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Bio-Identical Hormone Replacement Therapy.
Q. How long until I see results using bio-identical hormones?
Most patients begin feeling better within a few months of beginning the program, but some results may take a bit longer to achieve. You may begin to feel a difference within a matter of weeks, especially when it comes to sleep patterns and energy levels. Every patient has a different experience, but the end result is the same – a healthier, balanced life. Changes like these take time to evolve. Remember, it took some time for you to lose balance of your hormones, so it will take your body some time to recover. Consistency and compliance every step of the way will improve your results.
Q. Why don't traditional doctors prescribe bio-identical hormones?
Traditional doctors do not usually have the time or the resources to seek expertise in bio-identical hormones.Wired Wellness physicians undergo extensive training in bio-identical hormone therapy and have specialized knowledge of anti-aging medicine.
Q. Do I need a prescription for bio-identical hormone therapy?
Yes. Bio-identical hormones are compounded prescription drugs that are produced in a specialized pharmacy. Each prescription is hand made from the highest quality ingredients and made by pharmacists that specialize in formulating drugs. Since every patient is unique, the strength or the dosage form needs to be specially made to fit the individual.
Q. Will my weight change from bio-identical hormone therapy?
Hormones are like stop-lights. When they are balanced the light is green and you will get the optimum results from your nutrition and fitness programs. When they are imbalanced the light is red making it, in many cases, difficult to lose and easy to gain weight. Hormones are chemical messengers that cause the body to make changes affecting weight gain or weight loss. Changes in hormone levels are also dependent on the lifestyle we lead and can affect our mood, metabolism, and energy levels. For example, when males become less active there is often a gradual decline in testosterone. This hormone is known to boost metabolism and has the benefit of helping lower fat levels. Thus, when testosterone is balanced a man's ideal weight is easier to achieve.
Q. What is a compounding pharmacy?
A compounding pharmacy is a specialized pharmacy that creates tailor-made bio-identical hormones prescriptions. The quality of the ingredients, the expertise of the pharmacist and the quality of customer service are all critical decisions when determining the best pharmacy. Poor quality prescriptions are not effective and may impact results; therefore the choice of pharmacy matters greatly. You may use a pharmacy of your choice, however Wired Wellness physicians direct patients to compounding pharmacies that are licensed and regulated by their respective state boards of pharmacy.
Q. Will you take over as my doctor?
Although your Wired Wellness Physician is happy to communicate with your current physician, it's encouraged that you to continue your usual visits with him or her.
Q. Will this treatment interfere with my currently prescribed medications?
Typically, the answer is no. The only time when medications will interfere with bio-identical hormones (and vice-versa) is when the medications you're taking contain hormones, like birth control and certain acne medications. In many cases, certain medications are no longer needed, once hormone levels are restored to a healthy balance. This generally happens because balancing hormones improves your overall health. It's important to talk with your doctor about what medications and supplements you're currently taking to know for sure if the interaction will have any adverse effects.
Q. Do I need to take these hormones forever?
The length of necessity of hormone therapy varies from person to person. Hormone levels are affected by genetics, lifestyle habits and environmental factors. Some patient may be able to wean themselves off of hormones with consistent dedication to their treatment plan, which includes not only hormone therapy, but nutrition and fitness recommendations as well. Unfortunately, there is not one answer that will apply to all individuals. Treatment plans are specifically tailored to each individual and their needs.
Q. My doctor has prescribed birth control pills for me, are they considered hormone therapy?
Yes, birth control pills are a type of hormone therapy but are different from bio-identical hormone replacement therapy. Birth control pill hormones are synthetic. Synthetic hormones have differences in their chemical structure that are not a replica of the body's natural hormones.
Q. If I have a family history of cancer, should I avoid bio-identical hormones?
No. It is advisable and strongly encouraged that individuals who have a history of cancer be evaluated by a WW doctor. Your physician can analyze and interpret your hormone levels to better determine cancer risk and strategically devise a plan to assist in disease prevention through bio-identical hormone therapy, nutrition and fitness.
Q. How long after being cancer free can I use bio-identical hormones?
This question is best answered by the doctor you are seeking to work with. Each doctor has a preference when handling cancer patients, current or in remission. Cancer patients may use bio-identical hormones, however, the use of certain hormones will not be ideal for cancer patients; therefore the doctor needs to be made aware of your condition before you become a patient.
Q. Do Wired Wellness Physicians accept health insurance?
Wired Wellness Physicians do accept many third-party insurance billing.We also offer discounted prices for patients who prefer not to bill their insurance, or not covered by the insurances we accept. Please note that the cash payment at the time of service would not be applied to your insurance deductible, unless we bill your insurance.Please contact our Billing Specialist to clarify your insurance coverage: 503-406-1370.
Q. Can Wired Wellness physicians use lab work I have already had done?
It depends.Sometimes we can accept lab results which were done up to one month prior to be seeing by us. Wired Wellness physicians work closely with their labs to ensure accuracy of specific hormone panels prescribed and the timely manner in which the results are delivered. Usually labs must be obtained by your hormone therapy doctor prior to your first appointment. However, we will submit a claim to your insurance provider on your behalf for no additional charge.
What You Need to Know When choosing a doctor to perform anti-aging aesthetic treatment
Proper credentials are critical to assure physicians deep knowledge of the face anatomy and clinical expertise.
Information that a patient may think is unrelated to their treatment may in fact play a key role in recovery or the length of a procedure. Patients should be sure to disclose their specific surgery history, any allergies and any pharmaceuticals, over-the-counter drugs or herbal supplements that they are taking at the time of their procedure. Pay attention if a physician has comprehensive, whole-body approach.
-What treatment is right for me? In other words, don’t ask the doctor for a specific procedure. Instead, explain the issues that need to be addressed and let the doctor offer the solution. Also ask to compare the effectiveness of different recommended treatments. Ask about non-invasive alternative procedures.
Doctors know that cosmetic procedures and treatments are not one-size-fits-all. Each patient is evaluated for skin type as part of the initial evaluation.
What should I do to prepare for the treatment? Carefully following the physician’s guidelines before the procedure can greatly impact the final results.
What are the risks? Discuss the potential side effects of the proposed treatment, how often they occur and how they will be handled if they do occur.
How much does it cost? As a rule, almost all aesthetic (cosmetic) procedures are considered “elective” and are not typically covered by insurance plans. Although some spas, salons and walk-in clinics offer cosmetic medical procedures at lower prices, consumers should be aware that “these discounted prices could put your health at risk as a result of the provider’s inadequate training and lack of expertise” or with use of expired products which could contain toxic materials. Always ask for a label and serial number of a product.
What are my pain management and anesthesia options? Many techniques that are performed in a physician’s office can be done under local anesthesia, eliminating some side effects such as nausea and headaches that often accompany general anesthesia. Using a short-term local anesthesia may also eliminate complications that are sometimes related to general anesthesia, including allergies and heart problems. Inform your doctor of the past experiences with anesthesia.
What should I expect after the procedure is performed? Besides a discussion about the short-term and long-term effects, activity restrictions and the expected recovery period, doctors should be able to discuss realistic expectations.
The Shot Facts.
The 1-0-1 on Injection Therapy
All of our injectable solutions are sterile and have been formulated by specialty compounding pharmacies located in the contiguous United States and have been evaluated and certified for sterility and quality.
The typical American diet doesn’t always provide the appropriate amount of nutrients your body needs. Many people have trouble with nutrient absorption due to the presence of intestinal inflammation, poor gut health, or deficiency of Intrinsic Factor – a glycoprotein produced in the stomach that is essential for B12 absorption. Injecting nutrients intramuscularly sidesteps this problem by delivering nutrients directly to the cells, feeding your body instantaneously for immediate utilization.
B12 is an important vitamin we need for energy and so many other aspects of health, which is why it’s the foundation of most of the specialized injections offered at The Shot Bar. However, there are so many other nutrients needed for optimal health and wellbeing, which is why The Shot Bar offers many injectable cocktails to choose from to target fatigue, excess fat, headache, endurance, musculoskeletal pain, PMS, and so much more. It just takes a quick and virtually painless shot to the hip region – no worries – we don’t need much ‘southern exposure’!
It’s best to experience a vitamin B-containing shot prior to 6:00 PM or so. Getting a shot that contains B vitamins too late in the day may promote insomnia that night and possibly even vivid dreams. Long-term effects, however, promote deeper and healthier sleep!
You get to call your own shots! You decide, with the guidance of the experts at Life Minded PHysicians, what shot you need at the time. Maybe you need a little more energy. Maybe you’re getting ready to go work out and want to increase your endurance. Maybe you’re feeling under the weather and need a boost to your immune system. Maybe you have tendonitis and need some pain relief. You call your own shots – for the health of it!
Side effects are generally non-existent or very mild but may include discomfort, bruising, redness, itching, inflammation, muscle hypertonicity, or redness at or around the site of injection that could last from a few minutes to several days. Less frequent side effects may include lightheadedness, fatigue, headache, dizziness, warmth or flushing. True allergic reaction is not common. However, if you experience throat swelling, pruritic body rash, dangerously low blood pressure, or symptoms associated with anaphylaxis following administration of an injection, visit your nearest emergency department or urgent care facility without hesitation.
Most B vitamins have no known upper limit for intake with little to no possibility of toxicity with the exception of B3 (niacin), B6 (pyridoxine), and folic acid (also known as folate or B9). These three B vitamins are generally considered safe even when double the recommended dose is taken. However, there are some vitamin-drug and vitamin-disease interactions that should be avoided (please see below).
Cautions + Contraindications
If you have any known adverse reactions or allergies to any of the ingredients in a shot you are considering – avoid it!
Our Custom shots should be avoided in those who are pregnant, breastfeeding, hemophiliacs; those taking levodopa or L-dopa; people with bipolar depression, Parkinson’s disease, schizophrenia, liver disease or liver failure. Caution to those currently taking an SSRI antidepressant or Tetracycline (please see below).
If you are presently taking an SSRI antidepressant, please consult with your prescribing physician before beginning injection therapy with B12. This vitamin increases serotonin, as does an SSRI. Too much serotonin in the body can cause adverse effects, including heart palpitations and anxiety, and could lead to what’s termed as Serotonin Syndrome. Although rare, it can be dangerous and possibly life-threatening.
Vitamin B12 is contraindicated in Leber’s disease, a hereditary eye disease, where it could lead to optic nerve damage. It should be avoided with concurrent Tetracycline use.
Vitamin B3 (niacin, niacinamide) should be avoided in the presence of liver failure. This is part of B-complex.
Vitamin B5 (dexpanthenol) should be avoided in the presence of hemophilia. This is part of B-complex.
Vitamin B6 (pyridoxine) should be avoided with concurrent Levodopa (L-Dopa) use. This is part of B-complex.
Folic Acid (folate; vitamin B9) should be used cautiously in those with cardiovascular disease and those taking certain medications including, but not limited to, 5-Fluorouracil, Capecitabine (Xeloda), Fosphenytoin (Cerebyx), Methotrexate, Phenobarbital (Luminal), Phenytoin (Dilantin), Primidone (Mysoline), and Pyrimethamine (Daraprim). Please consult with your prescribing physician before seeking treatment with folic acid.
Inositol, otherwise known as vitamin B8, is part of the Hot Shot and other shots at the Shot Bar and should be taken cautiously in those with bipolar depression.
Choline, a component of the Hot Shot and other specialty shots, should be avoided in those with bipolar depression and Parkinson’s Disease.
Methionine, a component of the Hot Shot and other specialty shots, may worsen active liver disease and supplementation should be avoided in those with serious liver problems, as well as those suffering with schizophrenia.
Glycine should be avoided in those with bipolar disorder.
For more information, please read further on the ingredient list page.