How are your bioidentical hormones prescribed?
We prefer to prescribe Estrogen as a skin cream, because this is safer. Progesterone can be offered as both a cream and tablet. Men receive Testosterone shots.
How long do I have to stay on BHRT?
We recommend that the patient continue to receive bioidentical hormone replacement therapy. If the patient stops, they will return to the same physical condition they were before they started the treatment. This can be discussed with the patient on an individual basis.
How often should I get retested?
This can differ from patient to patient. But it takes a while before the patient feels comfortable or starts seeing improvements. Estrogen is usually checked after 12 days, and Progesterone is checked after 21 days of treatments. We usually draw blood before the next appointment, so the results can be analyzed and discussed at the next meeting. Men who received Testosterone shots have their levels tested one month, the day after their last injection.
How do I get my hormones tested?
The most efficient way to review hormone levels is doing a blood draw. They can also study how well the body is absorbing hormones. Hormone levels can also be an indicator of cancer in the body. We also recommend you carry out some procedures to improve your metabolism such as increase your intake of cruciferous vegetables. And we recommend you test your levels at least once a year on BHRT. If you’re doing thyroid testing, blood is supposed be drawn at night. Cortisol testing can be done at home with a saliva test. It can also be done through blood testing, but this can lead to false test results, which could hide adrenal fatigue.
What do I do if I’ve missed a few treatments?
If you’ve missed some treatments, keep taking the shots or pills. We do not advise that you take two treatments to catch up. This can lead to uterine bleeding or spotting.
The treatment has not improved my overall well being …
Not to worry. Sometimes it can take up to 6 months to notice any difference. It also takes a while for medical practitioners to find out what levels are right for you. If you have not noticed any changes you may need to come into the clinic every few weeks until you feel better. We will work with you until we get the right balance of hormones and you notice beneficial changes.
Taking Progesterone Has Worsened My Menopausal Symptoms. What should I do?
We recommend adding Estrogen with Progesterone. An alternative measure is to take Progesterone at night. We have found that adding natural herbs help some women reduce the activity of their adrenals. This eliminates problems like hot flashes and night sweats.
I Noticed I’m Bleeding Before Finishing My Progesterone Treatment
A little blood is not unusual when you’re using Progesterone. Take note of your bleeding and report it back to us for consultation. If the bleeding continues, it needs to be looked at by an OB/GYN. Bleeding could mean several things, such as Estrogen levels being too high or Progesterone is not high enough. It could also signify other problems such as fibroids, uterine polyps, irregular tissue in the uterus or even cancer. If this occurs we will check hormone levels, and suggest your OB/GYN do an examination. If these conditions continue for more than 10 days, please contact us.
Since I’ve started my treatment, I’ve noticed tender breasts, bloating and weight gain.
These symptoms are not unusual. They normally disappear about three months after beginning hormonal treatment. These symptoms are caused by fluid changes. If they continue, then we may need to reduce your Estrogen.
How long does it take to achieve a balanced level of hormones?
About 3 to 6 months. After we have achieved a balanced level, we recommend the patient come back every 6-12 months to maintain a balance.
My flow is very heavy
After taking hormonal therapy, periods are usually not heavy. This may be followed by light cramps. If this problem persists, we may need to refer you to your OB/GYN for further consultations.
I’m interested in taking hormonal therapy to lose weight. When will I see the results?
Some women who go through perimenopause and menopause gain weight, because of low estradiol levels. This causes insulin and cortisol levels to rise. If these hormonal systems are not working properly it may take time for them to repair themselves. However, there are other factors that cause weight gain such as lack of sleep, or an unhealthy digestive system. Another issue could be insulin resistance because of too much carbs. In some women, hormonal therapy does not automatically cause weight loss. We might have to look at other factors such as nutrition or trying the HCG diet.
Is this a good way to reduce the aging process?
Yes, many of the physical signs of aging are caused by hormone deficiencies. Fixing these deficiencies with natural hormones can improve your lifestyle and vitality.
Which hormones do you focus on?
Hormones such as Estrogen, Progesterone and Testosterone are important to women throughout their life. We focus on those hormones. For men we focus on Testosterone, as many men suffer drops in this during Andropause. Men and women both also benefit from natural thyroid hormone and DHEA.
How does the treatment process work?
The process begins with the patient filling in a health history and doing lab work. The patient then meets with a medical professional to discuss the results and we also come up with a customized plan for hormonal treatment.
How soon can I see the results?
Finding the right dosage may take some time. While you are working with a medical professional to find the right level you may experience side effects such as headaches, irritability, acne and mood swings. Provided your hormones are balanced, and you maintain a balanced diet and stay active, you should start to notice changes in your memory, mental agility, more energy and improved mood. Other changes include less anxiety, a boost in your libido, more muscle and a reduction in body fat. Patients begin to see the effects of the treatment up to 24 hours after they begin their regime. The treatment reaches its maximum potential after about 3 weeks. The benefits slow down after about four months for women and five months for men.
Are there any side effects?
Side effects rarely occur, bit in some cases people have been known to experience swelling of hands and feet, breast tenderness, bleeding, mood swings and irritability and fluid retention. A few women have experience facial hair growth after undergoing Testosterone therapy, but this is easily treated. Potential complications from bioidentical hormone therapy are rare but could include: fluid retention, swelling of hands and feet, breast tenderness or nipple sensitivity, spotting or bleeding, or mood swings and irritability.
Can BHRT cause cancer?
Actually no. It does the complete opposite of that. Some studies have shown that bioidentical hormones help prevent some cancers.
How do bioidentical hormones differ from synthetic ones?
Bioidentical hormones are similar to the ones produced by your body and have an abundance of benefits. They improve quality of life and health, as long as they are at optimal levels. One of the disadvantages of synthetic hormones is that they are not an exact match to naturally produced ones. Research has shown there are series of negative consequences to using synthetic hormones such as bleeding, breast pain, bloating and mood swings. Some of the more dangerous side effects are cancer, blood clots and heart disease. This is one of the reasons why we recommend bioidentical hormones.
What is Sermorelin?
Sermorelin is a form of growth hormone releasing factor (GRF.) It is sometimes referred to as GRF 1-29 NH-2. It is different from HGJH. Sermorelin stimulates the pituitary gland into producing HGH.