Alyza Sunny, FNP-C

Testosterone Replacement Therapy for Men

Alyza starts with NRG's men's lab panel: total and free testosterone, SHBG, estradiol, LH, FSH and prolactin, plus thyroid, PSA, blood sugar, cholesterol, kidney and liver function, and a full blood count. A thyroid or blood sugar problem can look like low testosterone, so she checks for those before starting treatment.

She prescribes testosterone cypionate injections, creams, troches, capsules and enclomiphene, and has options for men who want to keep their fertility. Dose changes are based on your follow-up labs.

Hormone Therapy for Women in Perimenopause and Menopause

Alyza doses by stage. Early perimenopause, late perimenopause and menopause each call for a different starting point. Symptoms can begin while periods are still regular, so she does not wait for a missed cycle to treat hot flashes, poor sleep or mood changes. She uses estrogen, progesterone and testosterone, starts low, and adjusts based on how you feel.

GLP-1 Weight Loss and Peptide Therapy

Alyza manages GLP-1 weight loss with semaglutide and tirzepatide, along with peptide therapy. Before setting your dose she checks fasting glucose, A1c and thyroid, since any of them can stall weight loss. She adjusts the dose at your check-ins based on appetite, nausea and how you are eating, and keeps an eye on muscle loss.

Her Role at NRG Clinic

Alyza is NRG Clinic's nurse manager and leads the clinical team day to day. She reviews your labs, builds your plan and follows you through check-ins and dose changes, under the supervision of Medical Director Dr. Daniel Bryan. She sees patients by video in Colorado, Delaware, Florida, Illinois, North Carolina, Ohio, Texas and Vermont.