Bioidentical Hormone Replacement Therapy
When hormones are at their optimal levels, the body functions ‘healthy’ and is in better physical condition. As we age, our hormone levels decline, eventually causing disease and the mental and physical deterioration we associate with aging. Bioidentical Hormone Replacement Therapy is the supplementation of our natural hormones, restoring them to optimal levels and helping us maintain an energetic, healthy and youthful life as we age while at the same time, reducing some of our risks to age-related illnesses.
Begin your journey to optimal health.
GLOW 365 offers a medically supervised program for women suffering from hormonal loss or imbalance. Each program is personalized to the individual, with one-on-one attention by Nurse Practitioner Jill Crotty, specially trained in bioidentical hormone replacement therapy. During your initial consultation, we’ll discuss your symptoms and provide a thorough health and lifestyle evaluation. Lab work will be requested to gain a better understanding of your current hormone status.
There are many functional lab tests we can utilize depending on each individual woman. Some of our tests must be collected in a lab, others can be collected in the comfort of your home and submitted by mail. The functional labs we use incorporate current laboratory science that look at individual, biochemistry and hormonal pathways to assist us in understanding complex health conditions and directing health care in the most efficient way. Please note that additional labs and testing are in addition to the initial consultation fee.
Creating Your Personalized Plan
Upon review of your diagnostic testing, your Nurse Practitioner will determine a customized treatment plan, unique to each individual patient. It may include estrogen, progesterone, cortisol, testosterone and DHEA. Once a patient begins a course of treatment, you’ll return for a follow-up appointment and labs so that the Nurse Practitioner can gauge the treatment plan’s success and ensure that you are getting the full benefits of BHRT.
Initial Consultation • $150
Follow Up Women’s Health • $100 per visit
BHRT can reverse many of the symptoms of menopause by restoring your hormone levels to their original levels. The symptoms of menopause can include:
Increase in body fat, particularly in the waist and abdominal area
Anxiety and fatigue
Memory changes and reduced mental focus
Pain in the joints
Trouble sleeping and staying asleep
Higher LDL cholesterol
We rely on various functional lab tests depending on the symptoms and needs of each individual patient. The types of tests that are particularly important for the conditions we treat include the below options. The specific lab work ordered will be determined by your practitioner during your initial consultation.
This innovative test shows a complete picture of hormones and their metabolites, including cortisol circadian rhythm, to assess adrenal health and melatonin. It is useful for women who are considering taking or are currently taking bioidentical or synthetic hormones or for perimenopausal women. It can tell us not only how much estrogen, progesterone, testosterone, etc. she is making but how it is being detoxified and broken down in a healthy or not-so-healthy way. This information can help us be aware of the risk for breast or uterine cancer for each woman individually.
The Dutch test is also a more accurate way than saliva testing to measure free cortisol and to monitor hypothalamic-pituitary-adrenal axis (HPA axis) regulation, which is how our brain and adrenals communicate. Since we know that our hormone balance is closely connected to our HPA axis, it is important to test them at the same time to get the big picture.
Serum lab testing of hormones is an easy, inexpensive way to get an overview of a woman’s health. Some of the typical blood tests that can be important include complete sex hormone testing, complete thyroid panel with antibodies, a chemistry panel, iron/ferritin/homocysteine and vitamin/mineral deficiencies. Other specific lab tests are also considered individually.
The adrenal glands, otherwise known as the “stress glands,” enable our bodies to cope with stress and survive. Shaped like two tiny pyramids, they sit atop the kidneys and from this central location mobilize the response to changes in our environment.
Whether stress comes from outside in the form of a natural disaster, or from within like the anxiety we experience before public speaking, it’s the adrenals’ job to help us adapt to the situation.
Adrenal glands that are out of balance can lead to:
High Cortisol: Results in insomnia, anxiety, sugar cravings, feeling tired but wired, increased belly fat & bone loss and night sweats
Low Cortisol: Causes chronic fatigue, low energy, food and sugar cravings, poor exercise tolerance or recovery & low immune reserves
Patients can conduct a saliva cortisol test or a urine cortisol test to assess adrenal hormones. This involves collecting four non-invasive samples over the course of one day, from which our lab is able to generate results with a diurnal cortisol curve. This four-point graph reveals cortisol levels throughout the day and allows your nurse practitioner to pinpoint issues with adrenal gland function.
Bioidentical Hormone Replacement Therapy, or BHRT for women, helps to restore and maintain your natural, youthful hormone levels. Bioidentical hormones are comparable to the hormones that your body produced when you were younger, comprised of the identical chemical structure, now safely re-introduced into your body to restore your health, vitality, and function. Since they are natural and identical to what is already in your body, they have very few side effects, unlike synthetic hormones. Labs will be followed to ensure optimal ranges for hormones. Supplements may be recommended to help ensure hormones are metabolized effectively.
An order will be sent to Lab Corp for the labs needed as recommended by the Nurse Practitioner. You will pay for labs at GLOW 365 and visit a Lab Corp station to draw labs. You can call for an appointment or walk-in appointments are available. You will not receive lab fees from Lab Corp. Functional Lab tests/kits are done in the comfort of your own home and are then mailed. Results are made available to the Nurse Practitioner and then an appointment will be scheduled to discuss results and recommendations.
Labs are based on the individual needs of the client. This will be discussed at your Initial Consultation visit.
No, these are additional costs that are paid to GLOW 365. You will NOT receive a bill from Lab Corp.
We do not accept insurance or Medicare for these consulting services. However, we will provide you with diagnosis codes for labwork submitted through Lab Corp. You may be able to use your FSA/HSA, however, please first check with your insurance provider.
YES! In fact, one of the requirements of being accepted into this program is that you MUST have a primary care doctor and maintain your well-woman exams and breast imaging (if applicable). Your PCP is part of the team and will be receiving updated reports on your progress. Keep in mind that our goal is creating optimal health and NOT the treatment of your disease.
In conventional or allopathic medicine, there is a specialist for every part of your body. Neurologists for the brain, Gastroenterologists for the digestive system, Cardiologists for the heart and so on. This compartmentalization of body systems results in a more disjointed approach to addressing disease, with one doctor focusing on solely one body system and not addressing the patient in a holistic manner.
When we create these artificial divisions, we lose sight of the body as an interconnected whole and we fail to understand how different imbalances in different systems may actually all be related to a common underlying cause. Treatment then becomes based on the presenting symptom and not the cause of the symptom. While there is a place for conventional medicine at times, functional medicine will be addressed first to address the “root cause”.
Functional Medicine provides individualized, personalized medical care that focuses on discovering the underlying factors that cause symptoms and affect your health. As a functional medicine practitioner, we understand that you must treat the body as an integrated whole in order to treat the specific disease or imbalance — we look to understand the root cause of disease and then treat the cause in order to remove the symptoms, not just alleviate them.