Financial Policy and Fees
Important Note: Bio 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
Natural Hormones Replacement
Deficiency in Men Estrogen
Deficiency in Women
Bio-similar hormone therapy, (sometimes referred to as
Bio-identical hormone therapy), can be administered in several
For those that don't wish to have hormone
pellets inserted hormones can be administered through creams, gels,
patches, injections, and capsules.
hormone administration should be avoided except in the case of
progesterone supplementation. Oral estrogens experience
metabolic first pass effect and are broken down by the liver soon
after ingestion. Oral testosterone, whether given alone, or in
combination, undergoes similar first pass metabolism.
Furthermore, methyl testosterone has been linked to hepatic
administration avoids first pass metabolism by the liver, however
other issues arise. Besides having to apply to the skin on a
daily basis, topical administration can be messy and problematic.
In the instance of topical testosterone application, an enzyme
exists in the skin that can metabolize it into 5-DHT. This can
lead to undesirable side effects. In women, it can lead to
undesirable hair growth.
of testosterone can be given. The recommendation is to give
deep intramuscularly. The injection is given every 7-14
days. For those faint of heart, the injection route may not be
palatable. Typical form is Testosterone Cypionate, which is either
in cottonseed oil or sesame seed oil. The injection technique
may also give a "peak-and-valley" of testosterone levels,
with the peak coming immediately 24 hrs after the injection with a
slow progression towards the "valley" over the course of
the week. This method doesn't keep a static level and may
result in symptoms returning towards the end of the week.
This method has a smoother delivery of
hormone, hormone pellets. These very small
heat fused hormone pellets are placed under the skin in the fatty tissue. Men typically
need pellets inserted every six months. Women need pellets
every 4-6 months. Hormone level testing is done before therapy
to determine necessity, and every 6 weeks for the first 6 months,
then every 6 months thereafter if levels remain therapeutic.
Inserted under the skin in the buttocks.
The area is numbed, a small incision is placed and a special
customized trocar is used to insert the hormone pellets. Both estradiol
and testosterone pellets can be placed in this manner.
However, not all pellets are created equal. Pellets are processed utilizing a "heat-fusion" method
that makes them more uniform and more predictable in their hormone
release pattern. The favorable thing about pellet therapy is
the smooth stable release of hormone, and the need to only place
them 2-3 times a year. No messy creams or gels, and no irregular
hormone levels from oral or injectable administration.
Note: Testosterone replacement is not for
those seeking to become parents, male or female. Testosterone
decreases sperm count in men. It also is ill advised for women
who may be pregnant as it can affect the sexual differentiation of
the developing fetus.
Schedule an consultation to discuss your options and what therapy
may pertain to you.
Federal Way Office Serving Clients from Olympia, Tacoma,
Auburn, Bellevue, Seattle, Bellingham, Spokane, Idaho
Serving the Greater Puget Sound Area
Weight loss, Stop Smoking, Hormone Program
Seattle, Tacoma, Federal Way, Olympia, Bellevue, Kirkland, Redmond,
Puyallup, Gig Harbor, University Place, Lakewood, Lacey, Olympia,
Auburn, Mercer Island Testosterone, Estrogen, Deficiency, Menstrual Migraines,
Fibromyalgia, Lipodissolve, Mesotherapy, Fat Injection, MIC
Injection, Endometriosis Non Surgical Therapy
Copyright © 20015 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.