Initial Visit

After making an appointment, you will need to arrive 'fasting' (nothing to eat for at least 8 hours before your appointment time – you can drink water, black coffee or unsweetened tea). We will perform an EKG and an Inbody (a type of body composition test) as well as take a small sample of blood to send for laboratory analysis. We will schedule a follow-up visit within one week after your initial blood test to review the findings.

 On your return visit, you will meet with one of our BHRT specialists to review your blood work, body comp report and your questionnaires. You will also get a prescription for a one month supply of the bioidentical hormone replacement therapy medications prescribed specifically for you. If you have opted for subcutaneous pellets, you will have your pellets inserted at this time. If you have opted for pellets, you will be scheduled to return for labs in six weeks to check your levels and have an eight-week visit. If you opted for creams, pill and troches, we would schedule you for a follow-up in four weeks.

Your Four-week visit (Creams, Pills & Troches):

On this visit, you will meet with the BHRT specialist to review your first month of treatment. We will discuss how you feel, and depending on your progress and how you feel, the provider may make adjustments to your hormones and medications. Before leaving, you will be scheduled to have your labs drawn in three weeks.

Your Six-week Visit (Pellets) or Seven-week Visit (Creams, Pills & Troches):

You come in approximately five hours after your morning dose of BHRT medication, and we will repeat your blood tests to see if your levels are optimal. It is of extreme importance that you have taken your prescribed doses of hormones at the appropriate time. Fasting is not required. We will schedule you for a follow-up visit in one week to review your lab results.

Your Eight-week Visit (Pellets or Creams, Pills & Troches):

Based on your lab results and symptoms, adjustments to the BHRT medications prescribed to you may be made at this time. You will receive three month's prescribed BHRT medications, and we will schedule you for a return visit in three months.

Follow-up visits:

Follow-up visits are typically required once every three months during the first year of treatment. On these visits, adjustments to your hormones and medications may be made based upon symptoms and lab values. After the initial year of treatment, follow-up visits will only be required twice a year and labs will only be required once a year.

Annual:

A year from your start date, we will have you repeat your panel of labs and EKG. We will remind you ahead of time when this will be due.