Neil C. Boland, MD, FACOG, NCMP
James S. Dolgin, MD
Carole Pasahow, DSW, LCSW

The dawn of a new era of evidence-based medicine has arrived in Florida.

Again now accepting New Patients and Physician Referrals!

Women Exercising Together

Providing Evidence-Based Bioidentical Hormonal Therapy in Florida

When you need bioidentical hormonal therapy in Florida, trust Treasure Coast Bioidentical Institute to provide the treatments you require. Our physicians, Dr. Neil Boland and Dr. Jim Dolgin are highly trained OB/GYN practitioners specializing in hormonal optimization therapy for both women and men. Our clinic provides professional evaluation and ongoing comprehensive management for female menopause and perimenopause, as well as male andropause (low testosterone). We also place a special emphasis on the management of thyroid and breast disorders.
Located in Stuart, FL, we are the first, most respected, and most admired hormonal facility in the area. We are dedicated to helping our patients achieve their best quality of life and longevity. To learn more about the treatments we have to offer, contact our office. We are currently accepting new patients.

Dr. Boland’s Professional Qualifications:

Dr. Neil Boland

Dr. Neil Boland

  1. Graduate of the Emory University School of Medicine and its Postgraduate Internship and Residency Training Programs in Internal Medicine and Ob-Gyn
  2. Over 40 Years of Experience as an Obstetrician, Gynecologist, and Surgeon in SE Florida
  3. Life Fellow, American College of Ob-Gyn
  4. Former Department Chairman, Department of Ob-Gyn, Martin Memorial Medical Systems, now Cleveland Clinic Martin Health
  5. Former Obstetrical Consultant to NASA, Cape Canaveral, Florida
  6. Former Principal Investigator to U.S. FDA in approval of new drugs for 15 years and publication of over 60 related investigational papers
  7. Book Author on Menopause “Menopause: Just The Facts, Ma’am” (2006) by Author House
  8. Certification as a North American Menopause Society Certified Practitioner
  9. Certification by Academy of Preventative and Innovative Medicine in Advanced BHRT
  10. BioTE Pellet Certified Provider
  11. Medico-Legal Consultant in Testosterone Usage to several Florida Law Firms, as well as in Ob-Gyn Specialty

Dr. Dolgin's Professional Qualifications:

Dr. Jim Dolgin

Dr. Jim Dolgin

  1. Graduate of Syracuse University, Magna Cum Laude/ Phi Beta Kappa
  2. Graduate of the Vanderbilt University School of Medicine
  3. Internship and Residency Specialty Training in OB/GYN at UCLA Center for Health Sciences
  4. Over 40 years of practicing OB/GYN in California and New Jersey
  5. Specialty in Women’s Sexual Medicine with special training in sexual pain and vulvar dermatology
  6. An active member of ISSWSH (International Society for Study of Womens’ Sexual Health)
  7. Completed dedicated sex therapy training program at Rutgers University Medical School
  8. Former Clinical Director of 6 physician OB/GYN practice in Fair Lawn, NJ
  9. BioTE Pellet Certified Provider

Dr. Pasahow’s Professional Qualifications:

Dr Pasahow

Dr. Carole Pasahow
Website : www.njcounselingandsextherapy.com
Direct line: 201.475.2777
Email: drcpasahow@gmail.com

  1. Graduate of Boston University, Magna Cum Laude, Psi Chi Honor Society in Psychology
  2. Graduate of the City University of New York, Doctor of Social Welfare
  3. Over 40 years in Clinical Practice in Sex Therapy and Healing Acute and Post-Trauma
  4. AASECT (American Association of Sexuality Educators, Counselors and Therapists) Certified Diplomate and Supervisor in Sex Therapy:  Was trained at the former New York Hospital-Cornell Medical Center under the renowned Helen Singer Kaplan, MD, PH.D and invited into Dr. Kaplan’s Private Practice
  5. ASCH (American Society of Clinical Hypnosis) Approved Certification in Clinical Hypnosis
  6. Certified in Psychoanalyst
  7. EMDRIA (EMDR International Association) Certified EMDR (Eye Movement Desensitization and Reprocessing) Therapist and Consultant
  8. Specialized training in Couple Therapy, PACT Practitioner (Psychobiological Approach to Couple Therapy)
  9. Somatic Experiencing Practitioner (SEP)
  10. Licensed in Florida, New York, and New Jersey

Treasure Coast Bioidentical 101: What You Need to Know

Contact us to learn more about the hormonal therapies we have to offer.

Contact us to learn more about the hormonal therapies we have to offer.

10 Reasons Why

Treasure Coast Bioidentical Should Be Your First Choice for Female And Male Hormone Replacement Therapy:

1

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).

2

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.)

3

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.

4

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.

5

Many practitioners are surprised to learn that at least 20 bioidentical medications have long been FDA-approved in the treatment of certain conditions, and more are on their way. However, there are no FDA-approved pellets for females yet. We prescribe high-quality estradiol pellets manufactured in FDA-regulated 503-B pharmacies, meaning potency and dosage are guaranteed to vary only less than 3% from pellet to pellet, far better than and exceeding the 10% variance allowed by the FDA for trade prescription medications. Many females prefer pellets because of better absorption, convenience, and maintenance of constant hormonal levels. Many males prefer pellets to injections for the same reasons as well as the elimination of muscular injections, which can create substantial hormonal fluctuations with resulting mood swings.

6

Our pellet dosages are customized precisely to you, calculated by computer algorithms based on your pre-insertion blood testing, body weight, activity level, thyroid function testing, and other historical information, such as smoking. Endocrine blood work is performed 4-6 weeks after insertion to ensure therapeutic hormonal levels, and adjustments can be made until you feel your best. We do not charge for booster pellets. You cannot rely on inaccurate laboratory ranges for some tests because those ranges may be based on older and sicker populations and are not optimized.

7

Professional organizations have been correctly skeptical and concerned about safety because of poor quality compounded pellets used by some providers, lack of endocrine blood testing for monitoring, and prescribing by non-expert providers. We share their concern! However, we have none of these drawbacks.

8

We strongly believe in patient education and in making you extremely knowledgeable about your hormonal therapy as far as benefits, risks, and side effects. As a patient, you will receive a lengthy personal consultation and a book on evidence-based bioidentical therapy. If you receive pellet therapy, you will become part of the world’s largest database of patients treated precisely the same way as far as pellet quality, dosing, and methodology by over 5.300 healthcare providers across the U.S. Any complications are carefully logged for research purposes.

9

We can provide you with second opinions. If you become one of our female patients, we can provide you with routine gynecologic Well Woman Exams and health surveillance as you desire.

10

We listen, care, and believe in courtesy, kindness, and dignity for each and every patient! We serve as a consultant to your primary care provider or Ob-Gyn, working with them to help you achieve maximum health. Find out why over 1/3 of our patients are themselves, either physicians, nurses, physician family members, or other healthcare professionals.

Common Hormone-Related Symptoms

Female Menopause Symptoms

  • Severe hot flashes with or without night sweats
  • Depression, anxiety, or insomnia
  • Mental fog, memory loss, inability to focus or concentrate
  • Increased abdominal fat distribution despite exercise
  • Inability to lose weight
  • Poor libido and painful intercourse
  • Bone density loss (osteopenia or osteoporosis)
  • Loss of height or thoracic spinal hump formation
  • Increased skin wrinkling
  • Loss of muscle strength and definition

Male Andropause Symptoms (Low Testosterone)

  • Loss of muscle strength and definition
  • Decreased stamina and loss of physical endurance
  • Erectile dysfunction and decreased sexual performance
  • Poor libido
  • Increased abdominal fat distribution despite exercise
  • Inability to lose weight
  • Poor concentration, memory loss, loss of mental edge
  • Moodiness, depression, anxiety, insomnia

Hypothyroidism (Underactive) Symptoms

  • Persistent fatigue, even taking thyroid replacement
  • Inability to lose weight/unexplained gain
  • Increased sensitivity to cold
  • Thinning or brittle hair (very common)
  • Joint pain or swelling
  • Puffy face
  • Constipation
  • Dry skin
  • Depression
  • Hoarseness or neck enlargement
  • Elevated cholesterol
  • Heavy or irregular periods