Rose MD Aesthetics is a physician-run med spa in Troy where hormone care sits alongside lasers, injectables and medical weight loss. Dr. Mahmood is the medical director and a certified Biote provider, and he treats menopause in women and andropause in men. Care starts with a consultation and full bloodwork rather than a prescription, and the doctors read hormone levels next to thyroid and metabolic markers before anything is prescribed. Hormones are compounded to each prescription and given as pellets placed under the skin near the hip, or as creams, patches and capsules, with follow-up labs to fine tune the dose. The practice runs a women's wellness and intimate health program that includes a laser treatment for stress urinary incontinence, always performed by one of the physicians. He says his own struggle with weight after residency is what turned him toward this kind of medicine.
Somerset Gynecology and Obstetrics is a seven physician obstetrics and gynecology practice with one office in Troy. Dr. Paladino treats patients from childhood through old age, with stated medical interests in anovulatory syndromes and menopausal hormone management. The practice says it offers traditional hormone replacement therapy and bioidentical hormone treatments, and it treats osteoporosis prevention as part of menopause care. Dr. Paladino is also a minimally invasive surgeon who operates laparoscopically and robotically, including a single site robotic approach. The practice page describes Dr. Paladino as an LGBTQIA friendly physician who provides gynecologic care and gender affirming hysterectomy to transgender men. The office runs diVa laser vaginal therapy for dryness and painful sex.