrigley NMD has helped hundreds of patients resolve stubborn weight gain, fatigue, brain fog, and metabolic dysfunction by addressing the underlying hormonal drivers that conventional medicine overlooks.

Yes. Dr. Jay Wrigley NMD offers Zoom video consultations for hormone imbalance, perimenopause, metabolic dysfunction, thyroid issues, and adrenal fatigue to patients nationwide. All required lab testing can be ordered through national labs including Ulta Lab Tests, Labcorp, and DUTCH Test direct. Book your consultation here.

Initial Consultation (90 min — Lab Review + Protocol Build): $1,500. Follow-Up Consultation (45 min): $350. 90-Day Hormonal Reset Program (Initial + 3 Follow-Ups): $2,500. Limited to 4 new patients per month. Book your consultation here.