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Male
Hormone Optimization

As we age, hormone levels naturally decline in both men and women. This decline can lead to a variety of symptoms. Hormone Optimization can help address these changes and improve your overall well-being.

Improve energy levels Enhance mood Promote vitality

Not Feeling like yourself?
There is a Solution… Hormone Optimization

Testosterone Hormones Bio Functional Med

Without addressing this hormonal decline, both men and women can experience a number of symptoms. There are actually over 20 health benefits associated with Hormone Optimization, but not all optimization plans are created equal. Specialists can help determine which approach is right for you. This is Personalized Medicine.

Common Male Symptoms of Hormone Deficiency

  • Hot Flashes
  • Night Sweats
  • Weight Gain
  • Joint pain
  • Migraine Headaches
  • Depression
  • Low Sex Drive
  • Memory Loss
  • Lack of Sleep
  • Tension
  • Fatigue (3-4 o’clock WALL)

Take our FREE Symptom Checklist

and discover if hormonal optimization could be the key to regaining your balance and vitality.

Hormone Therapy

Pills

Pills can cause peaks and valleys and require you take something everyday. Additionally, pills go through first pass metabolism in the liver so only a small percentage become active in the body.  Pills can place a lot of stress on the liver and its common for liver enzymes to increase with prolonged ingestion of hormone pills.

Creams and gels

Creams and patches require daily or weekly application. These topical delivery systems do not always effectively penetrate the skin and so their efficacy is greatly reduced in many individuals. Many hormone creams require topical dosing twice a day. The cream can also transfer to others like spouses, babies and pets causing unwanted effects.

Hormone Injectable

Hormone injectable is an effective way to supplement Hormone.  Men typically inject once a week but dosing can be done 2x per week.  Some men may complain of feeling a roller coaster effect where they feel good when the injection is first given but the beneficial effects wear off before it is time to get the next shot.  This can make men feel like they are riding on a roller coaster of peaks and troughs.  In these cases, men may choose to dose twice per week or convert to pellet therapy.

Hormone Pellet Therapy

Pellet Therapy can help your body return to a normal youthful balance and an optimal state.  Pellet Therapy delivers bio-identical hormone to your body. This is same type of hormone that your body produces naturally. (Synthetic hormones were used in the past with devastating health outcomes).  Today, pellet therapy can be used to deliver personalized dosages that are on-demand via a pellet. If your body requires more hormone because of vigorous exercise, bio-identical pellets will deliver more hormone to your system to keep up with the demand. Implantation takes less than 10 minutes. A small incision is made below the beltline in the rear hip region and a personalized dose of pellets are inserted into the subcutaneous fat. A small water-proof bandage is worn for 5 days. The effects of the pellets can be felt as early as two weeks after insertion.

Hormone Pellets

  • Biologically Identical
  • Natural YAM or SOY derived compounds
  • Constantly available to the body
  • Absorbed directly, not taken orally
  • Avoids first pass metabolism by the liver
  • Steady state of hormones- no roller coaster
  • Safe and hassle free
  • Can last 4-6 months in men and 3-4 months in women
  • Personalized dosing
  • Widely used in Europe and Australia since 1939

Positive Effect of Natural Bio-Identical Hormone Therapy

  • Cognitive Clarity
  • Increased Energy and Vitality
  • Reduced body Fat
  • Increased Muscle Strength
  • Increased Bone Density
  • Improved Mood
  • Enhanced Libido
  • Prostate Protection
  • Enhanced Erectile Function
  • Elimination of Hot Flashes
  • Lowers Cholesterol
  • Cardiovascular Protection
  • Enhanced Feelings of Well-Being
hormone replacement therapy pellets

Ready to make a change? Contact Bio-Functional Med and start your journey to a longer, healthier you!

FAQ

What are your typical costs and Fee’s?

Initial Hormone Consultation:

Males: Reg $150    Females: Reg $250   Follow-up Visits: $75

Hormone Treatments and Management:

Individual Hormone Pellet/injection Treatments: $518-$697**
Hormone Cream Management: $900/year ($75/month)**
(Creams NOT included)

Medical Weight Loss Consultation and Education Session:

Males/Females: $150

Medical Weight Loss Programs:

$650 – $850 – 90 days in duration

LABS:

Baseline Full panel Labs (blood): $298
Follow-up Labs Hormones (blood): $115
Optional Functional lab testing varies (Urine, Saline): $550-950

**All prices are subject to change based on availability and pellet and material price fluxuations.

What is a bio-identical doctor?

A Bio-Identical Hormone replacement physician is a doctor who has completed additional training in bio-identical hormone replacement therapy.  Our physicians have completed additional training in functional medicine and have advanced training in managing issues with cortisol and thyroid hormones in addition to sex hormones. The scope of functional medicine is broad. Our practice is mainly concerned with optimizing hormones.

Is Bio-Functional Med in network with insurance carriers?

Bio-Functional MED is set up as a self-pay private practice, we are not in network with any insurance companies.  Bio-Identical Hormone therapy and Wellness treatments are not considered essential services by Insurance companies and as such are not covered. Bio-Functional MED is not in network with any insurance companies.  Because of the large volume of patients that we manage, we are able to offer our services at much more discounted rate than other facilities.  We are able to pass cost savings on labs and treatments to our clients.   Additionally, our cash based self-pay model of practice allows us to spend more time with our clients and this is both satisfying for our clients and providers.  On your initial consultation with our providers, please plan to reserve 2 hours for your assessment and physical exam.

Do you provide ICD10 Diagnosis Codes or CPT Codes that I can use to file with insurance?

Bio-Functional Med is a wellness and functional medicine practice.   As such, we are not treating disease and so there are no ICD10 or Diagnosis codes for disease.  Take for example the case of testosterone, there are no accepted lab standards for testosterone in females. Therefore, insurance companies will state that Testosterone therapy is not indicated for females.   The focus of our program is restoring hormones to optimal levels.  Therefore our practice does not accept or participate in insurance programs. We consider Bioidentical Hormone Replacement Therapy an elective wellness therapy.  We optimize hormone levels based on exact lab results and do not treat actual illness or disease. We do not accept assignments or participate in insurance plans.  In keeping with a free enterprise philosophy, our policy regarding insurance has always been that we choose to work directly with our patients rather than through an insurance company.  Our clients must sign an agreement not to seek reimbursement from medical care received at our office.  We are not able to furnish information or answer questions for insurance companies.  We are not able to provide ICD10 Diagnosis codes or CPT Codes to generate billing sheets for insurance companies.  Our doctors do not generate notes that can be used for billing purposes.  In keeping with our philosophy, patients are afforded the luxury of treatment without the interference of insurance companies. Our focus is the premier care we provide.

Can you order my labs so that I can get them with my insurance company at Lab Corp or Quest Lab?

Bio-Functional Med is a Wellness and Functional Medicine practice.  As such, we are not treating disease.  Insurance companies do not always cover wellness or functional medicine labs or office visits.  Your labs may not be covered and you will be responsible.  In some instances, the wellness codes that we use will not be covered by your insurance company.  You can get labs ordered from your primary care provider.  They are better able to get the necessary authorizations.  We do offer labs at a fair and simple price in office.

What sort of testing do you do?

We are able to draw labs at our facilities.  We offer a fair and simple cash price. Results are typically returned within 48hours. We utilize a variety of tests to address the complaints of our clients. In some instances blood testing is not sufficient and we have to order urine or saliva testing.  If you have some labs from your primary care provider, we may be able to use some of these labs depending on how old the labs are. We utilize a specialty hormone lab to do much of our testing. As such, the labs that we get are very reliable.  We have seen very unusual hormone results from outside labs who do not focus on hormone labs.  Because of this, your provider may need to repeat some labs or get additional labs.

What is included in the initial consultation fee?

Hormone optimization is a complex process.  You will be asked to complete a detailed medical history and symptom checklist.  Your initial provider meeting may require a long consultation to review your medical and surgical history, your medications, your symptoms and determine which labs are needed.  The provider will also discuss risks and benefits of treatment.  There are different treatment routes to review and ensure that your treatment goals can be met.  The consultation fee is required up front and must be paid in full.    Our providers have more than 10 years experience evaluating and maximizing hormone optimization.  Our providers have undergone extensive training in hormone management and our providers are required to complete additional continuing education coursework on the latest treatments.  The provider will then make recommendations and discuss further testing requirements if needed.  We cannot order testing prior to the consultation.

What will happen if I stop hormone therapy?

In general, the body tends to restore hormones to pre-treatment levels after cessation of treatment. If your own hormone production was low before treatment, it will most likely return to the same levels after treatment.

When should I start to consider BHRT – Bio-Identical Hormone Therapy?

Menopause is defined as a single day–12 months after your last period. The majority of women experience their most severe symptoms in the months to years leading up to this milestone. The BFM approach is to medically treat symptoms such as hot flashes, night sweats, mental fogginess, and bone loss as soon as they appear.  Our approach is to keep the transition smooth from normal cycling through menopause.  Andropause symptoms can begin to manifest in men before 40 years old.   Today, we are seeing men with chronically low testosterone levels. This can lead to a variety of symptoms including low energy, poor exercise tolerance, low libido or cognitive fog.  Men should be evaluated if they are experiencing significant symptoms of andropause.

Can you tell me more about your weight loss program?

We offer a very comprehensive weight loss program.  Our programs are 90 days long and include physician monitoring and consultation, Biometric Body Scanning, Weekly B12-Lipo injections, Medications (Phentermine, HCG, or Topamax), Weekly Weight checks, Weekly Health Coaching.  The initial consultation is an education session.  We do not offer medications without participation in the program.

Testimonials

Chapel Hill -Wow -LB

After I turned 40, I really felt like I was past my prime. I came home from work and became a serious couch potato. I didn’t play with my kids or my wife really. Our sex life went into the tubes. If we did it once a month I am pretty sure we were lucky. I gained a bunch of weight.  I didn’t think that I had a hormone problem because my doctor said that my levels were normal. I went to see you guys because I was having a hard time keeping my erections going and I had no libidio as well. I did not realize how my low T levels were ruining my life. I am so happy that we made the decision to replenish my T levels. I have been working out a lot more. I have lost weight. I dont even watch the new anymore because we are out and about almost everyday. I am getting it a lot more now as well which is really powerful glue for a relationship.  keep up the good work.  You guys are the real deal.

Burlington Big Thanks! -LT

Dear Dr Antony, After my previous men’s clinic closed and took my money, I was thankful to have found you available to help me with my ED needs. The PRP-shot series and testosterone pellets have made a big difference in my sex life and energy levels. I no longer need to give myself trimix shots and I feel that my erections are must stronger. After my divorce 3 years ago, I found myself out in the field again. I am more confident and dating a younger woman which is a lot of fun. I thought that sort of fun was over for me but that’s not the case. Thanks again for everything.

Raleigh Very Supportive -AJ

Thank you sir.  And I just want to take a sec to let you know how much I appreciate having found my way to you guys.  You’ve been VERY supportive and great for me to talk to.  You’re a great listener and I’ve needed that in helping me get through this part of my life.  I’m sure you see many things, but as you are aware, I’ve been through some serious, heavy stuff the last several years…ALL AT ONCE.  And it’s easy to feel lost and alone in all of this.  So thank you for doing what you do and giving me a place to start in trying to heal myself.

Durham -YK

My previous ED clinic felt a lot like I was buying a used car. They pressured me into packages and then disappeared in the night. I was left with no alternatives. I am so happy that a friend recommended your office to me. Your staff are friendly and professional. I never felt any pressure. the doctor made me feel completely at ease. I decided to add testosterone pellet therapy to my regimen. I have never felt so young. I feel like I am in my 02’s or 30’s again. It’s amazing to have this kind of energy again for a 60 year old guy. I can workout again and I feel like I can workout 2 times per day. It’s amazing what lifting weights can do to boost your sex life again. I owe it all to you. I plan on sending you all my friends and family.  Thanks for all the education and taking the time to answer all my questions.   keep up the good work.

Wilmington -LS

I drive from Wilmington to see Dr Yap in her Wilson office.  The long drive is well worth it.  After she looked at my labs and medications, she immediately saw that I was on too much estrogen and needed some testosterone and progesterone. I got it all in balance and I have never felt so amazing. I feel like a human being again. I will fly to California to see her if she moves. I went to my OB but he just kept upping my estrogen which wasn’t helping.  I am so thankful that you could take me on as a patient. I know that I ask a lot of questions and I take up a lot of your time but you have always made me feel like I am the only patient you have. Thanks for being so wonderful. I have taken a handful of your cards to give to my girlfriends. thank you.

Norfolk, VA -Big Time Kudos -JM

My sister recommended I see her doctor in raleigh, Dr Yap about my menopause symptoms. I was on biest and it was helping some but I didnt realize how important testosterone is in my hormonal milieu.  After she balanced my testosterone, estrogen and progesterone.  She figured out that I was suffering from adrenal fatigue. She fixed my cortisol levels.  I am sleeping a lot better and my stress levels are more controlled.  I feel rested. I have three kids and a busy career. I am constantly on the go.  Now I have the energy to take care of my husband as well. Big time kudos for figuring out my mess, helping my marriage, and making me feel human again. Not defective.

Wilson, NC -KT

Dr Antony is a caring and understanding man.  He really knows a lot about ED issues. I was stubborn and should have seen him before. I am getting really good results from the trimix shots. It is really helping my marriage. Thanks for being a great listener.