Congratulations on taking a big step toward feeling better, more like the former "you." Get ready to say goodbye to hot flashes, night sweats, sleepless nights, bad moods, irritability, that stubborn weight gain, hair loss, and that "brain fog." Say hello to better skin and hair, a sharper memory, better moods, relief of those menopausal symptoms, a leaner and firmer body, and those extra pounds finally going away.
If you are in the peri-menopause age, we can help with those heavy periods, breast tenderness, and bad PMS symptoms as well. Even migraine headaches and osteopenia or osteoporosis can be improved with proper hormone balance.
During Your First Visit
Your first visit with us will involve meeting with Dr. Kaye for 90 minutes. During that visit, he will review and discuss with you the medical information you provided in our intake forms. He will check your vital signs and do a brief exam, and check your body composition. We will then look at all the data, combined with your physical exam findings and discuss healthy diet and lifestyle and options for treatment. Usually we will need to do some blood testing and this will be ordered at your visit. You will have the opportunity to meet with our nutritionist to start a weight-loss program or further discuss diet.
Many of our patients have co-existing health issues and we put all the pieces together and come up with a plan of treatment. We want to prioritize what YOU feel is most important. For some women it may be getting rid of menopausal symptoms and getting a good night’s sleep. For others it may be a better libido and relief of vaginal dryness and a better sex life. Others may be focused on losing weight and improving their hair and skin. Be assured, we will address all your concerns relating to hormones and even address your non-hormonal issues such as Lichen Sclerosis, IBS, food and environmental allergies, thyroid and adrenal disorders, chronic fatigue/fibromyalgia, autoimmune diseases, osteoporosis, cholesterol and heart-disease prevention, nutritional deficiencies and supplements, and mood disorders.
Hormone Replacement for Treatment of Menopause
For menopausal women, the HRT options we offer include compounded bioidentical skin creams containing a mix of estrogens (usually Bi-Est), progesterone, and testosterone and in some cases DHEA. We offer vaginal creams or suppositories containing an individualized mix of estrogens, testosterone or DHEA (particularly helpful for vaginal dryness and Lichen Sclerosis). We can prescribe commercial bioidentical estrogen skin patches, progesterone as an oral capsule or as a skin cream and we are very experienced in using subcutaneous injected hormone pellets of estradiol and testosterone.
All BHRT prescriptions are individualized for each patient and we monitor your symptoms and blood testing carefully to make sure you are taking exactly the right dose for you - this is not a one size fits all approach.
Women who have had a hysterectomy are perfect candidates for BHRT, especially our pellet implants.
For weight loss, we offer several options: For rapid results we offer a ketogenic diet program called Ideal Protein. If that is not for you, we offer coaching on low fat and low carb paleo type diets or more vegan options.
We will usually meet with you 2 or 3 times per year to make sure you are doing well and we will check labs as necessary.
What about risks from using bioidentical HRT? The conventional HRT you may have heard of such as Premarin and Provera does increase your risks for breast cancer, stroke, and heart disease according to the WHI study of 2009. However, the good news is that recent studies (KEEPS and others) show no increased risk of breast cancer or other cancer with the types of BHRT we prescribe.
The benefits can be significant. Our long-standing patients comment on how much younger they look compared to their friends; their hair is fuller, they have less wrinkling and better skin tone. They have stronger muscles and bones and can lose weight more easily. They have better sex lives and much improved libido. They have sharp minds and a good memory again, so they can do better at work and in life. Of course, all of our patients have improvement in their menopausal symptoms. Our patients with osteoporosis have improvement in their bone density tests and the patients with prediabetes or high cholesterol can often correct these problems with our diet programs.
We look forward to working with you!