Area of Care
Hormones & Metabolism
The Energy Equation
Hormonal and metabolic conditions — PCOS, thyroid disorders, insulin resistance, metabolic syndrome and weight that resists effort — are managed at SOMA by finding and correcting the signalling behind them, not just medicating the numbers. Care is physician-led and begins with comprehensive panels, in Mumbai and New Delhi.
The conditions we manage
PCOS and hormonal imbalance affecting cycles, skin, mood and fertility. Thyroid disorders draining energy, weight and clarity. Insulin resistance and diabetes. Metabolic syndrome — the cluster of abdominal weight, blood pressure and lipid changes. And weight that will not respond to diet and exercise, which is almost always a metabolic and hormonal problem, not a willpower problem.
Why hormones and metabolism drift
These systems are one network. Insulin resistance drives androgen excess in PCOS; cortisol from chronic stress disrupts thyroid conversion and blood sugar; inflammation blunts hormone receptors. Treating each lab value in isolation misses the interactions — which is usually why symptoms persist despite "managed" numbers.
How SOMA investigates hormonal conditions
Comprehensive panels rather than single markers: full thyroid function, sex hormones across the cycle where relevant, fasting insulin and glucose dynamics, cortisol patterns, and the inflammatory and nutritional markers that shape all of them. Your physician maps which axis is driving the picture — then treats the driver.
Why comprehensive panels matter
A TSH alone can look normal while conversion to active thyroid hormone fails; fasting glucose can pass while insulin runs high for years. Testing the network — not the single marker — is the difference between "your reports are fine" and finding the driver.
How we support these conditions
Depending on your results: hormonal optimisation with bioidentical support where deficiency is documented, IV nutrient therapy for depletions that block metabolic recovery, lifestyle and precision nutrition as the foundation, and targeted protocols for insulin resistance. Each is physician-selected from your panels; none is prescribed from a menu.
The sequence
Foundations first: nutrition, sleep and stress patterns that no hormone protocol can outrun. Then targeted correction of what testing found. Then repeat panels to prove the response. Protocols change as your labs change — that review loop is the protocol.
What clients notice
Steadier energy and mood, more predictable cycles, easier weight regulation, and — the measurable part — panels moving toward optimal at follow-up testing. Individual results vary with biology and consistency; SOMA promises measurement and method, not outcomes.
Common questions
Common signals include persistent fatigue, disturbed sleep, weight gain around the middle, mood changes, irregular or heavier cycles, thinning hair and lower libido. These overlap across thyroid, sex-hormone and cortisol causes — which is why SOMA tests comprehensively before treating anything.
For many women, addressing insulin resistance, inflammation and nutritional gaps meaningfully improves PCOS symptoms and cycle regularity. SOMA manages PCOS at that root-cause level, alongside — not instead of — any care your gynaecologist provides. Individual responses vary.
Standard ranges are broad, and a "normal" TSH can hide conversion or receptor-level issues. SOMA runs full thyroid panels with related hormones and inflammation markers to find what a single test misses.
A detailed history and comprehensive hormonal and metabolic panels. Your physician reviews the results with you and designs a protocol around what they show — testing first, treatment second.
Your biology has the answers. Let’s ask it the right questions.
Consultations at our Mumbai (Dadar) and New Delhi (Greater Kailash II) clinics begin with testing, not treatment.