You have Questions? We've Got Answers!
Many of our patients come to us with questions and even misconceptions regarding Bio-identical Hormone Optimization Therapy (or BHOT, as we call it), and other frequently asked questions on hormones & wellness. We strive to provide accurate, evidence-based, and up-to-date information to our patients so that they can make informed decisions regarding their hormones and overall wellness. And, if you don’t see an answer you wish you did, send us a message and we will be happy to help!
Your initial consultation will be one hour, and we will have you do some blood work prior to the appointment. During this time, you will visit with your provider and share how you have been feeling and your reasons for coming into the office. You will get a recommendation for treatment based on the results of your blood work and the description of your symptoms. We believe in treating the person, not the number, meaning that blood work will be done for reference, but your recommendation will be driven largely based on your description of how you are feeling. For this reason, we encourage complete openness and transparency. If you wish to begin your treatment, you will be able to do so same-day. If you seek aesthetic treatments, this will not require blood work and you can set an appointment for a consultation so that you can get treated the same day. This includes a complete intake and medical information, consent forms and a good faith exam to be cleared to treat.
Absolutely! We will answer all your questions at your initial consultation. During the consultation, a provider will explain what bio-identical hormones are, why they’re medically necessary, and how they contribute to the longevity and quality of your life. We also describe the other treatments we offer for sexual and overall wellness. We empower our patient’s with an educational session designed to teach you about your treatment options, so you are able to make the most informed decision for your treatment plan. We will discuss issues specifically affecting you and to create a treatment plan specific to your needs.
The short answer is yes. However, in some circumstances we can work with you. If you have had blood work done recently (within a few months of your appointment), you can send the results to the clinic for provider review to find out if it has all the tests we need. If it does have all the tests we need, we can use that. In some cases, we can take your blood the day you start treatment for a baseline, but you must have that approved by your clinician first. In most cases we recommend that you get your blood work completed one week prior to your initial consultation. You might ask why? The reason is because we will be able to give you treatment the same day as your initial consult.
We currently accept HSA and provide super bills to submit to your insurance companies. Due to the restrictions on healthcare with insurance, we currently do not accept insurance. We believe that you should be able to achieve overall wellness and a better quality of life and do not want you to be restricted due to insurance requirements.
If you seek only aesthetic treatments, this will take form in place of hormone replacement therapy discussions to tailor to your desired outcome and needs. We offer neurotoxins and fillers to suit your needs. We will provide intake forms, obtain medical information and clear you for injections with a good faith exam the same day you set your appointment.
You may schedule time with the doctor as needed. Our office will attempt to answer and solve any concerns you have, but if the doctor is needed you will get a scheduled appointment time in office or phone visit as needed and the charge will be $90 per 15 minute appointment. If your issue is of an urgent nature, please call our office at (972) 421-8852 for our Carrollton location or (903) 241- 8718 for our Longview location. If this is a medical emergency please go to your nearest hospital or call 911.
During the first year, we strongly encourage you to get the prescribed follow up blood work completed between pellets and/or hormone prescriptions. Your doctor uses the blood work results as a guide to manage your dosing. Without it, dosing is not as accurate and your results may not be as good as they could be. However, if you do not get your blood work done, please call and speak to your Patient Liaison and we will work with you. The doctor is unable to give a prescription or do a pellet if you have not been seen for six months or longer, so make sure to get those labs done!
All your medications can be refilled via phone or email. For calls our Carrollton office can be reached at (972) 421-8852 or (903) 241- 8718 for our Longview location. If you need to email us please reach out to our email email@example.com. We ask that you please give 1-2 business days to respond to your refill request.
There is no medical reason why you would not be a good candidate for bio-identical hormone replacement therapy. Hormones are naturally produced in your body and are necessary for healthy living, so you are definitely a good candidate. If you are not feeling better with your hormones, please contact our office and talk to the doctor. Every person is unique, and hormones are metabolized differently for everyone. There are a number of reasons why you may not be getting the full effect of the hormones and we need to work together to find the cause.
Bio-identical hormones are exact copies of the hormones that are found in the human body. What does that mean? Our chemical scientists have found a way to take a chemical derived from yams and modify it in order to create an exact replica of the hormones our bodies produce. This means that the hormones are used, broken down, metabolized, and excreted in the same way our natural hormones are. These biologically identical hormones have the exact same benefits and effects as our own.
For the same reasons that everyday doctors don’t perform surgery or treat terminal illnesses, hormone therapy is an intricate practice that requires specialized education and training. Most doctors are in the practice of treating illness, not preventing it — that’s where we come in. In addition, hormone replacement therapy is widely misunderstood by those who have not gone out of their way to read and study the boundless literature which supports the benefits and safety of bio-identical hormone replacement therapy.
“Normal” is a term which is used to describe a statistical average. Meaning, you take 1,000 people of your age group who aren’t complaining of a particular symptom relating to a hormone, you draw their blood, and you measure the value of that hormone in that blood. What happens is you arrive at a statistical average. Many people will be centered around the average, but many will also fall outside of that range. Throughout the entire statistical test, we’ve never taken into consideration the quality of what the patients experienced. People don’t care about statistical averages, though, they care about how they feel. This is where the term “optimal” comes into play. Do you want to feel like the average individual your age? Or do you want to feel younger and more vital?
Testosterone does, indeed, sometimes cause facial acne in women. It’s usually not very severe, and is usually readily treatable. Testosterone naturally increases the oil on the skin, and said oil can clog pores and cause a pimple. We are trying to improve or restore very important metabolic processes which promote health, wellness, and vitality, so we must strike a balance between these benefits and side effects such as acne. Facial hygiene as well as spironolactone are both highly effective at blocking the effects of testosterone on the skin.
In every study shown to date, bio-identical hormone therapy is consistently shown to result in the decrease of visceral fat and an increase in lean body mass. However, in both men and women, during the early initiation phase of bio-identical hormone therapy, we often see a slight increase in weight (approximately 3-5lbs).
What happens in the short run sometimes is that when you introduce hormones to those who have been deprived for some time, the hormones mimic another hormone and result in the body temporarily increasing retention of water weight. This is almost always the case as long as nothing else has been done to change diet or physical activity levels. The body will, in time, recognize the water overload and readjust its retention, resulting in the normalizing of weight.
Overwhelmingly, hair loss in women in their menopausal years is either related to their thyroid, nutrient deficiencies, or iron. What often happens with our patients is that when thyroid is restored to optimal levels, hair loss is resolved. Iron and ferritin levels are also crucial in ensuring hair growth. We also offer hair growth supplements which help support hair growth.
Cost depends on the treatment that is prescribed. We offer solutions for aesthetic services, hormone therapy, sexual wellness, metabolic concerns, IV hydration therapy, vitamin injections, and overall wellness. You can choose between individual pricing and our membership plan pricing. Membership plan pricing means that we calculate all the treatments you will be receiving to find a plan custom’d to you to improve your health. The membership option can make it more affordable for you to get the treatments you need without having to come up with all of the costs at once.
Hair loss can occur in both men and women, and this procedure is designed with that in mind. PRP is equally effective as a way to counteract female pattern baldness as it is for our male patients. The best candidates for a PRP treatment are patients who have slight to moderate hair loss, who want to take charge and regain confidence in their look.
During your consultation, Ashlee R. Zeighami, APRN, FNP-C and her team will assess your condition in person and recommend the best course of action for you. We are happy to go over any remaining questions and concerns you may have upon your visit to our Carrollton or Longview office.
Jeuveau – the name that rhymes with hello – comes from the French word “nouveau,” which means “new” or “modern.” Jeuveau is similar to Botox. It is a neurotoxin that reduces the appearance of fine lines and wrinkles in the face. Jeuveau is FDA-approved to treat the appearance of frown lines between the eyebrows. Made through a modern manufacturing process, Jeuveau is the first product of its kind dedicated exclusively to aesthetics.
How does Jeuveau work? Like Botox, Jeuveau is a neurotoxin that operates by preventing your nerves from telling your facial muscles to activate. The result is a temporarily improved appearance of moderate to severe frown lines. Unlike other Botox alternatives, dosing, storage and injection techniques will be the same as Botox.
During your consultation, your provider will meet with you personally to discuss your goals and what your available options are to obtain those goals. Each person is unique, and your aging concerns, medical and health history, and skin examination will be some of the factors considered in order to determine if Jeuveau is the right option to meet your cosmetic needs.
Botox – officially known as Botulinum toxin A – is a purified protein derived from a neurotoxin produced by a certain bacterium. By injecting small amounts of this purified protein into specific facial muscles, the communication between those muscles and the nerves is blocked. As Botox moves from the dermis to the targeted muscle, those muscles are relaxed as a result. These muscles no longer contract even while facial movements are taking place such as smiling, frowning, and squinting.
BOTOX has been used by physicians for 20 years to treat patients with certain medical conditions such as eye spasms, central nervous system disorders and excessive muscle contractions until a more recent use of BOTOX to reduce wrinkles was discovered. Botox has been observed to be most effective in the upper third of the face (eyes and forehead) but other areas of the face and neck can be treated as well.
Botox is one of the most popular cosmetic procedures performed in the world. In addition to treatment for women, Botox has been growing in popularity with men as well – frequently being referred to as “Bro-tox”.
Generally speaking, Botox candidates possess the following traits:
- Facial wrinkles between the eyes, on the forehead, and around the neck, eyes, and lips
- Good general health overall
- At least 18 years of age
- Not pregnant or planning or breastfeeding
Those looking to avoid surgery, or those with tight time schedules who are interested in a fast treatment with no downtime are also excellent candidates for Botox. The injections are completed within minutes, and are mostly performed without requiring any anesthetic. Results begin to appear within a few days. Because Botox is a minimally-invasive procedure, there is no downtime and patients can continue with their daily lives immediately after treatment.
Botox is also becoming increasingly popular with younger patients as well. For patients in their twenties and thirties, the fine lines and wrinkles that develop when smiling, frowning, or making various expressions are not embedded into the skin yet. While Botox has traditionally been used to treat already existing lines and wrinkles, more and more people have been using Botox to prevent expression lines from forming in the first place. Younger patients often opt to receive Botox to delay the onset of these expression lines and maintain their younger appearance for longer. This process of receiving Botox before wrinkles have been set into the face is called preventative Botox.
What to Expect
After a Neurotoxin injection has taken place, patients will notice a visible reduction in facial wrinkles in the treated area. Wrinkles are caused by repeated muscle contractions over a span of many years. Additionally, the skin will naturally begin to lose its elasticity and start to sag on its own as time goes on. Botox operates by relaxing the muscles responsible for these contractions, thus stopping these muscles from activating. Existing wrinkles are relaxed and softened, and new ones are stopped from forming due to the lack of activity in these muscles. While results from Botox can last for months, its effects do fade away gradually, and additional treatments will be needed.
During the Procedure
During an injection, the needles used for injection are very thin, which causes minimal to no pain. No anesthesia is needed as a result. Patients may drive home or go back to work after treatment without any additional assistance required. Because Botox is minimally invasive, there is no recovery time. After the treatment has been performed, patients can expect to see the results take effect within 4 to 5 days. Botox stays localized to the area where it was initially injected. The rest of the face will remain unaffected outside of the original injection site. Even though the muscles are relaxed, the area will not feel numb.