SERVICES

Bio-identical Hormone Replacement Therapy Program:

  • One-on-one consultation with me, your bio-identical hormone physician
  • Thorough analysis of your symptoms, medical and family history
  • Comprehensive laboratory testing
  • Complete analysis of your laboratory results
  • Customized bio-identical hormone therapy regimen created for you
  • Prescription created for you and sent to the pharmacy of your choice
  • Nutritional, supplement and lifestyle guidance
  • Additional monitoring and support if needed.

Common Health Issues Affected by Hormones

“If you keep good food in your fridge, you will eat good food.” Errick McAdams

My passion is working with my patients to help them alleviate issues relating to hormone imbalances.

Having been one of the early adopters of bio-identical hormone replacement therapy (BHRT) right out of my OB/GYN residency program about twenty two years ago, I’ve seen a lot over the years!  At that time (1996) most doctors hadn’t even heard of bio-identical hormones.  Having had a lot of success with patients in helping them get their lives back on track, I started getting approached by the same colleagues who initially chuckled at my bio-identical HRT practice to learn more!  Then the Women’s Health Initiative (WHI) study splashed all over the news in 2002 and demand for bio-identical hormone replacement therapy surged (as the study indicated non-bioidentical HRT products were unhealthful to women).  Compounding pharmacies sprouted all over the country providing customized bio-identical hormone formulas.  Even big pharma got on board to produce FDA approved bio-identical HRT products.

In September 2017, a new review of the WHI study from Harvard Medical School was published in the medical journal JAMA which discredited the original WHI study and said that HRT was actually not harmful if started early in menopause.

These days HRT is widely recognized to improve the quality of women’s lives in many ways including helping weight gain issues, mood swings, depression, insomnia, fatigue, vaginal dryness, premenstrual syndromes, memory loss, fibroids, endometriosis, low libido, and hot flashes / night sweats.  There is still controversy – but now it’s mostly a fight between big pharma / FDA and the compounding industry, one side claiming it does bio-identical hormones better and more safely than the other.  I prescribe both FDA approved bio-identical hormones as well as compounded bio-identical hormones for my patients (depending on their desires and needs).

Having treated tens of thousands of women over the past 22 years of practicing medicine (and having taken bio-identical hormones myself), the most important thing I’ve learned is that everyone is different and that HRT is an art form.  This isn’t cookie cutter medicine or something that is usually taught in medical school.  In turn, most physicians without post graduate hormone therapy training who decide they want to offer HRT therapy to patients may not be particularly effective.  HRT demands of the practitioner a blend of the art and science of medicine which is required for listening to the patient, ordering and interpreting the right labs, and seeing how the patient’s body responds to the particular hormones (and making adjustments accordingly).  Having lectured at a number of medical conferences in the United States and abroad, I’ve had many conversations with doctors wanting to learn this art and I came to realize how HRT requires a particular type of physician — one passionate about continually honing one’s skills in the ever-growing field of HRT, and modifying one’s hormone protocols to fit each individual patient’s needs.  Like most things, the physicians that become most effective at delivering bio-identical HRT are those that enjoy doing it, and believe it in enough that they would prescribe it for themselves and their family.

My feeling is that hormone replacement therapy can be highly beneficial for most women who are experiencing unwanted symptoms related to hormone imbalances which commonly can occur during the life cycle of the woman.  The most important thing is that the individual receive the smallest dose which is effective and that they are followed annually by their gynecologist to ensure optimal health.

The symptoms of hormone imbalances often first appear in perimenopause  when the production of key hormones like estrogen, progesterone, and testosterone often begins to decline.  Bio-identical hormones not only may provide a relief of terrible symptoms relating to hormone imbalances, but also may provide protection against osteoporosis and cardiovascular disease (heart / brain).