Frequently Asked Questions
We treat the cause . . . not the symptom
Common Patient Questions
What is a compounding pharmacy?
It is a pharmacy that is able to make a medication specifically for you, the patient, according to your provider’s instructions
What are Bioidentical Hormones?
Bioidentical Hormones are hormones that are the chemical match to the hormones that your body produces naturally. These hormones require a prescription from a medical provider to ensure that they are being used safely and effectively
How do I take Bioidentical Hormones?
The Hormone Center predominantly uses topical administration of hormones in creams, although capsules are used as well. The creams are applied directly to the skin in very specific amounts to ensure the correct dose. The hormones are absorbed into the bloodstream through the skin
How do I apply Bioidentical Hormone Creams?
These creams are often dispensed in ‘clickers’ or syringes. Each click is 1/4mL (4 clicks is 1mL). Doses usually range from 1-4 clicks of cream per administration.
Where should you apply the cream?
You should use areas where there is thinner skin for better absorption. Examples are the forearms, under portion of upper arms, inner thighs, or behind the knees. Application sites should be rotated so that the sensory receptors do not dull.
What days do I use my cream?
Your provider will give you specific instructions. For women with a menstrual cycle, you will apply the cream during specific days of your cycle. For postmenopausal women or men it is recommended daily 6 days per week (leaving Sunday for a ‘hormone holiday’)
What time of day do I use my creams?
Biest (Combination of estrodial and estriol) should be applied in the morning
Progesterone should be applied 1 hour before bed
Testosterone should be applied in the morning
What are some precautions I should use while using the cream?
Please wash your hands thoroughly after administration
Please wait 1 hour before allowing others to touch areas of administration
Do not shower after cream administration
What other type of medications are made by the compounding pharmacy?
Compounded thyroid medication and hyrdocortisone can be made by compounding pharmacists. This allows the providers to order the exact amount of medication desired without any fillers. Sustained release options are also available.
If I am taking thyroid medication, what is my diagnosis?
Hypothyroidism is when your body is not producing adequate amounts of thyroid hormone. Medications are taken to supplement this imbalance.
What kinds of thyroid medication does the Hormone Center use?
We use medications that contain both T4 and T3. T4 is the precursor to T3 which is the active thyroid hormone. There are several commercial options available including armour thyroid, WP thyroid, and nature throid which can be filled at your regular pharmacy. When necessary, we also use compounded prescriptions of T4/T3.
My PCP prefers synthroid and has warned me about these other medications. Should I be worried?
Traditional medicine usually only monitors TSH and T4 in the bloodwork. We use more detailed bloodwork to provide additional information into how the thyroid is truly working and base all of our dosing recommendations on that information and your clinical symptoms. Too much thyroid medication does have risks such as tachycardia (high heart rate) and osteopenia so we monitor these levels and symptoms closely. Too little thyroid also has risks including increased risk of cardiovascular disease, hyperlipidemia, dementia, and depression. Synthroid contains only T4. If your body is unable to convert it to T3 then it is not addressing the issue.
What are symptoms of too much thyroid medication?
Symptoms including heart racing/palpitations, chest tightness, jitteriness, anxiety, and insomnia
Should these symptoms occur, please call the office. Hold thyroid medication until you speak to someone from the office with additional instructions.
How should I take my thyroid medication?
Thyroid medication should be taken first thing on an empty stomach. You should wait for 1 hour before eating anything. Calcium and iron should be taken at least 4 hours after thyroid medication.
Am I able to use my regular pharmacy?
Traditional commercial pharmacies do not offer compounding. We do use commercial pharmacies in addition to compounding pharmacies for conventional medications (and insurance coverage)
Are my compounded medications covered by insurance?
It depends on your insurance prescription coverage. The majority of insurance carriers are not covering these medications. Every pharmacy and prescription is different, but the price usually ranges between $40-$70 for a 30-90 day supply
How do I request a medication refill?
Please call the main office and use the refill line to request all medication refills
Please note, refill requests will be processed in 72 business hours to ensure accuracy and safety. Compounding pharmacies usually require several days to make the preparation, so please be sure to request the refill with adequate time.
How do I ask my provider a question if I do not have an appointment?
The nurse is your primary point of contact between you and the provider between appointment times. As it is our priority that our providers have uninterrupted, quality time with the patient during their office visit, the nurse helps to facilitate with any questions or concerns in the interim. She can be reached via the Nurse line (option #5) of our office phone number or directly through email at firstname.lastname@example.org
What if I have a question and the office is closed?
The answering service is available for emergencies only. All other questions or concerns will be addressed during regular business hours
Common Cryotherapy Questions
Health Concerns which restrict cryotherapy
Those with uncontrolled high blood pressure (the cold therapy will spike your blood pressure by about 10 points for an hour or so)
History of heart problems
Nerve pain in the feet or legs
Disease of the blood vessels
Why is cryotherapy only three minutes?
Cryotherapy only lasts three minutes because of the extreme temperatures experienced when undergoing cryotherapy. Three minutes is the point at which you experience the health effects of the cooling of your skin, muscles, and joints, but do not experience the detrimental effects of prolonged exposure.
What is it like?
Although cryo can be difficult to describe until you experience it for yourself, it is most like standing in a cold snowy wind from your neck down. The environment itself is very controlled and you are monitored by a technician during the entire therapy. If at any point you become too uncomfortable, the therapy can be stopped immediately.
What are the uses for cryotherapy?
Cryotherapy has been shown to be effective at combating arthritis, dealing with chronic inflammation, fibromyalgia, assisting with injury or surgery recovery, mitigating heavy workout soreness, as well as providing overall wellness and recovery through the enrichment of blood and cooling of the skin and musculoskeletal system.