Hormone replacement

Pellet Placement / Removal

Hormone pellets are made from Mexican yams. They are placed under the skin and provide a convenient way to optimize hormonal balance of both Estrogen and Testosterone.

Pellets vary in size depending on dose but are similar to a single grain of rice.

Providers at Ponderosa Family Care that are trained in pellet insertion and removal:

Alan Michels, MD

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$400 for women

$700 for men

Topical Creams

Topical creams are an effective method to provide the optimization of hormones. The following hormones can be provided in a topical cream:

* Estrogen
* Testosterone
* Progesterone

These are available via a compounding pharmacy and can be combined into one preparation for convenience and cost savings and are delivered to your home.

Depending on the dosing,  the average cost of a 90 day supply will be around $120 ($40/mo) for an annual cost of around $480

Understanding Lab Values

 When identifying a need for hormone replacement, your provider will look at more than simply your lab values. Close attention is paid to signs and symptoms that your hormones may not be in the optimal range for YOU.

Normal ranges in lab values and what may be low for you may not be the same as for someone else.

Symptoms that may be associated with low hormone levels include:
  • Brain fog
  • Headaches
  • Anxiety
  • Depression
  • Low sex drive
  • Low energy
  • Hair loss
  • Increased body fat
  • Dry skin
  • Loss of muscle mass
  • (women) Vaginal dryness
  • (men) Erectile dysfunction

Comprehensive Testing

In addition to offering standard blood/serum hormone testing, we offer comprehensive testing with options for in depth understanding of how your hormones are effecting your well-being.

These tests are offered via DUTCH Precision Analytical and can be performed from home using saliva or urine samples.

These tests can provide insight into the following areas:

* Estrogen Metabolites

* Nutritional Organic acids

* Progesterone

* Androgen Metabolites

* Testosterone

* 8-OHDG (oxidative stress)

* Melatonin

* Free Cortisol Pattern

* Cortisol Awakening Response

* Neurotransmitter Metabolites

* Cortisol Metabolites