Functional Endocrinology & Personalized Hormonal Care
We take a deeper, more personal approach to endocrine health — combining conventional endocrinology with Functional Medicine principles to understand not only your laboratory results, but the complete picture of your health.
Our goal is to give you the time, attention and individualized care needed to understand the connections between your hormones, metabolism, nutrition and overall well-being.
A Different Approach to Endocrinology
At Functional Endocrinology, we believe that good endocrine care begins with understanding the patient — not just the laboratory results.
Hormones interact with metabolism, nutrition, cardiovascular health, reproductive health, sleep, energy, body composition and many other systems in the body.
That is why our approach combines conventional endocrinology with Functional Medicine principles to look at the connections between your symptoms, medical history, laboratory findings and overall health.
More Than Your Laboratory Results
A laboratory reference range is important, but it does not always tell the complete story.
We evaluate your symptoms, medical history, previous laboratory results, medications, lifestyle, nutrition and metabolic health together.
Our goal is to understand why you feel the way you do — not simply determine whether a number falls within a laboratory reference range.
More Time to Understand Your Health
Complex hormonal and metabolic concerns cannot always be addressed during a rushed medical visit.
Our approach is intentionally more personal. When appropriate, appointments may be longer to give our providers the time to listen carefully, review previous testing, discuss your symptoms and understand your complete medical history.
We believe that taking the time to understand the patient is an essential part of providing individualized endocrine care.
Conventional Endocrinology + Functional Medicine
We combine evidence-based endocrinology with Functional Medicine principles to provide a more comprehensive evaluation of hormonal and metabolic health.
Depending on your individual situation, this may include a deeper look at hormonal balance, thyroid function, insulin resistance, nutritional status, inflammation, gut health, metabolism and other systemic factors.
Instead of treating one isolated symptom or laboratory value, we look for connections that may help us better understand the complete picture.
When Everything Looks “Normal” — But You Still Don't Feel Well
Have you seen several doctors or specialists and repeatedly been told that your laboratory results are normal — but you are still tired, struggling with your weight or simply do not feel like yourself?
There may be more to investigate.
Rather than automatically labeling these symptoms as Chronic Fatigue Syndrome, we take a deeper and more individualized approach to understanding what may be contributing to the way you feel.
A Deeper, Individualized Workup
Depending on your symptoms and medical history, our evaluation may explore hormonal health, thyroid function, nutritional deficiencies, insulin resistance, metabolism, inflammation, gut health, sleep, medications and other systemic factors.
The goal is not simply to perform more testing. The goal is to identify clinically relevant factors that may help explain your symptoms and guide your treatment.
Our Areas of Expertise
Our practice provides personalized evaluation and treatment for a wide range of endocrine, hormonal and metabolic conditions, with particular attention to the connections between hormones, metabolism and long-term health.
PMOS – Formerly PCOS
Polyendocrine Metabolic Ovarian Syndrome (PMOS), formerly known as Polycystic Ovary Syndrome (PCOS), is much more than a reproductive condition. It may involve insulin resistance, androgen excess, menstrual irregularities, fertility concerns, weight regulation, lipid abnormalities and long-term metabolic health. Our approach evaluates PMOS as a complex hormonal and metabolic condition rather than focusing only on ovarian or reproductive symptoms.
Clinical Expertise Supported by Published Research
Dr. Naila Goldenberg has extensive clinical and research experience in PCOS/PMOS, insulin resistance and metabolic health. She has co-authored multiple scientific publications with her mentor, Dr. Charles Glueck, including research examining obesity and metabolic dysfunction in women with PCOS, insulin resistance, metformin therapy and pregnancy outcomes in women with PCOS. This research background continues to influence Dr. Goldenberg's clinical approach today — looking beyond reproductive symptoms to understand the broader endocrine and metabolic factors that may affect each patient.
Research That Translates Into Patient Care
For patients with PMOS, this means looking beyond menstrual cycles and hormone levels. Our evaluation may also consider insulin resistance, glucose metabolism, weight regulation, cholesterol abnormalities, cardiovascular risk and other metabolic factors that can influence both current symptoms and long-term health.
Perimenopause & Menopause Hormone Optimization
Hormonal changes can begin years before menopause and may affect sleep, energy, body composition, mood, sexual health, bone health and overall well-being. We provide individualized evaluation for women during perimenopause, menopause and beyond, considering symptoms together with laboratory findings, medical history, metabolic health and personal health goals. When medically appropriate, treatment may include individualized hormone optimization and hormone replacement therapy.
Men's Hormonal Health & Optimization
Hormonal health can influence energy, metabolism, muscle mass, body composition, sexual health and healthy aging in men. We evaluate testosterone together with other hormonal and metabolic factors rather than looking at one laboratory result in isolation. When medically appropriate, individualized hormone optimization may become part of the treatment plan.
Individualized Hormone Replacement Therapy
Hormone replacement should never be one-size-fits-all. Our treatment plans are based on symptoms, medical history, laboratory findings, individual risk factors and personal health goals. Treatment options may include conventional hormone replacement therapies and hormone pellets when medically appropriate. We provide individualized hormonal care for both cisgender and transgender patients.
Hashimoto's Disease Can Begin Before Hypothyroidism
Hashimoto's thyroiditis is an autoimmune condition that may begin long before routine thyroid testing shows overt hypothyroidism. Autoimmune thyroid disease can progress through different stages, with thyroid antibodies and immune activity appearing while thyroid hormone production may still remain within laboratory reference ranges. Understanding the earlier stages of autoimmune thyroiditis can provide a more complete picture of thyroid health before overt hypothyroidism develops.
A More Complete Thyroid Evaluation
When clinically appropriate, our evaluation may consider thyroid hormone levels, thyroid antibodies, symptoms, medications, nutritional factors, metabolic health and other conditions that may influence thyroid function. We evaluate the patient together with the laboratory results rather than treating one thyroid number in isolation.
Insulin Resistance, Prediabetes & Type 2 Diabetes
Insulin resistance, prediabetes and Type 2 diabetes are part of a metabolic continuum. Changes in insulin sensitivity may begin years before blood glucose reaches the diagnostic threshold for diabetes. Identifying metabolic abnormalities earlier may provide an opportunity to address contributing factors before the condition progresses.
Understanding the Metabolic Continuum
Metabolic health does not suddenly change on the day a patient receives a diabetes diagnosis. Changes in insulin sensitivity, glucose metabolism, weight regulation and lipid levels can develop gradually over many years. Our approach considers these factors together to better understand each patient's current metabolic health and individual risk factors.
Advanced Cholesterol & Lipid Disorders
Cholesterol disorders can be much more complex than an elevated total cholesterol or LDL level. Dr. Goldenberg has extensive experience in cholesterol and metabolic medicine, including work with the Cholesterol and Metabolism Center and the management of patients with complex and inherited lipid disorders. Our approach considers lipid levels together with family history, metabolic health and overall cardiovascular risk.
Familial Hyperlipidemia, Triglycerides & Lp(a)
We evaluate and manage complex lipid conditions including familial hypercholesterolemia, hypertriglyceridemia, elevated LDL cholesterol, elevated Lipoprotein(a) — Lp(a) — and mixed lipid disorders. For patients with a strong family history of abnormal cholesterol or cardiovascular disease, a more detailed evaluation may help identify inherited and metabolic risk factors that are not always apparent on a basic lipid panel.
Our Team
Meet Dr. Naila Goldenberg
Endocrinology With a Functional Medicine Perspective
Dr. Naila Goldenberg combines extensive experience in endocrinology, diabetes, cholesterol and metabolic medicine with a personalized Functional Medicine approach.
Her clinical philosophy focuses on understanding the connections between hormones, metabolism, nutrition and overall health while giving patients the time and attention needed to address complex medical concerns.
Her scientific background includes multiple peer-reviewed publications with her mentor, Dr. Charles Glueck, particularly in PCOS/PMOS, insulin resistance, metabolism, obesity, metformin therapy and pregnancy outcomes.
Adrenal Insufficiency & Advanced Cortisol Management
Our practice also provides specialized evaluation and treatment for adrenal disorders, including adrenal insufficiency.
Adrenal insufficiency requires careful diagnosis, individualized medication management and ongoing monitoring.
For selected patients with complex adrenal insufficiency, advanced treatment strategies including cortisol pump therapy may be considered when medically appropriate.
To request an appointment contact our team
We diagnose and treat patients with diseases of the endocrine system including adrenal, thyroid, bone, pituitary, and metabolic disorders.
"Let's create a community of people, who want to improve their lives and health through a change in lifestyle, behavior, and empowerment."
Why Choose Functional Endocrinology?
We Listen First
Your symptoms and your experience matter.
We believe that listening carefully to your story is an essential part of understanding endocrine and metabolic health. Important information about how you feel cannot always be found in a laboratory report.
More Time. More Attention. More Personalized Care.
Our care model allows more time when a patient's condition requires it. This gives us the opportunity to review your history, previous laboratory results, medications and symptoms more carefully — while also giving you more time to ask questions and understand your treatment options.
Treatment Designed Around You
No two patients have exactly the same hormonal, metabolic or medical history. Our recommendations are developed according to the individual patient rather than automatically applying the same protocol to everyone with the same diagnosis.
Advanced Testing When Appropriate
When routine testing does not provide the complete answer, additional hormonal, metabolic, nutritional or specialized testing may be considered according to your symptoms and clinical situation. Testing is selected individually and should always have a clear clinical purpose.
What Our Patients Say
Many of our patients come to Functional Endocrinology looking for a more personal and comprehensive approach to their hormonal and metabolic health.
We are grateful for the trust our patients place in our team and for the experiences they share about their care.
Looking for More Than a Routine Endocrinology Visit?
If you are dealing with hormonal changes, thyroid disease, PMOS, insulin resistance, diabetes, cholesterol abnormalities or persistent symptoms that have not been fully explained, we invite you to take a deeper look at your health.
At Functional Endocrinology, our approach is personal, thorough and focused on understanding the complete picture — not simply treating a laboratory number.