Men’s Hormonal Health:
Sequoia Medical 360

Optimizing Vitality, Performance & Cardiovascular Protection in Westchester, NY

Men’s health is a multifaceted landscape, with hormonal balance and cardiovascular well-being serving as critical pillars of sustained vitality, performance, and longevity. As men age—or due to genetics, stress, or lifestyle factors—subtle hormonal shifts can occur. These changes often go unnoticed until they impact energy, mood, body composition, and even cardiovascular health.

At Sequoia Medical 360, we don’t settle for symptom management. We specialize in precise diagnostics, advanced hormone optimization, and proactive cardiovascular protection, helping men achieve peak health at every stage of life.

Why Hormonal Health Matters for Men

Hormones influence far more than muscle or libido. When imbalances arise, they can result in:

Low energy, fatigue, or “brain fog”
Loss of muscle mass and increased belly fat
Decreased libido, erectile dysfunction, or infertility
Mood changes, irritability, or poor stress resilience
Higher risks of diabetes, heart disease, osteoporosis, and early frailty

These are not “just normal aging.” With precision endocrinology and preventive cardiology expertise, many of these issues can be reversed or optimized.

Key Conditions We Address

Low Testosterone (Hypogonadism): Whether due to testicular dysfunction, pituitary/hypothalamic causes, or lifestyle stressors, testosterone deficiency affects energy, muscle, bone density, mood, and sexual health.
Andropause / Age-Related Decline: Gradual shifts in testosterone and other hormones that contribute to fatigue, weight changes, and lower performance.
Erectile Dysfunction & Sexual Health Concerns: Often hormonal in origin, but also linked to cardiovascular risk.
Male Infertility: Hormonal contributors to low sperm count or poor quality.
Metabolic Syndrome & Insulin Resistance: Often linked with low testosterone and dramatically increasing cardiovascular risk.
Adrenal or Thyroid Disorders in Men: Subtle dysfunctions that mimic “low T” symptoms.
Bone Loss in Men (Osteopenia/Osteoporosis): Hormone-related skeletal decline that can be prevented with early detection.

Nutrition & Fitness Integration

We provide structured, real-world plans, often in partnership with Total Form Fitness (Leo Lopez):

Nutrition: Protein-forward, insulin-sensitive, anti-inflammatory frameworks tailored to men’s goals.
Fitness: Progressive resistance training + cardio programming to preserve muscle and boost VO₂ max.
Recovery: Sleep and circadian alignment to maximize testosterone production.
Precision-focused: Every therapy is guided by objective data, continuous monitoring, and a philosophy of optimizing health while minimizing long-term risk.

Adjunctive Endocrine & Longevity Therapies

Addressing thyroid, adrenal, or pituitary dysfunction when present.
Select evidence-informed use of peptides or metabolic agents, always within a safety-first, concierge framework.
Strategic deprescribing — reducing reliance on unnecessary medications as physiology improves.

Precision Treatment & Optimization Strategies

Testosterone Optimization Therapy (TOT)
For men with clinically confirmed deficiency, we design TRT regimens using topical, injectable, or long-acting forms.
Dosing is carefully titrated, with ongoing monitoring of hematocrit, PSA, lipids, and symptoms to maximize benefit and minimize risk.

Fertility-Preserving Alternatives

For men desiring fertility, we often use clomiphene, hCG, or aromatase inhibitors to stimulate natural testosterone without suppressing sperm production.

Cardiovascular Risk Reduction

Unlike most practices, our hormone optimization is paired with preventive cardiology:

Evidence-based lipid management (including advanced sub-fraction testing).
Blood pressure optimization and inflammation reduction.
Glucose and insulin sensitivity improvement to prevent metabolic disease.

Advanced Evaluation at Sequoia Medical 360

Our diagnostic process goes beyond basic lab tests to uncover the root drivers of low vitality:

Comprehensive Hormonal Panels: Total/free testosterone, LH, FSH, SHBG, estradiol, prolactin, DHEA, thyroid, cortisol, IGF-1.
Advanced Cardiovascular Risk Stratification: ApoB, lipoprotein(a), hs-CRP, metabolic inflammation markers, plus access to advanced imaging when appropriate (calcium scoring, carotid imaging).
Body Composition & Performance Testing: InBody 770 for fat vs. muscle distribution, VO₂ max and exercise capacity assessments.
Fertility Assessment (if relevant): Semen analysis, gonadotropin testing, and pituitary evaluation.
Lifestyle & Sleep Mapping: Screening for sleep apnea, circadian rhythm misalignment, and high stress physiology.

The outcome: a personalized metabolic and hormonal map that informs every step of your care.

The Sequoia Medical 360 Advantage for Men’s Health

Quadruple board-certified physician leadership (Endocrinology, Internal Medicine, Clinical Lipidology, Obesity Medicine).
Dual fellowships in Endocrinology/Metabolism & Preventive Cardiology — a rare combination that bridges hormone health and cardiovascular prevention.
Direct Physician Counsel: Ample, scheduled exam time and streamlined communication to review results with the depth your physiology requires.
Cutting-edge diagnostics & monitoring: Advanced labs, imaging, InBody 770, and wearable integration.
Confidentiality & privacy: Extended, unhurried consultations in a discreet concierge setting.
Longevity & performance mindset: The goal isn’t just symptom relief — it’s optimized strength, clarity, endurance, and resilience.

Take the First Step Toward Optimized Vitality

If you’ve noticed shifts in energy, performance, or well-being, don’t write it off as aging. With the right strategy, you can reclaim strength, balance, and long-term cardiovascular protection.

Meet Dr. Mathews
The Sequoia Standard
Request Enrollment
SQMed360.com
Located in Bronxville, serving Westchester & all of New York State.
(914) 292-0300
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