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If you have been dealing with fatigue, brain fog, weight changes, or other signs of hormone imbalance, our team is here to help. Schedule a consultation to review your symptoms and build a treatment plan that supports long-term health and daily well-being.

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Hormones influence energy, sleep, metabolism, mental clarity, mood, and how your body feels day to day. When hormone levels shift or decline, the changes can be gradual, and they often show up in ways that interfere with your quality of life. 

Understanding Hormone Imbalance

Hormone changes can happen at any age, but they are more common during periods of stress, after major life changes, and as part of the natural aging process. Symptoms vary widely from person to person, which is why thorough testing and individualized care are important.

Common Symptoms of Hormone Imbalance

Hormone imbalance can affect nearly every system in the body. People often notice one or more of the following changes:

  • Low energy or constant fatigue
  • Weight gain or increased difficulty losing weight
  • Mood swings or irritability
  • Trouble concentrating
  • Brain fog
  • Sleep problems
  • Lower libido
  • Hot flashes or night sweats
  • Changes in muscle strength
  • Increased anxiety
  • Irregular cycles or new menstrual changes

These symptoms do not always point to hormone issues, but they are common indicators. A simple set of lab tests can identify what your body needs.

What Causes Hormone Imbalance

There is no single cause of hormone shifts. The most common factors include aging, perimenopause, menopause, low testosterone, thyroid disorders, chronic stress, poor sleep, nutritional deficiencies, and certain medical conditions. Our team reviews your symptoms, medical history, lifestyle, and lab results to understand the full picture.

How Hormone Therapy Works

Hormone therapy restores low or declining hormone levels using biologically identical hormones. These hormones match the structure of the hormones your body produces naturally. Treatment is customized for each patient and adjusted over time based on how you feel and how your body responds.

At Madison Wellness and Aesthetic Center, your treatment plan may include pellets, injections, creams, or a combination of therapies. Your provider will discuss each option during your consultation.

Bioidentical Hormone Replacement Therapy for Women

Women experience shifting hormone levels during perimenopause and menopause, but symptoms can appear much earlier. Hot flashes, night sweats, weight gain, mood changes, and low libido are some of the most common concerns. Hormone therapy can help regulate these changes and support steadier energy, clearer thinking, and improved sleep.

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Bioidentical Hormone Replacement Therapy for Men

Men may experience declining testosterone levels as early as their 30s and 40s. Low testosterone can cause fatigue, reduced muscle strength, weight gain, poor sleep, lower libido, and mood changes. Hormone therapy can help restore healthy levels and support physical and mental well-being.

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Hormone Pellet Therapy

Pellet therapy is one of the most consistent and long-lasting ways to stabilize hormone levels. Small pellets are placed just under the skin, where they release a steady dose of hormone over several months. Many patients prefer pellets because they avoid daily dosing and keep hormone levels more stable.

We use EvexiPEL® Pellet Therapy, a bioidentical hormone delivery system designed for steady, predictable hormone support. Our team has performed more than 16,000 pellet procedures and has focused on bioidentical hormone therapy for over 15 years. This level of experience helps us provide individualized dosing based on your lab values, symptoms, and long-term goals.

Why Patients Choose Madison Wellness and Aesthetic Center

Our clinic takes an integrative approach to hormone care. We look beyond symptoms to understand what is happening inside the body, and we tailor treatment for each patient. 

Your care includes:

  • One-on-one consultations
  • Detailed lab testing
  • A customized treatment plan
  • Careful monitoring and follow-up
  • Supportive guidance throughout your treatment

Our goal is to help you regain stable hormone function and improved daily well-being.

What Our Patients Says

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Cathy Wakefield
0 days ago
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I was worried where I should go for my wellness and esthetics. I read reviews and websites. I’m happy I chose Dr Mancuso! She was informative, gentle and over all amazing. I look forward to future appointments.
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Pamela Werry
0 days ago
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Hollie and Dr. Mancuso really, listened, helped me figure things out and took their time. So thankful.
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Dedie Miller
1 days ago
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Great place to get your fillers and Botox. The team is great Dr. Dawn she is so great and doesn’t hurt! Love the results and Dr.Dawn Mancuso is a breathe of fresh air with all of her suggestions at such a time in my life getting married in November. I’m not a young lady anymore and she makes me look refreshed without having to spend a lot of $!! Get hooked up with this team and all the specials they have going on right now before the holidays!! Love you ladies!!
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gregory fawcett
4 days ago
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Lindsey is the best!
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Ginna Chittam
5 days ago
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The entire staff is always friendly and welcoming. I always receive excellent treatment and I highly recommend them to all of my friends.
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Melissa Keith
5 days ago
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Love, love, love this place! It does such a great job taking care of me! I do so much with them which includes Botox, filler, laser, HRT, and Hashimoto’s/thyroid treatments and they are the best! Every visit has been top notch! A hormone consult provided perfect insight on why part of my life felt flipped (from hormone imbalance.) Treatment has been a positive life changing experience. Chose them because of the bio hormones and long history of experience. I had been searching for answers for years with multiple providers and no real explanation of what was going on with me. They knew on the first visit how to take care of me and provided me answers and solutions immediately. I will be forever grateful for the care received at Madison Wellness and Aesthetic Center and plan on being a customer for life. Professional, organized, and experts in their craft. The WHOLE staff is AMAZING. A visit/treatment with them always makes my life better.
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Michelle Boyle
5 days ago
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Great experience. Thank you. Dotty and Dr. Dawn & Shannon made me feel welcomed and I truly felt heard and valued. The entire experience is wonderful and I will be back highly recommended.
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Dolores Walker
5 days ago
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Love the customer service! The entire staff is great!
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Cassie Talley
5 days ago
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Wonderful experience with Heidi and Dr Manusco!! Will be back!!
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Irina Summerlin
6 days ago
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I had a wonderful experience at Madison Wellness & Aesthetic Center. I went there for Botox and was very satisfied with the entire experience. I felt comfortable and well informed throughout the process. Dr. Mancuso and all of the staff are incredibly kind, professional, and welcoming. I also appreciated having a follow-up appointment two weeks later, where a small touch-up was done to make sure I was happy with the results. The office is clean and has a very pleasant atmosphere. I truly appreciate the care and attention I received and would definitely recommend Madison Wellness & Aesthetic Center! I’m already looking forward to my upcoming appointment with the esthetician!
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Meet Our Providers

Each member of our team offers specialized training and a strong commitment to safe, effective hormone care.

Chad Gilliam, PA-C

Chad Gilliam is a hormone specialist and wellness practitioner with advanced training in endocrinology and more than 15 years of clinical experience. He focuses on hormone optimization, thyroid health, and comprehensive, preventive care that supports long-term wellness.

Dawn Mancuso, MD

Dr. Dawn Mancuso has more than 30 years of experience in primary care, occupational medicine, and geriatrics. She incorporates EvexiPEL® Pellet Therapy and regenerative treatments to support hormone balance, confidence, and overall well-being.

Amanda Lucker, RN

Amanda Lucker is a certified EvexiPEL® practitioner with 22 years of nursing experience across intensive care, surgery, and functional medicine. She provides personalized bioidentical hormone therapy for women and men, with a strong focus on patient education and compassionate, individualized care.

Areas We Serve

We provide hormone therapy for patients across Madison and the surrounding areas, including Decatur, Hampton Cove, Gurley, Owens Cross Roads, Athens, Big Cove, Huntsville, and Cullman.

FAQs

Are hormones safe?

Hormone therapy is considered safe when it is prescribed and monitored by a qualified provider. The FDA has removed the black box warnings that were previously associated with hormone replacement therapy after reviewing updated evidence on safety. Your treatment plan is based on your symptoms, lab results, and overall health to ensure proper dosing. Regular follow-up visits allow your provider to track your response and adjust your plan when needed.

How long does it take to feel better once treatment begins?

Many patients begin to notice improvements in energy, sleep, and clarity within a few weeks. Hormone levels continue to stabilize over the first few months, and full benefits are often seen with consistent follow-up and proper dosing.

Can hormone therapy help with weight gain or low energy?

Hormone imbalance is a common cause of unexplained fatigue and weight changes. When hormone levels are restored, many patients report more steady energy, clearer focus, and improved ability to lose weight with healthy habits.

Where can I get hormone therapy near me in Madison, AL?

Madison Wellness and Aesthetic Center provides bioidentical hormone replacement therapy, EvexiPEL® Pellet Therapy, and individualized hormone care for patients in Madison, AL and the surrounding communities. Our clinic offers thorough evaluations, customized treatment plans, and ongoing monitoring to support safe and effective results.

Schedule a Consultation

If you have been dealing with fatigue, brain fog, weight changes, or other signs of hormone imbalance, our team is here to help. Schedule a consultation to review your symptoms and build a treatment plan that supports long-term health and daily well-being.

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