We recognize that every patient has different hormone levels & should be treated individually with BHRT. During the first assessment we will test a full blood lab panel of all hormones, + adrenal + thyroid levels. Each patient is evaluated via full assessment & tested before the being prescribed their individualized BHRT hormone treatment prescription.
Come visit our Clinic, fill out an intake form which includes current and past personal and family medical history. We will then talk with you to assist with any clarification needed. Blood Pressure, Height and Weight will be taken. From there, you will be given a blood-work requisition to have done at your earliest convenience. All hormones + adrenals + thyroid are tested (approx. 13 vials of blood for first assessment).
* blood tests in Ontario are covered by OHIP where applicable. Tests that are not covered include vitamin D, PSA & reverse t3. Only MDs & NPs can order blood tests under OHIP.
** blood test results take approximately 10 business days
Your first full assessment is approximately 60 minutes and is done either in-clinic or via telemedicine = skype/phone/facetime, if preferred. We will go over your medical history, hormone issues, hormone symptoms, thyroid & adrenal issues etc. We will then also review your blood work results which will allow us to manage your symptoms and any prescriptions effectively.
* Please note, only an MD and an NP have full prescription rights for hormones & controlled substances in Ontario.
Your follow up consults are approximately 30 minutes each and are done at 4, 8, and 12 months plus lab tests (these are usually done about 2 weeks before each consultation). The lab tests are not a full panel for follow ups but rather selected based on your goals/needs. During these follow ups we go over your results and your prescriptions as needed.
Saliva testing measure "free" hormones (2-5% of the hormones in a person's body), which are the hormones that are available to go to work for you - stimulating receptor cells and carrying out the tasks they are designed to perform.
In contrast, serum testing generally measures the "total" hormones, which includes those hormones already bound to protein and unavailable for your cells to use. Thyroid testing is done via blood panels.
OHIP will cover the majority of the lab tests, there are a few that are not covered which we will discuss and you'll have the option to choose whether you'd like to do these. Consultations are not covered at this time.
Patients will pay the custom compounding pharmacy directly and the pharmacy will ship your prescription directly via express post with signature. Patient(s) can submit their own receipts to their insurance. Coverage depends on your insurance plan.
Note: patients can keep all receipts and claim tests, consultations and rx/prescriptions on their taxes.
BHRT will help you feel like yourself again, even through the ups and downs of hormonal change. BHRT also helps with disease prevention and offers you a better quality of life as you get older. Low hormone levels cause cancer, bladder infections, dementia and Alzheimer's disease.
For women benefits of BHRT - helps increase libido, better memory, boosts energy and will help with your hot flashes, night sweats, anxiety and weight gain.
For men - benefits of BHRT/testosterone therapy helps increase libido, lower muscle mass, more energy to work out faster recovery time, sharper memory and more stamina and energy.
With accurate testing we can track your hormone levels and optimize them.
Over the years, several studies have shown that TRT improves multiple measures of men's vitality, especially related to cardio-metabolic health. Bio-identical testosterone does not cause prostate cancer. The precipitous decline of men's testosterone levels over the years is evitable. Unless aging men replace their diminishing testosterone, they could succumb to any of the numerous health problems linked to low testosterone levels including fragility, muscle loss, weight gain, impaired cognitive function, fatigue, depression, decline in bone health, increased risk of type ii diabetes, stroke, and cardiovascular disease. TRT can restore your testosterone to a physiologically optimal level so you can take control of your quality of life and reclaim your competitive edge.
Patients who benefit from BHRT are as young as 16 years old (severe issues with periods, depression & acne), right up to 90 years old. Our hormone levels drop 1 to 3% per year once we hit the age of 30 years old. It is wise to get tested sooner then later, so we can have a precursor of what your hormones were when you were young and youthful instead of waiting until your hormone levels are really low, when you feel awful. You can still start BHRT when you are over 50 and take advantage of the benefits.