MALE HORMONE REPLACEMENT THERAPYNATURAL TESTOSTERONE ENHANCEMENTBIO-IDENTICAL TESTOSTERONE THERAPY – CREAMS, INJECTIONS, OR PELLET INSERTIONPeptide Therapy – HGH ENHANCEMENT for Weight loss, Anti-aging, and Wellness.ERECTILE DYSFUNCTION TREATMENTSFEMALE HORMONE REPLACEMENT THERAPYBIO-IDENTICAL HORMONE REPLACEMENT – CREAMS, ORAL, OR PELLET INSERTIONADRENAL FATIGUE TREATMENT & THYROID MANAGEMENTPEPTIDE THERAPY– HGH ENHANCEMENT – for Weight Loss, Anti-aging, and Wellness.INSULIN RESISTANCE THERAPYBOOK AN APPOINTMENTFrequently Asked QuestionsWHAT 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). Most patients experience fewer side effects from BHRT than synthetic hormones.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 lab 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?any factors can contribute to conditions and diseases that can occur at any stage in life, resulting from an imbalance of hormones:Adrenal fatigueThyroid diseaseMetabolic SyndromeSexual dysfunctionSYMPTOMS PROFILEWomenAs a result of hormone imbalance, you may be experiencing one or a combination of what have become known as the classic symptoms of aging:FatigueAnxietyWeight GainLow Sex DriveNight SweatsLoss of EnergyDepressionMental FogInsomniaLack of MotivationHeadachesHot FlashesMenMen may experience these symptoms of low testosterone levels:Loss of EnergyLow Sex DriveWeight GainIrritable, MoodyLoss of FocusInsomniaDecreased Sense of Well-beingDecrease in lean muscle massIncrease body fatMiddle-aged Spread or Beer BellyIncreased FatigueDecreased Erectile FunctionLoss of Muscle Mass and StrengthIncreased Belly FatDepression and AnxietyLoss of ConfidenceDecreased enduranceMEDICAL EXAMA comprehensive review of symptoms, medical, family and personal historyTesting – saliva, urine and/or blood laboratory analysisNatural hormone balancingOngoing evaluationsQuality compounded pharmacyHighest quality supplementsFitness programsNutrition planningStress reduction plansLAB TESTING INFORMATIONThe 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 TestsOne 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 TestsSome 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 healthcare provider 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 SolutionThe 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 PRICINGSINCE 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$69 – OFFICE VISIT – REQUIRED EVERY 3 MONTHS$117 – MALE LAB PANEL (FREE AND TOTAL TESTOSTERONE, ESTRADIOL, PSA, CBC, & TSH) – REQUIRED EVERY 3 – 6 MONTHS$89 – IGF-1 REQUIRED FOR PEPTIDE THERAPY – REQUIRED EVERY 3 – 6MONTHSFEMALE HORMONE REPLACEMENT$69-$120 – INITIAL OFFICE VISIT$69-$120 – FOLLOW-UP OFFICE VISITS – REQUIRED EVERY 3 MONTHS$259 – SALIVA HORMONE PANEL PLUS STRESS HORMONE (RECOMMENDED PANEL) – REQUIRED INITIALLY & EVERY 6 MONTHS$132 – SERUM/BLOOD THYROID PANEL REQUIRED INITIALLY, THEN EVERY 3 MONTHS OR AS NEEDED$79 – FASTING INSULIN REQUIRED INITIALLY THEN AS NEEDEDADDITIONAL LAB TESTING MAY BE REQUIRED ON A PATIENT SPECIFIC BASIS.FEMALE HORMONE REPLACEMENTBio-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 REPLACEMENTTHE 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 ONLYINITIAL CONSULTATION $187 – THIS INCLUDES MEDICAL EXAM AND REQUIRED LABSTESTOSTERONE INJECTIONS $149 EVERY 5 WEEKSTESTOSTERONE PELLET INSERTION – AVERAGE AROUND $800 EVERY 4 – 6 MONTHSPREGNYL (HUMAN CHORIONIC GONADOTROPIN) injections – stimulate natural testosterone production – 20 shots $450 – ask for details.FOLLOW UP LABS AND OFFICE EXAM $187 – REQUIRED EVERY 3 – 6 MONTHS– Other labs may be recommended at additional costsMALE ENHANCEMENT OPTIONSWORKING 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 $69TriMix – 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: $200 per vial (approximately 10-20 doses)REQUIRES AN INITIAL EVALUATION OFFICE VISITS AND A PRESCRIPTION TO START AND THEN ANNUALLY $59SuperTad $89/6 pack – Tadalafil 40mg/Apomorphine 6mg troche – apomorphine is an oral erectogenic agent and can result in an erection within 20 minutes.Triple Threat $89/6 pack – Tadalafil 20mg/Oxytocin 100iu/PT 141 2000mcg Troche – Oxytocin is a powerful hormone that acts as a neurotransmitter in the brain and plays a part in affection, bonding, and greater satisfaction with sexual intimacy. PT 141 is an effective and efficient peptide treatment for both erectile dysfunction and decreased libido in men and improves female sexual arousal disorder in women. PT 141 works directly through the nervous system to increase arousal, desire, and sexual satisfaction. PT 141 makes this compounded medication superior to any other available products on the market.Injectable medications for E.D. – PT 141 is a peptide used to treat sexual dysfunction in both men and women.PEPTIDE THERAPY - HGH ENHANCEMENTNameUse/IndicationDoseFormQTYCostPrice5-Amino-1MQWeight Loss50mgCapsule30200AOD-9604Weight loss, blood sugar regulation, reduces inflammation, muscle building250mcgRapid ODT30200AOD-9604Weight loss, blood sugar regulation, reduces inflammation, muscle building500mcg/mlInjection30ml245AOD-9604Weight loss, blood sugar regulation, reduces inflammation, muscle building250mcgTroche30170AOD-9604Weight loss, blood sugar regulation, reduces inflammation, muscle building500mcgTroche30240AOD-9604/IpamorlinWeight loss, blood sugar regulation, reduces inflammation, muscle building300mcg/300mcgTroche30260ARA-290 (Cibinetide )Neuropathic pain, Sarcodoisis4mgCapsule30293ARA-290 (Cibinetide )Neuropathic pain, Sarcodoisis6mg/ml (8ml)Kit30530BPC-157Body protective compound, wound, tendon, ligament, GI healing.500mcgCapsule30240BPC-157Body protective compound, wound, tendon, ligament, GI healing.1.5mgCapsule30300BPC-157Body protective compound, wound, tendon, ligament, GI healing.500mcg/mlInjection30ml215BPC-157Body protective compound, wound, tendon, ligament, GI healing.300mcgTroche30200BPC-157Body protective compound, wound, tendon, ligament, GI healing.500mcgTroche30215BPC-157Body protective compound, wound, tendon, ligament, GI healing.1mgTroche30320BPC-157/KPVBody protective compound, wound, tendon, ligament, GI healing/Inflammation500mcg/500mcgTroche30215BPC-157Body protective compound, wound, tendon, ligament, GI healing.2mg/ml (5ml)Kit30280CJC-1295HGH secretagogue, increases IGF-1, body composition, performance,300mcgTroche30210CJC-1295HGH secretagogue, increases IGF-1, body composition, performance,500mcgTroche30220CJC-1295/IpamorelinHGH secretagogue, increases IGF-1, body composition, performance,300mcg/300mcgRapid ODT30240CJC-1295/IpamorelinHGH secretagogue, increases IGF-1, body composition, performance,300mcg/300mcgTroche30240CJC-1295/IpamorelinHGH secretagogue, increases IGF-1, body composition, performance,(2mg/2mg)ml 2mlKit30240DIHEXACognitive support, improves focus and mental performance, alzheimers & dementia, neuroprotective1mgCapsule30120DIHEXACognitive support, improves focus and mental performance, alzheimers & dementia, neuroprotective10mgCapsule30450DIHEXACognitive support, improves focus and mental performance, alzheimers & dementia, neuroprotective20mgCapsule30600DIHEXACognitive support, improves focus and mental performance, alzheimers & dementia, neuroprotective2%, 20mg/mlCream30ml335DIHEXACognitive support, improves focus and mental performance, alzheimers & dementia, neuroprotective4%, 40mg/mlCream30ml550DIHEXACognitive support, improves focus and mental performance, alzheimers & dementia, neuroprotective8%. 80mg/mlCream30ml995Ipamorelin AcetateGrowth Hormone secreatagogue300mcgTroche30210Ipamorelin AcetateGrowth Hormone secreatagogue500mcgTroche30220Ipamorelin / SemorelinGrowth Hormone secreatagogue300mcg/300mcgTroche30240Sermorelin / IpamorelinGrowth Hormone secreatagogue600mcg/300mcgTroche30260Sermorelin / IpamorelinGrowth Hormone secreatagogue(1mg/1mg)/ml(10ml)Kit30240KPVLeaky Gut, Inflammation, Autoimmunity500mcg/mlInjection30ml220KPVLeaky Gut, Inflammation, Autoimmunity500mcgTroche30220LGD-4033SARM, Anabolic activity, increases lean muscle mass, exercise recovery, Lower body fat0.25mgCapsule3080LGD-4033SARM, Anabolic activity, increases lean muscle mass, exercise recovery, Lower body fat0.5mgCapsule30100LGD-4033SARM, Anabolic activity, increases lean muscle mass, exercise recovery, Lower body fat1mgCapsule30120LGD-4033SARM, Anabolic activity, increases lean muscle mass, exercise recovery, Lower body fat2mgCapsule30210LGD-4033SARM, Anabolic activity, increases lean muscle mass, exercise recovery, Lower body fat5mgCapsule30340LGD-4033SARM, Anabolic activity, increases lean muscle mass, exercise recovery, Lower body fat10mgCapsule30550MK-677 (Ibutamoren)Muscle building, fat-burning, anti-aging, improve lean body mass,10mgCapsule30215MK-677 (Ibutamoren)Muscle building, fat-burning, anti-aging, improve lean body mass,25mgCapsule30290MK-677 (Ibutamoren)Muscle building, fat-burning, anti-aging, improve lean body mass,25mgRapid ODT30240MK-677 (Ibutamoren)Muscle building, fat-burning, anti-aging, improve lean body mass,25mgTroche30240Semaglutide / PyridoxiineWeight loss, energy, blood glucose balance,(0.5mg/50mg)/MLInjection30ml295Semaglutide / PyridoxiineWeight loss, energy, blood glucose balance,(2.5mg/25mg)/ML (2ml)Kit10 sets400Semaglutide / PyridoxiineWeight loss, energy, blood glucose balance,(2.5mg/25mg)/ML (5ml)Kit20 sets500SermorelinPerformance, weight loss, HGH Secretagogue300mcgTroche30170SermorelinPerformance, weight loss, HGH Secretagogue500mcgTroche30200SermorelinPerformance, weight loss, HGH Secretagogue1mg/ml (6ml)Kit30 sets170TesofensineAppetite suppression, fat loss, antidepressant,500mcgCapsule30350GHK-CU ( Copper)Anti-aging, skin tightening, aging skin, wound healing, UV radiation protection, inflammation reduction, hair growth0.5%, 5mg/mlTop Foam30ml200GHK-CU ( Copper)Anti-aging, skin tightening, aging skin, wound healing, UV radiation protection, inflammation reduction, hair growth10mg/ml (5ml)Kit30290DSIP – Delta Sleep InducingDelta sleep inducing peptide, decrease stress, ETOH/Drug detox, neuroprotective1mg/ml (3ml)Kit30240EpitalonAnti-aging, telomere lengthening, brain, mood, sleep, antioxidant1mg/ml (5ml)Kit30300KisspeptinLow libido, sexual performance, infertility, and low testosterone1mg/ml (5ml)Kit30280LL-37Antimicrobial, MRSA, HIV infections, wound healing, GI inflammation, oral and GI cancers,2mg/ml (5ml)Kit30260Melanotan IISexual performance, weight loss, anti-aging, Induces skin tanning,1mg/ml (10ml)Kit30280PT-141 (Bremelanotide)Improves sexual funcitonin men and women, Erectile dysfunction, Sexual arousal, libido, and sexual satisfaction, increases blood flow to genetalia10mg/ml (2ml)Kit30240SelankReduces anxiety, improve learning/memory, counteract stress response, increases immune function by raising IL-6 in bloodstream7.5mg/ml (0.1ml/sprayNasal Spray3ml170SemaxBrain protection, reduces oxidative stress, reduces damage from trauma/stress7.5mg/ml (0.1ml/sprayNasal Spray3ml170ThymulinSupports cellular function, anti-inflammatory, reduces pain, reduces inflammatory cytokines,3mg/mlInjection5ml275HORMONE PELLET THERAPYAdvanced Practice Clinic offers natural bio-identical hormone replacement therapy (BHRT) utilizing pellet therapy. Bio-identical hormone replacement therapy is a way to bio-identically replace the hormones men and women lose over the course of their lives. Balancing hormones in this natural way helps patients learn more about this hormone replacement therapy utilizing proven method of pellet therapy.WHY BIO-IDENTICAL PELLET THERAPY?Because it’s easy! As a patient, you receive two to four pellet insertions per year. This way you don’t have to think about it, and the hormone is available when your body needs it.WHAT IS BIO-IDENTICAL HORMONE REPLACEMENT PELLET THERAPY?Bio-identical Hormone Replacement Therapy (BHRT) can come in oral, topical and pellet forms. BHRT has many advantages over other hormone therapies – most notably, the consistent administration of the hormone prevents the rollercoaster-like effects patients often experience with creams and pills.HOW LONG DOES A BIO-IDENTICAL HORMONE REPLACEMENT PELLET TAKE TO WORK?As each patient’s symptoms are unique, so is each patient’s path to hormone optimization. Most patients report some symptom resolution in as little as two to four weeks, but full optimization may take up to six months. Your journey will be customized to fit your specific needs. It takes more than one to two weeks for your hormones to get out of balance, so expect it to take time to resolve.