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Why are There Vitamins in Our Offices?

Patients who are new to our clinic are often surprised to see that we sell vitamins (we refer to them as supplements) in all our offices. Well, we feel that supplements are an excellent natural treatment. Here is why… Believe it or not, there are many symptoms that can manifest due to vitamin or mineral deficiencies. For example, patients who are constantly tired can benefit from supplementing their diet with a B-Vitamin complex. There are many B-Complexes to choose from, but we would like to add that all vitamins are not created equal. In general, the vitamins found in your local drugstore or grocery store are not high quality. These are not strong enough to raise blood levels of B vitamins and are not even in the correct form for your body to absorb them. The fastest way to check to see if you are taking the correct form is by looking at the Vitamin B12 in the complex. You want your B12 to be in the form of Methylcobalamin. However, most drugstore vitamins are going to be in the cheaper to manufacture form of Cyanocobalamin. The good news, however, is that you cannot overdose on B vitamins. They are

Dr. Melissa Miskell October 15, 2021

How Much Does Hormone Replacement Therapy Cost?

Everyone who comes into our office has asked this question at least once, “How much does Hormone Replacement Therapy cost?”. Well, the answer here is that it can vary. There are some variables in whether or not you have health insurance, what type of therapy you elect to use, and of course, your budget. The following details apply for women seeking hormone replacement therapy, before or after menopause. First, let’s look at using your health insurance. In our Hormones by Design offices, we do not accept health insurance for the office visit but will gladly use your health insurance for lab work once you are established as a patient. Therefore, the cost for the office visit is usually around $100. Labs can be sent to your health insurance if you like, or you may pay for them yourself. We have exceptionally low lab prices. You can see all of them at https://hormonesbydesign.com/hbd-labwork-waco/. Second, you must consider the type of therapy that you choose. The overwhelming majority of our patients choose monthly injection therapy. This is where the patient comes into our office for a lab draw about 3 days before their scheduled appointment, the labs are sent off, and results

Dr. Melissa Miskell October 14, 2021

Which Conditions Can Thyroid Hormone Replacement Help Treat?

Thyroid hormone replacement therapy is used to treat which of the following conditions? A lack of thyroid hormone can cause a whole list of uncomfortable symptoms including: weight gain/loss hair loss acne drop in energy in the morning or evening (or both) body aches depression and much more At Hormones by Design, our licensed providers not only specialize in bio-identical hormones, but they also specialize in the diagnosis and treatment of thyroid-related issues. Thyroid hormone can be replaced in several different ways. Patients can choose from custom-compounded formulas or commercially available prescriptions. Either way, replacing thyroid hormone can help eliminate the list of symptoms above and get your energy back! Call and schedule your new patient appointment with us today and let’s get started making you…a more optimal you.

Dr. Melissa Miskell February 10, 2021

What is Hormone Replacement Therapy?

One common question we get is, “What is Hormone Replacement Therapy?” (HRT) Our reply is simply that it is what the name says. Your doctor is using prescription drugs to replace your body’s hormones. What is in hormone replacement therapy? This is the truly important question. HRT can be accomplished with a variety of prescriptions. Most physicians use synthetic hormones like those found in Premarin. Premarin is actually made of pregnant horse (mare) urine. So, it is not the same as what the human body requires. Our physicians use bio-identical hormones. This ensures that the hormones are the same molecular structure as the hormones your body makes. How is hormone replacement therapy accomplished? In other words, the patient wants to know how this therapy is administered. Well, that is the choice of the patient. Most of our patients chose our unique monthly hormone injections. These are customized to the patient based on current lab results and patient symptoms. Patients report feeling better faster and enjoy being able to change their dose if needed at their next appointment. What hormones are used in HRT? In general, female patients can receive Estrogen, Progesterone, and Testosterone. While male patients receive only Testosterone. When

Dr. Melissa Miskell January 24, 2021

What are the Indications for Starting Hormone Replacement Therapy in a Menopausal Woman?

You have finally reached menopause. Your first thought is “Yeah! No more periods!”, and then the symptoms of menopause hit. You begin experiencing one or more of the following: Hot flashes Night sweats Trouble sleeping Anxiety Lack of sex drive Lack of energy Vaginal dryness Foggy thinking Mood swings Weight gain These symptoms, along with lab work showing that your hormone levels are low, indicate that you are a candidate for starting Hormone Replacement Therapy. Menopause does not have to be a miserable time in your life. You could get back the vitality that you had in your 20s and 30s with Hormone Replacement Therapy. At Hormones by Design, we recommend and utilize Bio-identical Hormone Replacement (BHRT). BHRT uses hormones that are the exact same molecular structure as the hormones that your own body produced when you were younger. Most of our patients opt for our unique monthly hormone injections. This allows for a customized dose to address lab values and symptoms that the patient is experiencing. Hormones by Design treats women experiencing the symptoms of menopause and even perimenopause (that comes before menopausal age). We have locations in San Antonio, Boerne, and Waco, Texas. Visit our website at www.hormonesbydesign.com.

Dr. Melissa Miskell January 24, 2021

What kind of doctor prescribes Hormone Replacement Therapy?

Many people ask, “What kind of doctor prescribes Hormone Replacement Therapy (HRT)?” The answer is somewhat general in that almost any kind of doctor can prescribe HRT. There are Gynecologists, Urologists, Internists, and even Family Practice doctors that prescribe HRT. However, that is not the most important thing that a patient should consider when choosing a doctor for HRT. The most important thing is that the doctor specializes in HRT and has built their practice around it. In other words, you want a doctor that does HRT all day, every day. You want your doctor to have plenty of experience with HRT. Some doctors have HRT “added” to their practice in the form of pellet therapy. Pellet therapy is not a fit for all patients. The second most important thing is that the doctor uses Bioidentical hormones in their replacement therapy. Most doctors are trained to use synthetic hormones like Premarin that is made from pregnant horse (mare) urine. You want to make sure that your doctor is using hormones that are the same molecular structure as the hormones your body made when you were younger (Bioidentical). Hormones by Design treats women and men with bioidentical hormone replacement therapy. We

Dr. Melissa Miskell January 24, 2021

Precision Hormone and Thyroid Balancing Serving All of Texas and Arizona

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News and Knowledge

Why are There Vitamins in Our Offices?

How Much Does Hormone Replacement Therapy Cost?

Which Conditions Can Thyroid Hormone Replacement Help Treat?

What is Hormone Replacement Therapy?

What are the Indications for Starting Hormone Replacement Therapy in a Menopausal Woman?

What kind of doctor prescribes Hormone Replacement Therapy?

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