What are Bio-Identical Hormones?

Bio-Identical Hormones are molecule-by-molecule exactly the same as the hormones our bodies naturally create. Many of the bio-Identical hormones we use are compounded and extracted from plant sources such as soybeans and wild yams. These plant sources are targeted because their composition allows us to compound and extract hormones identical to those produced in the human body while maintaining cost-effectiveness. We currently have the technology and access to provide Bio-Identical hormone supplementation for Estrogen, Testosterone, Progesterone, Cortisol, DHEA, and Estradiol.

Synthetic hormones such as Premarin and Provera are intentionally different. We advise against the use of synthetic hormones whenever possible because of the negative side effects and known associated risks. Synthetic hormones are substances that interact with the body’s hormone receptors to mimic the interaction that hormones would have in the body. These do not effectively act as a replacement for the hormones the body needs to function because their molecular structures are altered in order to allow pharmaceutical companies to patent and brand them as their exclusive product. These substances often produce negative side effects due to the pharmaceutically-patented side chains present in these synthetic molecules. These side effects include blood clotting, heart attacks, strokes, and various forms of cancers.

Consequently, we ONLY provide Bio-Identical Hormone Replacement Therapy to give our patients the most natural, low-risk form of hormone therapy available.

What are the symptoms of low hormones?

Deficiencies in Testosterone may often result in:Fatigue, Low Energy, Difficulty Concentrating, Reduced muscle strength, Low Libido, Reducesd Memory, Bone Pain, Depression, Anxiety, Weight Gain, Headaches, Dry Skin, Reduced Red Blood Count production, Reduced sexual sensitivity, Diminished feeling of well-being, difficulty with orgasm, erectile dysfunction, osteoporosis, trouble falling asleep or staying asleep.

Deficiencies in Estradiol may result in: Hot flashes, Depression, reduced skin elasticity, vaginal and urethral thinning, osteoporosis, vaginal dryness, yeast infections, mood instability, Dry mucous membranes, Weight loss, urinary tract infections, Painful intercourse, and spotting.

Low Thyroid levels may result in:Fatigue, weight gain, high cholesterol, reduced heart rate, foggy thinking, constipation, depression, cold intolerance, reduced sore temperature, pale dry skin, puffy face, heavier menstrual periods, brittle nails.

High Thyroid levels may result in:Sweating, heat intolerance, anxiety, tachycardia, irregular heart rhythm, loose stool, nervousness trembling hands, insomnia, weight loss, hair loss, breathlessness, warm moist skin, late or absent menstrual periods.

Cortisol deficiencies may result in:Fatigue, sugar cravings, low blood sugar, allergies to foods, depression, low sodium, high potassium low blood pressure, dehydration, increased skin pigmentation, altered mental status dizziness, decreased underarm or genital hair, increased infections, underweight, insomnia, frequent night time awakenings, muscle weakness.

Vitamin D deficiencies may result in:Osteoporosis, fatigue, muscle pain, weakness, bone fractures, depression, heart disease, strokes, increased risk of cancers, diabetes, sleep irregularities, PMS, Anxiety

Why do I have such low libido?

There are many factors involved in reducing sex drive including hormonal factors (primarily low testosterone, low thyroid, high prolactin) fatigue, previous painful sexual experiences, marital satisfaction, stress, certain medications (i.e. antidepressants, anxiety agents, anti-seizure medications) depression, feelings of guilt, ineffective communication, environmental factors, or misperceptions.

How do I know if my hormones are imbalanced?

If you suspect that you have a hormone deficiency of any kind, please contact us and fill out the preliminary paperwork listed under “Getting Started.” The Symptoms Form will let Doctor Andrew know which lab tests to order. An analysis of your lab results will determine whether or not you have a hormone imbalance.

What are some causes of hormone imbalance?

Causes of hormone imbalances include chronic stress, poor diet, body fat distribution, BMI, physical inactivity, and inadequate sleep. Women can also experience great shifts in hormone levels with pregnancy and with the onset of menopause. Hormones also inevitably decrease with aging regardless of other risk factors.

How do I get started?

To get started, we’ve nailed it down to 3 easy steps:

  1. 1. Fill out the 4 forms under Getting Started (includes Male/Female Review of Systems, HIPAA form, New Patient Information, and the Symptoms Form) and submit them to us via email (eastbayhrt@gmail.com) or fax (801-375-5582).
  2. 2. Once we’ve received your info, we will send a lab order to your designated lab or call to schedule for you to get your labs done here in our office. (See “How much will my diagnostic testing cost” to determine which option suits your financial needs)
  3. 3. After we receive your blood results, we will contact you to schedule your appointment.
How much will my diagnostic testing cost?

Depending on your health insurance, the cost of your blood tests can vary greatly. If you know you have good health insurance, your testing will most likely be covered by an external diagnostic facility or hospital lab. If you have a high deductible or you do not have health insurance, we can perform lab tests here in our office at a lower cash price with our physician pricing discount.

What should I expect following my pellet insertion?

Follow all post-pellet procedure care instructions found in one of the links below. Avoid any stooping, bending, bike riding, and lifting any heavy weights (over 20 lbs.) for the first 5-7 days. If you experience any active bleeding (not oozing, this is normal) please contact us at 801-377-0580. Following your first visit, follow-up blood work must be done 4-6 weeks after your insertion. Additional follow-up blood work can be done 4-6 weeks after subsequent pellet insertions if needed or by patient request. Most people need to come in to replenish their pellets every 3-6 months.

Click here for post-pellet care instructions
MALE, FEMALE (with uterus), FEMALE (no uterus)

Are there any side effects? What do I do if I experience any of these?

Possible side-effects include

  1. Breast Tenderness – If you initially develop too much breast tenderness, you may use Evening Primrose Oil (500mg by mouth twice/day) to reduce it. If it is extreme, you may require prescription Arimidex (1mg/day) for up to 10-14 days.
  2. Spotting or bleeding – Spotting or bleeding can occur if you are not getting adequate amounts of Progesterone. If you are taking progesterone appropriately, other factors may be at fault such as endometrial polyps, uterine fibroids, endometrial hyperplasia or cancer.
  3. Fluid retention – estrogen can cause fluid retention, in the first few weeks following your pellet insertion. To reduce this, drink lots of water, take cider vinegar capsules and prescription Spironolactone if necessary.
  4. Mood Swings – For mood or irritability, try S-adenosylmethyl E (1 capsule twice/day), St John’s Wart (300mg 3x/day), or Vitamin B6 (100mg twice/day)
  5. Acne – Cleocin T solution, Differen gel, or spironolactone
  6. Bruising or pain – Arnica Montana gel can be applied topically 3x/day to affected area, or you can try Traumel tablets or gel, apply ice, anti-histamines, or ibuprofen only after the first 24 hours.
How much does it cost? Will my insurance cover it?

Each pellet insertion will cost $300.00 for females and $500.00 for males. This covers the cost of the actual pellets themselves as well as the insertion fee. Because males require more testosterone to sustain adequate levels, they receive more than twice as many pellets as females which increases the cost of their visit. In addition, the first visit will include a $125.00 consult and lab review.

We are unable to accept any form of health insurance at our office. All payments must be made by credit/debit card, cash, or cashier’s checks. We do not accept personal checks.

How and when should I schedule my return appointment?

Your second visit can be scheduled simply by calling 801-377-0580. We will obtain symptom information over the phone and create a new lab order to check your current hormone levels if necessary. Typically, patients establish a steady dosage pattern after their first 2-3 visits, and will then only need to update their blood work once a year.

We want to help you!

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  • “Hormone therapy has done wonders for me. I first heard about D. Andrew through a friend who has had great experiences with HRT as well. I thought feeling yucky was just a way of life. However, since my treatments of HRT feelings of depression, anxiety, and fatigue have all been helped tremendously. I can always tell when my pellets run out because of the drastic difference it makes. I am a true believer in HRT.”

    Angela Cochran
  • “My experience with Bio-Identical Hormone Therapy has been very positive! For 10 years, I tried to address my low hormone levels with creams, but they didn’t work for me. Then I came to Dr. Andrew and he switched me to Bio-Identical Hormone Pellets, I finally feel like myself again! It makes such a huge difference in my energy levels and mental clarity. The staff in Dr. Andrew’s office are always nice, helpful and friendly. They aren’t’ stuffy or intimidating and never made me feel like I had too many questions.”

    Sherie Thain
  • Great news. My energy level is significantly improved (I would estimate 50% more stamina on my daily bike rides), I’m sleeping much better, and one MAJOR BONUS. After 35 years of daily migraines, I am now 100% migraine free. Migraines diminished gradually for three weeks after the pellets were consumed daily by this ...

    Dennis Martin, Ph. D.

We want to help you!

We work to balance several different hormones and look for natural hormone replacement options

123 N 500 E | Payson UT 84651