Fady Hannah-Shmouni, MD
Board-certified endocrinologist and expert witness in peptide, anabolic, hormone and regenerative medicine. Independent review of the record, the standard of care, and the evidence behind the therapy — written to withstand cross-examination.
The Practice
How I Work a Matter
Retained by plaintiff and defence counsel, insurers and regulatory bodies. Every engagement begins with the record and ends with an opinion I can defend under oath — no conclusion that the documents don’t support.
Record Review & Chronology
Clinic notes, compounding pharmacy records, lab panels and telehealth transcripts read in full and mapped onto a single timeline — prescriptions, dose changes, monitoring, consent and adverse events, each tied to its source page.
Standard of Care Opinion
A written report measuring the care given against the guidelines and evidence that applied at the time — including where the field was genuinely unsettled, which in this specialty is often the decisive question.
Testimony & Records Requests
Discovery and trial testimony, independent medical examinations, and an itemized list of the records still missing — the baselines never drawn, the panels never repeated, the encounters never disclosed.
Domain
One Field, Understood Deeply
A generalist expert flattens every case into the same shape. My practice is a single, fast-moving field — where the standard of care is contested, the agents are often compounded or off-label, and the record is scattered across clinics, pharmacies and telehealth providers.
Peptide Therapy
BPC-157, TB-500, growth hormone secretagogues and compounded research peptides — agents prescribed well ahead of any approval or evidence base.
Read the full brief →Hormone & Testosterone Therapy
Testosterone and TRT, GLP-1 agonists, estrogen and thyroid replacement, and adult growth hormone — measured against the guidelines in force at the time of care.
Read the full brief →Anabolic Steroids & SARMs
Nandrolone, oxandrolone, stanozolol, ostarine and ligandrol — prescribed, compounded or simply supplied outside any approved indication.
Read the full brief →Regenerative Medicine & Longevity
NAD+ protocols, stem cell applications and longevity interventions — where the marketing consistently outruns the evidence.
Read the full brief →Standards of Care
Physician conduct measured against established guidelines and evolving evidence — including off-label, compounded and direct-to-consumer prescribing.
Read the full brief →Agentic AI in Medicine
Clinical decision support, autonomous prescribing workflows and AI-drafted records — where the algorithm advised, and who exercised judgment.
Read the full brief →
About
The Expert
Dr. Fady Hannah-Shmouni is an Iraqi-Canadian internist, endocrinologist and clinician-investigator specializing in precision hormone medicine — and in the medicolegal questions that follow it into court.
Yale-trained and UBC faculty, he has served as an expert witness across Canada, the United States, and internationally — spanning medical malpractice, personal injury, and regulatory enforcement in peptide, hormone, regenerative and longevity medicine. He is the founder of Hormonaly.ai, the evidence engine that supports this work.
- ✦ Board Certified Internist & Endocrinologist (ABIM · FRCPC)
- ✦ Yale School of Medicine Training
- ✦ University of British Columbia Faculty
- ✦ Founder & CEO, Hormonaly.ai
- ✦ Director, AI Academy, Geneva College of Longevity Science
- ✦ Clinical Researcher & Medical Director, Eli Health
- ✦ Published in NEJM, JCEM, JAMA
Peer-Reviewed Research
Selected Publications
Pulled live from PubMed — the most recent indexed work, not a curated list.
Longitudinal Characterization of Males With X-Linked Creatine Transporter Deficiency: Final Results of a Multiyear Observational Study
Clinical, Laboratory, and Imaging Features Associated with Arginine Vasopressin Deficiency (Central Diabetes Insipidus) in Erdheim-Chester Disease (ECD)
Ascending Aorta 4D Time to Peak Distention Sexual Dimorphism and Association with Coronary Plaque Burden Severity in Women
Characterizing Hypertension Specialist Care in Canada: A National Survey
Corrigendum to "Elevated amyloid beta peptides and total tau in cerebrospinal fluid in individuals with Creatine transporter deficiency"
Elevated amyloid beta peptides and total tau in cerebrospinal fluid in individuals with Creatine transporter deficiency
Editorial: Adrenal neuroendocrine system and cardiometabolic health: pathophysiology and clinical implications
Rare disease variant curation from literature: assessing gaps with creatine transport deficiency in focus
Editorial: Mechanistic, machine learning and hybrid models of the "other" endocrine regulatory systems in health & disease
Update on the Genetics of Primary Aldosteronism and Aldosterone-Producing Adenomas
USP13 genetics and expression in a family with thyroid cancer
Scoping review of COVID-19-related systematic reviews and meta-analyses: can we really have confidence in their results?
Author & Educator
Books & Field Guides
Built by Dr. Hannah-Shmouni
Hormonaly Copilot.
The evidence engine behind the practice — GRADE-rated, citation-verified answers to clinical questions in hormone, peptide and regenerative medicine.
Educational information only — not medical advice.
Enquire.
For expert review, opinion or testimony in a peptide, hormone, regenerative or longevity medicine matter.