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Frequently Asked Questions

What are your office hours?

We understand that it may be difficult to come for an appointment with the standard days and hours of most offices. It is unrealistic to think that everyone can come between 9 and 5 from Monday to Friday. Work schedules, children, and prior commitments can make it almost impossible. To help make our services more available, we have customized our days and times for your convenience. To make an appointment, call 239.301.0897, and we will do the very best we can to give you a time and day that is right for you. 

Do you accept charge cards?

Yes, we accept most charge cards. 

Does insurance pay for any of your services?

All insurances are different in what they will and will not cover. Some will cover part of the hormone consultation and treatment and part of the testing. Others will not. There are no insurances that cover aesthetic services or spider veins. 

Do you take insurance?

No. But we will give you a receipt to turn into your insurance company. 

What are bio-identical hormones?

Bio-identical hormones are hormones that are compounded by pharmacists who have additional training. The hormones are compounded with soy or yam, and put together in a chemical structure that is recognized by the body. They do not have other molecules that can cause problems the way synthetic hormones have. When synthetic hormones are prescribed, the extra molecules that are added can cause many problems. The body has a hard time metabolizing them and they can stay in the body for a long time, creating  a toxic environment or possibly a carcinogenic environment. Bio-identical hormones (BHRT), are prescription medication that is custom made for you. Each prescription is usually the cost of a co-payment for regular prescriptions. 

Why do we like them?

Bio-identical hormone replacement therapy is very protective for your bones, brain and your heart. They also reduce many of the symptoms for women and men. 

Symptoms of menopause can be any of the following:

Hot flashes; Night sweats; Vaginal dryness; Mood swings; Irritability; Insomnia; Depression; Loss of sexual interest; Painful intercourse; Panic attacks; Vaginal itching; Bloating; Flatulence; Indigestion; Osteoporosis; Aching ankles, knees, wrists, shoulders or heels; Hair loss; Frequent urination; Sore breasts; Palpitations; Migraine headaches; Memory lapses. 

What is "male menopause"?

Male menopause, also called Andropause,  is a natural decline of testosterone and DHEA that can contribute to problems with sexual dysfunction as well as muscle weakness, depression, bone loss and many other symptoms that are listed above for women. It is more gradual in decline and therefore is less obvious. Some of the first symptoms may be a subtle decrease in strength and energy; loss of enthusiasm for sex, work or competitiveness. They can have excessive stress, weight gain, and impact stamina, drive and virility. 

Are my Adrenal glands and thyroid affected by the decline in my sex hormones?

Yes. Actually, they are all connected at a certain level, as well as the neurotransmitters in your brain. Balancing all along with your sex hormones helps you feel your best. 

How does the process work should I choose to be evaluated and treated for BHRT?

First, there will be a consultation that usually can take approximately one to one and a half hours. In addition to a complete history review, we will discuss how to do the saliva and blood spot testing kit that you will do at home. The samples are sent by UPS to ZRT labs to be analyzed. Your first follow-up visit will be scheduled after the results are obtained. At this visit, we will decide together how best to treat you. You will receive prescriptions and we will discuss vitamins, minerals, etc that may need to be changed in your diet as well. If all is well, you will be re-tested for the hormones you are taking. After that, patients are seen twice per year with testing to make sure hormones are in balance. If a patient "goes north" for part of the year, we can work out the months they are away by phone follow-up, but the patient must be seen in the office first for the initial visit and must also be seen in the office once per year.