Simi Doctors

Weight loss isn’t just about spending more time on the treadmill.
The strategy for our patient? Cardio style resistance training.

By alternating between different muscle groups, such as chest and biceps, he can keep moving with shorter rest periods while maintaining an elevated heart rate.

This approach combines strength training with cardiovascular conditioning, helping support calorie expenditure while building and maintaining muscle.

💬 Do you prefer traditional cardio or weight training?

📍 Simi Doctors Medical & Aesthetics | Simi Valley, CA

What if improving your testosterone starts with something as simple as better sleep?

One of our patients saw a significant increase in free testosterone after prioritizing his sleep. His total testosterone improved, too.

Here’s why sleep matters:

🧠 Hormone production: Sleep plays a critical role in regulating testosterone.

📉 Sleep deprivation: Consistently poor sleep can negatively affect testosterone levels.

⌚ Sleep tracking: Monitoring your sleep duration and consistency can help identify areas for improvement.

💪 Recovery: Better sleep supports muscle recovery, energy, and overall hormonal health.

Before assuming you need TRT, don’t overlook the fundamentals. One patient’s results don’t guarantee the same outcome for everyone.

👇 How many hours of sleep are you actually getting each night?

Keep getting UTI’s?

Recurrent UTIs can be influenced by things as simple as how you wipe, not drinking enough water, sexual activity, and hormonal changes—especially during perimenopause and menopause.

One prevention option many women don’t know about? Vaginal estrogen. For appropriate peri- and postmenopausal women with recurrent UTIs, local estrogen may help reduce recurrence by improving the vaginal and urinary environment.

📌 Save this for later & share it with someone who may need it.

Oral vs topical estrogen: the route matters more than you might think.

Oral estrogen passes through the liver before reaching systemic circulation. This first-pass effect can influence liver produced proteins and is associated with changes in triglycerides, SHBG and clotting factors.

Transdermal estrogen—such as a patch, gel or spray—is absorbed through the skin and largely avoids first-pass liver metabolism. That difference is one reason transdermal estradiol is often considered when trying to minimize certain risks associated with oral estrogen, particularly blood clots.

But that doesn’t mean one form is automatically right for everyone. Your age, medical history, symptoms, dose, and individual risk factors all matter when deciding whether hormone therapy and which route is appropriate.

Save this for your next hormone conversation and share it with someone considering HRT.

Think twice before starting Retatrutide if you have any of these preexisting medical conditions or don’t plan on doing this

If you are on testosterone replacement therapy (or thinking about initiating), TRT, these are some signs that your levels may be below therapeutic range

When a patient says it’s “just allergies” 😅

Is taking creatine bad for your kidneys?