Dr. John MonacoMD, FACOG, FAARFM, ABAARM
Functional Medicine
at Nashville Hormone & Integrative Medicine Center — Franklin, TN
About
John "Jack" Monaco, MD, FACOG, FAARFM, ABAARM, earned his medical degree from Bowman Gray School of Medicine in North Carolina. He completed his residency in obstetrics and gynecology at St. Francis Hospital and Medical Center. He later earned a fellowship in Anti-Aging, Functional and Metabolic Medicine through the American Academy of Anti-Aging and Regenerative Medicine. He holds board certifications in both OB/GYN and Anti-Aging and Functional Medicine.
After more than 35 years in OB/GYN, Dr. Monaco redirected his career toward integrative medicine following a personal health event in 2007. He has since built close to 20 years of hands-on expertise in bioidentical hormone restoration. His clinical interests span testosterone deficiency, menopause, andropause, adrenal fatigue, thyroid health, cardiometabolic disease, weight loss, peptide therapy, and gut health. He serves as Medical Director of Nashville Hormone and Integrative Medicine Center, Division of Hormone Restoration Medical Director at The Hypertension Institute, and Associate Medical Director of Integrative Medicine at The Hypertension Institute in Nashville. He holds a faculty position as Clinical Assistant Professor of Family Medicine at the University of New England College of Osteopathic Medicine. He also serves as a member of the Teaching Faculty and Oral Board Examiner for the American Academy of Anti-Aging Medicine. Dr. Monaco has lectured to physicians across the United States, Canada, and the Middle East on hormone restoration, thyroid and adrenal dysfunction, functional medicine, and cardiometabolic disease. He has earned both the Connecticut Top Doctor Award and the Excellence in Clinical Teaching Award.
Education & Training
Medical School
Bowman Gray School of Medicine, MD
Residency
Obstetrics & Gynecology, St. Francis Hospital & Medical Center
Fellowship
Anti-Aging, Functional & Metabolic Medicine, American Academy of Anti-Aging and Regenerative Medicine
Certifications
Conditions Treated
Who is Dr. Monaco right for?
Dr. Monaco works well with adults seeking a comprehensive approach to hormone health and aging. Patients managing menopause, andropause, testosterone deficiency, or thyroid dysfunction benefit from his deep clinical experience. He is a strong fit for those dealing with adrenal fatigue, weight challenges, or cardiometabolic concerns. Patients who want individualized programs backed by thorough lab testing will find his practice a good match.
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Frequently Asked Questions
Dr. Monaco treats hormone-related and integrative health conditions. His focus includes testosterone deficiency, menopause, andropause, adrenal fatigue, thyroid dysfunction, and cardiometabolic disease. He also addresses weight management, gut health, and peptide therapy needs.
Yes. Dr. Monaco holds board certifications in both OB/GYN and Anti-Aging and Functional Medicine through the American Academy of Anti-Aging Medicine. He also earned a fellowship in Anti-Aging, Functional and Metabolic Medicine.
Dr. Monaco earned his medical degree from Bowman Gray School of Medicine in North Carolina. He completed his OB/GYN residency at St. Francis Hospital and Medical Center. He later pursued fellowship training through the American Academy of Anti-Aging and Regenerative Medicine.
Dr. Monaco has nearly 20 years of hands-on experience in bioidentical hormone restoration. His clinical background also includes more than 35 years in obstetrics and gynecology. That combination gives him a broad foundation for treating hormonal health across different patient profiles.
Yes. Dr. Monaco holds a faculty position as Clinical Assistant Professor of Family Medicine at the University of New England College of Osteopathic Medicine. He also serves as a Teaching Faculty member and Oral Board Examiner for the American Academy of Anti-Aging Medicine. He has lectured to physicians in the United States, Canada, and the Middle East.
Dr. Monaco has earned the Connecticut Top Doctor Award and the Excellence in Clinical Teaching Award. These recognize both his clinical standing and his contributions to physician education.
Yes. Dr. Monaco orders comprehensive lab testing for every new patient intake and repeats testing at annual follow-ups. Lab results guide the customized programs he builds for each patient.
Dr. Monaco uses bioidentical hormone replacement therapy, peptide therapy, nutritional counseling, IV therapy, biofeedback, and the Ideal Protein weight management program. He tailors each plan to the individual patient based on thorough lab work and clinical history.
Doctor profile last updated March 21, 2026