Testosterone

Estrogen

ESTROGENS: Estrone (E1), Estradiol (E2), Estriol (E3), 16 OH Estrone, 4 OH Estrone, 2 OH Estrone

Estrogen is responsible for keeping the female and male healthy in too many ways to mention here. However, most notably, it maintains bones and muscle mass, keeps the skin and vaginal mucosa healthy, and minimizes breast sagging.

If a woman or man has a family or personal history of breast cancer, their estrogen metabolism should be evaluated and addressed if needed (16 OH Estrone). If you are having hot flashes and you are over 30 years old, chances are good that you have estrogen deficiency and you could be peri-menopausal (early menopause). Not all women have hot flashes with low estrogen.

For hormone replacement therapy, we prefer bio identical hormones BHRT over non-bio identical hormones. Be careful, plant estrogens, or phytoestrogens, and other hormones derived from plants may be considered “natural” estrogens but are NOT bio-identical. Phytoestrogens are natural but are not the same as human estrogens, so they are NOT bio-identical and should not be used for hormonal replacement.

Estrogen like Testosterone is a hormone made of cholesterol. For women and men taking cholesterol lowering medication, it should be noted that they could have an important impact on lowering estrogen levels. Estrogens should NOT be taken orally as this can result in lowering Growth Hormone (GH) among other problems.

Estrogen can be administered by daily creams and gels or by pellets inserted under the skin that last about 4 months. These pellets are inserted only by Dr. Arthur Zacco in our office in about 15-20 minutes.

Testosterone Therapy

Testosterone Therapy

Testosterone is made from cholesterol and is manufactured mainly in the testicles in males and ovaries and adrenal glands in females.  Testosterone has an important function in the body of males and females most notably, it enhances sex drive, builds muscles and bones, helps maintain self confidence and the immune system, elevates mood and motivation, among many other important properties.

Deficiency in testosterone results in; decreased libido, decreased motivation, depression, increased risk of suicide, decreased confidence and feeling of well being, decreased muscle mass, increased body fat (especially belly fat) leading to obesity, difficulty losing weight, decreases exercise performance and tolerance, increased incidence of diabetes, and possibly even increases the risk of prostate cancer and heart attack.

Testosterone should NOT be taken by mouth due to numerous detrimental effects, if taken orally.  Testosterone can be administered by daily gels, weekly injections, or testosterone pellets inserted just beneath the skin about every 4 months.  These pellets are inserted by Dr. Arthur Zacco in about 5-10 minutes in the office with no down time.

Dr. Zacco notes that most patients favor testosterone therapy via pellets over injections or gels.  With  testosterone therapy pellets there are no messy gels or frequent injections.  Pellets allow freedom to focus on things other than testosterone therapy.

When patients are being treated with daily testosterone therapy gel, they have to avoid contact with their loved ones for a couple of hours after applying gels.  When patients are being treated by gels or injections, they have to bring these on vacation which can cause hassles at the airport as testosterone is a controlled substance.

In addition pellet testosterone therapy more closely resembles a steady state of testosterone. Making delivery more consistent instead of vast fluctuations in testosterone which is seen in the use of gels and injections.  Fluctuating testosterone can result in irritability, fatigue, increased fat, and a decreased libido.

When being treated with testosterone pellets, you are only reminded of testosterone treatment every four months when the pellets are inserted during a five to ten minute office procedure in which Dr. Zacco inserts pellets underneath the skin in the alternating upper outer buttocks.

Anti Aging & Functional Medicine