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Testosterone

 If you are a man or woman over 40 and struggle with low energy, difficulty losing weight, sweating at night, mood swings or reduced libido, then you should take a look at Testosterone Therapy. Dr. Abbott has been using this method for years, and has helped hundreds of men and women lead a more fulfilling life.

Symptoms of unbalanced hormones continue to worsen between the age of 45-55.  Although these changes are a normal part of aging, the side effects can be disabling, affecting enjoyment of life, and the health of our relationships with friends, family, co-workers and spouses.

Dr. Abbott offers two excellent testosterone delivery methods for both men and women –  Pellet Implant Therapy and Testosterone Injections.

Pellet Implant Therapy

Pellets are smaller than a grain of rice. They are placed during a short office visit at Omaha Med Spa.  An area of the upper outer buttock will be selected, and then numbed.  Following that there is no discomfort, as Dr. Abbott uses sterile technique to place one or more pellets into the selected fat layer of the buttock.  The pellet insertion procedure is quick and easy for patients.  You may return to work the same day.  The warmth of the body causes the pellet(s) to slowly dissolve, leading to excellent even levels of testosterone for the next 3 months.  After 3 months the pellet will have disappeared, and then the procedure is repeated using the opposite buttock.

With optimal testosterone levels, you symptoms of “low testosterone” will improve dramatically.

Pricing for Women:  $290 per pellet implant visit – This price includes the cost of hormone pellets, the office visit to see Dr. Abbott, the procedure to insert the pellets and disposable costs from the sterile tray. Pellet therapy is not covered by the cost of health insurance plans, but you are welcome to use your funds in your Health Savings Account (HSA) or Flexible Spending Accounts (FSA) to pay for your lab testing and all of the costs of pellet therapy.   Lab panels cost $79 and are done 2-3 times per year.  If you plan on receiving pellet implants four times a year, and lab panels twice per year, your investment is $1,318 for the year.

Annual Plan option for Women: We also offer an option where you pay the annual investment of $1,318 in the form of monthly payments.  You will be asked to pay $110 plus a $10 handling fee every month for a total of $120 per month.  You first pellet procedure may be performed as soon as you make your first payment of $120.

Pricing for Men: $590 per pellet implant visit – This price includes the cost of hormone pellets, the office visit to see Dr. Abbott, the procedure to insert the pellets and disposable costs from the sterile tray. Pellet therapy is not covered by the cost of health insurance plans, but you are welcome to use your funds in your Health Savings Account (HSA) or Flexible Spending Accounts (FSA) to pay for your lab testing and all of the costs of pellet therapy.   Lab panels cost $79 and are done 2-3 times per year.  If you plan on receiving pellet implants four times a year, and lab panels twice per year, your investment is $2,518 for the year.

Annual Plan option for Men: We also offer an option where you pay the annual investment of $2,518 in the form of monthly payments.  You will be asked to pay $210 plus a $10 handling fee every month for a total of $220 per month.  You first pellet procedure may be performed as soon as you make your first payment of $220.

Testosterone Injections

Men and women also have the option of receiving testosterone by injection into the buttock muscle.  These injections last 7-14 days.  We start by providing the shots once every two weeks, and shorten the interval as needed. You will make an appointment at either med spa location to receive these injections.

Pricing for Women:  $40 per injection.  Package of 10 injections for $350.  After every round of 10 injections is completed we will draw blood to check your testosterone levels, metabolic panel, hematocrit and hemoglobin at no additional charge.  You are welcome to use your funds in your Health Savings Account (HSA) or Flexible Spending Accounts (FSA) to pay for testosterone injections.   If you plan on receiving testosterone injections every two weeks for a year then your investment is $910 for the year.

Pricing for Men:  $50 per injection.  Package of 10 injections for $400.  After every round of 10 injections is completed we will draw blood to check your testosterone levels, metabolic panel, hematocrit and hemoglobin at no additional charge.  You are welcome to use your funds in your Health Savings Account (HSA) or Flexible Spending Accounts (FSA) to pay for testosterone injections.   If you plan on receiving testosterone injections every two weeks for a year then your investment is $1,040 for the year.

“Dr Abbott is a Physician and it shows. You feel very comfortable in his hands. Dr Abbott listens to you and is very honest about the procedure. Great Doctor, Great Staff and always a Great Experience” – Pamela K.

 

Frequently Asked Questions

What is “pellet therapy”?

Pellets are small and cylindrical. We use testosterone pellets that are produced in the USA by approved compounding pharmacies. Only pharmacies that provide quality assurance are used for our program. The pellets are produced from plant sources. Pellet therapy is not a new concept – it has been used for decades.  What is new and different is Dr. Abbott’s approach – come in for a free consultation and he will explain what sets him apart from other health care providers.

How do testosterone pellets work?

Once the pellets are placed under your skin, they will last 3 months. The pellets slowly dissolve, providing excellent levels of testosterone day and night. After the pellets are totally dissolved, there is nothing to remove.  If you benefit from pellet therapy, you will want to repeat the procedure every 3 months.  If you only have the procedure one time, your body will go back to producing the lower levels of testosterone that were noted before treatment was begun. The pellet procedure is done in both Omaha Med Spa locations, by Dr. Abbott.  This is performed as a sterile office procedure, and includes numbing to keep your procedure comfortable. Once the pellets are placed, they start working right away.

How and Where are the testosterone pellets inserted?

Dr. Abbott uses the upper buttock area, just behind the hip. With a patient laying on their side, the skin is cleansed, and a local anesthetic (numbing) is used to make the procedure “pain-free”. After the area is numb, a small incision of the skin is made (about 1/4″ long).  A small sterile instrument called a “trochar” is then placed through the incision and under the skin (you will not feel this step).  The pellets are inserted, the trochar is removed and the small skin incision is covered with a dressing. For several days after the pellets are placed, we ask you to moderate your activities.  All of this information is covered in detail with our “Consent Form” and “Home Care Instructions”

Is Testosterone linked to a higher risk of Heart Disease, Stroke and blood clots?

There is some evidence of an association between use of supplemental testosterone and an increased risk of heart attacks, stroke and blood clots.  It would be helpful to have more large clinical trials performed to learn more about this possible association.  Many testosterone pellet providers claim that pellet therapy may actually reduce your risk of heart disease, and may improve your levels of cholesterol.  I do not agree that there is adequate evidence to make those claims.  If a man or woman has any history of blood clots or stroke, then they should avoid all forms of testosterone therapy.  As with all medical treatments, there should always be a consideration of the Risk versus Benefit of testosterone treatment.  Every patient needs to be evaluated based upon their medical history, risk factors, symptoms and response to treatment.

How does testosterone thicken the blood in some men and women, and do I need to be concerned about it?

One of the effects of testosterone is that it stimulates the bone marrow to produce an increased number of red blood cells. Red blood cells are important, as they carry oxygen to all cells in your body. Low numbers of red blood cells is called anemia.  In some men and women, testosterone can increase the number of red blood cells so that the blood levels are above the recommended upper limit of normal. Having an excess number of red blood cells will thicken blood and increase the risk of developing blood clots. We monitor the level of the red blood cells by testing Hematocrit and Hemoglobin. Your doctor will keep a close eye on these numbers, and if yours are too high, then you will be directed to donate blood and or have blood drawn at the hospital.  Correct dosing of testosterone will also minimize this side effect.

Some men are given Arimidex once a week. What is that for?

In both men and women, the body naturally converts some testosterone to estradiol ( a form of estrogen).  When a man is treated with testosterone this conversion may lead to unhealthy levels of estradiol. That can lead to symptoms such as nipple sensitivity, growth of breast tissue and/or undesirable mood changes.  If that develops, then the man is prescribed a low dose of Arimidex (anastrozole) that it taken by mouth once or twice per week to help block the conversion of testosterone to estradiol, and therefore works to lower the levels of estradiol in men. The use of Arimidex in men should not be automatic, but only prescribed when needed.  Furthermore, the use of Arimidex in men is not FDA approved.  Arimidex is FDA approved to be used in certain women who have been diagnosed with breast cancer.

How do you evaluate the need for estrogen in women?

All women develop low levels of estrogen around the time of menopause, and this can cause symptoms of vaginal dryness, and hot flashes. Night sweats are different from hot flashes and are related to low testosterone. Estrogen has been given to women for decades, but is unfortunately linked to a higher risk of breast cancer.  I believe (and so does the FDA) that even bio-identical estrogen in women raises their risk of developing breast cancer.  I prefer to start with testosterone therapy on it’s own, since there is no definitive proof that it is linked to causing cancer.  I have also found that most of the “menopause” symptoms that women report are caused by testosterone, not estrogen.  Testosterone in your body is  broken down to form some estrogen, often helping treat the low estrogen symptoms.  If a women has been on testosterone, and still has symptoms, then I will add bio-identical estrogen (and progesterone if they have a uterus).  After several years of estrogen treatment, a trial off of estrogen is warranted.

Where does Progesterone fit in?

If a woman is given supplemental estrogen and has a uterus, then she must also take progesterone.  If a woman is post-menopausal and is given estrogen without progesterone, then she will start having vaginal bleeding from the uterus, and will also be at a higher risk of developing cancer of the uterus.  In that scenario, progesterone needs to be given as well as estrogen, to prevent the higher risk of cancer.  Progesterone may be given every day, and can be dosed so that no periods occur, or it can be taken cyclically (such as 10-14 days in a row out of each month).  Cyclical progesterone will usually lead to monthly periods.

Bio-identical progesterone can be used orally or bucally (inside of cheek).  The dose is often given at bedtime, since progesterone can lead to drowsiness and will improve sleep.

On it’s own, progesterone often improves the quality of sleep in peri-menopausal and post-menopausal women.

How long do I stay on hormone therapy?

If your health remains stable, and you are receiving benefit from hormone therapy, then it may be continued for life.  The benefit and risks of hormone therapy must always be considered.  If you develop breast cancer, I will stop prescribing hormone treatment.

Call (402) 614-5556 today for a FREE consultation!

Omaha’s Choice for Non-Surgical Aesthetics – Now Serving You in TWO locations!
Call (402) 614-5556 today for a FREE consultation!