Areas We Serve · Spotsylvania Courthouse, VA
Hormone therapy, weight loss and thyroid care near Spotsylvania Courthouse, VA
From the county seat it is about eleven miles to our office in downtown Fredericksburg. True You gives patients in and around Spotsylvania Courthouse physician-led hormone therapy, medical weight loss and root-cause care, with a longer first visit and virtual follow-ups.
The county seat and the Route 208 corridor
Spotsylvania Courthouse is the county seat and the largest community in Spotsylvania County, which had about 140,000 residents at the 2020 census and is still growing. The area runs along Courthouse Road (Route 208 Business), a road of about seven miles that rejoins the Route 208 bypass north of the village. It sits close to the Spotsylvania Court House battlefield, part of the Fredericksburg and Spotsylvania National Military Park.
Route 208 also leads west to Lake Anna, which it crosses on the New Bridge, and on toward Mineral and Louisa. For people who live out that way, around Lake Anna, Snell or Post Oak, a practice that does hormone and metabolic work in depth may be a drive away, and the trip to Fredericksburg can be a one-time visit followed by virtual check-ins.
Driving to 904 Princess Anne St
The usual route is Route 208 north to its end at US 1 at Four Mile Fork, then US 1 north into Fredericksburg and downtown. That is roughly eleven miles, and about twenty to twenty-five minutes without heavy traffic. The Route 208 bypass crosses over I-95 without an interchange, so the I-95 connection is made at exit 126 (US 1 and US 17) a short distance south of the city; US 1 is the better choice for most trips.
US 1 is a busy commercial road around Massaponax and Four Mile Fork, and late afternoon is the slowest time. Appointments earlier in the day tend to be easier. We are open Monday through Friday, 9:00 am to 5:00 pm.
Who this page is for
Spotsylvania Courthouse and the surrounding neighborhoods have grown with families, commuters and people who moved to be near Lake Anna. A few situations bring people to us.
Perimenopause and menopause in women in their forties and fifties, with poor sleep, night sweats, mood changes and weight changes that do not respond to the usual advice. Our menopause page describes the evaluation.
Weight that stopped moving, sometimes after a long run of diets, sometimes alongside a rising A1c. Medical weight loss starts with labs, and GLP-1 medications such as semaglutide and tirzepatide are considered only when they fit.
Thyroid symptoms with “normal” results, and Hashimoto’s that has not been tested for antibodies.
Men with low drive, low energy and slipping strength, who want a proper hormone work-up rather than a mail-order kit.
Making a long drive count
Because we are cash-based, we can build a first visit around your day instead of the other way around. The first appointment and lab draw are done in person, and it helps to stack them on the same trip. After that, much of the follow-up is virtual: reviewing results, adjusting a dose, answering questions. That cuts the number of drives into Fredericksburg to a handful.
If you have records from another doctor, bring them. Recent lab work, imaging reports and a medication list shorten the first visit and keep us from repeating tests you have already had.
How it works
What to expect, start to finish
Planned so that the drive happens as few times as possible.
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01
Step 1
Call or book online
Tell us what you want help with and where you are driving from. We will schedule enough time.
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02
Step 2
First visit in Fredericksburg
A detailed history and plan for testing, about an hour, with labs the same trip when possible.
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03
Step 3
Results by virtual visit
Dr. Hoff reviews your results with you and recommends options. Many patients do this part from home.
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04
Step 4
Start, adjust, repeat
Check-ins and repeat labs adjust the plan. Visits are in person when an exam or draw is needed, otherwise virtual.
Services Spotsylvania patients ask for
Hormone therapy (BHRT)
For women and men, after full evaluation and labs.
Hormone therapyMedical weight loss
A supervised plan built from your labs.
Weight lossSpotsylvania weight loss page
Local details for patients across the county.
Spotsylvania weight lossSpotsylvania hormone therapy page
Local details for hormone care.
Spotsylvania hormone therapyBefore you decide on hormone therapy
Hormone therapy is a real medical treatment with real benefits and real risks, and it is worth understanding both before you start. Estrogen therapy carries warnings from the FDA about endometrial cancer when estrogen is taken without a progestogen in women who have a uterus, and about cardiovascular disease, breast cancer and dementia. Testosterone therapy in men can raise red blood cell counts and lower sperm production, and it requires monitoring of blood work and the prostate.
Some people should not take hormones at all, including women with certain breast cancers or a history of blood clots or stroke, and men with certain prostate conditions. This is why the first step here is a history and labs, not a prescription. If hormone therapy is not appropriate, Dr. Hoff will say so, and the visit still gives you answers about thyroid, blood sugar, sleep and other possible causes.
FDA-approved bioidentical hormone products exist for several of these uses. Compounded hormone preparations are not reviewed by the FDA for safety or effectiveness. Dr. Hoff explains which form he is recommending and why, so you can make the decision with the facts in front of you.