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Bioidentical Hormone Replacement Therapy (BHRT) Program

What are Bioidentical Hormones?
Bioidentical hormones, also known as natural hormones, are substances that have the same chemical structure as the hormones that are produced by the human body, and they also create the same physiologic response. Hormones are NOT drugs. They are naturally occurring substances that are found in all humans since the time of conception. BHRT replaces hormones at a "physiologic" level that is not harmful to the body. Physiologic levels never exceed what the individual has already been accustomed to in his or her younger years. We use FDA approved bioidentical hormones (natural hormones) whenever possible; however, when a dosage or strength that the patient requires is not commercially available, we use a compounding pharmacy to prepare an individualized prescription. Compounding pharmacists must comply with the regulation of the state boards of pharmacy, and they have access to the highest grade bulk ingredients as well as state-of-the art equipment used to accurately prepare hormone preparations. Close monitoring of the patient by PWC helps to promote maximum benefits and safety.

Who needs BHRT?
Individuals who suffer from PMS, menopausal symptoms, andropausal symptoms, loss of sex drive, chronic fatigue, insomnia, anxiety, depression, headaches, weight gain, persistent pain, or many other common conditions could benefit from our BHRT program.

What are the benefits of BHRT?
Our BHRT program provides many benefits for patients with hormonal imbalances including:

  • Restored hormone balance and relief of related symptoms
  • Improved heart health
  • Increased bone production and prevention of osteoporosis
  • Enhanced energy and sex drive
  • Reduced wrinkles and improved skin tone
  • Improved mental sharpness and better memory

How do I get started and what steps are involved?
Below, our four step approach to assessing patients and implementing the BHRT program is described.

STEP 1: Contact Us

Contact Proactive Wellness Centers at 703-822-5003 to schedule an appointment. You will have a brief telephone conversation with one of our staff members to determine if you are a candidate for the BHRT program. Once you have scheduled an appointment, a patient history form will be faxed, mailed or e-mailed to you. You must complete and return the form to the office prior to your appointment. The physician will review your history prior to your appointment, making your visit much more productive.

STEP 2: Initial Consultation

The initial consultation is one hour long and consists of a review of your family history, past medical history, current medical problems, risks factors for preventable diseases, nutritional history, toxic substance exposure history and recent symptoms. Recommendations for a comprehensive individualized evaluation are made at this time. Typically, these include salivary hormone levels and early detection blood tests for thyroid disorders, diabetes and heart disease risks (often not performed by traditional practitioners). Other specialized tests may be ordered such as vitamin and nutritional assessments, stool analysis and detoxification profiles.

STEP 3: Treatment

To allow time to receive test results, follow-up appointments typically 30 minutes long, are scheduled four to six weeks after the initial appointment. During this appointment, all of your laboratory results will be reviewed with you in detail. Your anti-aging treatment plan will be covered, and any prescriptions along with your laboratory results will be given to you at this time. Depending on your individual requirements, we will either prescribe a commercially available hormone preparation or a compounded variation. If a compounding pharmacy is used, we will fax your prescription there and the pharmacy will mail or deliver the prescription to you within 48 hours and every 28 days thereafter.

STEP 4: Follow-Up

With our BHRT program, follow up is critical to success since each individual's response to the therapy can not be precisely predicted. The program requires a reevaluation which includes new saliva and blood testing after the first three months of treatment, and either quarterly or every six months thereafter depending on the results for the first year. If the hormone levels stabilize, only an annual reevaluation is required.

What are the costs of the BHRT program?

The physician fee for the initial consultation is $425.00. Patients have two choices for follow-up visits. Individual visits are $275 per visit. However, for patients that are on hormone prescriptions or otherwise require continuing monitoring, we require one of our annual Health Assured Programs. The Health Assured Programs include quarterly/semi-annual office visits, email consultations and phone consultations as needed for the first year and range from $775 to $1,475 depending on the number of hormones being monitored and the complexity of the patient's treatment program. After the first year, the nature and pricing of the followup program is on a case by base basis. In addition, it is recommended that all patients commit to a nutritional supplementation program. See our products page for additional details.

The prices provided above do not include the cost of lab tests and the actual hormone preparations. These costs vary significantly and may or may not be covered by insurance.

For payment, we accept credit cards and GE Care Credit for payments. GE Care Credit allows payments to be extended for up to 48 months at a low 11.9% fixed APR for program costs of $1,000 or more. The availability of this program is subject to credit approval from GE Card Services. Payment information is required at the time of making your appointment. We do not accept insurance although we will proivde you with a properly coded receipt for our services and you may be able to get a partial reimbursement from your insurance carrier. If you have any questions about our fees or payment methods, you may contact our Business Administrator, Andre Etherly, at andre@proactivwellnesscenters.com or by phone at (703) 822-5003 Ext 704.

 

 

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