The Tide / Connected care

Measure.
Monitor.
Consider together.

Hormones, metabolic health, sleep and body composition inform the same clinical picture. That connection makes coordinated evaluation valuable—not every medication necessary.

Connected, not bundled

One clinical picture.
Individual decisions.

01

Hormones

Clinical findings and hormone testing.

02

Metabolic health

Weight, glucose and cardiovascular context.

03

Sleep & recovery

Sleep history and related care needs.

04

Body composition

Relevant measurements beyond scale weight.

The common ground

Clinician-led evaluation

Care may follow one pathway, several separately indicated therapies, or no medication. Connections inform the assessment—not an automatic combination of treatments.

Care that continues

A process with checkpoints.

01

Assessment

Medical history, current medications and appropriate testing define the clinical question.

02

A considered plan

The clinician reviews findings, evidence, risks, benefits, alternatives and cost. Treatment follows its own indication.

03

Ongoing review

Relevant monitoring, tolerability and reassessment guide the next decision.

The markers. The meaning.

Labs, translated.

A clearer view of the markers that may inform evaluation and follow-up.

AUA diagnostic-support cutoff<300 ng/dL

Total testosterone below this level can support evaluation. It is not a standalone diagnosis or an optimal target. Compatible findings and repeat testing matter.

Clinical marker guideEDUCATION / NO PATIENT VALUES

Total T

Total testosterone

Total circulating testosterone, including bound and unbound hormone.

Why it matters

Supports evaluation alongside symptoms and repeat morning measurements; one low result is not a diagnosis.

Free T

Free testosterone

Unbound testosterone, measured or calculated with validated methods.

Why it matters

May clarify borderline total testosterone or altered SHBG; not required in every evaluation.

SHBG

Sex hormone-binding globulin

Protein that binds testosterone and affects interpretation of total testosterone.

Why it matters

Helps interpret total and calculated free testosterone when binding levels differ.

LH / FSH

Luteinizing hormone / follicle-stimulating hormone

Pituitary signals involved in testosterone production and sperm development.

Why it matters

When indicated, helps distinguish testicular causes from pituitary or hypothalamic causes.

Examples, not a fixed panel. Test selection and timing depend on indication, age, risk, medications, and treatment. Reference ranges vary by assay. DXA and clinical review are not blood tests. AUA guidance ↗

Before a conversation

A few clear answers.

Clinical context matters. These answers explain the process, not an individual recommendation.

Does connected care mean combined medications?

No. The shared assessment can lead to one pathway, several separately indicated therapies, referral or no medication. A universal TRT, GLP-1 and GH regimen is not assumed.

Can weight management affect testosterone findings?

Weight management can improve obesity-related reductions in testosterone in some men. It is not a guaranteed effect or proof that a specific medication directly stimulates testosterone production.

Is growth-hormone support a sleep treatment?

GH-axis evaluation is a separate endocrine conversation. No general sleep, testosterone or physique benefit is promised. Confirmed adult GH deficiency is a specialist pathway.

Let’s talk

Start with a conversation.

Houston clinic. Texas telehealth.