Tired, not sleeping, gaining weight, or just not feeling like yourself? Hormone care in Barboursville starts with your labs, not a guess.
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Hormones change with age for women and men, and the symptoms overlap with thyroid problems, low iron and other conditions. That is why every plan starts with a consultation and blood work.
At Serene Barboursville, hormone optimization is provided through Biote, with baseline and follow-up panels processed by Labcorp. Dr. Robin Arora, Dr. Shweta Arora and Stephanie Welker, FNP-BC review your symptoms and results with you, explain whether treatment makes sense, and monitor your progress with repeat labs. This is individualized medical care, and not everyone is a candidate.
Many people seek support for low energy and everyday fatigue.
Address changes in mood, motivation, and mental clarity.
Support healthier, more restful sleep patterns.
Support wellness goals alongside diet, exercise, and lifestyle.
Address changes in libido and overall sense of wellbeing.
Decisions are guided by testing and monitored over time.
We start with a thorough consultation and appropriate lab work to understand your symptoms and baseline.
Your physician reviews your results and builds a personalized, medically supervised plan — if appropriate for you.
We monitor how you feel and re-test as needed, adjusting your plan to keep it safe and effective.
Hormone optimization is ongoing care. We provide regular follow-up and support along the way.
Hormone therapy is ongoing care, not a one-time purchase. Our Barboursville team schedules follow-up labs, adjusts your plan based on results and is a phone call away at (304) 520-0461 if something doesn’t feel right.
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Every hormone plan at Serene starts with blood work, processed by Labcorp. We use Biote’s lab panels for women and men: a baseline panel before your first treatment and a shorter follow-up panel after, so your plan is guided by your numbers, not guesswork. Lab fees are reviewed with you at your consultation.
Women’s basic panels can add a free testosterone test (Labcorp 70130) when your physician needs it. Your physician chooses the panel that fits your history, symptoms and treatment. Tap any test to learn what it measures, or browse the full lab test guide.
| Test | What it measures | Why it matters |
|---|---|---|
| CBC (complete blood count) | Red and white blood cells, hemoglobin, hematocrit and platelets. | Screens for anemia and infection. Hormone therapy, especially testosterone, can raise red blood cell counts, so we check hematocrit before and during treatment. |
| CMP (comprehensive metabolic panel) | Kidney and liver function, blood sugar, electrolytes and protein. | A baseline safety check of the organs that process medications, plus an early look at blood sugar. |
| Estradiol | The main estrogen in women and men. | Guides dosing and balance. The LC-MS/MS method in our expanded panels measures low levels more accurately, which matters for men and postmenopausal women. |
| FSH and LH | Pituitary signals that tell the ovaries and testes to work. | FSH helps show where a woman is in the menopause transition. In men, LH helps show whether low testosterone starts in the testes or the pituitary. |
| Total testosterone | All the testosterone in your blood. | Confirms whether levels are truly low, then keeps treatment in a healthy range instead of too high. |
| Free testosterone and SHBG | SHBG is a protein that binds hormones; free testosterone is the active, unbound part. | Two people with the same total testosterone can feel very different. These two numbers explain why. |
| TSH, Free T3 and Free T4 | How well your thyroid is working. | Thyroid problems cause fatigue, weight gain, brain fog and low mood, the same symptoms people blame on hormones. We rule them out first. |
| TPO antibodies | Antibodies that attack the thyroid. | An early marker of Hashimoto’s thyroiditis, a common cause of an underactive thyroid, especially in women. |
| Vitamin B12 | A vitamin needed for nerves and red blood cells. | Low B12 can cause tiredness, numbness and trouble concentrating. |
| Vitamin D (25-hydroxy) | Your body’s vitamin D stores. | Vitamin D supports bone, muscle and immune health, and low levels are common. |
| Ferritin | Iron stores (women’s expanded panel). | Low iron can cause fatigue and hair shedding even before anemia shows up. |
| PSA | Prostate-specific antigen (men). | A prostate health check before starting testosterone and again during treatment. |
| Prolactin | A pituitary hormone (men’s expanded panel). | High prolactin can lower testosterone and libido and needs its own workup. |
Symptoms alone aren’t enough. Urology guidelines, for example, call for two early-morning testosterone tests plus symptoms before diagnosing low testosterone.
Thyroid disease, anemia, low iron and low B12 or vitamin D can all mimic hormone imbalance. The baseline panel checks for them.
Endocrine Society guidance calls for checking hematocrit before testosterone therapy, again at 3–6 months and then yearly, and for PSA checks in many men. For women, experts advise a baseline testosterone level and repeat testing to avoid levels that run too high.
Follow-up labs show how your body responded, so your physician can adjust the next dose to how you feel and what your numbers show.
References: Bhasin S, et al. Testosterone therapy in men with hypogonadism: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2018;103(5):1715–1744. · Mulhall JP, et al. Evaluation and management of testosterone deficiency: AUA guideline. J Urol. 2018;200(2):423–432. · Davis SR, et al. Global consensus position statement on the use of testosterone therapy for women. J Clin Endocrinol Metab. 2019;104(10):4660–4666. Lab tests are ordered only after a consultation with a licensed provider.
Proper aftercare reduces irritation and supports proper pellet absorption and healing.
Results: Hormones don’t work instantly — many patients notice improvement within 1–3 weeks, with full optimization in 4–6 weeks. Temporary adjustment changes can include mild acne, breast tenderness, mood changes, increased energy, or spotting.
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If we took good care of you, a quick Google review helps other people in the Tri-State find us. It takes about thirty seconds.
General guidance from Serene Med Spa — always follow the specific instructions your provider gives you. Questions? Call (304) 520-0461.
Hormone Optimization at Serene Barboursville is performed or supervised by Dr. Shweta Arora, MD, Dr. Robin Arora, MD and Stephanie Welker, FNP-BC. Every hormone optimization plan starts with a complimentary, no-commitment consultation.
We’re at 1 Chateau Grove Ln, just off I-64 exit 20 (Barboursville / Huntington Mall) on the US-60 side, with free parking outside the door.
We see patients from across Cabell, Wayne and Putnam counties and the Tri-State (Ashland, KY and Ironton, OH). Coming from nearby?
What does hormone optimization cost in Barboursville, WV?
Hormone care in Barboursville starts with lab work; panel and pellet pricing is listed on our pricing page. See full Barboursville pricing.
Who performs Hormone Optimization at Serene Barboursville?
Dr. Shweta Arora, MD, Dr. Robin Arora, MD and Stephanie Welker, FNP-BC.
Where is the Barboursville office?
1 Chateau Grove Ln, Barboursville, WV 25504. Call (304) 520-0461. Open Mon–Fri: 9 AM – 5 PM; Sat–Sun: By appointment.
Dr. Robin Arora, Dr. Shweta Arora and Stephanie Welker, FNP-BC. Our providers are Biote certified.
Your hormone and wellness panels are processed by Labcorp. We review lab fees with you before anything is ordered.
Yes. For men on testosterone therapy, your physician may add a monthly medication that helps support your body’s own hormone signaling, prescribed only after evaluation and lab review and shipped to your home by the pharmacy as your own prescription. See our pricing for details.
It starts with a consultation and appropriate lab testing. Your physician will review your symptoms and results and advise whether it’s appropriate for you.
Yes. At Serene, hormone optimization is designed, prescribed, and monitored by our board-certified physicians as individualized medical care.
Yes — appropriate lab testing guides your plan and helps us monitor your progress and safety over time.
It varies by person and plan. We set realistic expectations and adjust your care based on how you feel and your follow-up labs.
Results are individual and depend on your health, labs, and plan. Your physician will discuss realistic, personalized expectations with you.
We start with a Biote baseline panel through Labcorp. Depending on the panel, it checks estradiol, testosterone, SHBG, FSH or LH, thyroid function, vitamin B12, vitamin D, a complete blood count and a metabolic panel, plus PSA for men and ferritin in the women’s expanded panel.
A shorter follow-up panel is drawn after treatment to see how your body responded, and then at intervals your physician sets. Guidelines for testosterone therapy recommend checking blood counts at 3–6 months and then yearly.
Testosterone can raise red blood cell levels (hematocrit). Checking it before and during treatment lets your physician catch and manage that early.
Lab fees are separate from your treatment and are reviewed with you at your consultation before anything is ordered.
Tired, foggy or just not yourself? A physician walks through what a wellness lab panel checks, test by test, and why the trend in your numbers matters as much as any single result.
September 16, 2026
Tired, foggy, or gaining weight around the middle that won’t budge? Those changes often trace back to shifting hormones. Here are the signs to watch for — and how physician-supervised hormone optimization may help in the Tri-State.
September 5, 2026"Dr. Shweta Arora is skilled with fillers & Botox. She listens to your concerns and looks at your face to see what is needed! I look and feel 10 yrs younger after the first visit. She starts conservatively which is nice if it’s your first time. Love Serene Spa in Barboursville."
"Dr Arora is the best! So considerate and patient. Took the time to answer my many questions without trying to rush me out. Extremely thorough and knowledgeable. I recommend emphatically. He does not disappoint."
"Great service and great staff. Very helpful with any questions. I always leave feeling taken care of and looking my best."
★★★★★ Verified reviews from our patients on Google
Individual results may vary. Photos of our own patients, shared with consent.
Located just off I-64 in Barboursville, Serene Med Spa welcomes patients seeking hormone and wellness care from across Cabell, Wayne, Lincoln and Putnam counties in West Virginia, Lawrence County, Ohio, and Boyd & Greenup counties in Kentucky — including the communities below.
Monthly payment plans through Cherry and CareCredit, with 0% APR options for qualified patients. Applying with Cherry doesn’t affect your credit score.
How Easy Pay works ›Book a hormone consultation in Barboursville and we’ll walk you through which lab panel fits your symptoms.
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