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Testosterone Replacement

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Update:  Fox West Medical & Aesthetics is merging its efforts with Dr. Vuthy Leng of Federal Way.

Please use map below as GPS and Google are wrong

Our New Address is 34618 11th Place South, Suite #100
Federal Way, WA 98003

New Primary Care and Hormone Patients are to call 253-336-4462

New Aesthetics Clients are to call 253-737-8903

FoxWest Medical & Aesthetics is proud to announce our support for SmileTrain.  An organization that changes the lives of children worldwide, SmileTrain provides cleft lip surgery to those that would not normally be able to afford it.  In an effort to provide ongoing support for this awesome organization, FoxWest is making a donation from the proceeds of each BOTOX Cosmetic and Juvederm Injectable Gel procedure. 

Medically Supervised Bariatric Weight Correction

Dr. Scott Fox

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Sharon Fox

Hormone Replacement

Bio Equivalent  Hormones-What are they?

Looking for healthy longevity? Bio Equivalent Hormones,  sometimes referred to as Bio-identical hormone therapy (BHRT) is not to be confused with traditional hormone replacement therapy (HRT) that has received much negative press since the Women's Health Initiative (WHI) study was halted.  The WHI study utilized commercial conjugated estrogens derived from the urine of pregnant horses, and Medroxyprogesterone (also known as progestins).  Abruptly stopped in 2002, the WHI concluded that HRT increases a woman's risk for breast cancer and stroke. It is important to reiterate that the WHI was based on the use of commercial hormones that are foreign in structure to a woman's natural hormones.  While in use for years, commercial/pharmaceutical hormones may have helped with menopausal symptoms because they can occupy hormone receptors in the female body.  However, the body's ability to metabolize these hormones remains in question.  The WHI study concluded that estrogen replacement therapy results in a slight increase in the chance of breast cancer, stroke, and uterine cancer. 

Forms of Bio-identical hormone administration. 

Bio Equivalent Hormones are hormones derived from plants and structurally manipulated in a laboratory until they are structurally similar to what your body produced for years. More importantly since Bio-identical hormones are prescribed from compounding pharmacies, the dosage can be customized to meet an individuals optimal dose. An individual's hormone pathways are similar to their finger print,  unique to them. On the other hand traditional commercial/pharmaceutical hormones come with fewer dosage choices. 

Through the 20th century, medical technology has helped increase life expectancy for men and woman alike. What hasn't kept up is our ability to do more than manage chronic disease states.  Cure rates from chronic degenerative disease aren't talked about.

So what really is a midlife crisis?

Somewhere around our forty's something begins to change in our bodies. Often passed off as the natural effects of aging that nothing could be done about, hormone deficiency coincides with midlife changes.  Most commonly recognized in women, menopause brings on physiological changes that make some women feel crazy.  Increased anxiety, hot flashes, insomnia, osteoporosis, loss of libido, and mental brain fog most commonly was treated with synthetic hormones and/or pharmaceutical medications.   The rapid rise in the number of women on anti-depressants, sedatives, and sleeping pills is evidence that something is amiss. Until the WHI stopped in 2002, synthetic hormones helped with the symptoms.  But it appears that the treatment had more risks than benefits.  Still, despite the WHI findings, some women continue on dangerous synthetic HRT, as well as other pharmaceutical medications to treat the undesirable symptoms or menopause. 

But back to the cause of a real midlife crisis.  Somewhere around our forty's, our hormone systems begin declining.  Recent studies confirms that this even happens in men.  Known as androgen deficiency, men experience some of the same symptoms that women experience in menopause. 


Delayed healing

Metabolic syndrome

Brain Fog

Sexual dysfunction. 

Why is hormone deficiency important?

Since chronic degenerative disorders tend to begin in our forty's is it a coincidence that this is the same time our hormones are declining?  Probably not. It appears that our 
hormone systems are a safety mechanism.  A safety mechanism that helps our bodies maintain homeostasis, also known as 
internal BALANCE. 

In our twenty's, we rarely get the degenerative disorders that plague us in our forty's and beyond. That being said, Bio-identical hormones therapy is rapidly becoming recognized for its ability to help rectify this decline. What is important to remember is that each individual has a genetic makeup that means their hormone systems and metabolic enzymes are distinct to them.  Some of today's laboratory testing enables us to test the results of hormone metabolic pathways, as well as genetic markers to determine if a person has an increase genetic risk for hormone sensitive cancers. Being able to customize BHRT is important to help keep an individuals system in homeostasis. Compounding pharmacies offer the ability to customize treatment regimens, rather than having limited dosing choices as is found with synthetic pharmaceuticals. 

Forms of Bio equivalent hormone administration. 


Important Note:  Hormone replacement therapy is for recognized medical conditions.   Therapy is not prescribed for those seeking increase athletic performance, competitive or not. Therapy will only be prescribed to those after the appropriate lab testing, coupled with a history and physical that ascertains a medical condition exists. Acceptable conditions include androgen deficiency, and menopausal / peri- menopausal conditions.  Those patients under current therapy with a different provider will be required to have records faxed directly to us for review prior to being considered as a new patient


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Serving the Greater Puget Sound Area
Weight loss, Stop Smoking, Hormone Program
Seattle, Tacoma, Federal Way, Olympia, Bellevue, Kirkland, Redmond, Puyallup, Testosterone, Estrogen, Deficiency, Menstrual Migraines, Fibromyalgia, Lipo dissolve, Lipo shot, Botox, Juvederm, Restylane,, Mesotherapy, Fat Injection, MIC Injection, Endometriosis Non Surgical Therapy, Meyer's Cocktail IV Vitamins, Laser hair removal, Laser Photo Rejuvenation, Bio-Equivalent aka Bio Identical , Hormone Pellet Therapy

Contact 253-336-4462

Copyright 2007-2008 Dr. Scott Fox

Information on this site is meant for patients of Fox West Medical & Aesthetics Only

* These statements have not been evaluated by the FDA. 

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Fox West would like to welcome Bonnie Baze to our office. Bonnie has 23 years of experience as an Esthetician. 

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