Hormonal replacement therapy is a highly complex and constantly evolving subject. You deserve a thorough medical evaluation and ongoing maintenance by a highly respected certified physician. We have decades of experience and possess a comprehensive command of current evidence-based reproductive endocrinology, which is simply absent from many healthcare practitioners today. This fact is echoed by many of our new patients who desire second opinions because they have been told their lab work is “normal,” but they still feel miserable. A significant problem is that many practitioners, even specialists, are clueless. They have never been taught evidence-based hormonal medicine in postgraduate residency or fellowship training programs. We have extensive traditional medical training augmented by additional in-depth certifications (see above).
Our only focus of interest is YOU, and hormonal therapy is our specialty. We would be delighted to conclude you need no therapy at all or that you simply may need a slight adjustment of your current regimen. If we recommend therapy, we offer ALL current options of treatment available: orals, topical creams, patches, sublinguals, injections, and the recent highly popular inserted hormonal pellets for women and men. Bioidentical pellets are 100% natural, non-synthetic, and plant-sourced, then altered to be completely identical to hormones made in your body when you were younger. Some insurance companies will reimburse you for some of the cost of the pellets, but most companies will not pay for them yet. We also employ both oral bioidentical and synthetic prescription thyroid medications. (See our YouTube video.)
We are a completely independent medical practice and do NOT accept any insurance, Medicare, or Tricare. As such, we are not told what to do, nor are we restricted by insurance plans, pharmacy benefit managers, or the pharmaceutical industry. However, all your lab work and imaging studies are indeed covered by these plans, just as with any other provider.
If, after medical and laboratory evaluation, we decide on the pellet route of administration, we employ the estradiol and testosterone pellet in females in many varying individualized dosages. In men, we employ testosterone pellets only. Pellets are about the size of a grain of rice and placed painlessly below your buttock skin. They are absorbed slowly over 3-5 months by cardiac output, providing relief to your female menopausal and male hypogonadal conditions. We have performed over 10000 pellet procedures combined in women and men.