Conditions · PCOS
PCOS care that treats the root cause
Irregular cycles, stubborn weight, acne, unwanted hair, and fertility worries — PCOS is hormonal and metabolic at its core. In Fredericksburg, VA, we address the insulin and hormone drivers, not just the symptoms. Start with an initial appointment.
More than “take the pill and lose weight”
Polycystic ovary syndrome (PCOS) is driven largely by insulin resistance and hormone imbalance — which is why it shows up as irregular cycles, weight gain, acne, and unwanted hair growth all at once, and why symptom-only management so often falls short.
At True You, Dr. Hoff addresses the metabolic and hormonal roots with a personalized, physician-guided plan — so the symptoms improve because the cause does.
Why the pill isn’t the whole answer
Why “here’s the pill, come back for kids” falls short
The difference is treating the metabolic root, not just masking the symptoms.
The conventional visit
- “Here’s the pill”
- “Come back when you want kids”
- Symptoms masked, cause untouched
- Insulin rarely tested
- A rushed visit
The True You approach
- Test and treat the insulin and hormone drivers
- Help now — cycles, weight, skin, and energy
- Address the metabolic root so symptoms improve
- Fasting insulin, androgens, and full hormones
- Unhurried time with a physician who monitors over time
The pill can hide PCOS symptoms without treating the insulin resistance underneath — which is why they return when it’s stopped.
Do these sound familiar?
Irregular cycles
Unpredictable, missed, or difficult periods.
Stubborn weight
Weight that resists effort, especially around the middle.
Skin & hair changes
Acne, oily skin, or unwanted hair growth.
Insulin resistance
Cravings, energy crashes, and rising blood sugar.
PCOS — common questions
Do I have to be trying to get pregnant to get help?
Is PCOS really about insulin?
Do you take insurance?
Explore related care
Related care at True You
Insulin Resistance
The metabolic root driving most of PCOS — tested and treated directly.
Learn more
Hormone Replacement Therapy
Rebalance the hormones behind cycles, skin, and hair.
Learn more
Medical Weight Loss
Physician-guided, metabolic weight loss for the stubborn weight PCOS brings.
Learn more
Functional Medicine
One connected, root-cause plan across metabolism and hormones.
Learn moreTreat the cause of your PCOS
Book an appointment with Dr. Hoff’s team in Fredericksburg, VA.