04 Treatment
04 · Treatment

Endocrinology treatment

Correction of the hormonal profile: thyroid, adrenals, sex hormones.

Duration

Initiation on days 10–12 · continued for 90 days with monitoring

Led by

Medical director — endocrinologist

Location

04 · Treatment

About the procedure

The Spiral Rebirth Island programme has particular expertise in endocrinology — this is the primary specialty of the medical director. At villa 04 identified hormonal disorders are corrected in the full context of the client.

Thyroid gland: hypothyroidism (from subclinical to overt), autoimmune thyroiditis, post-surgical states. Individual selection is used — synthetic T4, NDT (Armour, Erfa), a T4+T3 combination when needed. Follow-up at 6–8 weeks after initiation.

Adrenals: correction of marked HPA dysfunction (both hyper- and hypocortisolism). Adaptogens, phosphatidylserine, and in rare cases low-dose hydrocortisone (only with confirmed adrenal insufficiency).

Sex hormones: HRT in perimenopausal and menopausal women (bioidentical estradiol and progesterone), testosterone correction in men with confirmed hypogonadism. Mandatory informed consent, risk discussion, and monitoring.

What's included

  • Thyroid correction (T4, NDT, combinations)
  • HPA-axis support
  • HRT when indicated (bioidentical hormones)
  • Monitoring at 6–8 weeks
  • Long-term follow-up plan

Indications

  • ·Hypothyroidism, autoimmune thyroiditis
  • ·Symptomatic perimenopause and menopause
  • ·Hypogonadism in men
  • ·Adrenal dysfunction

Contraindications

  • ·Hormone-dependent tumours (oncology consultation required)
  • ·Thrombophilia (for oral estrogens)
  • ·Inability to provide monitoring after the retreat

Team

Medical director — endocrinologist

FAQ

Can HRT be started during the retreat?

Yes, when there are confirmed indications and consent. We start at the lowest dose and discuss all risks. Follow-up at 8 weeks.

What about NDT vs. levothyroxine?

The choice is individual. If a client feels unwell on levothyroxine, it makes sense to try NDT under monitoring of TSH, free T3, and free T4.