Joplin’s Comprehensive Hormone Replacement Headquarters

MALE HORMONE REPLACEMENT THERAPY

    • HCG THERAPY – NATURAL TESTOSTERONE ENHANCEMENT
    • BIO-IDENTICAL TESTOSTERONE THERAPY – CREAMS, INJECTIONS, OR PELLET INSERTION
    • SERMORELIN – HGH ENHANCEMENT
    • ERECTILE DYSFUNCTION TREATMENTS

FEMALE HORMONE REPLACEMENT THERAPY

      • BIO-IDENTICAL HORMONE REPLACEMENT – CREAMS, ORAL, OR PELLET INSERTION
      • ADRENAL FATIGUE TREATMENT & THYROID MANAGEMENT
      • SERMORELIN – HGH ENHANCEMENT
      • INSULIN RESISTANCE THERAPY

WHAT IS BIO-IDENTICAL HORMONE REPLACEMENT (BHRT)?

Bio-identical hormone replacement therapy is exactly what it sounds like. It is using hormones that are identical to the hormones naturally made by your body. Bio-identical hormone replacement therapy (BHRT) has transformed the healthcare of men and women as they enter the second half of their lives. It provides an alternative to hormones that are synthetic, like injectable testosterone, or concentrated from horse urine (Premarin). Patients taking BHRT usually prepared by compounding pharmacists can be given in dosages tailored to their individual needs; instead of the narrow choices available with mass-produced hormone therapies (one size fits all).

The interest in a more natural approach to hormone therapy has focused attention on bio-identical hormones — hormones that are identical in molecular structure to the hormones men and women make in their bodies. They are not found in this form in nature but are derived and made from plant compounds extracted from yams and soy. Bio-identical hormone therapy is often called “natural hormone therapy” because bio-identical hormones act just like the hormones produced by your body.

On a blood test, your total estradiol or testosterone not only measures the bio-identical estrogen or testosterone you’ve taken but also the amount of those hormones your body makes. On the other hand, Premarin, the old standby estrogen used for decades is metabolized into various forms of estrogen that are dangerous and are not measured by standard laboratory tests. Proponents of bio-identical hormones say that one important advantage of bio-identical therapy is that hormone levels can be monitored more precisely and treatment individualized accordingly.

WHO NEEDS BHRT?

Almost all of us over the age of 40 (and in many cases over 30) begin to experience hormone imbalance. Over our lifetime, we are exposed to environmental and dietary toxins, which contribute to the natural decline of hormones as we age. In order to balance your hormones for optimal health and wellness, it is critical to be evaluated by a highly trained healthcare provider – including comprehensive lab testing and in depth initial questionnaires – prior to creating a personalized treatment plan.

IS BHRT RIGHT FOR YOU?

Many factors can contribute to conditions and diseases that can occur at any stage in life, resulting from an imbalance of hormones:

      • Adrenal fatigue
      • Thyroid disease
      • Metabolic Syndrome
      • Sexual dysfunction

SYMPTOMS PROFILE

Women

As a result of hormone imbalance, you may be experiencing one or a combination of what have become known as the classic symptoms of aging:

    • Fatigue
    • Anxiety
    • Weight Gain
    • Low Sex Drive
    • Night Sweats
    • Loss of Energy
    • Depression
    • Mental Fog
    • Insomnia
    • Lack of Motivation
    • Headaches
    • Hot Flashes

Men

Men may experience these symptoms of low testosterone levels:

    • Loss of Energy
    • Low Sex Drive
    • Weight Gain
    • Irritable, Moody
    • Loss of Focus
    • Insomnia
    • Decreased Sense of Well-being
    • Decrease in lean muscle mass
    • Increase body fat
    • Middle-aged Spread or Beer Belly
    • Increased Fatigue
    • Decreased Erectile Function
    • Loss of Muscle Mass and Strength
    • Increased Belly Fat
    • Depression and Anxiety
    • Loss of Confidence
    • Decreased endurance

MEDICAL EXAM

        • A comprehensive review of symptoms, medical, family and personal history
        • Testing – saliva, urine and/or blood laboratory analysis
        • Natural hormone balancing
        • Ongoing evaluations
        • Quality compounded pharmacy
        • Highest quality supplements
        • Fitness programs
        • Nutrition planning
        • Stress reduction plans

LAB TESTING INFORMATION

The healthcare provider at Advanced Practice Clinic will determine exactly which lab tests you need based on your symptoms and health goals. No two people are exactly the same. The hormone tests used by Advanced Practice Clinic include the saliva hormone test, and  blood/serum hormone tests.

Saliva Hormone Tests

One of the simplest methods of measuring hormone levels is the saliva hormone test. Saliva tests are used to detect the levels of sex-hormones produced by the body. The saliva samples should be collected in the morning, afternoon, evening and before bedtime to accurately measure your cortisol levels, which fluctuate throughout the day. Measuring cortisol levels provides an accurate assessment of symptoms of adrenal fatigue.

Serum Hormone Tests

Some hormones circulating in the bloodstream, such as the thyroid hormones and insulin, do not enter the saliva because of their large size; this means that saliva hormone tests cannot measure these hormones.

These additional hormone tests will not only help your physician get a clear picture of your hormone levels, but also allows your provider to tailor a personalized wellness program that addresses your individual needs.

Simple Tests for an Extraordinary Solution

The simple saliva tests and blood spot tests described above allow Advanced Practice providers to get an accurate picture of what is going on inside the body. This information makes all the difference in designing your personalized treatment plan. These tests are the first step towards a healthier, happier you.

MEDICAL EXAM AND LAB PRICING

SINCE EACH PERSON IS SPECIFIC NO TWO PEOPLE WILL HAVE THE EXACT SAME TREATMENT PLAN OR COSTS. HOWEVER, EACH PERSON IS REQUIRED TO BE SEEN IN THE OFFICE FOR A COMPREHENSIVE EVALUATION, LAB TESTING OF YOUR HORMONE LEVELS, AND TO DETERMINE WHICH TREATMENT PLAN IS BEST FOR YOUR SPECIFIC NEEDS.

MALE HORMONE REPLACEMENT

$59 – OFFICE VISIT – REQUIRED EVERY 3 MONTHS

$117 – MALE LAB PANEL (FREE AND TOTAL TESTOSTERONE, ESTRADIOL, PSA, CBC) – REQUIRED EVERY 3 – 6 MONTHS

$89 – IGF-1 REQUIRED FOR SERMORELIN THERAPY – REQUIRED EVERY 3 – 6MONTHS

FEMALE HORMONE REPLACEMENT

$59 – OFFICE VISITS – REQUIRED EVERY 3 MONTHS

$259 – SALIVA HORMONE PANEL PLUS STRESS HORMONE (RECOMMENDED PANEL) – REQUIRED INITIALLY & EVERY 6 MONTHS

$79 – SERUM/BLOOD THYROID PANEL REQUIRED INITIALLY, THEN EVERY 3 MONTHS OR AS NEEDED

FEMALE HORMONE REPLACEMENT

Bio-identical hormone replacement focuses on treating the underlying imbalance. Sex hormones, Adrenal hormones and Thyroid hormones work in tandem with each other and must be balanced together for optimal symptoms relief.

Medication options are customized to help reduce your imbalances and reduce your symptoms. They may include the following: creams, injections, pellet implants, vaginal creams or tablets, pharmaceutical hormonal or non-hormonal agents, or oral troche/lozenges.

We work with multiple local and nation-wide compounding pharmacies to help you find the most affordable and optimal treatment plan. Each patient is different and a customized plan will be developed just for you.

MALE HORMONE/TESTOSTERONE REPLACEMENT

THE COST AND DELIVERY TYPE IS DEPENDENT UPON MANY FACTORS INCLUDING YOUR ACTUAL HORMONE LEVELS, SYMPTOMS, AND LIFESTYLE. YOUR PLAN OF CARE WILL BE TAILORED TO YOUR SPECIFIC NEEDS.

MALE PRICING ONLY

INITIAL CONSULTATION $177  – THIS INCLUDES MEDICAL EXAM AND REQUIRED LABS

TESTOSTERONE INJECTIONS $149 EVERY 5 WEEKS

TESTOSTERONE PELLET INSERTION – AVERAGE AROUND $625 EVERY 4 – 6 MONTHS

FOLLOW UP APPOINTMENTS $177 – REQUIRED EVERY 3 – 6 MONTHS

MALE ENHANCEMENT OPTIONS

WORKING WITH COMPOUNDING PHARMACIES FOR A VARIETY OF MALE ENHANCEMENT OPTIONS.

SILDENAFIL (VIAGRA) OR TADALAFIL (CIALIS) LOZENGES WHICH MELT IN YOUR MOUTH ARE 1/3 THE COST OF THE PRESCRIPTIONS MEDICATION IN MOST CASES AND WORK JUST AS WELL IF NOT BETTER FOR MOST MEN.

COST: 6 LOZENGES $69

TriMix – TriMix injections are a mixture of 3 drugs that provide an effective, low cost treatment for men struggling with erectile dysfunction. It is an alternative treatment for men who cannot take, have not had good results with, or experience severe side effects from PDE5 Inhibitor tablets (Viagra®, Levitra®, Cialis®). TriMix injections are a medication that is very customized to the patients needs.

COST: $149 per vial (approximately 10-20 doses)

REQUIRES AN INITIAL EVALUATION OFFICE VISITS AND A PRESCRIPTION TO START AND THEN ANNUALLY $59

Sermorelin Therapy - HGH Enhancement

REQUIREMENTS: Medical Exam and Lab test for IGF-1 $148  –
Sermorelin(GHRH) is a bio-identical hormone that has recently been genetically engineered to stimulate the secretion of Growth Hormone Releasing Hormone (GHRH)  As we get older, the hormones produced by the anterior pituitary are depleted. It has now been shown that Sermorelin can restore the GH-RNA to a youthful level causing elevation of levels of IGF-1. May be used by moth men or women to help reverse the effects of aging.

Since Sermorelin is stimulating the pituitary gland to naturally increase hGH production and release, it is safely regulated through the pituitary gland’s negative feedback system. So safety concerns with hGH overdosing are avoided. Sermorelin Amino Acid Peptide Therapy offers patients a safe and effective way to get all the benefits associated with hGH replacement therapy without the side effects.

Sermorelin is a subcutaneous injection, self-administered 3-5 days per week.

BENEFITS INCLUDE:

 Increasing energy and vitality from fat breakdown

 Increases protein synthesis – increases lean muscle

 Increasing muscle mass through sarcomere hyperplasia (additional division of
the contractile unit of a muscle)

 Decreases body fat and increases Lipolysis (fat burning)

 Strengthens immune system – reduces risk factors for age related diseases  Strengthening of joints and connective tissue  Increases bone density – Increases calcium retention

 Stimulates the growth of all internal organs and heart to more a youthful state  Improving cognitive abilities, memory and mental clarity

 Increased Lean Body Mass

 Increased Sexual Performance and Desire

 Improved Mood

 Improved Sleep quality by promoting non-REM slow wave sleep

 Accelerate healing and recovery form activity/exercise/injury