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Advanced Medication Management: Optimization Beyond Aesthetics

Member-Exclusive Benefit | Available with Shape Shifting, Primary Plus, Platinum, Essentials Plus & TriLift Memberships

At PM Aesthetics, medicine comes first. Advanced Medication Management with Dr. Keady extends that philosophy beyond skincare into comprehensive health optimizatio, hormone balance, hair restoration, sexual wellness, and post-menopausal vitality.
 

This isn't a one-size-fits-all approach. This is individualized, evidence-based clinical medicine by Dr.Keady who is deeply invested in the research and practices these protocols herself.

Available at our Bedford, NH location

Dr. Cecilia Keady Bedford NH Medical Director PM Aesthetics.jpg

Who Is Dr. Keady?

Dr. Cecilia Keady is the founder and Medical Director of PM Aesthetics with specialized expertise in:
 

  • Hormone optimization (women and men)

  • Hair loss treatment (evidence-based pharmacotherapy and protocols)

  • Sexual wellness (both men and women)

  • Post-menopausal health (comprehensive longevity medicine)


Dr. Keady doesn't just prescribe, she practices. She actively follows her own post-menopausal hormone optimization protocol, remains deeply engaged with current endocrinology literature, and brings 20+ years of clinical experience to every consultation.
 

 

Her approach is rooted in peer-reviewed evidence, not trends or marketing. Advanced Medication Management is medicine-first healthcare.

What's Included: Comprehensive Programs

1. HORMONE OPTIMIZATION

For Women:
Post-Menopausal Hormone Management
  • Comprehensive hormone panel assessment (estrogen, progesterone, testosterone, DHEA)
  • Individualized hormone optimization protocols
  • Bioidentical vs. conventional hormone considerations
  • Delivery method optimization
  • Long-term management and monitoring

Sexual Health & Wellness
  • Libido and sexual function optimization
  • Vaginal health, lubrication, and atrophy management
  • Pelvic floor coordination
  • Sexual pleasure and satisfaction (addressing the whole picture, not just dysfunction)

Metabolic & Energy Optimization
  • Thyroid function and optimization
  • Metabolic rate support
  • Blood sugar regulation and insulin sensitivity
  • Weight management through metabolic lens (not restriction)
  • Energy and fatigue assessment

Mood, Sleep & Cognitive Function
  • Hormone-mood connections
  • Sleep quality optimization
  • Brain fog and cognitive clarity
  • Anxiety and mood stability
  • Memory and long-term cognitive health

Bone Health & Longevity
  • Osteoporosis prevention and management
  • Micronutrient assessment (calcium, vitamin D, magnesium, K2, etc.)
  • Long-term health trajectory optimization

For Men:
Testosterone & Androgen Optimization
  • Comprehensive hormone panel (total testosterone, free testosterone, SHBG, DHT, estradiol)
  • Evidence-based testosterone optimization
  • Natural vs. exogenous approaches (discussing risks, benefits, alternatives)
  • Dosing, delivery, and ongoing monitoring protocols

Sexual Health & Performance
  • Erectile function and sexual performance
  • Libido and sexual desire optimization
  • Sexual satisfaction and confidence
  • Fertility considerations if applicable

Metabolic & Cardiovascular Health
  • Thyroid function
  • Blood sugar regulation
  • Cholesterol and cardiovascular markers
  • Body composition and metabolic rate
  • Longevity-focused health optimization

Energy, Mood & Cognitive Function
  • Motivation and drive
  • Mood stability and resilience
  • Energy and stamina
  • Cognitive clarity and focus
  • Sleep quality

2. COMPREHENSIVE HAIR LOSS PROGRAMS

Dr. Keady has developed evidence-based, clinically researched hair loss protocols for both men and women. This is one of her areas of deepest expertise.

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Why Hair Loss Matters:

Hair loss affects self-confidence, identity, and quality of life. Most people receive generic advice ("try minoxidil") without understanding the underlying causes or having access to comprehensive treatment protocols. Dr. Keady's approach is different.

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For Men: Male Pattern Hair Loss & Androgenetic Alopecia

Comprehensive Assessment:

  • Detailed hair loss history and pattern analysis

  • Hormonal assessment (DHT sensitivity, testosterone levels)

  • Nutritional status evaluation

  • Scalp health assessment

  • Genetic predisposition evaluation

  • Lifestyle and stress factors

 

Evidence-Based Treatment Options:

  • Finasteride (Propecia) — Mechanism, efficacy, side effects, and long-term outcomes

  • Minoxidil (Rogaine) — Topical and oral options, combined protocols

  • Combination therapy — Synergistic protocols for optimal results

  • Nutritional support — Biotin, zinc, iron, vitamin D, and other micronutrients critical for hair health

  • Low-level laser therapy — Photobiomodulation protocols

  • Scalp health optimization — Addressing inflammation, sebum regulation, and scalp microbiome

  • Emerging therapies — Latest evidence on new treatments and protocols

 

Realistic Expectations:

  • Timeline for results (hair growth cycle is 3-6 months)

  • Success rates with different approaches

  • Maintenance vs. regrowth

  • What stops working and why

  • Long-term protocol adjustments

 
For Women: Female Pattern Hair Loss, Telogen Effluvium & Alopecia

Comprehensive Assessment:

  • Hair loss pattern and severity analysis

  • Hormonal evaluation (androgen sensitivity, post-pregnancy changes, post-menopausal shifts)

  • Nutritional deficiencies (iron, ferritin, B12, zinc, protein)

  • Thyroid function assessment

  • Stress and cortisol factors

  • Medication side effects review

  • Underlying autoimmune or inflammatory conditions

 

Evidence-Based Treatment Options:

  • Minoxidil (Rogaine) — Topical and oral, efficacy in women

  • Spironolactone — Anti-androgen protocol for hormone-driven loss

  • Nutritional optimization — Iron, ferritin, B vitamins, zinc, protein

  • Thyroid optimization — Often overlooked but critical

  • Hormone balance — Post-menopausal, post-pregnancy, hormonal cycle-related loss

  • Stress management & cortisol — Telogen effluvium treatment

  • Scalp health — Inflammation, seborrheic dermatitis, microbiome

  • Emerging therapies — Latest evidence and protocols

 

Special Considerations:

  • Post-pregnancy hair loss (telogen effluvium recovery)

  • Post-menopausal hair loss (hormonal shifts)

  • Stress-related hair loss (recovery protocols)

  • Nutritional deficiency-related loss (repletion strategies)

  • Combination approaches for stubborn cases

 

Realistic Expectations:

  • Timeline for stabilization and regrowth

  • Success rates by hair loss type

  • Maintenance protocols

  • What requires ongoing treatment vs. what can be resolved


Why Dr. Keady's Hair Loss Program is Different:

Evidence-based — Protocols grounded in dermatology literature and clinical research, not trends
Comprehensive — Addresses root causes (hormonal, nutritional, inflammatory, stress) not just symptoms
Individualized — Your protocol is tailored to your specific hair loss type, underlying causes, and goals
Realistic — Clear expectations about timelines, success rates, and maintenance
Integrated — Hair loss is often connected to hormone, metabolic, or nutritional issues we address holistically

3. SEXUAL WELLNESS PROGRAMS

Sexual health is foundational to overall health and quality of life. Dr. Keady approaches sexual wellness with the same clinical rigor as any other health concern.

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For Women: Sexual Wellness & Function

What's Addressed:

  • Libido and sexual desire — Hormonal, psychological, relational factors

  • Arousal and pleasure — Physiological and psychological optimization

  • Vaginal health — Lubrication, atrophy, elasticity, and comfort

  • Orgasm and sexual satisfaction — Function and pleasure

  • Post-menopausal changes — Hormone shifts and sexual function recovery

  • Pelvic floor health — Coordination with PT if needed

  • Medication side effects — How certain medications affect sexual function

  • Relationship & psychological factors — Stress, body image, communication

 

Evidence-Based Approaches:

  • Hormone optimization (estrogen, testosterone, DHEA)

  • Vaginal health treatments (estrogen, DHEA, hyaluronic acid)

  • Blood flow optimization

  • Pelvic floor assessment and coordination

  • Nutritional support for sexual health

  • Stress management and cortisol regulation

  • Relationship and communication support (resources/referrals)

 
For Men: Sexual Wellness & Performance

What's Addressed:

  • Erectile function — Physiology, causes of dysfunction, treatment options

  • Libido and sexual desire — Hormonal and psychological factors

  • Sexual performance and confidence — Stamina, satisfaction, pleasure

  • Premature ejaculation — Treatment protocols

  • Testosterone and sexual health — How hormone levels affect function

  • Cardiovascular health — Often the root cause of ED

  • Medication side effects — How certain drugs affect sexual function

  • Relationship and psychological factors — Stress, performance anxiety, communication

 

Evidence-Based Approaches:

  • Testosterone optimization (if indicated)

  • Cardiovascular health optimization

  • Medication adjustments (if applicable)

  • PDE5 inhibitors (Viagra, Cialis, etc.) When appropriate

  • Blood flow optimization

  • Nutritional support (L-arginine, L-citrulline, zinc, etc.)

  • Pelvic floor health assessment

  • Stress management and psychological support

 
Why Sexual Wellness Matters:

Sexual health is not frivolous. It's connected to cardiovascular health, hormone balance, self-esteem, relationships, and overall quality of life. Dr. Keady treats sexual wellness with the same clinical seriousness as any other health concern.

4. POST-MENOPAUSAL HEALTH MANAGEMENT

Post-menopause represents a major life transition. Rather than accepting declining health and vitality, Dr. Keady works with you to optimize your post-menopausal years.

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Quick Overview:

What's Addressed:

  • Hormone optimization and symptom management

  • Sexual health and wellness

  • Metabolic health and weight management

  • Bone health and osteoporosis prevention

  • Cardiovascular health

  • Cognitive function and brain health

  • Energy, mood, and quality of life

  • Hair and skin health

  • Long-term longevity planning

 

Dr. Keady's Unique Perspective:

Dr. Keady is post-menopausal herself and actively follows her own optimization protocol. She brings both clinical expertise and personal experience to post-menopausal care. This isn't theoretical medicine, it's evidence-based care informed by real-world application.

How It Works With Your Membership

Membership Tiers That Include Advanced Medication Management:

  • Shape Shifting

  • Primary Plus 

  • Platinum 

  • Essentials Plus 

  • TriLift 

 

NOT Included:  sub-$199 tier

 

What's Included:

Your membership includes one monthly consultation with Dr. Keady. Each month, you decide:

  • Use it for your primary membership service (aesthetics or weight loss), OR

  • Use it for Advanced Medication Management (hormone, hair loss, sexual wellness, post-menopausal care)

 

You cannot combine both in the same month, you choose one.

Beyond Your Included Benefit:

  • Additional consultations: $200 per consultation

  • Typical frequency: Most patients benefit from follow-up every 3 months

  • Cost reality: For many members, additional consultations cost $0 because they're scheduled every 3+ months

 

Important Policies:

Dedicated Time: Consultations are dedicated 1-hour appointments. They cannot be combined with weight loss consultations or shortened to fit alongside aesthetic services.

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Payment Required: Payment is due for the consultation even if, after evaluation, Dr. Keady determines you're ineligible for certain medications. The consultation fee covers clinical assessment and care planning.

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Cancellation Policy: We strictly enforce a $200 appointment violation fee for:

  • Late arrivals (>15 minutes)

  • Last-minute cancellations (<24 hours notice)

  • No-shows

 

Dr. Keady's time is limited. We protect her schedule to ensure members receive the dedicated attention they deserve. Consultations last 45 minutes to 1 hour.

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BE PREPARED FOR A 1-2 HOUR INITIAL CONSULTATION.

Am I Eligible?

Advanced Medication Management is available to:

  •  Shape Shifting members

  • Primary Plus members

  • Platinum members

  • Essentials Plus members

  • TriLift members

Not available to:

  •  sub-$199 tier

  • Non-members

 

Don't have a membership yet? Explore our membership options and choose the tier that fits your goals. → View Memberships

Getting Started

Step 1: Determine Your Focus
Advanced Medication Management covers multiple areas. What's your primary focus?

  • Hormone optimization

  • ​Hair loss treatment

  • Sexual wellness

  • Post-menopausal health

  • Multiple areas


(You can address different areas in different consultations.)

Step 2: Schedule Your Consultation
If you're already a member at an eligible tier, book your monthly consultation with Dr. Keady through your membership portal or call us at (603) 341-7100.

Mention in your booking: The specific area you want to focus on (hair loss, hormones, sexual wellness, post-menopausal health, etc.) so we allocate the full hour appropriately.

Step 3: Prepare for Your Appointment

Bring:

  • Recent lab work (if available), hormone panel, thyroid, hair loss markers, etc.

  • Current medications and supplements list

  • Medical history summary

  • Family history (especially for hair loss, hormone issues, cardiovascular health)

  • Specific health goals and concerns

  • Photos of hair loss (if applicable)


Step 4: Develop Your Plan
Dr. Keady will conduct a comprehensive assessment and develop an individualized protocol tailored to your goals.

This may include:

  • Medication adjustments or prescriptions

  • Supplement and nutritional recommendations

  • Lifestyle modifications

  • Lab work or monitoring schedule

  • Follow-up timing (typically every 3 months for ongoing care)


Step 5: Ongoing Support
Follow-up consultations include assessment of how your protocol is working, lab review if applicable, and adjustments as needed. You're building a long-term partnership with Dr. Keady, not a one-time transaction.

PM Aesthetics: Where medicine comes first, sales never happen under pressure, and your face is treated as the complex anatomical structure it is - not a canvas for trendy treatments.​

 

We are the ethical alternative to commodity medical aesthetics.

FREQUENTLY ASKED QUESTIONS

  • Not required, but helpful. Recent bloodwork (hormone panel, thyroid, lipids, etc.) gives Dr. Keady baseline data. She may recommend specific labs based on your concerns.

  • Yes, absolutely. Coordination of care is standard practice. We'll communicate with your PCP as appropriate and keep them informed of any protocols.

  • Contact PM Aesthetics and explain the concern. We'll prioritize and have Dr. Keady address it. Routine follow-ups can often be handled via secure message.

  • Not necessarily. Advanced Medication Management is individualized. Protocols may include bioidentical hormones, conventional HRT, natural optimization, medications, supplements, or combinations thereof. Dr. Keady discusses all options with you.

  • Dr. Keady's approach is comprehensive and individualized. Rather than generic prescriptions, she assesses root causes (hormonal, nutritional, inflammatory, stress) and develops integrated protocols. She also discusses realistic timelines and long-term management. Plus, you see Dr. Keady directly.

  • These services are member-exclusive benefits. You'll need to upgrade to an eligible membership tier.

    → View Memberships

  • No. You choose one per month. Medication consultations require dedicated clinical time and cannot be combined.

  • You still pay for the consultation. The fee covers Dr. Keady's clinical assessment, medical evaluation, and care planning, even if a particular medication isn't appropriate for you. She'll recommend alternatives aligned with your health and goals.

  • This depends on your protocol and how you're responding. Most patients benefit from follow-up every 3 months, though some may need more frequent check-ins during initial optimization. Dr. Keady will recommend a schedule for you.

  • Safety and evidence are foundational to Dr. Keady's approach. She'll discuss risks, benefits, alternatives, and monitoring protocols. You're not a statistic, you're an individual patient with specific health goals and concerns.

Why PM Aesthetics For Advanced Medication Management?

Founder-Led Medicine: You consult with the practice founder and medical director, Dr. Keady brings 20+ years of clinical expertise.

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Medicine First — Optimization is grounded in clinical evidence, not wellness trends or marketing.

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Comprehensive Expertise — Hair loss, hormones, sexual wellness, post-menopausal health, Dr. Keady has deep expertise across multiple areas.

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Evidence-Based — Protocols are based on peer-reviewed literature and current research, actively updated as evidence evolves.

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Individualized — No cookie-cutter approaches. Your protocol is tailored to your medical history, genetics, lifestyle, and goals.

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Long-Term Partnership — Optimization is ongoing. We're building a relationship over months and years, not transactional consultations.

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Integrated Care — Dr. Keady coordinates with your other healthcare providers and integrates Advanced Medication Management with your aesthetic goals and overall health picture.

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Personal Practice — Dr. Keady follows her own post-menopausal optimization protocol. This isn't theoretical medicine, it's evidence-based care informed by real-world application.

Facial Treatment Close-Up

Join Us on Your Aesthetic Journey

Every PM Aesthetics consultation begins with lifestyle assessment, not treatment sales. We evaluate sun protection, nutrition, sleep, stress, exercise, and other factors that determine 70-80% of aging outcomes. If your lifestyle foundation needs attention, we'll tell you, even if it means less treatment revenue for us. Medicine first, always.

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