Build for the next thirty years.
When you're already healthy and want to stay that way — or go further — we build a longevity plan around your biology. Hormone optimization for both men and women, peptide therapy, sleep medicine, and metabolic care under one physician who reads your labs as a connected system.
Optimizing what's already working.
You're not broken — you just know your baseline could be higher. Better sleep. Steadier energy. Hormones doing their job. Body composition that holds. We build the plan to match where you're trying to go.
Hormones aren't where they used to be.
Perimenopause, menopause, andropause — or post-surgical hormone shifts. Bioidentical HRT calibrated to labs and how you actually feel.
Energy, libido, and motivation are quietly off.
Workouts harder. Recovery slower. Drive thinner. Often hormone-driven, often layered with sleep and metabolic shifts — addressed together.
Weight won't move despite doing it right.
Diet cleaned up, gym three times a week, weight stuck. Metabolic markers, hormone optimization, and peptide options where indicated.
You're playing the long game.
Healthy now, want to stay that way at 70 and 80. Baseline biomarkers, structured optimization, periodic re-checks — built for decades.
The tools we work with.
Longevity isn't one therapy. Dr. St. Marie blends bioidentical HRT, peptides, sleep medicine, and metabolic care into one cohesive plan — ordered, calibrated, and re-checked under one physician.
Bioidentical Hormone Replacement
Estradiol, progesterone, testosterone, DHEA — for both men and women. Patches, creams, pellets, or compounded oral, chosen for your physiology and lifestyle. Always lab-led, never guessed.
Peptide Therapy
Targeted peptide treatments that support healing, metabolism, muscle recovery, immune function, and overall vitality. Indication-driven and protocol-led — not a menu.
Sleep Medicine
Sleep is the foundation that everything else stacks on. Hormone-led sleep optimization, structured sleep hygiene, and pharmacologic options when indicated — without next-day fog.
Metabolic & Weight Optimization
Physician-led weight loss programs built on metabolic markers and hormone balance — not a one-size-fits-all protocol. Honest about medications, honest about lifestyle, focused on sustainable composition.
Longevity starts with a baseline.
Before we optimize, we look. The Life Plan workup gives us the full biomarker baseline to optimize against — and the data to re-check progress over time.
One physician. A plan that evolves.
A 90-minute to two-hour root-cause consult and a comprehensive integrative workup — labs, hormones, metabolic, microbiome, autoimmune screening, osteopathic exam. The baseline that turns optimization from guessing into a plan.
One physician across systems, one plan that holds together.
What this looks like for you.
A non-exhaustive list of where the Longevity pathway tends to land. Most plans touch several of these — because they're connected.
Hormones & vitality
- Bioidentical HRT for men & women
- Perimenopause & menopause
- Andropause & low testosterone
- Post-surgical hormone management
- Libido, energy, mood, motivation
Metabolic & longevity
- Medical weight loss & body composition
- Pre-diabetes & metabolic syndrome reversal
- Sleep optimization
- Peptide therapy (healing, metabolic, cognitive)
- Energy, focus, longevity biomarkers
I sleep through the night for the first time in two years — and my labs finally match how I feel.
Two other pathways.
Each one flows into the same integrative workup — calibrated to where you are and what you're after.
What's wrong with me?
You've seen specialists and still don't have answers. Comprehensive workup across gut, hormones, joints, metabolic, autoimmune — finding the root cause others missed.
Explore Integrative Medicine ›I'm medically or physically broken.
Post-injury, post-surgical, post-stroke, chronic pain. Osteopathic manipulation and regenerative therapies as a non-surgical path back to function.
Explore Regenerative Recovery ›The next thirty years are a plan.
A first consult is 90 minutes to two hours. Bring labs, history, sleep notes, and a clear sense of where you want to be in five and ten years — we'll build it backwards.
Orlando, FL 32814