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Monday 9am - 4:30pm Tuesday 9am - 4:30pm Wednesday 9am - 4:30pm Thursday 9am - 4:30pm Friday 9am - 4:30pm

Forza Health

Helping patients feel stronger, live longer, and restore balance through personalized primary care, hormone therapy, and wellness.
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05/28/2026

Estrogen and Brain Health—What the Research Says:

The relationship between estrogen and cognitive function is one of the most compelling areas in women's health research.

Estrogen receptors are found throughout the brain, including in regions responsible for memory and executive function. During perimenopause and menopause, declining estrogen levels correlate with increased reports of brain fog, word-finding difficulties, and memory lapses.

The 'critical window' hypothesis suggests that hormone therapy initiated within 10 years of menopause onset may be protective against cognitive decline. Studies from the Cache County Study and WHIMS-Y trial have added nuance to this conversation.

The Cache County Study on Memory in Aging is a long-term, population-based observational study of older adults in Utah. It revealed that women who initiated hormone therapy within five years of menopause had up to a 37% reduced risk of Alzheimer’s disease, especially when used for a decade or longer. However, the study found no cognitive protection for women who began hormone treatments five or more years after menopause.

The WHIMS-Y (Women's Health Initiative Memory Study of Younger Women) was a clinical trial designed to specifically evaluate the cognitive effects of hormone therapy on postmenopausal women aged 50 to 55. By examining the younger demographic, the WHIMS-Y trial contributed to clinical consensus that hormone therapy does not hold a high risk for cognitive decline and may offer cognitive stability when prescribed closer to the onset of menopause.

Importantly, the form and route of hormone delivery matter. Transdermal estradiol does not carry the same thromboembolic risk as oral conjugated equine estrogen—a distinction that significantly changes the risk-benefit calculation.

This is why individualized hormone therapy, guided by labs and symptoms, matters.

05/09/2026

Blood draw skills a must

04/05/2026

So far I really like these straps from . I remember way back when Seth Feroce and DLB advertised for the isolator straps before they became a meal prep cooler company, at the time I thought it looked pointless. Fast forward 15 years and after having aggravating forearm tightness in my brachioradialis/pronator teres on pull down movements, I have been looking for something similar. Using this on some of my pull movements for a couple of weeks and my forearms already feel better and I can go to true failure on pull downs. Dumbbell curls at the end of back even feel better without my forearms already being overly tight. Peptides help but by it’s an uphill battle until movement patterns are addressed. Trying to follow my own advice of if it’s aggravating the pain, it won’t get better until you stop doing it over and over.

04/03/2026

Offering advanced fertility protocols for men without stopping TRT. I’ve seen plenty of men go from a “zero” to fertile despite what others have told them.

My sister sent me this AI picture, which I typically find annoying when people post them. Figured why not I do kinda like it. So I apologize in advance if you’re like me. 🤦🏻‍♂️

03/14/2026

Honored and grateful to have patients travel from New Mexico, Massachusetts, and Alabama to be seen in the clinic over the past two days. All through word of mouth—probably not the kinky Instagram posts.

03/13/2026

I wanted to elaborate on this after seeing a post that was made about prostate cancer and testosterone.
Testosterone therapy has not been shown to increase the risk of developing prostate cancer in middle-aged or older men who have low testosterone.
One thing to know is that starting testosterone treatment often causes a small rise in PSA (a blood marker related to the prostate). On average, PSA may increase slightly. Because doctors monitor PSA closely, this can sometimes lead to more prostate tests or biopsies. As a result, some men may be diagnosed with small, low-grade prostate cancers that might otherwise never have been found.

So, what about androgen receptors and prostate cancer, and why anti-androgens are used to treat it?

Prostate tissue can only respond to testosterone up to a certain point. When testosterone levels are extremely low, prostate tissue and prostate cancer cells are very sensitive to increases in testosterone. As testosterone rises from very low levels, growth signals increase. These medications lower testosterone levels to a "castration level" to be effective. But once testosterone reaches a normal range, the prostate’s hormone receptors become essentially “full.” After that point, raising testosterone further does not meaningfully increase prostate stimulation or cancer growth.
Another important observation is that men with low testosterone do not have lower rates of prostate cancer than men with normal testosterone, and men with very high testosterone levels do not have higher rates either. Restoring testosterone in men who are deficient has not been shown to increase the number of prostate cancer cases compared with men who are not treated.

12/22/2025

My little workspace here

11/26/2025

I’ve had a couple people ask about hamstring and glute workouts recently as far as exercise selection and order. So here is what I’ve been doing from start to finish. I alternate a couple exercises each week with other ones but this is the gist of it. Not much rest between sets, some people gotta go to work. This is not a personal training clinic btw. I can help you optimize hormones, health, diet, and recovery so training will be much more enjoyable and effective.
1. Warm up, prime, and pre exhaust hamstrings
2. Priming/warming up glutes, all I’m training to work here
3. Straight sets, just hitting them here
4. Hamstrings are a little fried, not much weight needed so a reduced load for the back.
5. Calves (intermission)
6. Just surviving at this point

11/25/2025

1. I don’t do 90 degree presses anymore, presses no longer cause issues. Presses hit front delts no matter how you do them, might as well do them at an optimal joint angle.
2. Why T-backs are a thing
3. Low dose tirzepatide, why not a triple agonist? No reason to adjust or change, if it’s not broke don’t fix it (in my case). HbA1c is under 5, digestion has improved with it, I honestly eat a little more on it and conditioning stays a bit better. I’ve been tempted to try the newer one but can’t find a reason to in my case.

11/04/2025

Some interesting results from a study in Japan looking at a SGLT2 inhibitor and telomere lengthening. These results look like they are not just directly related to improved glucose control but other mechanisms specifically associated with this drug class. Bodybuilders must monitor HCT/HGB levels if using this for renal protection or longevity as this increases these lab markers. For the population studied for these medications, it is usually an added benefit. These medications are quite expensive for most, but there are compounded versions made for unique needs that are affordable.

Address

913 Conference Drive STE 103
Goodlettsville, TN
37072

Opening Hours

Monday	9am - 4:30pm
Tuesday	9am - 4:30pm
Wednesday	9am - 4:30pm
Thursday	9am - 4:30pm
Friday	9am - 4:30pm

Website

http://www.forzahealthservices.com/

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