Patuxent Integrated Wellness Center

01/12/2026

The one thing standing between you and feeling like yourself again isn’t willpower.
It isn’t discipline.
And it definitely isn’t another supplement.

Most women navigating perimenopause are doing everything they’ve been told to do:
clean eating, workouts, stress management, early bedtimes, hormone “hacks.”

And yet…
Energy is still low.
Sleep is unpredictable.
Weight feels harder to manage.
Moods feel unfamiliar.
And there’s a quiet question underneath it all:
“Is this just how it is now?”

Here’s the truth most women aren’t told:
Perimenopause isn’t a problem to push through or suppress.
It’s a complex, biologically driven transition that requires a comprehensive, personalized strategy.

Not band-aids.
Not generic advice.
Not being told to “wait it out.”

That’s exactly why we created our Hormone Optimization in Perimenopause Program — a science-backed, individualized approach that addresses the real drivers behind symptoms:
• Hormonal fluctuations
• Metabolic changes
• Inflammation
• Sleep disruption
• Stress and nervous system strain

This program isn’t about chasing perfection or forcing balance.
It’s about understanding what your body is asking for — and responding with precision, education, and care.

If you’ve been wondering whether it’s possible to feel clear, strong, confident, and comfortable in your body again… it is.

And you don’t have to navigate this season alone.

Message us to learn more about the Hormone Optimization in Perimenopause Program.This image might look like rest.
But for many women in perimenopause, it’s actually survival mode.

Wrapped in blankets.
Bone-deep exhaustion.
Canceling plans.
Scrolling instead of sleeping.
Feeling heavy, flat, and disconnected from the version of yourself you remember.

You’ve tried to do everything “right.”
Clean eating. Supplements. Yoga. Early bedtimes.
Maybe even a few late-night purchases promising hormone balance in a bottle.

And yet…
Your energy is still gone.
Sleep isn’t restorative.
Your weight feels harder to manage.
Your mood doesn’t feel like you.
And there’s a quiet question in the background:
“Is this just how it’s going to be now?”

Here’s the truth most women aren’t told:
Perimenopause isn’t a problem to push through or suppress.
It’s a complex, biologically driven transition that requires a comprehensive, personalized strategy.

Not band-aids.
Not willpower.
Not being told to “wait it out.”

Because the one thing standing between you and feeling like yourself again isn’t effort — it’s approach.

That’s why we created our Hormone Optimization in Perimenopause Program — a science-backed, individualized plan that addresses what’s actually happening beneath the surface:
• Hormonal fluctuations
• Metabolic changes
• Inflammation
• Sleep disruption
• Nervous system strain

This isn’t about forcing energy or “powering through.”
It’s about restoring balance so your body can function the way it was designed to.

If this image feels familiar, know this:
Feeling clear, strong, and comfortable in your body again is possible.
And you don’t have to navigate this season alone.

Message us to learn more about the Hormone Optimization in Perimenopause Program.

01/11/2026

If you’ve been dealing with persistent symptoms and feel like you’re getting nowhere — this is often where the missing answers live.

Bloating. Reflux. Constipation or diarrhea. Food sensitivities. Fatigue. Brain fog. Skin issues. Hormone imbalance. Difficulty losing weight despite doing “everything right.”

One of the most common things we hear is:
“My labs are normal, but I don’t feel normal.”

That’s exactly why we offer our GI Mapping Program using advanced functional testing from Diagnostic Solutions Laboratory.

This is not basic stool testing.

GI Mapping is a comprehensive, functional stool analysis that evaluates:
• Digestion and nutrient absorption
• Gut inflammation and immune activity
• Microbiome balance (beneficial vs. pathogenic organisms)
• Bacterial, parasitic, and fungal imbalances
• Intestinal integrity and overall gut resilience

This program is ideal if you:
• Have ongoing GI symptoms with no clear diagnosis
• Feel inflamed, exhausted, or hormonally off
• React to foods without obvious triggers
• Struggle with skin issues, brain fog, or immune dysfunction
• Have difficulty optimizing BHRT or TRT
• Are tired of guessing and want data-driven answers

What’s included:
• GI Mapping test through Diagnostic Solutions Laboratory
• In-depth provider review of results in the context of your symptoms and history
• A personalized, evidence-based treatment plan — never one-size-fits-all

Several advanced add-ons are available when clinically appropriate, allowing us to further evaluate areas such as:
• Hormone metabolism
• Detoxification pathways
• Intestinal permeability
• Additional inflammatory or immune markers

Investment:
The initial GI Mapping consultation is $399 and includes the test kit (no add-ons), laboratory analysis, and a comprehensive interpretation with personalized treatment recommendations.

Our approach is educational, individualized, and evidence-based. The goal isn’t just to manage symptoms — it’s to understand what’s driving them and create a clear path forward.

When care aligns with your body’s needs, results follow.

Ready for real answers? Comment “GI” or send us a message to get started.

01/09/2026

If you’re on a GLP-1 medication — or focused on weight loss in general — supplements aren’t about “doing more,” they’re about supporting your body while it’s doing the work.

GLP-1 therapies can be incredibly effective, but reduced appetite, rapid weight loss, and metabolic shifts can increase nutrient gaps and oxidative stress. Strategic supplementation helps protect muscle, hormones, metabolism, and long-term health while results are happening.

Three supplements we commonly recommend as part of a GLP-1 support plan:

Pumpkin Seed Oil
Typical daily dose: 1,000–2,000 mg daily with food

Why it matters:
Pumpkin seed oil contains plant sterols, zinc, and essential fatty acids that support insulin sensitivity, hormone balance, and lipid metabolism. During weight loss, it also helps support lean muscle preservation — something the scale doesn’t show but your metabolism absolutely cares about.

Brief cautions:
Avoid if you have a known pumpkin or seed allergy.

Vitamin D3 + K2 (taken together)
Typical daily dose:
D3: 2,000–5,000 IU daily
K2 (MK-7): 90–180 mcg daily

Why it matters:
Vitamin D plays a critical role in glucose regulation, immune function, and fat metabolism, yet deficiency is extremely common. K2 helps ensure calcium is directed to bones instead of arteries, supporting cardiovascular and bone health during weight loss.

Brief cautions:
Patients on anticoagulants should consult their provider before using K2. Vitamin D dosing should ideally be guided by labs.

Astaxanthin
Typical daily dose: 4–12 mg daily with a meal containing fat

Why it matters:
Astaxanthin is a powerful antioxidant that protects cells and mitochondria from oxidative stress, which can increase during rapid weight loss. It supports fat metabolism, cardiovascular health, muscle recovery, and skin health.

Brief cautions:
Generally very well tolerated. Use caution if you have very low blood pressure or are on multiple blood-pressure-lowering medications.

The bigger picture:
GLP-1 medications help regulate appetite. Supplements help support the systems that make weight loss sustainable — metabolism, hormones, inflammation, and nutrient balance.

When care aligns with your body’s needs, results follow.

For patients looking for a simple, provider-guided way to get started, we’ve created a curated GLP-1 Metabolic Support Essentials plan here:
👉 https://us.fullscript.com/plans/smorley-glp-1-metabolic-support-essentials

Education plus proactive care makes all the difference.

12/30/2025

At Patuxent Integrated Wellness, we focus on simple, evidence-based habits that make everything else work better.

A 10–15 minute walk after meals helps regulate post-meal blood sugar by encouraging your muscles to pull glucose out of the bloodstream without needing as much insulin. Translation: lower glucose spikes, better insulin sensitivity, and more stable energy.

It also improves nutrient partitioning—meaning your body is more likely to shuttle nutrients toward muscle and cellular repair instead of fat storage. Muscles are metabolic powerhouses, and gentle movement after eating tells your body exactly where those nutrients should go.

Why this matters if you’re on GLP-1 therapy
GLP-1 medications support appetite regulation and insulin signaling, but movement amplifies the effect. Post-meal walking helps:
• Reduce glucose spikes even further
• Lower insulin demand, supporting fat loss
• Preserve lean muscle during weight loss
• Improve post-meal energy and digestion

Why this matters for insulin resistance
Insulin resistance makes fat loss harder and energy less predictable. Walking after meals:
• Lowers blood sugar immediately
• Improves insulin sensitivity over time
• Reduces cravings and reactive hunger
• Supports long-term metabolic health

Why this matters in perimenopause
Hormonal shifts change how your body handles glucose and insulin, often leading to belly fat, fatigue, and stubborn weight gain. Post-meal walking helps calm insulin and cortisol responses, supporting more stable hormones and energy.

This isn’t exercise.
No gym. No intensity. Just an easy, conversational-pace walk—around the block, through the office, or inside your home.

Small habit. Big metabolic payoff.
This is how we help your body work smarter, not harder.

Want more practical, science-backed strategies for weight loss, hormones, and metabolic health? Follow Patuxent Integrated Wellness Center.

Ready for a more personalized approach to weight loss, hormone balance, or metabolic health?
• Comment “RESET” below and we’ll reach out
• Send us a DM for program details
• Text or call 301-450-4044 to schedule a consultation

Let’s build a plan that works with your physiology—not against it.

for education that helps your body work smarter—not harder.

12/29/2025

Women’s cardiovascular risk does not follow a male blueprint, and this paper finally puts that into clear focus.

12/29/2025

Metabolic Testing: What Your Breath Can Tell Us About Your Health

Every breath you take carries information about how your body is functioning at a cellular level. Through metabolic testing, we can analyze oxygen consumption and carbon dioxide production to gain insight into how your body uses energy, burns fuel, and adapts to stress, nutrition, and movement.

This type of testing allows us to look “under the hood” of your metabolism rather than relying on assumptions or averages. It helps explain why weight loss can feel easy for some people and nearly impossible for others — even when effort looks the same.

So what exactly is metabolic testing?

Metabolic testing typically measures resting metabolic rate (RMR) and exercise metabolism using breath analysis. By collecting exhaled gases, we can determine how many calories your body burns at rest, whether you rely more on fat or carbohydrates for fuel, and how efficiently your cardiovascular system works during movement.

One important reason this matters is that metabolism varies widely between individuals. Two people of the same age, height, weight, and gender can have dramatically different calorie needs. Standard calorie formulas often miss the mark. In fact, research has shown that commonly used predictive equations can be off by more than 10% in a significant number of people — sometimes by several hundred calories per day. That difference alone can be the reason someone loses weight, stalls, or gains weight despite “doing everything right.”

Metabolic testing removes the guesswork by measuring what your body actually needs.

Beyond calories, this testing also tells us how your body is burning fuel. By looking at the ratio of carbon dioxide produced to oxygen consumed, we can determine whether your body is primarily using fat or carbohydrates for energy. This provides insight into metabolic flexibility — your ability to shift between fuel sources.

Why does that matter?

Individuals who rely heavily on carbohydrates at rest and have poor fat-burning capacity are more prone to weight gain over time. Identifying this pattern allows us to adjust nutrition and movement strategies to better support fat oxidation and metabolic health. In simple terms, it helps us understand whether your body is primed to burn fat or more likely to store it — and why.

Metabolic testing can also include aerobic fitness data such as VO₂ max and ventilatory thresholds. These measurements give us a clearer picture of cardiovascular health, endurance capacity, and how your body responds to different exercise intensities. Instead of guessing which workouts are “best,” we can identify the specific heart rate zones where you burn the most fat, improve efficiency, and avoid unnecessary stress.

This level of personalization matters because not all movement is helpful for all bodies. Some people thrive with steady aerobic training. Others do better with short bursts of intensity or strength-focused work. Without data, many people unintentionally overtrain, undertrain, or work against their own physiology — leading to fatigue, inflammation, or stalled progress.

Metabolic testing also plays an important role in understanding plateaus and metabolic adaptation. Prolonged dieting, weight loss, or chronic stress can suppress metabolic rate beyond what would normally be expected. When this happens, continuing to “eat less and move more” often backfires. Identifying these changes allows us to shift strategies toward metabolic recovery rather than further restriction.

From a nutrition standpoint, metabolic data helps guide more precise intake — not just calories, but macronutrients as well. Someone with low fat oxidation may benefit from different dietary strategies than someone who already burns fat efficiently. Over time, improvements in metabolic flexibility can often be measured and tracked, giving us a way to assess progress beyond the scale.

Perhaps most importantly, metabolic testing provides objective information. Instead of relying on trends, trackers, or generic plans, we can ground decisions in physiology. It answers questions like:
• How many calories does your body actually need?
• Are you under-fueling or over-restricting?
• What type of movement best supports your metabolism?
• Why has progress stalled despite consistency?

This information becomes a foundation for smarter nutrition, movement, and recovery decisions — and for understanding your overall metabolic health, not just weight.

Health isn’t about doing more.
It’s about doing what your body responds to.

When we stop guessing and start measuring, clarity replaces frustration. And clarity is often the turning point.

PNOĒ The PNOĒ metabolic test analyzes 23 biomarkers through breath with clinical-grade precision. It takes less than 10 min, analysis is instant, and requires no lab work or blood draw.

If this resonates with you, we’d love to know — what part of your health or weight loss journey has felt the most confusing or frustrating?

You’re welcome to comment below or send us a message. Sometimes the first step forward is simply getting clearer answers.

12/29/2025

The foundation: metabolic health is the starting point for everything.

Weight loss doesn’t begin with a medication, a supplement, or a workout plan. It begins with understanding how your body produces and uses energy.

Your metabolism determines:
• how efficiently you burn fat
• how your body responds to calories
• how you adapt to stress
• why weight loss stalls — even with effort

This is why our programs don’t start with guesswork. We use metabolic insight to establish the foundation before layering in GLP-1 weight loss, hormones, peptides, or gut support.

PNOĒ gives us a real-time snapshot of how your body is functioning today — not what an equation says should happen.

Once the foundation is clear, everything else works better.

CALL TO ACTION
Curious what your metabolism is actually doing?
Comment “METABOLISM” or send us a DM to learn how we assess this before building your plan.

12/26/2025

Why wait for the New Year to start feeling better?

A “new you” doesn’t require a calendar reset. Real change starts now — with how you move, how you fuel your body, and how well your systems are working together.

At Patuxent Integrated Wellness, we believe movement is medicine. Regular, intentional movement improves insulin sensitivity, supports hormone balance, enhances digestion, protects lean muscle, and plays a major role in longevity. When movement is paired with adequate protein and fiber — the anchors of metabolic and gut health — the body functions the way it was designed to.

Your gut is the command center. When digestion, absorption, and the microbiome are disrupted, everything downstream is affected — energy, weight, hormones, inflammation, and mental clarity. That’s why we don’t guess. We test.

Our Integrative Insight Metabolic Reset Program Integrative Insight, brings everything together in one personalized approach:
• GI Mapping to evaluate gut health, inflammation, and nutrient absorption
• Hormone Replacement Therapy to restore balance, energy, mood, and body composition
• GLP-1 programs, including micro-dosing strategies when appropriate, used as a metabolic tool — not a stand-alone solution
• Individualized guidance around movement, protein intake, fiber, and sustainable habits

This isn’t about extremes or quick fixes. It’s about building metabolic health, improving quality of life, and supporting long-term longevity with a plan that works with your physiology.

Call to action:
Schedule your metabolic consult and begin the Integrative Insight Metabolic Reset — because your future health doesn’t start January 1.

It starts now.

12/22/2025

Get a Island Infusion Medspa gift card today on Vagaro!

12/22/2025

𝙷𝚘𝚛𝚖𝚘𝚗𝚎𝚜 十 𝙼𝚎𝚝𝚊𝚋𝚘𝚕𝚒𝚜𝚖: 𝚆𝚑𝚢 𝙷𝚁𝚃 𝚊𝚗𝚍 𝙶𝙻𝙿-𝟷𝚜 𝚆𝚘𝚛𝚔 𝙱𝚎𝚝𝚝𝚎𝚛 𝚃𝚘𝚐𝚎𝚝𝚑𝚎𝚛

Why wait until the new year? Inquire today and receive a free eBook with expert education on HRT and GLP-1 therapy.

If weight loss has felt harder than it “should,” or results haven’t matched the effort you’re putting in, the issue often isn’t willpower — it’s physiology.

HRT and GLP-1 therapies work best when they’re aligned, not used in isolation.

HRT helps restore the hormonal backdrop your body needs to function optimally. When hormones are appropriately supported, patients often notice improvements in sleep quality, mood stability, energy levels, thermogenesis (how efficiently your body burns calories), and insulin sensitivity. This creates the internal environment where fat loss and metabolic health are actually possible.

GLP-1 therapies then build on that foundation by supporting appetite regulation, improving glycemic control, reducing inflammation, and quieting “food noise.” Together, this combination supports sustainable fat loss while preserving muscle, energy, and overall well-being.

This is medical synergy — not shortcuts.

We’re excited to introduce our all-new HRT program format, designed with:
• Clear candidacy criteria
• Comprehensive lab review
• Extensive education focused on self-empowerment and informed decision-making
• Weekly provider-initiated touchpoints to assess progress and address concerns
• Monthly check-ins for ongoing guidance and optimization
• Individualized treatment plans tailored to your physiology and goals
• Tiered program options, including VIP concierge-level care
• Safety-first, evidence-based medicine with consistent monitoring and follow-up
• Exclusive patient access to discounted, provider-recommended, high-quality supplements via FFullscript• Program offerings include both cash-pay services and insurance-covered components, depending on eligibility and coverage

Not everyone is a candidate — and that matters. We prioritize education, transparency, and medically guided decision-making so patients understand exactly what they’re starting and why.

If you’re curious whether HRT, GLP-1s, or a combined approach is right for you, reach out in whatever way works best: call, text, message, or email. Our team will help guide the next step.

Better results start with the right foundation. www.patuxentwellness.com

At Patuxent Integrated Wellness Center, we are dedicated to providing comprehensive, patient-centered care that focuses on your overall well-being. Led by

12/17/2025

This Is Big: Women’s Sexual Health Gets the Attention It Deserves

If you are interested in learning more, send us a message!

🚨 Breaking News in Women's Sexual Health 🚨

The FDA has just approved Addyi® (flibanserin) for postmenopausal women, making it the first FDA-approved medication for low sexual desire (HSDD) in both pre- and postmenopausal patients under 65.

This is a historic moment.

For years, millions of women with persistent, distressing low libido have had few evidence-based options. This approval closes a major gap in care and acknowledges what women have been saying all along: sexual health matters at every stage of life.

Addyi is not Vi**ra. It’s a non-hormonal, daily medication that works on brain chemistry to improve sexual desire, reduce distress, and improve quality of sexual experiences

It's supported by the largest clinical trials in women’s sexual health and over a decade of safety data.

This is progress. And it’s long overdue.

12/09/2025

✨ Unlock Your Energy, Clarity & Longevity with NAD+ ✨
Anti-aging at your fingertips with our home kit!

Feeling drained, foggy, or like you’re aging faster than you should?
There’s a reason so many high-performers and longevity seekers turn to NAD+ therapy — it works at the deepest cellular level where aging actually begins.

NAD+ levels drop dramatically as we age, leading to:
• Fatigue
• Brain fog
• Slower metabolism
• Poor recovery
• Mood changes
• Visible aging

Replenishing NAD+ helps restore the powerhouses of your cells — your mitochondria — leading to:

🧠 Sharper cognitive function
⚡ Stronger energy + endurance
🔬 Cellular repair + longevity support
🔥 Improved metabolism
💎 Healthier skin + anti-aging benefits
😌 Better stress resilience & mood stability

Whether you’re fighting burnout, optimizing performance, or investing in long-term health, NAD+ is one of the most effective longevity therapies available.

Ready to experience the difference?
Send us a message to schedule your NAD+ session and start feeling the shift from the inside out.
https://patuxentwellness.com/

At Patuxent Integrated Wellness Center, we are dedicated to providing comprehensive, patient-centered care that focuses on your overall well-being. Led by