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

BHRT is for Men and Women!

Get BHRT & Get Back Out There!
Image

Many women suffer from symptoms of Low T and they don’t know it. Ladies, if you are 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 Pellet Therapy. Dr. Abbott has been using this method for years, and has helped hundreds of women lead a more fulfilling life.

While other “pellet providers” are raising the price of testosterone pellet therapy for women, Dr. Abbott is keeping the price at only $300.

“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.

Now is your time – time for you to find hormone harmony and get on with enjoying life. 
NEW!  Twelve month finance plan – $120 per month for women, $260 per month for me

Twelve Months includes the following:  4 visits for testosterone hormone pellet implants, 2 sets of bio-identical hormone labs.  It makes hormone wellness affordable!  Don’t be overcharged at other offices.  Dr. Abbott has been doing this for many years, and has perfected a model of hormone balancing that is safe, effective an affordable.  Call us today to get started.   (402) 614-5556

Bio-identical Hormones

Both men and women experience changes in their levels of hormones, affecting virtually all men and women by age 40.  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.

Bio-identical hormone replacement is the logical solution to the problem.  Using hormones that are an exact match to what the bodies of men and women normally produce leads to relief of symptoms while minimizing the risks of hormone replacement therapy.  BHRT stands for Bio-identical Hormone Replacement Therapy, and applies to both men and women.

Women – Estrogen, Progesterone and Testosterone

Estrogen, progesterone and testosterone are the three hormones that we need to consider when looking for answers to hormone imbalance that occurs in women between the ages of 40-55.

Estrogen – Symptoms of “Low Estrogen” include vaginal dryness and hot flashes.  If these symptoms are present, then a trial of bio-identical estradiol is warranted. The concern with using supplemental estrogen is the proven link between Premarin (equine estrogen from horse urine) and a higher risk of developing breast cancer in women.  The FDA warns women that all forms of estrogen therapy (including bio-identical) will increase the risk of breast cancer.  I agree with that warning so if you need estrogen, stick with bio-identical estradiol pellets.  If they help the vaginal dryness and/or hot flashes, then we will continue it for a couple of years, and then re-evaluate if it is still needed or not.

Progesterone – If you are having troubles sleeping at night, or not feeling rested in the morning, then there is a good chance that supplemental bio-identical progesterone will help.  Dr. Abbott will give you the option of receiving progesterone by pellet or troche (oral dissolving).  If you need to take bio-identical estradiol, and you still have your uterus, then you will also need to take bio-identical progesterone.

Testosterone – Testosterone is extremely important for the wellness of women who are age 40 and older.  It is unfortunate that it is often overlooked by many primary care providers.  Symptoms of low testosterone include fatigue, daytime drowsiness, sweating, anxiety, depressed mood, irritability, poor sleep, reduced libido (sex drive), reduced ability to orgasm and difficulty in losing mid-body weight. Testosterone is one of five treatments that Dr. Abbott uses to help people who participate in The OWL Diet plan.  Bio-identical testosterone is offered by pellet therapy.  Women and men can also choose testosterone injections, provided in the med spa, that are performed every 7-14 days.

Treatment Options for Women

Bio-identical Pellet Therapy – This is the number one option for women who want to receive guaranteed delivery of bio-identical hormones.  Pellets are small sterile pellets containing pure bio-identical hormones.  These are placed with expert care by Dr. Abbott during a “hormone pellet insertion”.  The procedure is done at both Omaha Med Spa offices and takes approximately 15 minutes to perform.  You will be pleasantly surprised how quick and comfortable your pellet insertion visit will be. Pellet therapy ensures even levels of hormones day and night for 3-4 months, providing symptom relief of all of your symptoms.

Pricing of female pellet therapy – includes the cost of hormone pellets (production of sterile pellets and delivery by courier to your home), the office visit to see Dr. Abbott, the procedure to insert the pellets, disposable costs (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.

Pellet therapy Pricing (each visit provides hormone replacement lasting for an average of 3-4 months)

Cost for testosterone BHRT pellet treatment $300

Cost for testosterone and estrogen BHRT pellet treatment $350

BHRT Hormone Panels cost only $79, and are done 2-3 times per year.

Annual Plan option – NEW!  Women may now made a small monthly payment of $120 per month, and in return will receive 4 Testosterone Hormone Pellet implants, done every 3 months.  Also included are two sets of BHRT Female Lab panels per year.  Why pay more?  Stop in to sign up now on our monthly plan, and start saving money.  Your first pellet procedure may be performed as soon as you make your first payment of $120.

(Women who receive estrogen may need to take progesterone as well.  Dr. Abbott will evaluate this with you and prescribe oral or buccal BHRT as needed. This will be filled at your pharmacy and the cost may be covered by your insurance plan).

Testosterone Injections – Women now have the option of receiving injections of testosterone into the buttock muscle.  These injections provide testosterone lasting 14-28 days (most women do very well on injections performed every 2 to 3 weeks).  We provide these injections in the office.  The cost is $50 per injection, or you can buy a series of 10 injections for $400.  After 10 injections, we will repeat a Hormone Panel of blood tests to monitor your response to treatment.  When you buy a series of 10 injections, the cost of the Hormone Panel of blood tests is included in your charge of $400, making this an affordable option for testosterone therapy for women. Testosterone injections are not bio-identical, as they have been modified for injection.

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 the costs of testosterone injection therapy.

Treatment Options for Men

Bio-identical Pellet Therapy – This is the number one option for men who want to receive guaranteed delivery of bio-identical hormones.  Pellets are small sterile pellets containing pure bio-identical hormones.  These are placed with expert care by Dr. Abbott during a “hormone pellet insertion”.  The procedure is done at both Omaha Med Spa offices and takes approximately 15 minutes to perform.  You will be pleasantly surprised how quick and comfortable your pellet insertion visit will be. Pellet therapy ensures even levels of hormones day and night for 3-4 months, providing symptom relief of all of your symptoms.

Male Pellet therapy Pricing (each visit provides hormone replacement lasting for an average of 3-4 months)

Cost for testosterone BHRT pellet treatment $650 (covers the cost of up to 13 pellets of testosterone. Some men require 14, 15 or 16 testosterone pellets at each visit, and they are charged $50 for every pellet inserted after 13)

BHRT Hormone Panels cost only $79, and are done 2-3 times per year.

Pricing of male pellet therapy – includes the cost of hormone pellets (production of sterile pellets and delivery by courier to your home), the office visit to see Dr. Abbott, the procedure to insert the pellets and the disposable costs (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.

Annual Plan option – NEW!  Men may now made a monthly payment of $260 per month, and in return will receive 4 Testosterone Hormone Pellet implants, done every 3 months (up the 16 pellets per visit).  Also included are two sets of BHRT Male Lab panels per year.  Why pay more?  Stop in to sign up now on our monthly plan, and start saving money.  Your first pellet procedure may be performed as soon as you make your first payment of $260!

Testosterone Injections – Men also have the option of receiving injections of testosterone into the buttock muscle.  These injections provide testosterone lasting 7-14 days. We provide these injections in the office.  The cost is $50 per injection, or you can buy a series of 10 injections for $400.  After 10 injections, we will repeat a Hormone Panel of blood tests to monitor your response to treatment.  When you buy a series of 10 injections, the cost of the Hormone Panel of blood tests is included in your charge of $400, making this an affordable option for testosterone therapy for women. Testosterone injections are not bio-identical, as they have been modified for injection.

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 the costs of testosterone injection therapy.

iStock_000019084804_Double

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, or procedure – 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 an average of 3 to 4 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 3-4 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.

What does the FDA say about Testosterone Pellets?

The FDA has approved the use of testosterone pellets under the brand name Testopel™. The reason that I do not use Testopel™ is that it provides only one dose of testosterone. By using a compounding pharmacy, I am able to use a variety of strengths of pellets, and provide exact dosing of testosterone for each individual. The use of testosterone pellets produced by compounding pharmacies has not been submitted to the FDA, but their use is commonplace and well accepted by the medical community.  Despite this, pellet therapy for men and women is not typically covered by insurance companies.

How and Where are the testosterone pellets inserted?

The pellet insertion procedure is performed at both Omaha Med Spa locations by Dr. Abbott. He 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. This allows for insertion of the pellets. After the trochar is removed, the small 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 these positive claims.  The FDA only sanctions the use of testosterone in men without cardiovascular disease, and only when 2 fasting total testosterone levels are below 300.  If a man or woman has any history of blood clots, heart disease 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 make blood flow sluggish in blood vessels and will 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 off at the hospital.

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. 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, on the other hand, 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 it 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, bucally or topically. I provide the option of oral or buccal use.  When taken orally, the dose is often given at bedtime, since progesterone can lead to drowsiness and will improve sleep.  Buccal use refers to placement of progesterone on the inside of the cheek, where it will dissolve and be absorbed from the mouth.

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

How long do I stay on BHRT?

If your health remains stable, and you are receiving benefit from BHRT, 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 all BHRT.

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!