Do you not feel like your normal self? Are you struggling with change in mood, weight fluctuations, or depleting energy levels? Have you been told this is a normal process of aging or are unsure where to begin to address these concerns? Welcome to Optimal Health & Wellness where we seek to find the root cause of these changes & treat accordingly.
Commonly, these symptoms are related to hormone shifts that naturally occur as we age but we do not have to accept that this is a new reality or be passive to these imbalances. Bioidentical hormone replacement can be a safe & effective solution for you. These are biologically identical to those produced by your body. By finding the right balance, we can help you attain your highest functioning state.
Hormone replacement therapy (HRT) is not a one-size-fits-all approach. We provide highly individualized care, working closely with our patients to develop personalized treatment plans. We won’t give you a standardized strategy but one that’s tailored to your unique needs. We specialize in bioidentical hormone replacement therapy for both men and women.
Please read below for additional benefits, information regarding our methods, and educational resources.
At our clinic, we provide comprehensive women’s health services, including Cervical Cancer Screening (Pap Smears), Endometrial Biopsies, IUD and Nexplanon placement, contraception surveillance, and fertility referrals. Your health is our priority—contact us today for more information on these services and how we can assist you with personalized care.
Menopause is defined by 12 months without a menstrual cycle. This cessation of period happens for most women naturally in their 40’s-50’s but can occur earlier or later or be medically or surgically induced. It is important to note that the hormone fluctuations and eventual decline that cause a period to stop can occur for several years before cycles officially end. This era is commonly termed as perimenopause & can happen as early as a woman’s 30’s. Symptoms of perimenopause can be disruptive to self-image, relationships, & overall quality of life. Cue the opportunity for hormone replacement! Hormones, when managed & balanced appropriately, can alleviate uncomfortable symptoms such as hot flashes, vaginal dryness, painful intercourse, fatigue, low libido, sleep & mood changes, & weight fluctuations. There are also additional benefits such as reducing risks of osteoporosis & heart disease. We would love to address your specific symptoms, answer your questions & help you find the right balance.
‣ Improved and more balanced mood
‣ Improved energy
‣ Fat loss
‣ Increased libido and sexual health
‣ Better skin, hair, nails
‣ Improved vaginal health
Estrogen + Testosterone + B12
(Weekly) ➭ *$75
Self-Pay (Per One Syringe)
Pellets ➭ *$400
Self-Pay
Testosterone + B12 (Bi-weekly) ➭ *$30
Self-Pay (Per One Syringe)
*This is self-pay pricing; insurance may pay partial or full amount.
With HRT injections, we are able to change the dosage based on how you are responding to hormone replacement therapy. Regular checks to make sure you are getting the right dosage also means we can monitor and evaluate both your hormone levels and your general well-being.
Pellets are compounded estradiol or testosterone that are made from organic plant materials, which have the exact molecular structure of those hormones found in the body. They are pressed into a solid compound that is about the size of a cooked grain of rice. Using a painless office procedure, they are inserted under the skin in the hip area. The pellets release small amounts of hormone directly into the bloodstream over a period of 3 Months.
When you schedule a consultation, you will have labs collected by one of our medical assistants or nurses. You will then visit with one of our hormone specialists. This visit will consist of a detailed history and a simple exam to evaluate your needs and identify any risk factors. When lab results have been returned to the office (typically ~1 week), you will be notified to schedule a follow-up appointment & initiate your therapy if indicated. Our practitioners will then review your lab results & provide recommendations specific to your needs.
There are many mediums for HRT but at OHWKC, we opt for the most bioavailable & efficient methods. Our primary means of HRT include injections and pellets & both will be discussed in your consultation. Both injections & pellets have reduced risks compared to oral & synthetic preparations and are typically better absorbed than topical creams. They are also dosed according to your symptoms & lab levels.
Injections are recommended to be given once per week for men receiving testosterone & bi-weekly (every other week) for women receiving estradiol and testosterone. This schedule is due to the half-life, or metabolism of the hormones. These are a great option if you are new to hormone replacement to assess how your body responds & if dose adjustments are necessary.
If you feel well managed with your doses, pellets may be another good alternative. These slow-release formulations placed under the skin allow for consistent & stable release of hormones which can reduce side effects, & half a longer half-life of 3-4 months to allow for less frequent visits. The ease of pellets for patients is unmatched as they do not have to worry about dosing or self-administration.
Pellet therapy does involve a minimally invasive office procedure for insertion. This involves an injection at the site of the insertion to numb the area and a very small incision. There is minimal discomfort and downtime and no stitches. Your provider will review the pre- and post-care instructions with you in preparation for your insertion.
A research study published in 2002 by The Women’s Health Initiative (WHI) promoted poorly conclusive findings that suggested there is an increased risk for breast cancer & heart disease associated with hormone replacement. This misinformation & further medical misinterpretation has resulted in limited use of HRT by providers & fear among patients. This has ultimately had a negative impact on women’s health and their opportunity to adequately treat hormone imbalances. Fast forward two decades to the present, there has been an influx of research with improved quality and statistical significance that has disputed those original findings & more is understood about the safety & benefits of hormone replacement. Despite this new data, our traditional medical model has not yet applied these findings into practice. We believe that healthcare should reflect the most recent & highest quality evidence to guide our plan of care. With this considered, hormone replacement has been proven to provide effective management of symptoms associated with perimenopause and menopause & can mitigate risk of other age-related illnesses. As with any medical treatment, review of individual risk factors and benefits should be considered. During your office visit, your provider will review your health history, symptoms and lab work and will work with you to help determine if hormone replacement therapy is right for you.
EXCELLENT35 reviews
Tita Saavedra2024-03-05Great service!
Aaron Walker2024-01-26Great people and very professional always feel comfortable, staff is awesome
John Ortiz2023-12-31Started seeing Bryan and Amanda a couple years ago and they have changed my health for the better. The entire staff is awesome. They all care about each patient. Highly highly recommend them
Hilary Ortiz2023-12-31Bryan and Amanda and the entire staff are amazing!! They know you by name and greet you as soon as you walk in. Love how easy they make it to make appointments and they are always willing to answer any questions and help in any way they can. We take our entire family there for care. You won’t regret becoming a patient at Optimal Health and Wellness, whether it’s for primary care or on the aesthetics side or both!!
JJDoughCo2023-11-03Brian and his entire staff are absolutely amazing. Extremely professional and most importantly they are all extremely genuine. They truly care about each patient that walks in the door. Highly recommend them for all of your health and wellness needs!
Heidi Hintenach2023-07-28Super thankful I found this place. Brian is my primary doc here. He is very thorough and goes above and beyond to ensure I get the best care. The entire staff is always super professional but also personable. I have been doing hormone therapy here for the last 2 years. It has completely changed my life and I highly recommend it.
Melissa Ebert2023-06-17Amanda and Bryan are absolutely the best. They are extremely compassionate, knowledgable, and genuinely concerned about their patients. Amanda and Bryan provide the BEST CARE and both go above and beyond to treat the WHOLE person and not just the complaint/disease. You both have found your true calling. Thank you for all that you do. I always walk out of your office looking and feeling my BEST!!
Brandy McGuire2023-06-01Amanda and Bryan are amazing! They have helped me keep my thyroid on track for years, but I was so ecstatic when they started offering Semaglutide injections for weight loss. They explained all of the side effects in depth and gave me a prescription for Zofran to help manage nausea just in case I needed it (I never needed it). I went in every 4 weeks and they assessed my side effects as well as my progress and adjusted my dosage accordingly. It was the best experience and I lost 38 pounds in 5 months!! I’m so grateful for their help!!!
Johnathan Allison Farris2023-04-18One stop office! The only providers I recommend to my friends and family. I have been a patient since they first opened and can’t say enough about how amazing the staff is, the service offerings and my experience. I have seen Bryan and Amanda for injections and fillers as well as women’s heath and regular check ups. Highly recommended provider!
Lauren Cannova2023-04-02Best place EVER!!! My go to for aesthetics, hands down! Friendliest, funnest staff. Providers are awesome!
Yes – we are always happy to see new patients. Many of our new patients are referred to us by our existing ones – if you have been referred by one of our patients please do let us know so we can
Yes – we are always happy to see new patients. Many of our new patients are referred to us by our existing ones – if you have been referred by one of our patients please do let us know so we can
Yes – we are always happy to see new patients. Many of our new patients are referred to us by our existing ones – if you have been referred by one of our patients please do let us know so we can
Yes – we are always happy to see new patients. Many of our new patients are referred to us by our existing ones – if you have been referred by one of our patients please do let us know so we can
Yes – we are always happy to see new patients. Many of our new patients are referred to us by our existing ones – if you have been referred by one of our patients please do let us know so we can
Contact us today to start your journey to better health!
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