Mila McManus MD, DABFM and Associates

FAQs

Below are some of the most frequently asked questions at The Woodlands Institute for Health & Wellness, from questions about hormone therapy to questions about quality doctors in The Woodlands and Houston. If you have a question that is not answered below, please contact us.

General

We do not contract with insurance companies or file insurance claims on your behalf. We want to provide you with high quality, unrestricted healthcare, not guided by insurance codes and insurance contracts. Payment is appreciated and expected at the time of service. We’re happy to provide you with a detailed superbill to submit to your insurance company for possible out-of-network reimbursement.

Our goal is always to provide meaningful support and guidance, but sometimes our approach may not be the best fit for every individual’s needs. That’s why we begin with a thorough consultation and comprehensive lab work—to ensure we fully understand your health picture and can create a tailored plan. If we determine that another type of care would better serve you, we’ll make recommendations to help you find the right path forward.

Once you decide to become a patient, you’ll place a deposit to secure your initial appointment. We’ll then set you up in our portal so that you can complete several electronic forms, including a comprehensive medical history questionnaire, consent and financial agreements, and acknowledgment of our insurance policy. Your first visit typically lasts about 2.5 to 3 hours from the time you walk in the front door to the time you leave. This includes checking in, meeting with a medical assistant for vital signs, meeting with your healthcare provider, making decisions about initial testing and treatment, and checking out which will include scheduling future appointments.

We offer a variety of programs tailored to different needs, from hormone optimization and thyroid care, to cancer care, detox, weight loss, and more. To determine which program best suits your goals, we invite you to explore our website or contact our team directly. Our wellness consultants will gladly discuss your health history and guide you to the most appropriate program.

Bioidentical Hormones

Aging is a natural process, but many of the effects of aging are linked to declining hormone levels, accumulated cellular damage, inflammation, and oxidative stress. While aging is normal, symptoms like fatigue, memory loss, thinning bones, and reduced vitality often stem from imbalances that can be supported through lifestyle changes, nutrition, and targeted therapies to help you age more slowly and healthfully.

Women have always experienced menopause and hormonal shifts. Historically, lifespans were shorter, and women often did not live long past menopause. Today, with longer life expectancies, women may spend 30–40% of their lives in a hormone-deficient state. Modern medicine provides options to maintain quality of life, reduce risks of osteoporosis and heart disease, and ease symptoms that can be disruptive.

Hormones are chemical messengers produced by glands like the thyroid, adrenals, ovaries, and testes. They travel through the bloodstream, telling organs and tissues what to do. Hormones regulate metabolism, mood, energy, sleep, immune function, sexual health, and much more. Keeping them balanced and optimized is essential for overall wellness.

Estrogen dominance means you have too much estrogen relative to progesterone, even if your estrogen levels aren’t excessively high. This imbalance can lead to symptoms like bloating, breast tenderness, mood swings, heavy periods, or increased risk of fibroids. Estrogen dominance is common during perimenopause when progesterone naturally starts to decline.

Check if you could be experiencing estrogen dominance with our questionnaire.

 

Birth control pills contain synthetic estrogens and progestins that can contribute to a state of estrogen dominance, especially if your body’s natural progesterone is low. They may suppress your hormone production, further disrupting your body’s natural balance over time.

While birth control pills can be very effective for preventing pregnancy and managing some menstrual symptoms, they also come with possible side effects, including:

  • Mood changes or depression
  • Weight changes
  • Headaches
  • Decreased libido
  • Increased risk of blood clots, stroke, or high blood pressure (especially in smokers or women over 35)
  • Potential nutrient depletion (like B vitamins and zinc)

 

PMS (premenstrual syndrome) often occurs due to fluctuating or imbalanced estrogen and progesterone levels in the second half of the cycle. Low progesterone relative to estrogen can lead to mood swings, irritability, bloating, headaches, and breast tenderness. Supporting healthy progesterone levels helps ease PMS symptoms.

Progesterone is a hormone primarily produced by the ovaries after ovulation. It prepares the uterine lining for pregnancy, supports mood and sleep, and balances the effects of estrogen. As women approach perimenopause or menopause, progesterone is usually the first hormone to decline.

Optimal progesterone levels can:

  • Help regulate menstrual cycles
  • Reduce heavy bleeding
  • Support mood stability and reduce anxiety
  • Improve sleep quality
  • Balance estrogen’s effects, lowering the risk of estrogen-related issues like fibroids or thickened uterine lining.

Low testosterone, also known as hypogonadism, is a condition in which the body doesn’t produce sufficient levels of the male hormone testosterone. Symptoms of low testosterone can include fatigue, weight gain, mood changes, loss of motivation, reduced libido, poor sleep, and mental fog. Test yourself for low testosterone to see if that’s what could be causing these symptoms.

Bioidentical hormones are chemically identical to your body’s natural hormones, typically derived from plant sources like yams or soy. They fit your body’s receptors exactly, mimicking your own hormones. Synthetic or “counterfeit” hormones (like those in birth control pills and most conventional hormone replacement therapies) are slightly altered versions designed for patentability. These structural differences can lead to different effects and sometimes more side effects.

Natural Thyroid

The thyroid is a small, butterfly-shaped gland at your neck’s base. It plays a significant role in regulating your body’s metabolism, energy production, temperature control, and even heart and digestive function. When your thyroid works properly, it helps keep your entire body balanced.

See if you’re experiencing low thyroid or hypothyroidism with our thyroid questionnaire

The thyroid primarily produces two hormones: thyroxine (T4) and triiodothyronine (T3). These hormones control how your body uses energy. The gland also makes calcitonin, which helps regulate calcium levels in the blood and bones.

As we age, thyroid function may gradually slow down. This can be due to natural cellular aging or autoimmune processes that affect the thyroid. Older adults are also more likely to develop thyroid nodules or an underactive thyroid (hypothyroidism).

Hypothyroidism is a condition where the thyroid gland doesn’t produce enough thyroid hormones. This slows down many of the body’s processes, leading to a variety of symptoms.

Common symptoms include:

  • Fatigue or low-energy
  • Weight gain or difficulty losing weight
  • Sensitivity to cold
  • Dry skin and hair
  • Hair loss or thinning
  • Constipation
  • Depression or low mood
  • Muscle aches and stiffness
  • Slowed heart rate

Because symptoms often develop slowly, they can be mistaken for normal aging.

The most common cause is Hashimoto’s thyroiditis, an autoimmune condition where the body attacks the thyroid. Other causes include iodine deficiency, certain medications, radiation treatment, or surgical thyroid removal. Aging itself can also increase the risk of hypothyroidism.

The most reliable way is through blood tests that check levels of:

  • TSH (Thyroid Stimulating Hormone) — Typically the first indicator
  • Free T4 and Free T3 — to measure actual thyroid hormone levels
  • Test for thyroid antibodies to check for autoimmune thyroid disease
  • Assess a patient’s symptoms

The standard treatment is thyroid hormone replacement therapy, most commonly with levothyroxine (synthetic T4). Some people explore natural desiccated thyroid extracts that contain both T4 and T3, or a compounded version made at specialty pharmacies. Treatment should always be personalized and closely monitored by the healthcare provider to ensure optimal hormone levels and symptom relief.

Functional & Regenerative Medicine

Learn more about energy medicine and ondamed with the video below:

Watch the video below to learn more about food sensitivities as a root cause of disease:

Learn more about adrenal fatigue by watching the video below:

Testing & Labs

If you’re curious about eating grains, watch the video below:

What Our Patients are Saying About Us

“If you are looking to make life changes and better your overall health, Dr. Mila McManus and staff are second to none! They have consistently been voted the “Best of the Best”, of the Functional and Integrated Medicine world, and are located right here in The Woodlands, TX. As a patient, I can attest to their knowledge and professionalism, and appreciate their continued guidance towards becoming my best self!” – by C.D.

“If you are looking to make life changes and better your overall health, Dr. Mila McManus and staff are second to none! They have consistently been voted the “Best of the Best”, of the Functional and Integrated Medicine world, and are located right here in The Woodlands, TX.

What Our Patients are Saying About Us

“If you are looking to make life changes and better your overall health, Dr. Mila McManus and staff are second to none! They have consistently been voted the “Best of the Best”, of the Functional and Integrated Medicine world, and are located right here in The Woodlands, TX. As a patient, I can attest to their knowledge and professionalism, and appreciate their continued guidance towards becoming my best self!” – by C.D.

“If you are looking to make life changes and better your overall health, Dr. Mila McManus and staff are second to none! They have consistently been voted the “Best of the Best”, of the Functional and Integrated Medicine world, and are located right here in The Woodlands, TX.

Reclaim Your Health with Confidence

Your path to lasting wellness starts here. With our expert support, you’ll make meaningful changes that transform your life.
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