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Bioidentical Hormone Replacement Therapy Cpt Code

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InterStim Therapy – Dr. Carolyn F. Langford, DO, Urology, Fort Myers, Florida 33966

Dr. Berutti is absolutely the best! I have tried many different things over the years to balance my hormones and got some relief but it was still a roller coaster for me. After being off all products for one year, I made an appointment with Dr. Berutti. They were up front about what the costs and protocol would look like. During my first appointment and discussing some of the things I have struggled with, she mentioned taking a SIBO test. Along with the SIBO test, which was positive, and other blood/saliva tests, she came up with a tailored plan for me and my symptoms.

Every 3 months she orders new test to see where the hormone levels are and how to adjust them. Now only 7 months in, I feel so much better than I did before and it is a consistent feeling. No more roller coaster. I can only imagine it will get better as time goes on. I knew going in what the commitment on my part would be but there is no magic wand that will just change everything overnight. Dr. Berutti is very focused on listening to what your concerns are and dedicated to helping you achieve feeling your best. Her office is an hour away from me but worth it to get the quality of service she provides. Recommend her 100%. Judy J.

Cme Questions About Bioidentical Hormone Therapy

  • Which one of the following estrogens is the predominant circulating agent before menopause?
  • Ethinyl estradiol
  • Which one of the following hormone therapies is approved by the US Food and Drug Administration for treatment of menopausal symptoms?
  • Transdermal testosterone
  • Which one of the following best guides HT dosing decisions?
  • Salivary hormone testing
  • Which one of the following is required for compounding?
  • The same strength and dosing for all patients
  • Rigorous clinical testing for safety and efficacy
  • A written prescription and a compounding pharmacy
  • Reformulation and delivery systems available only as transdermal preparations
  • Both salivary and serum hormone testing for personalization of therapy
  • Which one of the following best describes nonFDA-approved vs FDA-approved BHT?
  • Assumed to have the same risks
  • How Much Does Bio

    All women experience menopause, but many dont really think about it until it comes along. The challenges we face when the first signs of perimenopause appear are quite often a surprise for some women and confusing for others.

    During the build-up to menopause, known as perimenopause, our hormones go through a significant transformation process. Their levels fluctuate and can alter our physical, mental and emotional wellbeing resulting in symptoms such as brain fog, hot flushes, anxiety, depression, joint pain, vaginal dryness and weight gain.

    Its important that women are aware that they arent alone in their menopause journey and understand that there are plenty of options available to help.

    Both men and women can benefit from a treatment known as Bio-Identical Hormone Replacement Therapy , an alternative to the synthetic hormones used in conventional Hormone Replacement Therapies .

    What is BHRT?

    Theres a symphony of hormones at play throughout your life. When your hormones are balanced, you generally feel good. But when the balance of your hormones changes as it will during perimenopause thats when you begin to experience problems. BHRT allows us to custom tailor hormones for your unique lifestyle and symptoms.

    Bioidentical hormones are derived directly from natural plant sources such as yams and soy. These are then manufactured into medication which can be taken orally or through creams and skin patches.

    Why BHRT?

    How much does it cost?

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    How Is Bhrt Administered

    Hormone treatments can be delivered via pills, creams, gels, oils and shots but those methods all have a peak-and-valley effect. The human body secretes hormones in a more regulated, steady manner. Hence, the most effective way to receive BHRT is through pellet therapy. Since pellets are administered under the skin and directly into the bloodstream, the body continuously extracts the correct amount of hormone on an ongoing basis that lasts several months.

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    When Is Bioidentical Hormone Replacement Therapy For Men Most Beneficial

    HRT Pellet Therapy

    Bioidentical hormone replacement for men may help any man whose hormones are out of balance. Hormone imbalance frequently occurs as we age. However, there are instances like hypogonadism that can occur at any age. Biote Certified Providers will qualify patients based on their individual lab results and current hormone levels.*

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    Hormone Replacement For Women

    Although it may sound counterintuitive, testosterone therapy has proven to be extremely beneficial for many women as they mature. BHRT offers the body a natural testosterone boost, which can be highly preventative against breast cancer, osteoporosis, Alzheimers, and other forms of dementia, just to name a few.

    Menopausal women often struggle with insomnia. One of the major benefits of BHRT is its ability to help regulate sleep patterns and thereby replenish ones energy. Hormone therapy for women can also restore the loss of lean muscle tone, increase libido, and stabilize mood swings to address anxiety and depression related to hormone imbalances. Additionally, women can remedy their loss of bone density and prevent osteoporosis with the help of BHRT.

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    Will My Insurance Cover It

    Typically, hormone therapys true out-of-pocket expenses are difficult to pin down, as they vary wildly from patient to patient, provider to provider, insurer to insurer. You see, every treatment plan is individualized to your exact needs, so just as theres no one-size-fits-all approach to treatment, the same is true for pricing.

    If you lack the requisite health coverage, the prescription alone can cost anywhere between $30 to $50 for men, and $40 to $60 for women . This price is dependent on the treatment administered , the extent of the treatment required, as well as the type of artificial or bioidentical hormones used.

    When you combine the cost of medication with the various other services and consultations, treatment can average anywhere between $250 $500 per month. Do note that your costs should fall over time. The initial outlay is often higher, as the amount of lab work and consultations required to track the root cause of your symptoms, and then tailor a plan to suit, are time-intensive tasks.

    Lab work, for example, can cost upwards of $1,500 without financial help from your insurer, but providers like Genesys Medical Institute go that extra mile to ensure your health comes first by providing a FREE initial hormone evaluation, followed by a 45 minute review of labs for half the normal cost at just $75.

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    Starting As A New Patient

    When you start as a new patient at Dynamic Life Health Center, you will initially need two different appointments, approximately three weeks apart. Your initial appointments at Dynamic Life Health Center will be an hour and fifteen minutes. At the first appointment, your provider will go over your reasons for seeking help, your medical history, your health goals, and all of your symptoms. This appointment will also serve to answer any additional questions you may have. After that first appointment, your provider will lay out your individualized lab orders so that you can have all applicable testing done. Testing usually involves both serum labs and saliva testing. Saliva testing will include hormones and/or cortisol.

    The lab panel is quite comprehensive and may include testing your sex hormones, a complete thyroid panel, checking for diabetes, A1C, blood sugar, cholesterol, liver and kidney function, micro-nutrient testing, and/or inflammation levels, among others. This testing is tailored specifically for you and is done from a functional medicine standpoint, looking for underlying imbalances or conditions that could be causing your symptoms and ensuring long-term wellness.

    Support And Training For Your Bhrt Practice

    About Dr. Carolyn F. Langford, DO, Urology, Fort Myers, Florida 33966

    BHRT is becoming more popular. Research indicates that, when properly administered, this is a safe therapy that offers a plethora of health benefits for patients.

    BHRT providers offer a truly unique lifetime value service that should not be underestimated. Theres plenty of demand for BHRT therapies and few providers.

    If you are interested in offering this as a new service, building revenue, or opening a new clinic, download our free PDF, Signs, and Symptoms of Hormone Imbalance and book a consultation today.

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    Do Bioidentical Hormones Cause Weight Gain

    Yes, weight gain is a side effect of bioidentical hormones.

    A note from Cleveland Clinic

    Bioidentical hormones are used to help people manage symptoms of menopause or other hormonal imbalances. The FDA does not approve some bioidentical hormones. All hormone replacement therapy comes with risks. Compounded bioidentical hormones may come with more risk because their effects are not well studied. Talk to your healthcare provider about the pros and cons of hormone replacement. Most importantly, know that you do not need to live with unpleasant symptoms of low hormones. Your provider can help safely manage your symptoms.

    Last reviewed by a Cleveland Clinic medical professional on 04/15/2022.


    What Do Hormone Pellets For Menopause Cost

    The cost of hormone pellet therapy can vary depending on the provider, but an average cost may be close to $1,536 each year.

    Healthcare insurance may cover FDA-approved hormone therapy, but the extent of the coverage may vary among plans. Most insurance companies are unlikely to cover compounded bioidentical hormone therapy because it is not FDA-approved.

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    Facts About Bioidentical Hormones:

    1. Bioidentical hormones are the safest and most effective way to treat menopause and andropause symptoms. Because bioidentical hormones are molecularly identical to your bodys own natural hormones, they fit the hormone receptors in your body like a key fitting into a lock. When administered correctly, they will work exactly as nature intended, with no detrimental consequences.

    2. Synthetic hormones are not identical to natural hormones and will not be absorbed properly by hormone receptors. Synthetic hormones can cause increased risk of cancer and other side effects. For example, the synthetic hormone progestin commonly found in birth control, has been linked to breast cancer in women.

    3. Not all bioidentical hormone treatments are created equal. In order for treatment to be safe and effective, the bioidentical hormones must be administered as part of a quality treatment protocol that includes:

    • Treatment for all hormones affecting aging
    • Personalized dosages tailored to your exact needs
    • Safe delivery methods
    • Ongoing lab testing and monitoring
    • Oversight by a board-certified doctor


    Bhrt Is An Investment In Your Health

    Meet The Team

    BHRT practitioners often specialize in bioidentical treatment options because they have seen a failure of conventional care to meet the needs of their patients, and they strive to find a better way. They believe strongly in BHRT as part of a comprehensive plan that includes personalized dosing along with lifestyle recommendations to help you feel your best. As such, choosing BHRT is an immediate investment in your quality of life. Within days to weeks, patients commonly experience relief from the physical and emotional symptoms of hormonal fluctuation and imbalance, paving the way for enhanced overall well-being.

    BHRT can also be a preventive investment in your future health. Untreated hormone-related conditions can take a significant emotional, physical, and even financial toll. By limiting the development of the serious sequelae of long-term hormone imbalancessuch as depression, cardiovascular disease, type 2 diabetes, hypertension, and osteoporosisyou will be improving your outlook for continuing good health.

    High-quality, individualized care that includes regular monitoring will ensure that an appropriate risk-to-benefit balance is maintained. This means finding an experienced, hormone health practitioner who can customize the best dosage, route of administration, and treatment duration for youand track your progress over the long-term.

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    What Type Of Pharmacies Do We Work With At Biote

    The bioidentical hormones that Biote Certified Providers use are custom-compounded. Biote trains our providers to work with highly specialized outsourcing facilities during every step of the bioidentical hormone replacement therapy process. The pharmacies providing pellets employ rigorous standards and practices to ensure the sterility and potency of every pellet batch distributed.

    What Are Male Bhrt Pellets

    Pellets used for male BHRT are high-quality and custom-compounded with bioidentical testosterone. In an in-office appointment, these pellets are inserted subcutaneously in a patients upper buttocks. Within up to two to four weeks after a pellet insertion, the hormone therapy for men may begin to alleviate some unwanted symptoms. However, everyones body is different and some patients report feeling the full benefits after the second insertion.*

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    How Much Does Bioidentical Hormone Replacement Therapy Cost In The Bay Area

    Every patient is special, so each BHRT procedure should be customized specifically to their needs and desires. Therefore, the price of bioidentical hormone replacement therapy will be tailored accordingly. The final cost of BHRT depends on the number of pellets required to achieve your ultimate goals. Contact Swan Medical in Los Gatos, California to discuss your individual budgetary questions and concerns. You can also call us at or schedule a remote consultation.

    Ways We Practice Functional Medicine:

    • Spending more time with their patients .
    • Quality discussions regarding histories, symptoms, lifestyle, stressors, diet, exercise, etc.
    • Take the time to hear your concerns and answer your questions.
    • COMPREHENSIVE and science-based lab work.
    • Taking the whole body, symptoms, and history into account to get a whole picture.
    • Working to find the underlying or root causes of symptoms.
    • Focusing on prevention and cures through nutrition, diet, exercise, hormone balance, and medications as needed.

    Correcting hormonal imbalances with bioidentical hormone replacement therapy is a specialty of ours. Imbalances in the endocrine systems can wreak havoc on the way people feel and can have cascading effects on other health issues. In functional medicine, possible underlying issues are explored and addressed when found. When the underlying problem is correctly diagnosed and treated, the symptoms disappear.

    Here at our office, your provider will sit down and establish a meaningful dialogue with you regarding your history and current state of health. She will run some comprehensive labs which will provide answers about the overall state of your health. She will go over those with you in detail and establish treatment protocols as needed to help to get your body back in balance hormonally, nutritionally, and holistically. Help, hope, and health are what we strive to offer our patients!

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    Can Bioidentical Hormone Replacement Therapy Help With Weight Loss

    Yes, but not all hormones. Testosterone, growth hormone, and growth hormone releasing hormone have the greatest evidence burden for reducing fat mass and increasing muscle mass. However, there are many factors that determine the appropriateness and safety of these therapies for any individual patient.

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    Symptoms Of Declining And/or Imbalanced Hormones Can Include:

    • Unexplained grief
    • Anxiety, agitation and/or irritability

    Many of our patients have been placed on hormone replacement therapy in the past with no significant improvement. Others have tested normal on their labs and were told that they are fine, while still being symptomatic. Dr. Berutti and her Physician Assistant Melanie Martin have worked with bioidentical hormones for many years and understand which lab tests to run and, just as importantly, how to interpret them correctly. Once you are started on the correct hormone replacement protocol you will begin to see some of the benefits listed below.

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    Hormone Replacement Pellets May Balance Hormones & Relieve Symptoms

    Research has shown that pellet therapy has helped thousands of people feel their best and achieve hormonal balance. The Biote Method uses bioidentical hormone pellets which contain bioidentical testosterone or estrogen. The pellets are placed subcutaneously in the body and release a continuous stream of bioidentical hormones. Hormone replacement pellets dissolve and are absorbed into the body. With more than 2.5 million pellet insertions in our companys history, our Biote Certified Providers personalize each dose based on extensive lab work.

    Contact a local Biote Certified Provider today to learn more about how BHRT pellets can help people age healthier and live more fulfilled lives.

    How Often Do You Need To Visit The Doctor

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    Every time your prescription renews, you will need to visit the doctor. There will be an office charge that may or may not be in your co-pay. Most of the time, you will also need a test to evaluate your hormone levels. A blood test is typically the best in the form of testing to identify your hormone levels and is used to verify the level of hormone therapy you are receiving is accurate. This test may range from $80 to well over $500, depending on what the doctor needs to testblood test range from$80 to $200.

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    Claim : Salivary Testing Should Be Used To Providepersonalized Therapy

    With the publication of the results of the WHI HT trial in 2002, the risks and benefits attributed to a specific formulation of estrogen and progestin were defined. The stark contrast between the observational data and the findings of the randomized, controlled clinical trial led to the recommendation that, in addition to advising that women be informed of the risks and benefits of HT, the lowest possible dose of hormone should be used to treat symptoms for the shortest period .33 These findings were thought to be generalizable to all available hormone preparations.

    Proponents of CBHT claim that customized compounded formulations provide the best means of tailoring or personalizing therapy. They recommend salivary hormone testing to guide therapeutic decisions for the determination of dosages. In its recent position statement on HT, the North American Menopause Society endorsed the use of the clinical end point of symptom relief to guide dosing.34

    Individualization in dosing and delivery methods is also possible with FDA-approved BHT and nonbioidentical HT because many dosages and delivery methods are available.

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