How Hormones Influence Our Bodies

Hormones are messenger molecules that are made by various organs, enter the blood stream and affect other parts of the body. Many are closely related, one being made from the other such as the conversion of DHEA to Testosterone and the conversion of Testosterone into Estrogen. Over time the production of hormones decreases and this decline creates symptoms as well as an imbalance. In males, testosterone levels decline at a rate of 1% per year beginning at age 30. Up to 20% of males over the age of 60 have low Testosterone levels. Testosterone levels are also more likely to be low in men who have medical conditions such as diabetes, COPD, obesity, hypertension, osteoporosis and elevated cholesterol. The term used to describe the symptoms of low Testosterone levels include Male Menopause, Andropause, Androgen Deficiency Syndrome, and Low T, among others.

Symptoms of low Testosterone:

  • Fatigue
  • Weight Gain
  • Erectile Dysfunction
  • Low Libido
  • Loss of Muscle Mass
  • Decreased Muscle Strength
  • Mood Swings
  • Depression
  • Lack of a sense of well being
  • Reduced cognitive function
  • Lack of energy
  • Hair loss

Treatment Approach

Successful hormone therapy rests on a thorough medical history, discussion of goals with the physician, close monitoring of hormone levels as well as PSAs, and lifestyle changes as nedded. In order to maximize the benefit of hormone therapy, all patients are encouraged to do their utmost to control stress, maintain a healthy diet, exercise every day, initiate a weight management program if necessary, and continue under the care of an internist or family physician. In addition, if urologic problems arise during the course of treatment with hormones, the patient proceeds with evaluation by an urologist.

Treatment Options

There are many different formulations of Testosterone available in the form of pills (Methyl testosterone), gels (Androgel), liquids (Axiron), patches (Androderm), nasal spray (Natesto), buccal tablets (Striant), injections (Delaseteryl, Depo-Testosterone) and pellets (Testopel). These agents come in standard doses and many are used on a daily basis, except the injections. In contrast, custom compounded formulations can be tailored to fit the patient’s needs, can be dosed in smaller volumes and may be better absorbed than standard hormone therapy. In addition, compounded testosterone pellets in the dose range of 100-200 and are placed every 3-5 months and release hormone in a manner that duplicates the natural physiology.

Comprehensive Approach

  • Discussion of symptoms and expectations
  • Review of medical history
  • Physical exam
  • Testing of hormone levels
  • Discussion of various options, Bioidentical Hormone Therapy recommendations, and preferred delivery method
  • Visit with nutritionist

Follow-Up Visits

  • Discussion of results
  • Lab interpretation
  • Renewal of Prescription

Financial Policy

The fee for the initial consultation is $295.00. Follow up consultations are $295.00 for discussion and prescribing of custom compounded hormones. The cost of hormone implants varies, depending on dosing requirements. You will be given an estimate of costs following your initial visit if you wish to proceed with testosterone implants. Labs drawn on site are billed by Quest to your insurance company. Please direct any financial concerns regarding your labs to the phone number provided on your bill. Upon request, a statement of Bioidentical Balance fees/payments will be provided.

A Word About Compounding Pharmacies...

We work with local accredited compounding pharmacies that formulate reliable medications for you based on your choice of troche, topical gel, topical cream or injection. These medications may or may not be covered by your insurance company. For questions regarding coverage for compounded medications, contact your insurance company directly.