What are your symptoms?

Start typing to get insights about your symptoms.

Anxiety, heart palpitations, or unexplained weight loss

Anxiety, heart palpitations, and unexplained weight loss are hallmark symptoms of hyperthyroidism or thyroiditis - conditions where excess thyroid hormone pushes the body's metabolism into an unsustainably fast state. At Renew Health & Wellness, Dr. Jennifer Redmond, CNP, DNP evaluates these symptoms with a comprehensive thyroid and cardiovascular assessment. The goal is to confirm the diagnosis, identify the specific underlying cause, and build an appropriate treatment plan.

A complete thyroid panel is used to get a full picture of what is happening. Testing includes:

  • TSH (Thyroid Stimulating Hormone)

  • Free T3 and Free T4

  • Thyroid antibodies, including TSH receptor antibodies to screen for Graves' disease

  • Thyroid ultrasound, when appropriate, to evaluate the structure of the thyroid gland

This thorough approach ensures nothing is missed and the root cause is properly identified.

The anxiety caused by excess thyroid hormone is not the same as generalized anxiety disorder. It has a specific physical cause - excess T3 directly stimulates the cardiovascular and nervous systems in a way that mimics anxiety. Recognizing this distinction is critical. Without it, patients may be incorrectly treated with psychiatric medications when the real issue is a thyroid problem. Proper diagnosis leads to proper treatment.

Heart palpitations and a rapid heart rate - known as tachycardia - are common with hyperthyroidism and require careful attention. Both thyroid management and cardiovascular monitoring are needed to keep patients safe during treatment. Treatment is individualized based on the underlying cause, which may include:

  • Graves' disease (an autoimmune condition)

  • Toxic nodular goiter

  • Transient thyroiditis

Treatment options are tailored to each patient and may include:

  1. Antithyroid medications to reduce thyroid hormone production

  2. Beta-blockers for short-term symptom relief, such as slowing the heart rate

  3. Coordination with endocrinology for radioiodine therapy or surgical evaluation in more complex cases

Nutritional support is also incorporated to protect bone density and muscle mass, both of which are at risk during periods of excess thyroid hormone.

Stress management plays a meaningful role in treatment as well. Stress is a known contributor to immune dysregulation - which is particularly relevant in autoimmune thyroid conditions like Graves' disease.

At Renew Health & Wellness, unexplained anxiety and palpitations are taken seriously. If excess thyroid hormone is the cause, we have the expertise to identify it and treat it effectively.

Thyroid Optimization

Blood sugar irregularities or a prediabetes diagnosis

A prediabetes diagnosis or blood sugar irregularity is not something to take lightly - but it is also not a done deal. This is a critical window of opportunity. With the right intervention, the progression toward type 2 diabetes can be meaningfully slowed, stopped, or in many cases reversed. At Renew Health & Wellness, Dr. Jennifer Redmond, CNP, DNP treats prediabetes and insulin resistance with the same urgency she applies to established disease. Every patient begins with a thorough metabolic evaluation to understand exactly what is driving blood sugar problems - not just where the numbers sit today.

Your evaluation includes:

  • Fasting glucose and fasting insulin

  • HbA1c (a 3-month blood sugar average)

  • C-peptide (a marker of insulin production)

  • Glucose tolerance testing

  • A full hormonal assessment

This detailed workup allows Dr. Jennifer Redmond, CNP, DNP to identify the root causes of blood sugar dysregulation. Common drivers include insulin resistance, excess cortisol, thyroid dysfunction, and sex hormone imbalance - all of which directly affect how your body processes glucose. Understanding the full picture is what makes treatment effective.

Medical treatment may include:

  1. Metformin - a first-line insulin sensitizer with a strong safety record and excellent tolerability

  2. GLP-1 receptor agonists such as semaglutide and tirzepatide - medications that powerfully improve blood sugar control while also supporting meaningful weight loss

These options are selected based on your individual labs, health history, and goals. Dr. Jennifer Redmond, CNP, DNP does not take a one-size-fits-all approach. Every treatment plan is tailored to what your body specifically needs.

Nutrition plays a central role in reversing prediabetes. Our registered dietitian builds a personalized plan around blood sugar stabilization. Key focuses include:

  • Lower glycemic load - choosing foods that cause a slower, steadier rise in blood sugar

  • Adequate protein and fiber to support fullness and glucose control

  • Strategic meal timing to reduce blood sugar spikes throughout the day

  • Anti-inflammatory food patterns that directly improve insulin sensitivity

This is not a generic "eat healthy" plan. It is a targeted, evidence-based nutrition strategy designed around your metabolic needs.

Exercise is another powerful tool - and the type of exercise matters. Resistance training and post-meal movement have both been clinically shown to lower blood sugar. Your plan will include specific guidance on how to move in a way that directly supports metabolic health.

Sex hormone optimization is also a key part of the picture. Estrogen and testosterone deficiency can directly impair glucose metabolism. Addressing hormone imbalances supports insulin sensitivity at a foundational level - something most prediabetes programs overlook entirely.

At Renew Health & Wellness, prediabetes is not a waiting room for diabetes. It is your opportunity to reclaim your metabolic health. We are here to help you do exactly that.

Weight Loss Management

Chronic fatigue or low energy unresolved by sleep

Chronic fatigue and persistently low energy that don't respond to sleep, good nutrition, or hormone therapy often point to deficiencies at the cellular level. These deficiencies affect the nutrients your body needs for mitochondrial function, enzymatic processes, and energy metabolism. The problem is that oral supplements may not be enough - absorption through the gut has real limitations that prevent therapeutic levels from reaching your cells.

At Renew Health & Wellness, IV vitamin and mineral therapy delivers nutrients directly into the bloodstream, bypassing the gastrointestinal tract entirely. This allows your tissues and cells to receive concentrations that oral supplementation simply cannot reliably achieve.

Dr. Jennifer Redmond, CNP, DNP begins every IV therapy plan with a comprehensive lab evaluation of your specific nutrient status. This ensures your formulation is built around your actual deficiencies - not a one-size-fits-all protocol. Key nutrients evaluated include:

  • B vitamins

  • Magnesium

  • Vitamin C

  • Zinc

  • Glutathione

  • Other micronutrients essential to energy production

Each nutrient in your IV formulation plays a specific role in fighting fatigue:

  • Magnesium - supports mitochondrial ATP (energy) production and reduces neuromuscular tension and inflammation

  • B vitamins - fuel the enzymatic pathways behind cellular energy metabolism, neurological function, and adrenal hormone production

  • Vitamin C - delivers antioxidant support that reduces oxidative stress, a primary driver of cellular fatigue

  • Glutathione - the body's master antioxidant, supporting detoxification, immune function, and cellular resilience

IV hydration is also a key part of therapy. Even patients who drink adequate water are often not truly hydrated at the cellular level - because hydration depends on electrolyte concentrations, not just water intake. Restoring proper fluid and electrolyte balance is essential for genuine cellular function.

Your formulation is customized to your lab values, health goals, and clinical priorities at each session. At Renew Health & Wellness, IV therapy delivers the raw materials your cells need to generate energy - directly and efficiently.

IV Vitamin, Mineral & Fluid Hydration

Chronic fatigue, bloating, or digestive issues alongside pelvic pain

The experience of living with endometriosis extends far beyond pelvic pain. Chronic fatigue, bloating, and digestive symptoms are among the most common but least addressed companions to the disease, significantly affecting daily functioning and quality of life. At Renew Health and Wellness, Dr. Jennifer Redmond, CNP, DNP recognizes these symptoms as clinically meaningful manifestations of the systemic inflammation that characterizes endometriosis - and treats them as integral parts of your care plan, not secondary concerns. Endometriosis lesions and the immune dysregulation they trigger generate inflammatory cytokines that affect energy production at a cellular level, contributing to a fatigue that sleep alone cannot resolve. Digestive symptoms are often caused by endometriosis implants on or near the bowel, as well as the gut microbiome disruption associated with systemic inflammation.


The nutritional approach at Renew Health and Wellness is specifically designed to address the inflammatory and gastrointestinal dimensions of endometriosis, emphasizing anti-inflammatory dietary patterns, gut microbiome support, and foods that reduce estrogenic signaling in the body. Nutrient status is evaluated thoroughly, as deficiencies in magnesium, B vitamins, and omega-3 fatty acids are common in women with endometriosis and directly impact energy, pain threshold, and immune function. Hormonal protocols are designed to reduce overall disease activity, which decreases the inflammatory load driving fatigue and digestive dysfunction over time.


Stress management and sleep optimization are incorporated as functional interventions that influence pain perception, immune regulation, and energy. At Renew Health and Wellness, we treat the whole person with endometriosis - not just the pelvic pain - because we understand how comprehensively this disease affects your daily life.

Endometriosis

Chronically low energy or slow recovery after activity

Chronically low energy and slow physical recovery can be frustrating - especially when you are already sleeping well, eating right, and on hormone therapy. These persistent symptoms are often a sign that cellular function has not yet been fully restored. At Renew Health & Wellness, peptide therapy may be considered as a complementary layer to help bridge that gap. Peptides are never a first-line treatment. They are evaluated carefully as an optional enhancement after a strong hormonal foundation has been established. Dr. Jennifer Redmond, CNP, DNP reviews each patient's full picture - including hormone levels, sleep quality, inflammatory markers, and lifestyle demands - before determining whether peptide therapy is the right next step.

When peptide therapy is appropriate, growth hormone secretagogues are among the most commonly used options for energy and recovery support. These include:

  • CJC-1295 with DAC

  • Ipamorelin

These peptides work by stimulating the pituitary gland - a small gland at the base of the brain - to release growth hormone in a pattern that mirrors the body's natural rhythm. This supports:

  • Mitochondrial function (how your cells produce energy)

  • Tissue repair

  • Lean muscle preservation

  • Metabolic efficiency

Rather than introducing growth hormone directly, these peptides encourage your body to do what it is naturally designed to do, just more effectively.

Additional peptides may also be incorporated depending on your individual needs:

  • BPC-157 is a body-protective compound that supports connective tissue repair, reduces recovery time from physical activity, and promotes gut health. Because the gut plays a key role in nutrient absorption, improving gut integrity can have a meaningful impact on overall energy levels.

  • Epitalon supports circadian rhythm regulation - the internal clock that governs your sleep-wake cycle. It has also shown evidence of improving cellular repair processes that tend to decline with age, making it relevant for patients experiencing vitality loss over time.

Every peptide protocol at Renew Health & Wellness is prescribed individually based on your clinical need, health history, and treatment goals. Protocols are monitored through follow-up appointments, and peptides are adjusted or discontinued if the response is insufficient or if new clinical priorities arise. Dr. Jennifer Redmond, CNP, DNP approaches peptide therapy as a precision tool - used thoughtfully and purposefully to help you feel your absolute best.

Peptide Therapy (Optional Enhancement)

Constipation, bloating, or digestive sluggishness without clear cause

Constipation, bloating, and sluggish digestion are some of the most common - and most overlooked - signs of hypothyroidism. Thyroid hormone plays a direct role in regulating how your gut moves food through your system, how it secretes digestive fluids, and even how your gut bacteria are balanced. When thyroid levels are low, your entire digestive system can slow down.

At Renew Health & Wellness, Dr. Jennifer Redmond, CNP, DNP evaluates digestive symptoms as part of your overall thyroid health - not as a separate issue. She understands that the gut is one of the most thyroid-sensitive organs in the body, and that poorly treated hypothyroidism often shows up as:

  • Constipation

  • Slow gastric emptying

  • Bloating

  • Changes in bowel habits

Dr. Jennifer Redmond, CNP, DNP conducts a comprehensive thyroid assessment that looks beyond standard testing. She identifies both overt and subclinical hypothyroidism, as well as problems with T4 to T3 conversion. This conversion issue can slow gut motility even when your TSH - the standard thyroid marker - looks normal on paper.

The primary treatment is thyroid hormone optimization, calibrated to restore Free T3 to the level where GI function improves. Many patients experience significant improvement in bowel regularity and bloating once their thyroid levels are properly balanced.

Gut health is also treated as a priority on its own. Hypothyroidism can cause or worsen:

  • Intestinal permeability (sometimes called "leaky gut")

  • Dysbiosis (an imbalance of gut bacteria)

  • SIBO (Small Intestinal Bacterial Overgrowth)

These conditions can, in turn, make it harder for your body to absorb and convert thyroid hormone properly. It becomes a cycle - thyroid problems affect the gut, and gut problems affect the thyroid.

A personalized gut protocol may be recommended to break that cycle. Depending on your needs, this may include:

  1. Targeted probiotic support

  2. Dietary fiber optimization

  3. Elimination of food triggers - such as gluten, which is linked to thyroid autoimmunity

Nutrient support is also an important part of the plan. Selenium, zinc, and magnesium all support both thyroid function and gut motility directly.

Finally, stress management is incorporated into your care plan. Chronic stress is a meaningful driver of both gut dysfunction and thyroid immune activity. Addressing it is not optional - it is a core part of restoring digestive health.

At Renew Health & Wellness, digestive symptoms are always viewed as part of the broader hormonal picture. They are never treated as isolated GI complaints.

Thyroid Optimization

Darkening of skin in skin folds or irregular blood sugar levels

Darkening of the skin in skin folds - a condition called acanthosis nigricans - and irregular blood sugar levels are two of the most clinically significant indicators of insulin resistance in PCOS. Together, they signal that metabolic dysfunction has progressed to a degree that warrants proactive, targeted intervention. At Renew Health and Wellness, Dr. Jennifer Redmond, CNP, DNP treats these findings as important diagnostic signals that guide the intensity and specificity of your care plan. Her metabolic evaluation goes beyond standard blood glucose testing to include fasting insulin, glucose tolerance, HbA1c, full lipid panel, and inflammatory markers - providing a complete picture of how insulin resistance is affecting your body systemically.


Acanthosis nigricans, while not a dangerous condition in itself, is a reliable visible marker of elevated insulin signaling. It often improves or resolves as insulin resistance is successfully addressed. Treatment is built around a multifaceted approach to insulin sensitization, beginning with targeted nutritional strategies that prioritize blood sugar stability. This includes reducing refined carbohydrate load, increasing dietary fiber and protein, and structuring meals to minimize insulin spikes. Medical therapies including metformin or GLP-1 receptor agonists such as semaglutide may be incorporated when lifestyle intervention alone is insufficient to normalize insulin dynamics.


As metabolic health improves, downstream hormonal effects - including elevated androgens and disrupted ovulation - typically improve in parallel. Weight management support is integrated where body composition contributes to insulin burden. Dr. Jennifer Redmond, CNP, DNP monitors metabolic markers longitudinally, adjusting your protocol as your insulin sensitivity responds to treatment. Acanthosis nigricans and abnormal blood sugar are not cosmetic or minor concerns. They are treatable metabolic conditions that we address with clinical precision.

PCOS (Polycystic Ovary Syndrome)

Decreased genital sensation or difficulty with arousal

Decreased genital sensation and difficulty with arousal are symptoms of Genitourinary Syndrome of Menopause (GSM) that are rarely discussed in routine medical visits. Yet they represent a significant loss that affects sexual well-being, intimate relationships, and overall quality of life. At Renew Health and Wellness, Dr. Jennifer Redmond, CNP, DNP approaches this aspect of GSM with both clinical expertise and genuine sensitivity - recognizing that sexual responsiveness is a legitimate component of health at every age. The loss of genital sensation is driven by declining levels of estrogen and testosterone - the hormones that maintain nerve density, blood flow, and tissue sensitivity of the vulva, vagina, and clitoris.


Her evaluation assesses both estrogen and testosterone levels alongside a full symptom history, as testosterone is a frequently overlooked contributor to genital sensation and arousal in women. Treatment begins with restoring the local hormonal environment through low-dose vaginal estrogen or intravaginal DHEA, which improves tissue health, blood flow, and nerve function in the genitourinary region. Systemic bio-identical and body-identical hormone therapy - including testosterone when appropriate - addresses arousal and desire at a broader neurological level.


Peptide therapies such as PT-141 may be incorporated to enhance sexual responsiveness through central nervous system pathways. Compounded topical vaginal formulations can further support sensitivity and lubrication. Our on-site mental health therapist is also available to address the psychological and relational dimensions of changed sexual response. At Renew Health and Wellness, the return of sensation and arousal is a realistic treatment goal - not an afterthought. We will build a comprehensive plan to help you achieve it.

Genitourinary Syndrome of Menopause (GSM)

Decreased libido, vaginal dryness, or painful intercourse

Decreased libido, vaginal dryness, and painful intercourse are symptoms that significantly impact quality of life and intimate relationships. Yet they are among the most underreported and undertreated concerns in women's health. At Renew Health and Wellness, these experiences are addressed with compassion and clinical rigor. Dr. Jennifer Redmond, CNP, DNP creates a space where these concerns can be discussed openly. Her evaluation begins with a comprehensive hormone panel assessing estrogen, testosterone, and DHEA - the hormones most directly responsible for genital tissue health, lubrication, and sexual desire.


Bio-identical and body-identical hormone therapy forms the foundation of treatment, restoring the systemic hormonal environment that supports both libido and tissue health. For local vaginal symptoms, low-dose topical estrogen or DHEA can be applied directly to vaginal tissues to restore moisture, elasticity, and comfort - without significant systemic absorption. Testosterone therapy is also considered when libido and arousal remain low after other hormones are optimized, as testosterone plays a critical and often overlooked role in women's sexual health.


Dr. Jennifer Redmond, CNP, DNP may also incorporate peptide therapies such as PT-141 to enhance sexual responsiveness where appropriate. When emotional or relational factors are involved, access to an on-site licensed mental health therapist is available. The goal is not simply to make intercourse less painful. The goal is to restore your full experience of sexual well-being - desire, arousal, satisfaction, and confidence. At Renew Health and Wellness, intimacy is treated as a vital component of health, and you deserve care that reflects that.

Perimenopause & Menopause Management

Decreased motivation, drive, or sense of well-being despite healthy lifestyle

Decreased motivation, emotional flatness, and a reduced sense of well-being can persist even when you are living a healthy lifestyle and your hormone levels look normal. These feelings point to gaps in the neurological and cellular environment that controls mood, drive, and overall quality of life. Peptide therapy can offer meaningful support in these areas. At Renew Health & Wellness, Dr. Jennifer Redmond, CNP, DNP takes a thorough approach before introducing peptide therapy. She first ensures that the following have all been fully optimized:

  • Thyroid function

  • Cortisol levels

  • Neurotransmitter-influencing hormones

  • Lifestyle factors

These are the primary foundations of mood and motivation - peptide therapy is considered only when a clinical need still exists after these areas are addressed.

When peptide therapy is appropriate, Selank is one of the most well-supported options for improving mood and reducing anxiety. It works through the body's serotonergic and GABAergic pathways - the systems that regulate calm, clarity, and emotional stability. Unlike many pharmaceutical anxiety medications, Selank achieves this without a heavy side effect profile. DSIP (Delta Sleep-Inducing Peptide) supports deep, restorative sleep, which is essential for emotional regulation and daytime motivation. Poor sleep is often an overlooked driver of low mood and reduced drive. Together, these peptides address both the emotional and the sleep-related dimensions of well-being.

Growth hormone secretagogues, such as Ipamorelin, support the mood-boosting and brain-supporting effects of growth hormone. Growth hormone naturally declines with age, and this decline contributes to the emotional flatness and reduced motivation that many patients describe as they get older. Epitalon addresses another commonly overlooked factor - circadian rhythm disruption. When your internal clock is off, it can lead to low mood, poor motivation, and reduced mental energy. Epitalon works by supporting pineal gland function and regulating melatonin, helping to restore a healthy daily rhythm that supports how you feel and function.

All peptide protocols at Renew Health & Wellness are carefully reviewed for potential interactions with any current medications. Protocols are also adjusted based on your individual response at follow-up appointments. Your sense of vitality, motivation, and well-being matters - and if targeted peptide support can help restore it, Dr. Jennifer Redmond, CNP, DNP will make that option available to you.

Peptide Therapy (Optional Enhancement)

Contact

(605) 261-6872

info@renewhealthsd.com

2520 S. Lorraine Pl Sioux Falls, SD 57106

Copyright 2026 Renew Health and Wellness

Contact

(605) 261-6872

info@renewhealthsd.com

2520 S. Lorraine Pl Sioux Falls, SD 57106

Copyright 2026 Renew Health and Wellness

Contact

(605) 261-6872

info@renewhealthsd.com

2520 S. Lorraine Pl Sioux Falls, SD 57106

Copyright 2026 Renew Health and Wellness