GLP-1, semaglutide, tirzepatide, HRT/BHRT, TRT, and functional medicine led by specialist Somer Schreiber-Small, FNP-C, MSCP, ABAAHP
15 years clinical experience
120+ 4.9-star reviews
55+ biomarker evaluation
Hablamos Español
What we treat
Hormone therapy for men and women, metabolic health and healthy aging.
Evidence-based Bioidentical Hormone Replacement Therapy (BHRT) for women navigating perimenopause and menopause. Restoring estrogen, progesterone, and metabolic harmony.
Targeted testosterone replacement therapy (TRT) for men experiencing fatigue, muscle loss, brain fog, and low libido. Full biomarker testing and individualized hormone optimization protocols.”
Medical weight loss in Sacramento using GLP-1 medications including compounded semaglutide and tirzepatide weekly injections. Our medically supervised programs focus on sustainable fat loss, appetite regulation, and lean muscle preservation.
Broader evaluation for patients with overlapping or persistent symptoms. Our functional medicine model serves as a deep-dive alternative to conventional primary care, focusing on in-depth biomarker testing, metabolic health, and whole-body wellness.
The question behind the symptom
Why do you suddenly feel different now?
Most people do not wake up one morning with a different body. It shifts quietly through perimenopause, declining testosterone, disrupted sleep, sustained stress, lost muscle, and rising insulin resistance. By the time the change is obvious, it has usually been underway for years. That is not a failure of discipline. It is biology, and biology can be measured.
Perimenopause and menopause
Declining testosterone
Major weight changes
Chronic stress
Poor sleep
Loss of muscle mass
Increasing insulin resistance
Changes in nutrition and activity
Aging and metabolic changes
Three doors
Not sure where to start? Start with what you’re experiencing.
For changes involving energy, sleep, mood, libido, cognition, menstrual cycles, menopause symptoms, body composition and low testosterone.
For stubborn weight gain, obesity, metabolic dysfunction, appetite regulation, GLP-1 treatment and medically supervised weight management.
For people whose symptoms do not fit neatly into one diagnosis, or who want a broader evaluation of metabolic, hormonal and lifestyle factors.
Biomarkers, depending on your needs
What we look at
Finding the cause starts with asking better questions.
Hormone function
Metabolic markers
Blood sugar regulation
Thyroid function
Nutritional status
Lipids
Inflammatory markers
Body composition
Sleep and lifestyle factors
Medication history
Symptoms and health history
Comprehensive laboratory evaluation may include more than 55 biomarkers depending on the patient’s needs.
The process
A more complete way to start feeling better.
Symptoms, history, goals, medications, lifestyle and health concerns.
Appropriate laboratory testing, body composition and clinical evaluation.
Treatment may include hormone therapy, medical weight management, nutrition, lifestyle changes or other evidence-based interventions based on the individual’s needs.
Meet Our Provider
Somer Schreiber-Small, FNP-C, MSCP, ABAAHP is a board-certified Family Nurse Practitioner. She holds a master’s degree from Samuel Merritt University.
She has been in the healthcare field for over 30 years and has worked in several areas, including acute care, cardiac telemetry, dialysis, and in post-acute care. Her most recent work is in seeing patients at several post-acute care facilities, where she utilizes her experience to help patients maintain a healthy lifestyle and mitigate the effects of disease. She also has a part time weight loss practice.
FNP-C — Board-certified Family Nurse Practitioner
MSN — Samuel Merritt University
Licensed in California
15 years clinical experience
Meet Our Provider
Care Led by Somer Schreiber-Small, FNP-C, MSCP, ABAAHP
Normal lab ranges were never meant to tell you whether you feel like yourself. That is a different question, and it is the one worth asking.
In their words
What patients say about care at Synchronicity Health.
Fit
When do I need a functional medicine provider?
A conversation about what you are experiencing is the first step.
