FAQ's and Helpful Information

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Hormones are essential for many key bodily functions, including digestion, appetite, immune response, cognitive processes, sexual drive, and emotional well-being. When hormone levels are low or imbalanced, it can significantly affect your health and quality of life. At Chellino Health, we take a personalized, natural, and sustainable approach to hormone balancing, helping you age with grace. Each patient receives customized care based on their unique hormonal needs. Even if previous tests showed "normal" levels, we know that what’s considered 'normal' on paper may not reflect your individual balance. 

What Are Bioidentical Hormones?

Bioidentical hormones are derived from plant-based estrogens and have the same molecular structure as those produced by the human body. Because the body recognizes and uses them in the same way as its own hormones, they tend to interact more naturally and harmoniously compared to synthetic alternatives. 

Who is Bioidentical Hormone Therapy For?

Bioidentical Hormone Replacement Therapy (BHRT) is designed for adult men and women with low or imbalanced hormone levels. This includes those experiencing symptoms of menopause, low testosterone, and other hormonal imbalances. 

What is Hormone Pellet Therapy?

BHRT pellets are an effective method for addressing hormone imbalances. The procedure is quick and can be performed in an office setting. During the treatment, your healthcare provider places small pellets, about the size of a grain of rice, beneath the skin in the subcutaneous fat, typically near the upper buttocks. These pellets steadily release small, consistent doses of hormones into your bloodstream over several months. 

How often will I need to come back for pellets?

For women, the typical interval is every 3 to 4 months, while for men, it ranges from every 4 to 6 months, depending on how your body absorbs the hormone pellets. 

How Long Does It Take to Adjust to Bioidentical Hormone Replacement Therapy?

The adjustment to BHRT varies for each person. While some may notice relief within a few days to a week, the full benefits typically take a few months to become apparent. On average, patients begin to feel relief about 3-4 weeks after their first round of pellets. 

The Hormone Shift

You may experience minor, temporary side effects such as fatigue, bloating, mild discomfort, breast tenderness, or changes in your menstrual cycle or spotting. These variations are normal, as everyone’s hormone adjustment is unique. In fact, many patients don’t report any side effects. This is most common after your first treatment, and once your hormones are balanced and optimized, these effects typically subside and don’t recur. 

Is BHRT FDA Approved?

The answer is both yes and no. Bioidentical hormones manufactured by large drug companies are FDA-approved and sold in standard doses. However, some bioidentical hormones are prepared at FDA-registered compounding pharmacies, where they are custom-made for each patient based on a licensed prescriber’s order. While these compounded hormones aren’t ;FDA-approved; because they are tailored to individual needs, they still contain FDA-approved hormones in their formulas. 

Where do you get your pellets from?

We spent months researching and selecting the best compounding pharmacies to ensure the highest quality for our patients. The 503B outsourcing facilities we source all our BHRT pellets from are FDA-regulated and voluntarily follow the FDA's drug manufacturing guidelines for sterile outsourcing facilities.

These pharmacies comply with the FDA's current good manufacturing practice (CGMP) requirements, just like major drug manufacturers. They meet all applicable state regulations for registered Outsourcing Facilities, are subject to FDA inspections, and adhere to DEA guidelines for controlled substances in compounded preparations.

Additionally, they have their own rigorous policies that exceed industry standards. Their ingredients and compounds are continuously tested and retested by independent labs, from sourcing all the way through to distribution.

The most common conditions treated with Bioidentical Hormone Replacement Therapy (BHRT) include:

• Menopause symptoms (hot flashes, night sweats, mood swings)
• Perimenopause
• Low testosterone in men (fatigue, decreased libido, muscle loss)
• Andropause
• Decreased libido
• Insomnia
• Hair loss
• Weight gain
• Brain fog
• Fatigue
• Irritability
• Thyroid disorders (e.g., Hashimoto's disease)
• Adrenal disorders (e.g., Addison's disease)
• Decreased bone density (osteoporosis)
• Cardiovascular health concerns
• Mood disorders (e.g., anxiety, depression)
   

Unwanted hair and/or Acne?

The likelihood of hair growth is typically lower with BHRT compared to synthetic hormones. However, some individuals may experience faster or unwanted hair growth. Acne may also occur as a mild side effect but usually resolves on its own within a short period. If you experience these issues, please let us know, as there are medications available to address them. 

BHRT and breast cancer, the breast cancer myth.

The misconception linking hormone therapy to breast cancer stems from a flawed study conducted over two decades ago, which primarily focused on synthetic hormones and older postmenopausal women already at higher risk for chronic diseases. However, recent research increasingly suggests that Bioidentical Hormone Replacement Therapy (BHRT) may actually protect breast tissue and reduce the risk of breast cancer.

The NHANES study, which followed more than 5,000 women over 20 years, found no correlation between BHRT and an increased risk of breast cancer or other health issues.

Dr. Kent Holtorf, in his article "The Bioidentical Hormone Debate" published in Postgraduate Medicine (Volume 121, No. 1), conducted a comprehensive meta-analysis of clinical studies. His findings, based on 196 references, suggest that bioidentical hormones are linked to lower risks of breast cancer and cardiovascular disease and are more effective than synthetic or animal-derived alternatives. Notably, women receiving testosterone through BHRT pellets experienced a 35.5% lower rate of invasive breast cancer compared to age-adjusted rates from the SEER program.

This research highlights the importance of addressing hormone imbalances for women’s health, showing that responsible hormone optimization can improve quality of life and potentially prevent disease.
 

How do I get my hormones tested?

To have your hormones tested, we’ll start with an initial consultation to review your symptoms, goals, and potential treatment options. If you decide to proceed with a treatment plan, we will provide you with a lab slip, allowing you to visit a lab of your choice for blood collection.

I already had my hormones tested by my primary doctor/OBGYN

If you have recent bloodwork from another doctor, we encourage you to provide it to us for review. However, please note that it may not include all the specific tests we require for a comprehensive assessment of your hormone levels. In such cases, we may request additional tests to ensure we have a complete picture of your health and can create a treatment plan tailored to your needs. Our goal is to optimize your care, so we want to ensure every necessary test is conducted to accurately address your concerns. 

Benefits of BHRT for Women 

• Reduces hot flashes and night sweats
• Alleviates vaginal dryness, itching, burning, and painful intercourse
• Increases libido
• Improves sleep quality
• Increases energy levels
• Eases an overactive bladder and may help prevent recurring urinary tract infections
• Relieves joint aches and pains
• Protects bone health and reduces the risk of osteoporosis
• Stabilizes mood and helps alleviate depression and anxiety
• Lowers the risk of heart disease and type 2 diabetes
• Reduces irritability
• Reduces brain fog
• Enhances memory and cognitive function
• Boosts thyroid hormone levels

Benefits of BHRT for Men

• Increases energy and motivation
• Increases libido
• Helps with erectile dysfunction
• Reduces fat and helps retain muscle mass
• Improves sleep quality
• Reduces irritability
• Provides prostate protection
• Stabilizes mood and helps alleviate depression and anxiety
• Enhances memory and concentration
• Strengthens bones
• Lowers the risk of heart disease
• Decreased risk of dementia

Can BHRT help with Thyroid/Adrenal/PCOS issues?

Yes, absolutely! BHRT can be highly effective in addressing thyroid, adrenal, and PCOS (Polycystic Ovary Syndrome) issues. By restoring balance to hormones such as thyroid hormones, cortisol, and sex hormones, BHRT helps optimize your body's natural functions. It provides a more tailored approach compared to conventional treatments, offering relief from symptoms like fatigue, weight gain, irregular periods, and mood swings.
 

What is the Difference between Bioidentical and synthetic hormones?
The main difference between bioidentical and synthetic hormones lies in their chemical structure and how they interact with the body.

Bioidentical Hormones are made to exactly match the structure of the hormones naturally produced by the human body. They are typically derived from plant sources like soy or wild yams and are formulated to be identical in molecular structure to the hormones our bodies produce, such as estrogen, progesterone, and testosterone. Because of this similarity, bioidentical hormones tend to be more easily recognized and utilized by the body, resulting in a more natural and harmonious effect.

Synthetic Hormones, on the other hand, are created in laboratories and often derived from animal sources or chemically altered compounds. These hormones, like the ones used in traditional hormone replacement therapy (HRT), may not precisely mimic the body's natural hormones, leading to differences in how the body responds. While they can still bind to hormone receptors, the body's response might not be as seamless or optimal as it is with bioidentical hormones, potentially causing more side effects or less effective symptom relief.

In summary, bioidentical hormones are structurally identical to the body's natural hormones, while synthetic hormones may differ in chemical composition and their compatibility with the body.

The choice between BHRT cream and BHRT pellets is a significant decision and can have a major impact on how effectively your hormone therapy works for you. It boils down to your individual needs, lifestyle, and how comfortable you are with each method.  Our BHRT specialist will offer an honest, personalized recommendation based on your lab results, current symptoms, medical history and our years of experience.  

BHRT Pellets:

• Administration: Inserted under the skin, into the subcutaneous fat, via a minor in office procedure.
• Hormone Release: Steady release over 3-4 months for women, 5-6 months for men.
• Convenience: Minimal maintenance; no daily application required.
• Efficacy: Highly effective, with a success rate of 90-95% due to consistent, steady hormone release that closely mimics the body’s natural rhythms.
• Side Effects: Risk of infection and irritation.
   

BHRT Cream:

• Administration: Applied topically to the skin (usually once or twice daily).
• Hormone Release: Immediate but fluctuating absorption, depending on the area of application and skin type.
• Convenience: Requires daily application, which some people find inconvenient.
• Efficacy: Typically around 30-50% effective. The inconsistent absorption and fluctuations in hormone levels that can happen & forgetting to apply often lead to reduced effectiveness compared to pellets.
• Side Effects: Possible skin irritation, and absorption can vary significantly between individuals.
   

Key Takeaway:

• Pellets are the more reliable and effective option for most people, offering 90-95% success in alleviating symptoms.

• Hormone Creams, while an excellent option for some, have much lower efficacy, typically around 30-50% due to issues with absorption, fluctuating hormone levels & inconsistent application.

 Conclusion:

• Pellets Recommended for Most People: If your labs show a clear hormone imbalance and you're looking for long-term stability with minimal hassle, pellets are likely the better choice due to their higher effectiveness and consistency.
   
• Cream Recommended If Flexibility is Key: If you’re open to a little trial and error and prefer more control over your dosage (and your symptoms aren't severe), creams can be a very effective option.  While hormone cream may not be as consistently effective as pellets for everyone, they offer a range of benefits that can make them a great choice for some people.  

The time it takes to feel or see results from Bioidentical Hormone Replacement Therapy (BHRT) can vary from person to person. Some individuals may notice improvements within a few days or weeks, while others might take a couple of months. Several factors influence how quickly you’ll experience the benefits, including the treatment (pellets, cream, patches) your body’s response, current hormone levels, diet, sleep quality, stress, and the specific symptoms you're addressing. It’s important to be patient, as BHRT is a gradual process tailored to your unique needs. Honest communication with your healthcare provider is key to tracking your progress and making any necessary adjustments to your treatment plan. Remember, BHRT and hormone optimization is a marathon, not a sprint.

Yes. Transitioning from synthetic hormones to bioidentical hormones marks an important shift in hormone therapy. Bioidentical hormones are chemically identical to the ones naturally produced by the body, which is why many individuals prefer them for their compatibility and potentially fewer side effects compared to synthetic alternatives. This change can help restore hormonal balance and improve overall well-being for those seeking a more natural treatment approach. By choosing bioidentical hormone therapy, you may be able to achieve a healthier, more balanced lifestyle. 

No. Chellino Health is not a weight loss clinic & we do not prescribe GLPs or other weight-loss medications only. Our approach is focused on offering comprehensive wellness care, with weight loss support as part of a broader treatment plan that includes hormone therapy and other holistic solutions. Our goal is to address the underlying factors contributing to weight challenges, such as hormonal imbalances, metabolic issues, and lifestyle factors, to help you achieve long-term health and vitality. We work with each patient individually to create personalized treatment plans that promote overall well-being, rather than focusing solely on weight loss. All of our weight loss treatments, like GLP, are an option for our current patients in addition to your individualized treatment plan.

Yes. At Chellino Health, we understand that navigating insurance coverage can be challenging. While health insurance often doesn’t cover therapies related to holistic, alternative, or progressive treatments, like Bioidentical Hormone Replacement Therapy, your insurance can be used in other areas. We’re committed to reducing your out-of-pocket expenses and will make every effort to maximize your insurance benefits when possible. Throughout the process, we’ll keep you informed about which services can be billed to your insurance, so there are no surprises. Plus, our treatments are designed to be affordable, ensuring accessibility for most individuals, even when insurance can’t be applied.

We currently accept Aetna, BCBS/Highmark, Cigna, Fidelis, Humana, United Healthcare and Univera.

To start your wellness journey, simply give us a call at (716) 458-0005 to schedule your initial consultation. During this face-to-face meeting with our Board Certified Practitioner and Master Certified Hormone Specialist, we’ll perform a comprehensive assessment to understand your unique needs. This allows us to customize the best program options for you. Feel free to ask questions or voice any concerns during your consultation. If you choose to move forward with one of our programs, we will guide you through the process of completing your initial bloodwork at a laboratory of your choice. Contact your insurance provider to find out which lab is in your network. Once we receive your lab results, we’ll be ready to create a personalized treatment plan to support your wellness goals.

The duration of hormone therapy largely depends on your desire to maintain its benefits. Many individuals mistakenly believe that stopping Bioidentical Hormone Replacement Therapy (BHRT) will halt their body’s natural hormone production completely. In reality, once therapeutic doses are discontinued, the body typically resumes its natural hormone production within a few weeks. However, it's important to consider your individual circumstances. If you began BHRT due to low hormone levels during menopause, it’s crucial to assess the potential impact of returning to those previous levels.

Additionally, stopping BHRT not only removes symptom relief but can also increase the risk of serious health concerns. Menopause is associated with a higher risk of conditions like heart disease, stroke, certain cancers, osteoporosis, dementia, Parkinson's disease, and Alzheimer’s. So, it's essential to carefully evaluate the context of your decision before discontinuing therapy.

Ordering GLP medications, peptides, or testosterone from unregulated internet sites can pose several significant risks that can impact your health and safety. Here's why it's crucial to avoid buying these substances online: 

• Lack of Quality Control: Many online sources are not regulated, and the products sold may be counterfeit, contaminated, or improperly stored. This can lead to ineffective treatments or worse, put your health at risk.
   
• Potential for Incorrect Dosage: Without proper medical oversight, there’s a risk of receiving incorrect dosages, which can result in side effects, hormone imbalances, or severe adverse reactions. These treatments should always be properly dosed to your individual needs by a healthcare professional.
   
• No Medical Supervision: These treatments require monitoring to ensure they are effective and safe for your unique health situation. Ordering them online bypasses the crucial step of receiving professional care, which can lead to missed health concerns or complications.
   
• Legal and Safety Risks: In many countries, including the U.S., certain hormones and peptides are regulated substances. Purchasing them from unverified online sources could be illegal and result in unintended legal consequences.
   
• No Support for Underlying Health Issues: At a licensed medical facility like Chellino Health, your healthcare provider takes a comprehensive approach, addressing the root causes of your health concerns. Simply purchasing these substances online won't give you the personalized care needed to optimize your treatment and ensure long-term health.

Conclusion:

For your safety, health, and peace of mind, it is essential to get treatments like testosterone therapy, peptide therapy, and GLP medications from a trusted, licensed healthcare provider. At Chellino Health, we source all of our medications from FDA-registered pharmacies, with extensive third-party testing and strict quality control to ensure the highest level of safety and efficacy. You can feel confident that you are receiving safe, personalized care, with ongoing support to optimize your health and wellness with us.