
Eterna Vitality & Wellness™
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Reverse Disease. Extend Healthspan. Optimize Vitality.
Physician-led hormone optimization and regenerative medicine that doesn't just manage symptoms—it reverses measurable disease markers and adds years to your life.
Eterna Vitality & Wellness is a 100% virtual practice specializing in Integrative Bioidentical Hormone Optimization and Regenerative Longevity Medicine.


If you've been diagnosed with PCOS, you've probably been told:
"Take birth control pills to regulate your periods."
"Lose weight and your symptoms will improve."
"There's no cure—you'll just have to manage it."
Here's what most doctors don't tell you:
PCOS isn't a "period problem" that birth control fixes. It's a complex metabolic and hormonal condition involving insulin resistance, androgen excess, chronic inflammation, and disrupted ovulation—and it significantly increases your long-term risk for type 2 diabetes, cardiovascular disease, and endometrial cancer.
Birth control suppresses symptoms. It doesn't address root causes.
At Eterna Vitality & Wellness™, we don't mask PCOS—we treat the underlying biology driving it.
Polycystic Ovary Syndrome affects approximately 10% of women of reproductive age, yet most receive minimal treatment beyond birth control pills—which do nothing to address the metabolic dysfunction, insulin resistance, or inflammation driving the condition.
PCOS is fundamentally a metabolic and endocrine disorder involving:
1. Insulin Resistance (the primary driver in most cases)
Your cells become resistant to insulin, forcing your pancreas to produce more. Elevated insulin drives androgen production, disrupts ovulation, and promotes fat storage—particularly abdominal fat.
2. Androgen Excess (high testosterone, DHEA-S, or DHT)
Elevated androgens cause hirsutism (unwanted facial/body hair), acne, scalp hair loss, and anovulation (lack of ovulation).
3. Chronic Low-Grade Inflammation
Women with PCOS have elevated inflammatory markers (CRP, IL-6) that worsen insulin resistance and increase cardiovascular risk.
4. Hormonal Imbalance
Disrupted FSH/LH ratios, low progesterone (due to lack of ovulation), and often thyroid dysfunction that compounds metabolic problems.
5. Thyroid Receptor Insensitivity
Suboptimal thyroid response exacerbates the patient's dysfunctional glucose control.
Why birth control fails: It artificially creates a "period" and suppresses androgens temporarily—but does NOTHING to improve insulin sensitivity, reduce inflammation, or restore natural ovulation. When you stop birth control, symptoms return because the root causes were never addressed.
Our protocol addresses ALL the factors driving PCOS—not just menstrual irregularity.
1. Comprehensive Diagnostic Testing
We run far more than basic PCOS labs. We need to see the complete picture:
Hormone Panel:
Total testosterone, free testosterone, DHEA-S, DHT
FSH, LH (checking the ratio)
Estradiol, progesterone
Sex hormone binding globulin (SHBG)
Prolactin
Complete thyroid panel (TSH, Free T3, Free T4, Reverse T3, antibodies)
Metabolic Panel:
Fasting insulin (critical—often not checked)
Fasting glucose
HbA1c (average blood sugar over 3 months)
Lipid panel
Liver function (women with PCOS have higher rates of fatty liver)
Inflammatory Markers:
High-sensitivity CRP
ESR (sedimentation rate)
Micronutrients:
Vitamin D (deficiency common in PCOS)
Magnesium
B12, folate
Iron panel
Insulin resistance is the primary driver in approximately 70% of PCOS cases. Improving insulin sensitivity often resolves or significantly improves ALL other symptoms.
Our insulin optimization strategies:
GLP-1 therapy when indicated: Semaglutide and Tirzepatide are game-changers for PCOS. They improve insulin sensitivity, reduce appetite, promote weight loss, and often restore regular ovulation—all while reducing long-term diabetes risk.
Metformin when appropriate: Still a valuable tool for insulin sensitization, particularly when combined with lifestyle optimization.
Nutritional intervention: Anti-inflammatory, Glutathione supplementation, blood sugar-stabilizing nutrition protocols tailored to PCOS. We focus on reducing refined carbohydrates, optimizing protein intake, and incorporating foods that support insulin sensitivity.
Targeted supplementation: Inositol (particularly myo-inositol and d-chiro-inositol), berberine, alpha-lipoic acid, chromium, and magnesium—all evidence-based for PCOS management.

Bioidentical progesterone: Many women with PCOS don't ovulate regularly, leading to low progesterone and unopposed estrogen. This increases endometrial cancer risk. We optimize progesterone—continuously to support regular cycles and for endometrial protection.
Testosterone management: If androgens are significantly elevated, we address this through insulin sensitization (which lowers androgens naturally) and, when needed, targeted androgen-blocking strategies.
Thyroid optimization: Thyroid dysfunction is extremely common in PCOS and worsens metabolic symptoms. We optimize thyroid function aggressively—not just "within range," but truly optimal.
Chronic inflammation worsens insulin resistance and increases cardiovascular risk. We reduce inflammatory load through:
Anti-inflammatory nutrition strategies
Omega-3 fatty acid optimization
Vitamin D optimization (most women with PCOS are deficient)
Targeted anti-inflammatory supplementation
Stress management (cortisol dysregulation worsens PCOS)
Here's what most doctors miss: Your thyroid labs can look "normal" while your cells aren't actually responding to thyroid hormone properly. This is thyroid receptor insensitivity—and it's particularly common in women with PCOS.
Why this matters in PCOS:
Insulin resistance doesn't just affect how your cells respond to insulin—it also impairs thyroid hormone receptor sensitivity. Your thyroid gland produces hormone, your blood tests show "normal" levels, but your cells aren't responding effectively. The result? Hypothyroid symptoms despite "normal" labs.
Symptoms of thyroid receptor insensitivity:
Persistent fatigue despite adequate sleep
Weight resistance (especially when insulin resistance is also present)
Cold intolerance
Brain fog and poor concentration
Hair loss or thinning
Dry skin
Constipation
Depression or low mood
The testing problem:
Standard thyroid testing (TSH, Free T4) often appears normal because your thyroid gland IS producing hormone. But these tests don't reveal whether your cells are actually USING that hormone effectively.
How we identify it:
We look at the complete picture:
Complete thyroid panel (TSH, Free T3, Free T4, Reverse T3, antibodies)—not just TSH
Reverse T3 is critical: High Reverse T3 indicates cellular hypothyroidism even when Free T3 looks normal
Free T3/Reverse T3 ratio—tells us if thyroid hormone is being converted to its active form or its inactive form
Clinical symptoms despite "normal" labs—the most important indicator
Response to insulin sensitization—often improves thyroid receptor function
Our approach to thyroid receptor insensitivity:
First: Address insulin resistance
Improving insulin sensitivity often improves thyroid hormone receptor sensitivity. This is why GLP-1 therapy, metformin, Continuous Glucose Monitoring and nutritional insulin sensitization can dramatically improve thyroid symptoms—even without thyroid medication.
Second: Optimize thyroid hormone levels
We don't accept "within range"—we optimize to truly healthy levels. Many women need Free T3 in the upper half of the normal range to feel well.
Third: Support T4-to-T3 conversion
We ensure adequate selenium, zinc, and iron (all required for converting T4 to active T3). We address factors that increase Reverse T3 (stress, inflammation, nutritional deficiencies).
Fourth: Consider T3 supplementation when needed If your body isn’t converting T4 to T3 efficiently, adding T3 (liothyronine) or switching to a combination T4/T3 medication, or preferably by adding desiccated thyroid hormone (which adds T1-T4), often results in dramatic improvement.
Fifth: Reduce inflammatory load
Chronic inflammation impairs thyroid receptor function. Anti-inflammatory nutrition, omega-3 optimization, and stress management all improve cellular thyroid hormone sensitivity.
Why this matters:
When we address both insulin resistance AND thyroid receptor insensitivity simultaneously, women often experience breakthrough improvements that weren't possible when treating either condition alone. Energy returns, weight loss becomes possible, brain fog clears, and overall metabolic function improves.
Here's what research shows about PCOS and oxidative stress: Women with PCOS have significantly elevated oxidative stress and depleted antioxidant defenses compared to women without PCOS—and this oxidative damage directly worsens insulin resistance, accelerates metabolic dysfunction, impairs egg quality, and increases long-term disease risk.
Yet oxidative stress is rarely addressed in conventional PCOS treatment.
What is oxidative stress?
Oxidative stress occurs when your body produces more free radicals (reactive oxygen species) than your antioxidant systems can neutralize. Think of it like rust forming inside your cells—damaging cellular structures, DNA, proteins, and lipids.
Why oxidative stress is particularly severe in PCOS:
Women with PCOS face a "perfect storm" for oxidative damage:
Insulin resistance generates oxidative stress (high insulin and glucose create free radicals)
Chronic inflammation produces oxidative stress (inflammatory markers like CRP correlate with oxidative damage)
Androgen excess increases oxidative stress (elevated testosterone contributes to free radical production)
Mitochondrial dysfunction (the cellular "powerplants" don't work efficiently, creating more oxidative byproducts)
Depleted antioxidant reserves (glutathione, SOD, catalase levels are lower in women with PCOS)
The vicious cycle:
Oxidative stress worsens insulin resistance → worsening insulin resistance generates more oxidative stress → creating a downward spiral that accelerates metabolic dysfunction.
How oxidative stress damages your health in PCOS:
1. Worsens insulin resistance: Oxidative damage impairs insulin receptor function and glucose metabolism
2. Impairs ovarian function: Free radicals damage ovarian follicles, disrupting ovulation and reducing egg quality
3. Reduces fertility: Oxidative stress in follicular fluid damages eggs, reducing conception rates and increasing miscarriage risk
4. Accelerates metabolic disease: Oxidative damage to blood vessels, pancreatic beta cells, and liver cells accelerates progression toward diabetes and cardiovascular disease
5. Increases inflammation: Oxidative stress and inflammation feed each other in a destructive cycle
6. Causes premature aging: Cellular oxidative damage is a primary mechanism of aging
The Role of Glutathione: Your Body's Master Antioxidant
Glutathione is the most powerful antioxidant your body produces. It:
Neutralizes free radicals before they damage cells
Recycles other antioxidants (Vitamin C, E) so they can keep working
Supports detoxification (binds toxins in the liver for elimination)
Protects mitochondrial function (critical for energy production)
Reduces systemic inflammation
Supports immune function
The problem: Women with PCOS have significantly lower glutathione levels than women without PCOS—leaving them vulnerable to oxidative damage.
Research shows: Restoring glutathione levels improves insulin sensitivity, reduces inflammation, improves ovarian function, and enhances fertility outcomes in women with PCOS.
Our Approach to Glutathione Optimization:
Step 1: Measure Oxidative Stress & Antioxidant Status
We assess:
Glutathione levels (when testing is available)
Inflammatory markers (high-sensitivity CRP, homocysteine)—inflammation and oxidative stress correlate closely
Step 2: Support Endogenous Glutathione Production
Your body makes glutathione from three amino acids: cysteine, glutamine, and glycine. We optimize production through:
NAC (N-Acetylcysteine) and other Eterna proprietary micronutrient blends:
The most effective oral supplement for raising glutathione levels
Research in PCOS shows NAC improves insulin sensitivity, restores ovulation, and improves pregnancy rates
Well-tolerated, evidence-based, cost-effective
Step 5: Track Improvement
We monitor response through:
Symptom improvement (energy, cycle regularity, skin, hair)
Metabolic markers (fasting insulin, HbA1c, lipids)
Inflammatory markers (CRP, homocysteine)
Hormone levels (often improve as oxidative stress decreases)
Fertility outcomes when relevant
Expected Outcomes from Eterna Glutathione Optimization Protocols:
Most women notice:
Improved energy (mitochondria function better with less oxidative damage)
Better insulin sensitivity (often see fasting insulin drop within 2-3 months)
Reduced inflammation (CRP decreases)
Clearer skin (less oxidative damage and inflammation)
Improved cycle regularity (better ovarian function)
Enhanced fertility (better egg quality, improved conception rates)
Better overall wellbeing (reduced cellular stress translates to feeling better)
Why This Approach Works:
Oxidative stress isn't just a consequence of PCOS—it's an active driver of worsening metabolic dysfunction. By addressing glutathione depletion and oxidative damage, we break the vicious cycle and allow other treatments (insulin sensitization, hormone optimization, anti-inflammatory protocols) to work more effectively.
This is cellular-level healing—not just symptom suppression.

Weight loss improves PCOS symptoms—but women with PCOS have a much harder time losing weight due to insulin resistance and hormonal imbalances. That's why addressing the biology FIRST is critical.
When clinically appropriate, we integrate:
GLP-1 therapy (Semaglutide, Tirzepatide)
Metabolic optimization protocols
Body composition tracking (preserve muscle while losing fat)
Nutritional strategies specific to PCOS
Research shows: Even 5-10% weight loss in women with PCOS significantly improves insulin sensitivity, reduces androgen levels, and restores ovulation in many cases.
PCOS is the leading cause of anovulatory infertility—but it's often highly treatable when you address insulin resistance and hormone balance.
Our approach restores natural ovulation in many women, eliminating the need for fertility drugs for many or significantly reducing the total number of IVF cycles for those who opt for Assisted Reproductive Technology:
Insulin sensitization (often restores ovulation naturally)
Hormone optimization (supporting regular cycles)
Nutritional protocols to improve egg quality
Targeted supplementation (inositol, CoQ10, NAC)
Partner optimization when appropriate
Many women who were told they'd need IVF conceive naturally once their metabolic and hormonal dysfunction is corrected.
Most women see significant improvements within 6-8 months:
Menstrual Regularity: Restoration of regular, predictable cycles (often within 2-3 months of treatment)
Reduced Hirsutism: Decreased facial and body hair growth (takes 6-12 months as hair growth cycles are slow)
Skin Improvements: Significant reduction in acne, often within 2-3 months
Weight Loss Success: When weight loss has been resistant, addressing insulin resistance often unlocks fat loss
Improved Energy & Mood: Stable blood sugar and hormone balance dramatically improve energy levels and emotional stability
Enhanced Fertility: Restoration of ovulation in many women, improved pregnancy rates
Reduced Long-Term Risk: Improved insulin sensitivity reduces risk of type 2 diabetes, cardiovascular disease, and endometrial cancer
Untreated PCOS isn't just about irregular periods and unwanted hair. It's about your long-term health:
Women with untreated PCOS have:
4x higher risk of type 2 diabetes
Higher rates of cardiovascular disease
Increased risk of endometrial cancer (from unopposed estrogen)
Higher rates of fatty liver disease
Increased risk of sleep apnea
Higher rates of anxiety and depression
Treating PCOS isn't cosmetic. It's preventive medicine.
You're a good candidate for our PCOS program if you:
✓ Have been diagnosed with PCOS (or suspect you have it based on symptoms)
✓ Experience irregular or absent periods
✓ Struggle with hirsutism (excess facial/body hair), acne, or scalp hair loss
✓ Have difficulty losing weight despite diet and exercise
✓ Have been told you have insulin resistance or prediabetes
✓ Are experiencing fertility challenges
✓ Want to address root causes, not just suppress symptoms with birth control
✓ Are willing to make nutritional and lifestyle changes alongside medical treatment
All prospective patients begin with a Ground Zero: First Step Session with Dr. Renée Allen, MD.
This is a 35-minute initial consultation where Dr. Renée will:
Review your health history, symptoms, and goals
Explain how the practice works and what comprehensive PCOS treatment looks like
Determine if Eterna is the right fit for your needs
Answer your questions about the approach, timeline, and investment
This is a "get to know you" session to see if we're a good fit to partner together.
Once you become a patient, you'll have comprehensive consultations (+90 minutes) where Dr. Renée will:
Order your complete diagnostic testing (35-marker panel)
Review your lab results in detail
Design your personalized PCOS treatment protocol addressing insulin resistance, hormone imbalance, inflammation, oxidative stress, thyroid function, and your specific goals
Create your supplement and medication protocols
Provide ongoing monthly monitoring and adjustments
Your treatment includes:
Monthly physician access and protocol adjustments
Access to pharmaceutical-grade GLP-1 therapy when indicated
Bioidentical hormone therapy (progesterone, thyroid optimization)
Glutathione optimization protocols
Targeted supplementation (NAC, inositol, cofactors)
Nutritional guidance specific to PCOS
Comprehensive lab tracking to monitor improvement
All medications, peptides, and supplements are available through our exclusive Eterna VitalRx Dispensary for your convenience.
Your PCOS treatment is managed through our membership model:
Ground Zero: First Step Session: (35-minute initial consultation - schedule HERE)
Monthly membership (once you become a patient) covers physician access, comprehensive consultations, protocol adjustments, and ongoing care coordination.
Lab testing and all therapeutics—including GLP-1 medications, bioidentical hormones, glutathione protocols, supplements, and testing—are recommended individually based on clinical need and billed separately.
Detailed membership pricing and treatment costs are reviewed during your Ground Zero session based on your specific needs and goals.
HSA/FSA accepted for eligible expenses.
Our experienced care team treats patients using the latest advancements in weight loss and weight management.
Access virtual monthly consultations and simple online ordering of medications within the Eterna VitalRx Dispensary.
You can conveniently book extra follow-up consults within your HIPAA-compliant patient portal to get one-on-one guidance and discuss any concerns.
We go deeper to get to the root causes and create a treatment plan as unique as you are.
Work with our physicians to find the weight loss treatments that fit you best.
We also offer BHRT, Sexual Wellness, Injectable Nutrition, Anti-aging Therapy and more!
Don't worry, Dr. Renée and the Eterna Team can help!



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