FAQ
WHAT IS BIO IDENTICAL HORMONE OPTIMIZATION AND HOW DOES IT WORK?

Bio identical hormone optimization is the science of optimizing hormones to levels that are no longer adequately produced by the body. Genetic programming takes us to the age of reproduction and nurturing, then our "prime function" is finished and we begin to fail. Much of what we consider "aging" can be seen as diminished hormone levels-substances our bodies once produced in abundance. Regaining and maintaining metabolic and endocrine functions at the upper end of the normal range can give you the best opportunity for a healthy and vigorous life.

HOW LONG BEFORE I CAN START SEEING RESULTS?

This varies with each person. Often our patients start to see results in 3 to 4 weeks, such as increase or improvement in sexual libido, energy, lean muscle mass, more definition, stronger bones, skin tone and elasticity, memory, cognition, sleep, moods and an overall heightened sense of well-being. It's what you can't see that really makes a difference; it has been documented in the medical literature that bio identical hormone optimization along with exercise and nutrition decreases your risk factors for disease in the future.

WILL SAVANNAH AGE MANAGEMENT MEDICINE TAKE OVER AS MY PHYSICIAN OR PRIMARY HEALTH CARE PROVIDER?

Not at all. Savannah Age Management Medicine is a wellness medical practice, happy to communicate with your current healthcare provider. We encourage you to continue regular visits with your regular doctors.

AT WHAT AGE SHOULD A PERSON CONSIDER BECOMING A PATIENT WITH SAVANNAH AGE MANAGEMENT MEDICINE?

For the initial baseline evaluation, 35 or older.

AM I EVER TOO OLD TO START?

Age is not a barrier. Many people over 60 erroneously believe it's too late. Yet, older adults are likely to have greater hormone diminishments; therefore, the response to bio identical hormone optimization and supplementation is usually excellent and almost immediate.

IF I GO TO YOUR MEDICAL PRACTICE WILL I AUTOMATICALLY QUALIFY FOR TREATMENT?

No. You are required to do lab work before starting a program. We will only treat patients with hormonal deficiencies including, Hypogonadism/Andropause, Menopause and Hypothyroidism. If your hormone levels are optimal or there are contraindications to treatment then you may not qualify. In addition, if Savannah Age Management Medicine feels that you are looking to use the products for performance enhancement or any other non medical use then you will be ineligible for treatment.

HOW ARE HORMONES OPTIMIZED?

Testosterone is given using either injections or a transdermal topical cream formulated to your needs that is applied to the surface of the skin. Estrogen is best via a specially formulated cream and progesterone is a tablet by mouth.

WILL HORMONE THERAPY HELP SEXUAL DYSFUNCTION?

Sexual dysfunction can have many causes; however optimizing hormones is the best place to start treatment. We suggest raising your testosterone to a healthy level to boost your sex drive. If there is still need for assistance, there are other treatment options available after talking to our doctor. If testosterone levels are low, bio identical hormone replacement has been successful in over 90% of patients with sexual dysfunction.

IS BIO IDENTICAL HORMONE OPTIMIZATION THE SAME THING AS STEROID ABUSE?

No. When we treat patients we only treat those patients with deficiencies. We also only use bio-identical hormones which are identical in structure to what our body already produces. We also only prescribe therapeutic dosages intended to bring your levels to an optimal level that is still within the clinically normal range.

Athletes who abuse steroids generally have normal hormone levels to begin with. They take steroids in order to increase muscle mass or get an unfair advantage in competitive sports, not to treat a medical condition. These athletes are seeking super physiological dosages that are usually greater than 5 times the recommended therapeutic dosage. This is very dangerous and can lead to serious medical conditions.

ARE THERE SIDE EFFECTS?

As with any medical program there is always a chance of minor side effects. Because our doctors only prescribe medically appropriate dosages side effects are minimal. In fact, less than 5% of our patients experience minor side effects. These side effects go away by reducing the dosage of the medication. Our medical practice includes follow up lab testing to ensure the correct dosage and minimize side effects even further.

WHEN SHOULD I THINK ABOUT BIO IDENTICAL HORMONE OPTIMIZATION?

In the average man and woman, hormones start to decline in the mid to late twenties. By age 35 declines are sufficient that symptoms may be evident. The best time to start optimizing hormones is when you start to notice symptoms that affect your quality of life. In most people this happens between the ages of 35 and 50. However we have men in their 80's and 90's that have successfully benefited from bio identical hormone optimization.

DO YOU ACCEPT INSURANCE?

No. In order to provide the best treatment options we do not accept any third party payments including insurance, Medicare or Medicaid. In addition we will not fill out any paperwork or respond to any inquiry from insurance companies. However, a large percentage of our patients have health insurance and their insurance pays for labs and prescriptions.