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When the labs look fine but nothing else does
Irregular periods. Weight that won't move no matter what you change. Energy that disappears by 2pm. Skin and hair changes you didn't expect. Cravings that feel out of your control.
These are often treated as separate problems — or as a lack of willpower. They're frequently connected, and they're frequently PCOS, insulin resistance, or another metabolic pattern that a standard panel doesn't catch.
At Solace, this gets the time and the testing it actually requires.
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What we look at
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Menstrual cycle patterns and irregularity
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Insulin resistance and blood sugar regulation
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Weight changes that don't respond to diet and exercise alone
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Androgen-related symptoms (acne, hair changes, hair loss)
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Thyroid function
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Iron, vitamin D, and other nutrient deficiencies tied to fatigue
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Family history of diabetes, PCOS, or metabolic conditions
Who this is for
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Women with irregular or absent periods
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Women who've been told to "just lose weight" without further workup
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Women with a PCOS diagnosis who've never had a real treatment plan
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Women with persistent fatigue that hasn't been fully explained
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Women managing prediabetes, insulin resistance, or early metabolic concerns
How we get to the bottom of it
We don't diagnose off one ultrasound or one irregular cycle. Using the Rotterdam criteria, we build a full picture before we name what's going on - and we keep checking it over time, not just once.
Initial labs
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Testosterone, DHEA-S, SHBG
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LH/FSH ratio
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Fasting insulin, HbA1c
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Full lipid panel
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Prolactin
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TSH, to rule out overlapping thyroid causes
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​* Actual lab testing may vary for each individual
Beyond the bloodwork
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Pelvic ultrasound when it's indicated
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Full cycle, weight, and symptom history
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Family history of PCOS, diabetes, or metabolic disease
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Ongoing re-checks of your labs to trend them - so we see where you're heading, not just where you started
Your plan: Lifestyle and medication when it is needed
Foundation
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Protein-forward eating built around insulin sensitivity and satiety — targets set to your body and goals
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Strength training and movement shown to improve insulin resistance
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Sleep and stress support, since cortisol dysregulation worsens PCOS
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Tracking what's actually moving — weight, A1c, lipids
When indicated
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Metformin or other insulin-sensitizing options
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Hormonal management for cycle regulation and androgen symptoms
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Targeted treatment for hair, skin, or hair loss symptoms
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Fertility specialist referral and coordination, if conceiving is a goal
What care looks like here
I start by collecting all your previous records, labs, and visits that you have had with other clinicians. That is important to me as I want to know what has been done so far and understand what has been going on with your body before you start your care with me. Then we book your initial visit and that is where we get into the details of your life including symptoms, family history, what have you tried so far, lifestyle details, and health goals. We come up with a treatment plan together that works for your life and then you keep in constant communication with me by texting me directly on updates. You get to book as many follow ups with me as we need to get things addressed for you and figure out what is really going on.
Chronic Disease Support
Steady, supportive guidance for diabetes, hypertension, cholesterol concerns, and other long-term conditions. We help you understand your numbers, create realistic plans, and feel confident, not overwhelmed, in managing your health.
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Preventive & Lifestyle Medicine
Gentle, proactive guidance to help you build healthier habits and stay ahead of potential issues. We support you with evidence-based recommendations that fit your real life — no pressure, just steady encouragement and clarity.
Whole Family Wellness
Thoughtful primary care for every stage of life. From children to older adults, we provide warm, attentive support that helps your family stay healthy, feel heard, and build meaningful continuity in their care.
Women’s Health & Hormonal Care
Gentle, personalized support for menstrual concerns, PCOS, hormone changes, perimenopause, and more. We look at the whole picture, your symptoms, your lifestyle, your goals, so you feel understood, validated, and guided with clarity.
Pre, Postpartum & Maternal Support
Care that honors the physical, emotional, and hormonal changes of new motherhood. From recovery and fatigue to breastfeeding, mood shifts, or simply needing someone to listen — we’re here to support you with compassion and expertise.
Emotional & Mental Health Support
A compassionate space for the emotional side of health, including stress, grief, overwhelm, postpartum mood changes, and life transitions. Here, you are never rushed, never dismissed, and always met with understanding, compassionate care.
Solace Primary Care
Dr. Shehzein Khan
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Concierge physician for women and families in Newport Beach & across California.
Care
Postpartum & Maternal Care
Perimenopause/Menopause
Get in Touch