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Low T Treatment

Hormone imbalances are a common problem that plagues men and women around the world.

We invite you to take a quick questionnaire to see if you may be experiencing hormone imbalances:


Take this questionnaire:

  • Are you suffering from lack of energy or fatigue?
  • Are you experiencing decreased libido?
  • Have you noticed a decrease in strength or muscle mass?
  • Are you experiencing irritability?
  • Do you have an increase in hair loss?
  • Are you having difficulty sleeping?
  • Are you experiencing sweating at night?
  • Are you experiencing foggy thinking or memory loss?
  • Have you noticed that you are feeling down or depressed?

If you answered yes to any of these, schedule a customized consultation. At your visit, we will spend time understanding your needs and concerns, test for imbalances and mutually begin to put together a plan to ensure that you are feeling best very soon.


Frequently Asked Questions

Why do men need Testosterone Replacement?

As men age, production of the hormone testosterone begins to decline and many men experience symptoms of low testosterone. Testosterone is the hormone that is responsible for maintaining mental focus, energy, metabolism, muscle mass, fat levels, and sex drive. By balancing a man’s hormones with bioidentical hormone therapy, men can restore vitality and reduce the symptoms of low testosterone (alsoknown as andropause).


What is Adrenal Dysfunction and how do I test for it?

Adrenal dysfunction, also known as Adrenal Fatigue, is a condition where the adrenal glands lose their ability to respond to stress and is usually caused by an accumulation of chronic stress over time. Adrenal dysfunction is not a black and white issue of whether or not your adrenal glands produce any cortisol at all, but a function of whether they are producing enough and if they are functioning on a daily rhythm the way they should be. Cortisol should be highest first thing in the morning, approximately 30 minutes after waking, and should slowly decline throughout the day. The best way to assess adrenal function and evaluate adrenal fatigue is to look at cortisol levels at multiple times throughout the day. Not only does saliva’s ease of collection facilitate this, but the cortisol levels present in saliva are only the bioavailable fraction of the hormone. These two factors make salivary cortisol the gold standard for assessing adrenal function and diagnosing adrenal dysfuncti


What is Andropause?

Andropause is a collection of symptoms, including fatigue and a decrease in libido, experienced by some middle-aged men and attributed to a gradual decline in testosterone levels.


How accurate is saliva testing compared to urine and blood testing?

Most of the hormones traveling in the blood stream are bound to large carrier proteins that prevent the hormone from being used by the tissues of your body (interacting with its hormone receptor) and are called bound or inactive. These hormones are not used by the body thus inactive or non-bioavailable. Less than 5% of hormones are unbound to proteins. This small percentage of unbound hormone is called free, active or bioavailable hormones. When a hormone is bound to a protein it is too large to pass into the saliva gland; therefore the saliva gland acts as a natural sieve, sorting the bioavailable (free) hormones from the large, inactive protein-hormone complexes. For this reason, the hormones tested in saliva are the most accurate reflection of the amount of the hormone that is available for your tissues to use. Serum hormone levels include ALL of the hormone(“total”), the bound and unbound portions, and does not reflect what the body actually can use.

Urinary hormone levels are directly affected by liver and kidney function, and since the hormones present in urine are not the active hormones, but are actually the metabolites that the body is disposing of, this is not an ideal fluid for hormonal assessment. Furthermore, the ease of saliva collection enables multiple samples to be taken throughout the day which is essential when measuring the rhythm of cortisol (adrenal status) instead of a single data point, or the total amount produced in a 24 hour period.


What are the symptoms of Andropause (low testosterone)?

Andropause can cause physical, sexual, and psychological problems. They typically worsen as you get older.

They can include:

  • low energy
  • depression or sadness
  • decreased motivation
  • lowered self-confidence
  • difficulty concentrating
  • insomnia or difficulty sleeping
  • increased body fat
  • reduced muscle mass and feelings of physical weakness
  • gynecomastia, or development of breasts
  • decreased bone density
  • erectile dysfunction
  • reduced libido
  • infertility


How long does my visit take?

Your initial visit may take as much as an hour.  We feel that this is a very important visit and we want to take the opportunity to really understand what you are experiencing so that we may be best able to target your concerns through testing and treatment.

Men experiencing andropause(the male menopause) who want to get a grip on weight gain, lost libido, fatigue, stress, energy, muscle mass and body fat. For men, andropause happens gradually and when diagnosed, the symptoms can be successfully treated using bioidentical HRT.


What is a Bioidentical hormone?

Hormones are called bioidentical or natural if they are exact duplicates of what your body makes. The molecular structure of a bioidentical hormone is identical to that of the hormones made by your body. This is an important distinction because the hormones often prescribed by doctors are not bioidentical; in fact many are not found anywhere in nature. These are called synthetic hormones.


How often do I need to come for follow up?

Your first follow up visit will be 6-8 weeks after your initial testing and then again at 3 months after starting any treatment regimen.

Men experiencing andropause(the male menopause) who want to get a grip on weight gain, lost libido, fatigue, stress, energy, muscle mass and body fat. For men, andropause happens gradually and when diagnosed, the symptoms can be successfully treated using bioidentical HRT.


Who needs Bioidentical Hormone Replacement Therapy (BHRT)?

Women suffering from early menopause symptoms looking to put an end to hot flashes, night sweats, memory loss, mood swings, weight gain, and low libido. The individualized programs for each woman suffering from early menopause symptoms, menopause, perimenopause and severe PMS will benefit.

Men experiencing andropause(the male menopause) who want to get a grip on weight gain, lost libido, fatigue, stress, energy, muscle mass and body fat. For men, andropause happens gradually and when diagnosed, the symptoms can be successfully treated using bioidentical HRT.


What is the difference between Bioidentical hormones and Synthetic hormones?

The difference between bioidentical hormones and synthetic hormones is dual fold. Unlike bioidentical hormones, synthetic, or conventional, hormones may be patented by pharmaceutical companies; therefore dosage varies only by milligrams dictated by your doctor, while the molecular structure of the prescribed hormone is the same for every single person on that drug. Additionally, synthetic hormones are not created structurally the same as human endogenous hormones, which often leads uncomfortable side effects. While synthetic hormones can mimic the effects of endogenous hormones on certain biological pathways, they rarely offer the same effectiveness at a deeper, molecular level.

Bioidentical hormones mimic the affinity of human endogenous hormones; therefore they are effective on more biological pathways, at all levels. Because bioidentical hormones are an exact structural replica of endogenous hormones, side effects are rarely observed, and in the event you do experience side effects, talk with your doctor—the dosage may simply need to be adjusted. The added benefit of bioidentical hormones is that each dose is tailored specifically for your needs, not simply what doses the pharmaceutical company offers (asis the case with synthetic hormones.)


My symptoms suggest I have a hormone imbalance but how can I know for sure?

Testing your hormones is the best way to identify any hormone imbalance. There are many symptom pictures that may look similar; therefore knowing what your hormone levels are will enable your practitioner to determine the correct treatment for you.


What are payment options?

Aesthetic+Wellness accepts cash, checks, all major credit cards, and payments through Venmo and PayPal


More About Low Testosterone

Testosterone plays a critical role in maintaining both physical and mental health. From its peak in the late teens and early 20’s, the production of testosterone begins to taper at approximately age 30. This physiologic decrease is commonly known as andropause and can cause changes in sexual function, mood, energy level and body composition, but may also have significant impact on cardiovascular risk as men with low and low range testosterone levels are at a greater risk for metabolic and cardiovascular disease. In addition to age-related decline, poor diet, lack of exercise, stress and other lifestyle factors can have a significant effect on testosterone levels. Some of the symptoms associated with decreased testosterone production in the male body are: Decreased erectile function, Decreased mental ability, Insulin resistance / metabolic syndrome, Loss of muscle strength, Loss of muscle mass, Fatigue, Weight gain, Trouble urinating, Prostate problems, Bone loss.

While testosterone is thought of as “the” male hormone, it is also important to maintain appropriate levels of estrogen, progesterone, DHEA and cortisol. Increased estrogen levels may contribute to prostate problems and weight gain, and if the adrenal hormones (cortisol and DHEA) are out of balance, men may also experience problems with fatigue, immune dysregulation and may develop blood sugar irregularities. As testicular production of sex hormones wanes with age, adrenal hormone balance plays a central role in sustaining optimal hormonal health.

Diagnosing and Treating Andropause (Low Testosterone)

Low testosterone levels affect approximately 13.8 million American men. However, only 5 percent of men suffering from andropause (also known as male menopause) and low testosterone levels currently receive testosterone replacement therapy.

Testosterone replacement therapy in men is indicated when symptoms and signs of a hormonal imbalance suggestive of testosterone deficiency are present and when the levels of testosterone as measured by laboratory testing are in decline.

Elevating testosterone levels to achieve “normal testosterone levels in men” has a profound effect on improving the quality of life. Bioidentical hormones for men are a natural alternative to synthetic hormones. Testosterone replacement therapy with the use of synthetic hormones has been known to cause dangerous side effects such as liver toxicity. Bioidentical testosterone replacement therapy is a safe and rewarding way to balance testosterone levels in men.

Testosterone restored to optimal levels through the effective implementation of natural testosterone replacement therapy will have a protective effect on many of body’s organs and organ systems.

  • Natural testosterone replacement therapy strengthens the cardiovascular system preventing heart attacks as well as strokes and will assist the body’s regulation of optimal blood pressure.
  • Bioidentical testosterone replacement therapy increases bone density and provides additional support for the health of the musculoskeletal system.
  • Natural testosterone replacement therapy improves brain function, memory and concentration.
  • Bioidentical testosterone replacement therapy decreases the risk of Alzheimer’s disease.
  • Natural testosterone replacement therapy may improve visual acuity, eye health and prevent the risk for age-related macular degeneration AMD.
  • Bioidentical testosterone replacement therapy stabilizes blood sugar levels, decreasing one’s risk for type 2 diabetes and metabolic syndrome X.
  • Natural testosterone replacement therapy, when correctly applied, can help a person deal with emotional stress, stabilizes mood and may help prevent depression.
  • Bioidentical testosterone replacement therapy and the restoration of youthful levels of testosterone will decrease mortality in men.

Goals of bioidentical testosterone replacement therapy

The primary goal of natural testosterone replacement therapy is to attain a balance of normal testosterone levels in men as measured by testosterone serum levels as well as modification of other hormone levels such as DHEA and estradiol that often are abnormal during andropause or male menopause.

Another important goal of bioidentical testosterone replacement therapy is to improve the symptoms andropause including restoration of sexual function, libido and enhancement of the quality of life. Prevention of diseases linked to low testosterone levels such as cardiovascular disease, Alzheimer’s disease and osteoporosis may be achieved through the use of natural bioidentical testosterone replacement therapy. When replacing testosterone, other hormones that are imbalanced should also be brought to optimal levels including DHEA and estradiol (estradiol levels often increase as normal testosterone levels drop).

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