· Dr. Handsun Xiao, MD, CCFP
Why 'Age-Appropriate' Hormone Levels Are a Flawed Concept
Why 'normal for your age' is not the same as optimal, and how functional medicine approaches hormone interpretation differently.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Five Things the Women's Health Initiative Got Wrong — and What We Know Now
A physician's analysis of the WHI study: what it actually tested, how its findings were misapplied, and what subsequent research has clarified.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Thyroid and Hormones: Why You Can't Optimize One Without the Other
How thyroid function and sex hormones are interconnected, and why treating one without assessing the other produces incomplete results.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
LifeLabs vs Dynacare: Getting the Most from Your Bloodwork in Ontario
A practical comparison of LifeLabs and Dynacare for BHRT patients in Ontario. Coverage, test availability, and how to get the most accurate results.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Virtual Medicine in Ontario: How Telemedicine Works for Hormone Optimization
How virtual consultations work for BHRT and hormone optimization in Ontario, and why telemedicine is well suited to hormonal care.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Compounding Pharmacies in Ontario: What Patients Should Know
A guide to compounding pharmacies in Ontario for BHRT patients. What compounding is, how accreditation works, and what to look for in a pharmacy.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
What to Expect at Your First Functional Medicine Consultation
A step-by-step guide to your first functional medicine consultation: how to prepare, what the physician assesses, and how the treatment plan is built.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Vaginal Dryness, UTIs, and the Estrogen Connection No One Talks About
Why recurrent UTIs, vaginal dryness, and urinary urgency in midlife women are often caused by estrogen decline rather than infection.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Why Birth Control Is Not Hormone Replacement Therapy
Birth control pills and hormone replacement therapy both contain hormones, but they serve different purposes. Why the distinction matters for women approaching perimenopause.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Hormone Therapy and Breast Cancer Risk: What the Evidence Actually Says
A physician's review of the evidence on hormone therapy and breast cancer risk. What the WHI actually tested and how bioidentical hormones differ from synthetics.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
BHRT After Hysterectomy: What Changes and What Doesn't
How hormone therapy changes after a hysterectomy. Whether you still need progesterone, how surgical menopause differs, and what a BHRT protocol looks like.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Testosterone for Women: What Your Doctor Probably Never Mentioned
Why testosterone matters for women's health, how it influences libido, energy, and cognition, and why most physicians overlook it.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Progesterone: The Most Underrated Hormone in Women's Health
Why progesterone is overlooked in women's health, what it does beyond reproduction, and its critical role in sleep, anxiety, bone density, and brain health.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
How Insulin Resistance Is Quietly Destroying Your Testosterone
The bidirectional relationship between insulin resistance and low testosterone. How metabolic dysfunction drives hormonal decline and how to break the cycle.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Testosterone Pellets vs Injections vs Creams: Choosing the Right Delivery Method
A physician's comparison of testosterone delivery methods: injections, transdermal creams, pellets, and troches. How to choose the right option for your protocol.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Testosterone and Cardiovascular Health: What the Research Actually Shows
A physician's review of the evidence on testosterone therapy and cardiovascular risk. What the TRAVERSE trial demonstrated and what patients should understand.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
TRT and Fertility: What Men Need to Know Before Starting
Testosterone replacement therapy suppresses sperm production. How TRT affects male fertility, what alternatives exist, and how to plan treatment accordingly.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Why Your Testosterone Is 'Normal' but You Still Feel Terrible
Why a testosterone level within the reference range does not mean your levels are optimal, and how free testosterone and SHBG reveal what standard blood work misses.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Signs of Low Testosterone Most Men Ignore
A physician's guide to the early, often-missed symptoms of low testosterone in men. Why fatigue, irritability, and poor recovery are medical symptoms worth investigating.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Perimenopause Symptoms Most Women Miss: What Your Doctor May Not Be Looking For
Many perimenopause symptoms are dismissed as stress or aging. A physician's guide to the overlooked signs of hormonal decline in women in their late 30s and 40s.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
What Bloodwork Do I Need Before Starting Testosterone? A Physician's Guide
A detailed guide to the bloodwork and laboratory testing required before starting testosterone replacement therapy. Which markers to test, why each matters, and how comprehensive labs inform a safe protocol.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
BHRT vs Conventional HRT: Understanding the Differences That Matter
A physician's comparison of bioidentical hormone replacement therapy (BHRT) and conventional HRT. Molecular differences, delivery methods, individualization, and how to choose the right path for hormonal optimization.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Is BHRT Covered by OHIP? What Ontario Patients Need to Know About Costs
A clear breakdown of BHRT costs in Ontario: what OHIP covers, what it doesn't, what private insurance may reimburse, and how to plan for bioidentical hormone therapy expenses.
Lire la suite · Dr. Handsun Xiao, MD, CCFP
Bioidentical Hormone Therapy in Ontario: What Patients Should Know Before Starting BHRT
A physician's guide to bioidentical hormone replacement therapy (BHRT) in Ontario and Toronto. What to look for in a BHRT provider, how custom compounding works, and what to expect from a functional medicine consultation, available virtually across the province.
Lire la suite