Q: What is the difference between BHRT and HRT?

A: Bio-identical hormones are chemically identical to those produced by the body and fully bio-available.  Synthetic HRT are hormones that are similar but not exact to what our bodies produce.   For example, Premarin the most popular pharmaceutical form of estrogen, is derived form pregnant mares and is approximately 40 percent bioavailible to humans.  This means that about 60 percent of the medication is not naturally recognized by our bodies.   Some researchers have speculated that these metabolites of the synthetic HRT may be the cause of the  increased risk in cancer as seen in the WHI (Women's Health Initiative) study.

Q: What are the benefits of using a topical delivery method for BHRT?

A:  When oral HRT is ingested the medication is  absorbed in the stomach and passes through the liver where it is metabolized, this is referred to as "first pass". Topical BHRT is absorbed through the skin and into the bloodstream where it can help restore hormonal balance and relieve symptoms of menopause.  By avoiding the "first pass" of the liver, topical dosing can be more effective using lower amounts of active  ingredients. Bioidentical hormones are chemically identical to those produced by the body and can provide relief without the side effects associated with synthetic hormone replacement therapy.  

Q: What are the benefits of using organic oil as the carrier for topical BHRT products?

A: Topical organic oil is the most natural way to absorb bioidentical hormones into the body.  Topical BHRT in the form of creams and patches use harsh toxic solvents in order to dissolve the active hormone; these chemicals may potentially disrupt the endocrine system. 

Q: How is dosing and testing individualized for each woman?

A: At our clinic, we use a process called titration to determine the optimal dose of hormones for each woman. This involves starting with a low dose and gradually increasing until symptoms are relieved.  This process takes several weeks. We use 24-hour urine testing to monitor hormone levels and adjust doses as needed. Using a 24-hour urine collection allows for the accurate calculation of how your body processes and metabolizes BHRT.  This method provides a more comprehensive analysis by looking at all the data points in a 24-hr period.  Other laboratory hormone tests relay on only 1 - 5 random samples in the same period.   Our individualized approach ensures each woman receives the right amount of hormones to relieve her specific symptoms and also protect her vital organs such as the brain, heart and bones that do not express symptoms until disease has advanced in the form of dementia, cardiac disease and osteoporosis. 

Q: Are there any side effects of using topical BHRT in organic oil?

A: Like any medication or supplement, topical BHRT can cause side effects in some women. However, the risks of serious side effect is rare when BHRT is used appropriately. We closely monitor our patients for any side effects and adjust dosages as needed to minimize the risk of adverse effects.  

Q: How long does it take to see results from topical BHRT?

A: The time frame for seeing results our method can vary depending on the individual. However, most women report significant relief from symptoms within 3-5 weeks of starting our BHRT method.        

Q: Do you accept health insurance?

A: No, our concierge service does not accept health insurance. HSA/FSA accounts are accepted. Please note that blood work  and mammograms are often covered by your regular insurance.

Q: Do you use testosterone in BHRT for women?

A: Yes, testosterone is often used in the program.   Testosterone plays an important role in a woman's sexual desire, bone density, and muscle mass. 

Q: Where do you meet with your patients?

A: We meet online via a HIPAA complient video portal.