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Requirements for Hormone Replacement Therapy


Written by Dr. Welsh, Published on 13 December 2018

hormone replacement-therapy Requirements for Hormone Replacement Therapy

We are a licensed and fully certified HRT Provider that specializes in Hormone Therapy programs which restore Hormone Balance in patients thirty and older. While we are proud of the various Hormone Treatments that we provide, including Sermorelin Acetate Therapy, HGH Injections for Somatopause, Menopause Treatments, and Testosterone Therapy for Low-T, we have some very important requirements for those that are interested in the HRT Programs that our Hormone specialists have to offer.

If you've been considering hormone replacement therapy with a Reputable Provider, we urge you to read on to understand the limitations and prerequisites of treatment!

Our Hormone Therapy Patients Must Be At Least Thirty Years Old

We specialize in treating adults that struggle with issues related to Hormone Imbalance and Deficiency. Our wellness programs are specifically designed with adult patients in mind. While children and teens often require Bio-Identical Hormone Therapy, we recommend seeking out the services of a qualified professional that specializes in the treatment of pediatric and adolescent disorders.

Our HRT Clinic Requires The Results of a Physical From The Past Six Months Before Treatment

hgh blood-work While your blood work will ultimately provide the evidence for Hormone Intervention, a proper physical is an indispensable aspect of your diagnosis. Our Hormone Therapy Facility will accept the results of a physical conducted in the six months prior to your HRT Evaluation. If you've not had a medical physical in the last six months that's not a problem. We can make an appointment for you!

During this appointment, a physician will give you a general once-over, including weight, height, blood pressure, etc., so that we have additional information that we can combine with the results of your blood testing. With all of this information in hand, our Hormone specialists will be well-equipped to provide a highly informed diagnosis of your current Health and Hormone Needs!

Comprehensive Blood Tests Are Essential To Proper Care

In order to determine your HRT Needs, we require that all of our patients undergo blood testing for Hormone Imbalance. Most Hormonal Issues have a broad set of symptoms which are shared among many different health problems. For this reason, proper bloodwork is crucial to reach an appropriate diagnosis. Luckily, we can arrange for blood collection in a single morning appointment at a facility near you!

We utilize a battery of tests known as a Comprehensive Metabolic Panel to not only search for direct evidence of Hormone Deficiency and Imbalance but also to gather information about your underlying health and to ensure that hormone optimization is a safe option for you. Our affiliates will carry out the tests and forward the extensive results to our United States Hormone Clinic. Our trained Hormone specialists will then analyze all of the presented data, along with the results from your physical, to reach a conclusion regarding your needs.

After our HRT Doctors have diagnosed your condition, they will develop a range of potential treatment options designed to enhance your well-being via Hormone Replacement Therapy, Pharmaceutical-Grade Supplements, and other tools to improve your vitality and wellness.

Once our Endocrinologists have completed their investigation and developed their recommendations, they will reach out to you for debriefing. They will explain your current Hormone Status and Wellness condition in detail and offer their guidance regarding what can be done to facilitate your good health. Of course, you're ultimately in control of your treatment and will select the HRT Program and options which appeal to your personal needs and budget. We strive to make things as simple and easy as possible for our Hormone Therapy Patients!

Follow-Up Evaluations Are A Critical Component Of Ongoing Treatment

After you begin your Prescription Hormone Therapy Regimen, you should be aware of any potential side-effects. You should also feel free to contact your HRT Provider with any questions or concerns that you may have. Depending on your Treatment Program, you'll be required to touch base with our HRT specialists once every six months to one year to undergo further blood testing to determine if your Bio-Identical Hormone Therapy Program is providing the intended results as expected. Dependent upon the results, your Endocrinologist may adjust the dosage of your prescription. In the case of unintended side-effects, he or she may recommend suspending treatment or making changes to your treatment.

With proper follow-ups, you not only maximize the results of Hormone Therapy but you also greatly mitigate the risks associated with your specific treatment regimen. We pride ourselves on the safety of the HRT Programs that we provide and consider Follow-Ups a crucial aspect of the Hormone Restoration Process.

Interested In Working With Our HRT Professionals? Contact Us Today!

If you've experienced unwelcome changes in your health and wellness as you've gotten older, there is absolutely no reason to give in to the suppressive symptoms associated with Hormone Imbalance and Aging. Our American Wellness Clinic has extensive experience in helping men and women just like you overcome hormonal issues related to aging. We offer a wide variety of hormone optimization programs which serve to minimize the negative health consequences of Hormone Deficiency.

If symptoms such as Low Libido, Slow Metabolism, Weight Gain, Fatigue, Loss of Strength, Depression, and Diminished Immune Health have impeded your ability to live a happy life, then our life-changing Hormone Treatments can help you get your health and wellness back on track! We also offer diet and weight loss counseling intended to help amplify the benefits of treatment and get you looking and feeling at the top of your game!

If you believe that Hormone Imbalance and Deficiency are hindering your life, we can provide Hormone Diagnostic Testing and Diagnosis in a matter of days and have quality Hormone Therapy Products delivered to your door as soon as possible! We work closely with trusted national testing firms Quest Diagnostics and LabCorp, so we have local affiliates all over the United States! Give our highly experienced HRT Representatives a call to set up an appointment or arrange for no-cost consultation!

Our American HRT specialists have improved the lives of hundreds of patients across the nation. If you've ever considered hormone optimization for improved health and wellness, we can provide you the results and 21st Century Care that you've been looking for!

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What Is Homocysteine?

Homocysteine is an amino acid byproduct resulting from the breakdown of protein via metabolism. Escalated levels of Homocysteine in the bloodstream are associated with a heightened incidence of stroke and heart attack. Medical researchers are still unsure of the exact reasons for this increased risk, but it's hypothesized that high concentrations of Homocysteine adversely affect arterial walls, leading to damage which encourages the formation of dangerous plaque. It's also believed that excess Homocysteine can impact blood platelet composition, potentially leading to problems related to the creation of clots.

At this point, researchers don't know for sure whether high homocysteine levels increase the risk of cardiovascular disease. It's possible that elevated Homocysteine levels are a byproduct of some other factor that increases cardiovascular risk, or may also be a warning sign of existing issues without being a direct contributor to damage. This is similar to how Elevated levels of Prostate-Specific Antigen (PSA) are a warning sign of Prostate Cancer but do not actually contribute to cancer risk.

We're still learning a lot about how Homocysteine Levels affect health, but it's also hypothesized that high Homocysteine Levels may double the risk of Alzheimers Disease among aging individuals.

Who Is Most Likely to Experience High Homocysteine Levels?

Elevated Homocysteine Levels are generally the result of diet. Diets high in meat and low in veggies and fruits tend to produce the highest Homocysteine Levels. High animal protein intake creates lots of Homocysteine and the absence of B Vitamins (including folic acid) slows down the rate at which the body can evacuate Homocysteine from the blood.

The human body can also produce its own Homocysteine. Methionine is comprised of a methyl group attached to a Homocysteine molecule. Methionine promotes cellular reactions by donating its methyl group to other molecules, which leaves an independent Homocysteine. Vitamin B6 and Folic Acid reduce Homocysteine Levels by giving a methyl group to Homocysteine, restoring it to Methionine.

While there is some sort of correlation between elevated Homocysteine Levels and cardiovascular issues, there is no overwhelming evidence that high Homocysteine contributes to increased risk of stroke and heart disease.

Study Shows No Link Between Homocysteine Gene Mutation and Heart Disease

In the year 2012, a broad study was published in the Public Library of Science which evaluated Homocysteine's influence on heart disease risk. This study collected the medical information of 116,000 patients that had received genetic testing regarding the presence of a genetic mutation which leads to increased Homocysteine Levels. They found that individuals with this particular mutation had 20% higher levels of Homocysteine than those without the mutation. In spite of these increased Homocysteine Levels, the subjects experienced no elevated risk of Heart Disease.

On the other hand, a single study does not breed a consensus. Another study released in 2006 by the New England Journal of Medicine found that women struggling with heart disease experience quadruple the mortality risk compared to women with normal levels of Homocysteine. While the risk associated with elevated Homocysteine Levels is apparent, no conclusive evidence was provided by the study which could blame Homocysteine for Heart Disease. In relationship to the 2012 survey, high Homocysteine Levels could be a symptom of Heart Disease rather than a contributing factor.

Symptoms of High Homocysteine Levels

Elevated Homocysteine Levels are not known to directly contribute to any adverse health symptoms, though Vitamin B12 Deficiency (which leads to an increase in Homocysteine Levels) is associated with symptoms such as dizziness, fatigue, and pale skin. There are some medical issues which are related to Elevated Homocysteine, though it's likely not the root cause of them. These conditions include Alzheimers, Dementia, Stroke, Coronary Artery Disease, Heart Attack, Blood Clots, Atherosclerosis, and Osteoporosis.

What Leads to Increased Homocysteine Levels?

While the body's internal mechanisms have an impact on your Homocysteine Concentrations, there are other factors associated with diet and medication which affect Homocysteine Levels. If your Folic Acid Intake is less than 400 mcg daily your risk of High Homocysteine Levels increases. Regular coffee drinkers are more likely to test positive for elevated Homocysteine Levels, as are individuals that suffer high levels of stress. Stress increases Homocysteine Concentrations because it leads to the increased release of norepinephrine and epinephrine, both of which borrow methyl groups from methionine. If you're under a lot of stress, you should strongly consider increasing your Folic Acid intake. Thyroid Deficiency can also lead to increased Homocysteine, as well as psoriasis and kidney disease.

How Are Homocysteine Levels Evaluated?

Homocysteine Levels can be analyzed via blood test. While these blood tests aren't commonly performed, they can be beneficial for certain at-risk patients. Individuals at elevated risk for Heart Disease are sometimes tested for underlying Homocysteine Concentrations. The normal range for Homocysteine is from 4.4-10.8 umol/l.

What Can Be Done to Regulate Homocysteine Levels More Effectively?

The best ways to control Homocysteine are to manage stress and eat lots of foods high in B Vitamins. Some great options for folic acid include folate derived from beans, orange juice, and green vegetables. A quality multivitamin is a smart choice to shore up any B-Vitamin Deficiency caused by diet. You should choose a supplement which provides at least 400mcg of folic acid. You may also opt to reduce your consumption of animal protein to control your Homocysteine Levels. Many have found it highly beneficial to take a day or two off per week from meat consumption, or simply limit your daily intake of animal protein.

While there's little evidence that Homocysteine Levels lead to negative health outcomes among patients, controlling your Homocysteine Concentrations does have ancillary benefits because these changes do reduce your risk factors for other conditions which can negatively impact your health, even though the reduction in Homocysteine Levels may be an arbitrary benefit.

What Are Normal Testosterone Levels for Men and Women Throughout Life?

Testosterone Levels are dependent upon a variety of diverse factors. Most logically, Testosterone is dependent upon gender, but it is also contingent on age, health, lifestyle, and genetics. Males almost always have more Testosterone than women unless influenced by external factors such as Hormone Therapy or Hormone Suppression.

Testosterone belongs to a collection of critical hormones known as Androgens. Androgen is the catch-all term for sex hormones that are associated with male function and form. Although Androgens are expressed in higher concentrations in men, women also produce Androgens like Testosterone, though in much lower levels.

The opposite is also true. Men need Estradiol and other Estrogens for normal function but produce far less of the feminine Hormones. The majority of Testosterone produced by a woman's body is transformed into Estradiol. While the Adrenal glands produce small amounts of Testosterone for both men and women, the testes and ovaries are responsible for the majority of Testosterone secretion.

What Does Testosterone Do for Men?

Testosterone is central to the development of primary and secondary sex characteristic in men. It's responsible for the formation of the sex organs during fetal development and is responsible for spurring the maturation of the sex organs during puberty. Testosterone also plays an essential role in libido, metabolism, strength, energy level support, and reproduction.

What Does Testosterone Do for Women?

For women, Testosterone encourages fertility and facilitates libido while also promoting the creation of red blood cells and maintaining Hormone Homeostasis. Both sexes report issues with fertility and sex drive associated with Low Testosterone Levels.

What Are Healthy Testosterone Levels?

Testosterone is incredibly important, and the body thrives when Testosterone Levels are in the healthy range. While it is possible for men and women to have naturally high Testosterone Production, Low-T is the far more prevalent condition, and most people have Testosterone circulating within the healthy range, though men and women are more prone to issues related to diminishing Testosterone as they age. Testosterone is calculated using nanograms per deciliter by most physicians. Testosterone Levels are assessed via blood sample.

Abnormally Low Testosterone Levels during gestation can interfere with male fetal development. Suppressed Testosterone Levels during adolescence can delay or slow pubertal development. High Testosterone in boys can trigger early puberty.

Normal Testosterone Levels by Age

Early Development In Boys In Girls

0-5 Months Years 75-400 ng/dl 20-80 ng/dl

6 Months-9 Years Less than 20 ng/dl Less than 20 ng/dl

10-11 Years Less than 130 ng/dl Less than 44 ng/dl

During Puberty In Boys In Girls

12-13 Years Less than 800 ng/dl Less than 75 ng/dl

14 Years Less than 1200 ng/dl Less than 75 ng/dl

15-16Years 100-1200 ng/dl Less than 75 ng/dl

During Adulthood In Men In Women

17-18 Years 300-1200 ng/dl 20-75 ng/dl

19+ Years 240-950 ng/dl 8-60 ng/dl

Tanner Scale for Measuring Adolescent Development

While the guidelines above are generally correct, many physicians choose to evaluate Testosterone Levels in children and adolescents according to visual phase of development. In order to do this, doctors refer to a clinical schema known as the Tanner Scale. This scale is useful because children reach puberty and mature at different rates.

Stage I on the Tanner Scale is associated with the period before puberty, and Stage II is reached when visible signs of puberty first appear. The following provides information regarding the Testosterone Levels related to Tanner Stage in both boys and girls:

Tanner Stage In Boys In Girls

Stage I Less than 20 ng/dl Less than 20 ng/dl

Stage II 8-66 ng/dl Less than 47 ng/dl

Stage III 26-800 ng/dl 17-75 ng/dl

Stage IV 85-1,200 ng/dl 20-75 ng/dl

Stage V 300-950 ng/dl 12-60 ng/dl

What Are the Symptoms of Testosterone Deficiency in Men?

  • Low Sex Drive

  • Thin, Easily Damaged Skin

  • Issues with Concentration and Memory

  • Fatigue

  • Thinning Hair on Head, Face, and Body

  • Weight Gain

  • Depression and Anxiety

What Are the Symptoms of Testosterone Deficiency in Women?

  • Low Fertility

  • Osteopenia/Osteoporosis

  • Low Libido

  • Missed or Irregular Periods

  • Sexual Lubrication Issues

Polycystic Ovary Syndrome and Testosterone Levels

One of the most common reasons for excessive Testosterone in women is Polycystic Ovary Syndrome. Women struggling with PCOS experience elevated Testosterone Levels, which can lead to issues such as the development of facial and body hair, acne, oily skin, and absent or irregular periods.

Steroid Use and Testosterone Levels

Steroids are anabolic organic compounds which share similarities with Testosterone. Steroids are commonly used to increase body mass and build muscle. They are often utilized illicitly by men and women looking to bulk up. Steroid use and abuse can have a dramatic effect on natural Testosterone Production.

When guys abuse steroids, it can cause Testosterone Levels to drop precipitously, leading to low libido, temporary infertility, increased body/facial hair, acne, and testicular shrinkage.

In women, Steroid abuse can disrupt fertility and period timing while also causing baldness, acne, unfortunate hair growth, and deepening of the voice.

Testing for Testosterone-Related Issues in Men and Women

If an individual believes that they are having issues related to Low-T or Elevated Testosterone Levels, they should strongly consider reaching out to a doctor or Hormone Specialist for evaluation.

When evaluating for Testosterone Abnormalities, it is common for physicians to follow some general guidelines. For example, opiates have a dramatic effect upon the body's ability to produce Testosterone, so they will likely ask about prior opiate use along with the use of steroids. Men will often be measured for waist circumference, BMI, prostate/testicle size, and evaluated for signs of baldness. Women will be assessed for symptoms of masculation and also for acne and menstrual function.

How Are Testosterone Levels Tested?

Free and Total Testosterone Levels are evaluated using a blood test. To provide the most accurate results, Serum Testosterone is best tested during the morning hours, which gives the doctor the best idea regarding your peak Testosterone Production. The established Low-T Threshold for men varies depending upon the source, but most medical professionals consider Testosterone Deficiency to be associated with Testosterone Production lower than 230-350 ng/dl. Healthy women should have Testosterone Levels registering at 15-75 ng/dl.


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Testosterone Therapy Benefits

Correctly performed testosterone therapy can be your ticket to health.

Three sided solution: Testosterone + HCG + Arimidex

If your doctor only prescribes testosterone by itself, you will probably have a rough ride. The tendency is for you to feel great the first couple months, while you increase testosterone levels, followed by a slow deterioration, once your estrogen creeps up.

High estrogen negates a lot of the positives from testosterone therapy, resulting in the same symptoms of low testosterone you had in the first place!

The solution is to add a drug called Arimidex. It's called an aromatase inhibitor, which essentially blocks the conversion of testosterone to estrogen. It has the effect of increasing testosterone levels, while keeping your estrogen low.

Once you have your testosterone and estrogen solved, it's time to stop the next inevitable decline? Shrinking testicles.

This is where HCG (human chorionic gonadotropin) comes in. It prevents both infertility and testicle shrinkage. Your testicles shrink because your body thinks it doesn't need to make testosterone anymore.

For some, small testicles may seem like just a cosmetic problem. But HGC does more than increase testicle size, it also increases adrenal function, which can have positive effects on well-being, libido, and energy.





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