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, your symptoms of “low testosterone” will improve dramatically.
Pricing for Women: $300 per pellet implant visit – This price includes the cost of hormone pellets, the office visit to see Dr. Abbott or Sonia Sublett-Adams APRN, 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 testing is an additional fee and ranges from $140 to $260 per year. If you need oral estrogen or progesterone these prescriptions are written and filled at your local pharmacy.
Annual Plan option for Women: You will commit to 12 monthly payments of $110 and you will receive four testosterone pellet insertions, spaced 3 months apart. Your first pellet procedure may be performed as soon as you make your first payment of $110. Lab testing is an additional fee and ranges from $140 to $260 per year.
Pricing for Men: $650 per pellet implant visit – This price includes the cost of hormone pellets, the office visit to see Dr. Abbott or Sonia Sublett-Adams, 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 testing is an additional fee and ranges from $140 to $260 per year.
Annual Plan option for Men: You will commit to 12 monthly payments of $225 and you will receive four testosterone pellet insertions, spaced 3 months apart. Your first pellet procedure may be performed as soon as you make your first payment of $225. Lab testing is an additional fee and ranges from $140 to $260 per year.
Testosterone Injections in Office
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. You are welcome to use your funds in your Health Savings Account (HSA) or Flexible Spending Accounts (FSA) to pay for testosterone injections. Lab testing is an additional fee and ranges from $140 to $260 per year.
Pricing for Men: $50 per injection. Package of 10 injections for $400. You are welcome to use your funds in your Health Savings Account (HSA) or Flexible Spending Accounts (FSA) to pay for testosterone injections. Lab testing is an additional fee and ranges from $140 to $260 per year.
Testosterone Injections at Home
We can also train men and women to receive testosterone injections at home. You have the option to learn to inject yourself, either in the buttock or top of the thigh. Alternatively we can train your spouse or at home partner to inject you in the buttock. Shots are also spaced 7-14 days apart. You will pay us for an initial office visit to get your home program started. At that time a 6 month supply of testosterone will be prescribed, that you will fill at your local pharmacy. You will then return to us every 6 months for another office visit and repeat lab testing done with us. The cost of each office visit at the start, and every six months thereafter is $150 per visit. Lab testing will also need to be done through our office at additional expense ranging from $140 to $260 per 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 our 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 and Sonia Sublett-Adams, our Nurse Practitioner. 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?
Our providers use 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.