At her Manhattan (NYC) practice, Dr. Sue Decotiis, MD — Triple Board-Certified physician and Attending at NYU Medical Center — provides comprehensive, science-driven care for women navigating perimenopause and menopause. Her approach integrates advanced diagnostic testing, bioidentical hormone optimization, peptide therapy, and physician-supervised medical weight loss to restore balance safely and effectively.
What Is Menopause? Menopause is officially diagnosed after 12 consecutive months without a menstrual cycle. At this stage, ovarian hormone production declines significantly, leading to consistently lower levels of estrogen and progesterone. Menopause can increase the risk of:
- Bone density loss
- Cardiovascular disease
- Metabolic slowdown
- Insulin resistance
- Muscle loss
- Cognitive changes
Modern menopause care focuses not only on symptom relief — but on protecting long-term health and longevity.
I had an excellent experience with Dr. Sue Decotiis and her HCG diet program in NYC. After struggling with stubborn weight that wouldn’t respond to traditional dieting, I decided to try her medically supervised approach. What sets her apart is that she doesn’t just hand you a plan — she conducts thorough metabolic testing and monitors your progress closely.
The structure and medical oversight made me feel confident and safe throughout the process. I saw noticeable fat loss, especially in areas that had been resistant for years, and I felt supported the entire time. If you’re looking for a knowledgeable HCG diet doctor in Manhattan who takes a science-based approach to weight loss, Dr. Decotiis is an excellent choice. ~ Google
Why Advanced Testing Is Essential
Symptoms alone do not tell the full story. Hormonal shifts during perimenopause and menopause often overlap with thyroid dysfunction, adrenal stress, insulin resistance, and inflammatory changes. The Manhattan menopause specialist performs comprehensive diagnostic testing that may include:
- Estradiol (E2)
- Progesterone
- Total and free testosterone
- DHEA-S
- Thyroid panel (TSH, Free T3, Free T4)
- Cortisol levels
- Fasting insulin and glucose
- Lipid profile
- Inflammatory markers
- Body composition analysis
- Advanced metabolic rate testing
This data-driven approach ensures treatment is precise, individualized, and medically appropriate.
Contemporary Treatment Options
Bioidentical Hormone Replacement Therapy (BHRT)
Dr. Sue Decotiis specializes in bioidentical hormone replacement therapy (BHRT), using hormones structurally identical to those naturally produced by the body. When clinically indicated and carefully monitored, BHRT may help:
- Reduce hot flashes
- Improve sleep quality
- Stabilize mood
- Restore libido
- Improve cognitive clarity
- Support bone density
- Protect cardiovascular health
- Stabilize emotional swings
Hormone therapy is never one-size-fits-all. Dosing is personalized and adjusted based on lab results and clinical response.
Medical Weight Loss During Perimenopause & Menopause
Hormonal decline often leads to stubborn weight gain — particularly around the abdomen — even in women maintaining consistent diet and exercise habits.Declining estrogen affects:
- Insulin sensitivity
- Fat distribution
- Muscle mass
- Metabolic rate
- Dr. Decotiis is board-certified in Obesity Medicine and integrates physician-supervised medical weight loss into perimenopause and menopause care when appropriate.
Options may include:
FDA-Approved Prescription Medications
Semaglutide
Tirzepatide
Other GLP-1 based therapies such as Ozempic or Monjourno
These medications help regulate appetite signaling, improve insulin sensitivity, and support sustainable fat loss under medical supervision.
Personalized Metabolic Plans
- Resting metabolic rate testing
- Customized nutritional planning
- Lean muscle preservation strategies
- Long-term maintenance protocols
- Her goal is not simply weight reduction — but metabolic restoration.
Peptide Therapy for Hormonal & Metabolic Support
Peptide therapy represents a contemporary approach to supporting hormonal signaling and tissue regeneration. Under medical supervision, peptide protocols may help:
- Improve sleep quality
- Enhance muscle tone
- Support fat metabolism
- Improve recovery
- Augment hormone optimization
- Peptides are carefully integrated into comprehensive treatment plans based on laboratory findings and individual goals.
A Whole-Body Approach to Women’s Midlife Health Dr. Decotiis combines:
- Internal Medicine expertise
- Obesity Medicine specialization
- Anti-Aging & Hormone specialization
- Over 30 years of clinical experience in NYC
- Academic affiliation with NYU Medical Center
Her approach is rooted in medical science, not trends. Every treatment plan is designed to support:
- Hormonal balance
- Cardiometabolic health
- Bone preservation
- Lean muscle maintenance
- Cognitive resilience
- Long-term vitality
- Emotional well being
Women across Manhattan and beyond seek Dr. Sue Decotiis for her:
- Triple board certification
- Data-driven, lab-based approach
- Advanced hormone expertise
- Metabolic and weight loss specialization
- Discreet, personalized care
- Exquisite bedside manner
- Her practice bridges traditional internal medicine with contemporary hormone and metabolic optimization — offering sophisticated care for modern women.
Take Control of Your Hormonal Health
Perimenopause and menopause are natural transitions — but suffering through symptoms is not required.
If you are experiencing hormonal symptoms, metabolic changes, or midlife weight gain, schedule a comprehensive consultation with Dr. Sue Decotiis, MD in NYC to develop a personalized, medically supervised plan.
Restore balance. Protect long-term health. Optimize vitality.
If you have any questions for the best in class NYC doctor or would like to make a menopause consultation with Sue Decotiis, MD please contact us:
Sue Decotiis, MD
20 E 46th St., #1201
New York, NY 10017
(917) 261-3177
