What age management services does DreamBody Medical Centers provide?
Dr. Budnick of DreamBody specializes in age management medicine and offers bio-identical hormones (hormone replacement therapy), Human Growth Hormone (HGH) Replacement, and Testosterone Therapy.
What makes DreamBody different than my regular doctor?
DreamBody’s goal is to prevent disease through healthy medicines such as bio-identical hormones and supplements. More importantly our physicians do not overmedicate patients; in fact we find alternative medicines to replace many of the medicines pushed by drug companies. We want to avoid “illness based medicine” that pharmaceutical companies and hospitals makes billions of dollars. Unfortunately health care in America today has nothing to do with health only illness and disease.
What are bioidentical hormones?
Hormone replacement therapy, HRT should ONLY be done with bioidentical hormones which are identical to the hormones in your body. HRT has gotten a bad name from three of the most prescribed medications of the last 25 years; Premarin™, Provera™ and Prempro™. The Premarin is from pregnant horse urine and is made up of over a dozen types of estrogen, thus Premarin is described as a conjugated estrogens. Only one of the several estrogens in Premarin is bioidentical, therefore less than 10% is that of a woman’s estrogen. Provera is NOT progesterone at all but a progestin which structurally much different. Pharmaceutical companies and their drug salespeople have convinced gynecologists and family doctors over the years that the Provera, progestin, is the same as progesterone. But several large studies have shown the dangers of progestin, such as causing cancer and autoimmune diseases, in fact there has been over a billion dollars in law suits from the direct death of thousands of women. In very large studies in which all HRT therapies are pooled together the statistics are ruined because the bad hormones are studied with the good bioidentical hormones. The FDA has failed American women by not pulling Provera and Prempro from distribution, but common knowledge at the FDA is once done there a job is waiting in the pharmaceutical industry.
Where do these bioidentical hormones come from?
Bioidentical estrogen and progesterone is found and manufactured from wild yams, the same hormones in a women’s body. Estrogen should NEVER be taken by mouth because of the changes that occur with direct pass into the liver. This is the same reason testosterone therapy should never be given orally. Progesterone can be given orally because there is no dangerous conversion with first past through the liver. The only adverse reaction by taking progesterone orally is the mild sleepiness, which is the reason bioidentical progesterone is taken before bed. Many menopausal women have insomnia, which is because they lack progesterone, once replaced they sleep like they did in their youth.
How are the bioidentical hormones administered?
Board certified anti-aging doctors will administer estrogen with creams to the skin or vaginally, shots or pellets along with progesterone according to labs. Women usually need a little testosterone is their HRT. Normally women have one tenth to one fifteenth the testosterone men have, but again follow the labs to best prescribe HRT.
Excellent Board certified anti-aging physicians will administer HRT therapy to women with bioidentical estrogen, progesterone, DHEA, testosterone, and if thyroid replacement is required the use of Armour Thyroid is the best by far.
When should someone begin bioidentical hormone therapy?
If bioidentical hormone therapy is started early, in perimenopause, women won’t need sleeping pills like Ambien or Lunesta, antidepressants like Prozac, Effexor, Cymbalta, Zoloft, Pristiq, Paxil, or Celexa, anti-anxiety pills like Xanax (alprazolam), or Ativan (lorazepram), osteoporosis drugs like Fosamax, Boniva, Reclast, or Actinol. Starting HRT in early menopause, perimenopause could prevent or delay adult onset diabetes, cardiovascular disease, osteoporosis, dementia, cancer, and most of the diseases that accompany getting old. There is too much money at stake in “illness-care industry” in America, the hospitals, pharmaceutical companies, and doctors reap the benefits of the HRT controversy. Mass media; television, internet and print ads benefit from the advertising money. Bioidentical hormones themselves cannot be patented because they are in humans and the wild yam, only the delivery system can be patented like patches. There won’t be huge studies done to bring them to market, so physicians will be better convinced by pretty or handsome drug reps with large studies for the symptoms of menopause, perimenopause and andropause, not the cure
What is Human Growth Hormone (HGH) replacement?
Human Growth Hormone, HGH is safe and effective but has been portrayed is bad because of the use in sports by athletes that it use for physical advantages of building muscle and bone. HGH is the body’s repair hormone which is secreted by the pituitary gland while you sleep. HGH helps repair all the cells of the human body, it is truly the best age management drug, but should only be prescribed by an experienced, board certified age management medicine physician. Dr Rudman’s study of sixty year olds in the early nineties proved HGH effects which included fat loss, muscle gain, feeling better, thicker skin without side effects. Patients in the study didn’t know what was being studied, some received HGH and others placebo shots, fat loss of greater than 10% and muscle gain of nearly 9% were found, all without dieting! Reports of feeling a lot better overall was reported by the sixty year old group taking HGH.
When should someone start receiving HGH replacement?
Athletes are young and don’t need growth hormone because their level are normal. As we age are growth hormone level fall and symptoms of muscle aches and joint stiffness are more common, and signs of old age appear like fat stomachs and less muscle mass.
Why would I need HGH replacement?
Adult Growth Hormone Deficiency, AGHD is a condition diagnosed by the board certified age management physician by symptoms and laboratory testing. Unfortunately insurance companies won’t pay for the expensive HGH therapy, leaving the over a thousand dollar per month price tag out of reach for most people. There once was a generic growth hormone but the FDA pulled it from the shelves of compounding pharmacies and age management physicians, probably from pressure from the other four companies manufacturing and selling their expensive, non-generic forms of growth hormone. HGH therapy can increase growth hormone levels very effectively, but diet, supplements, exercise, good sleep, bioidentical replacement therapy, and testosterone replacement can increase your growth hormone levels and lessen the symptoms of Adult Growth Hormone Deficiency.
What are signs that I may have Adult Growth Hormone Deficiency?
Physical signs of growth hormone deficiency are droopy eyes, saggy cheeks, thin lips, thin muscles, thin skin, anxiety, depression, poor recovery after work outs, lack of sexual interest, and the feeling of rapid physical aging.
What are other symptoms that I may need HGH therapy?
The worst the symptoms of muscle weakness, muscle aches, joint stiffness, chronic pain and fatigue the better chance of improvement on growth hormone replacement therapy. Several of our patients that have failed with pain specialists, physical therapy and a variety of prescription drugs have their pain and fatigue completely cured with HGH.
How safe is HGH?
Compared to most prescription drugs the safety of growth hormone is very good. Signs of too much growth hormone are edema of the feet and hands with carpal tunnel symptoms of numbness of the fingers. Some people think GH replacement may cause a proliferation of cancer cells, this generally not true. Patients with acromegaly, excessive growth hormone levels actually have a decrease incidence of cancer. This decrease in cancer is thought to be from growth hormone’s ability to stimulate the immune system to fight cancer.
What can Testosterone Replacement Therapy do for me?
Testosterone Replacement Therapy improves the quality of life and health of men who have symptoms and lab results of low testosterone. Prevention of almost all age-related diseases (heart attack, stroke, osteoporosis, fractures, diabetes, erectile dysfunction, chronic pain, obesity, dementia, depression, and COPD ) can be improved with testosterone. Improvement in cholesterol, triglycerides, anemia, blood pressure, BMI, weight, penis size, sexual potency, memory and test taking ability have been proven in clinical studies. Almost all the symptoms and diseases that come with growing old can improve with testosterone therapy. Almost every symptom of growing old is a sign of low testosterone; flabby belly, decreased muscle tone, older-looking, dry thin skin, wrinkles and depressed attitude.
How do I receive Testosterone Replacement Therapy?
Testosterone therapy should be administered intramuscular, transdermal or by pellets never taken oral. Testosterone cypionate or propionate is most bioidentical to the body, other synthetics or more anabolic and dangerous. Testosterone shots should be every 7-14 days with smallest dose to relieve symptoms of low T and elevate blood tests to the above average range. Testosterone creams and gels are daily usage and should be applied to hairless areas of the body that won’t rub against others. Pellets are placed with a minor procedure that includes local anesthesia with Lidocaine, very small incision and insertion of a trochar into the muscle fascia to drop the prescribed amount of testosterone pellets that last 4-5 months.
Ways to optimize testosterone therapy is to eat a diet high in protein; lean meat, fish, eggs, protein shakes. Avoid refined carbohydrates such as flour, sugar, white rice therefore no bread (whole wheat included), bagel, cookies, tortilla, donuts, crackers, noodles, pasta, and most cereals. No sugar; pop, sweets and candy. No milk, good aged cheese ok. Further avoid alcohol, smoking, and drugs.
What are some things that I should be aware of if receiving Testosterone Replacement Therapy?
Testosterone can convert to estrogen by the aromatase enzyme in the fat tissue. To avoid this conversion the patient should follow the dietary recommendations especially refined carbohydrates and alcohol. Persons that too much testosterone for anabolic reasons take estrogen blocking drugs like Tamoxifen or Novadex which is used in breast cancer prevention. The use of these drugs is discouraged and proper testosterone dosing is best, but if the patient is obese and has a risk for estrogen production I recommend Chrysin a natural estrogen blocking supplement. Symptoms of excessive estrogen production include tender nipples and frequent urinating throughout the night.
Testosterone is a drug with the potential for abuse and should be managed by a physician that is well read on the subject. Most doctors are not completely knowledgeable with testosterone therapy, they relay on their drug rep to educate them. Board Certified Age management and Regenerative Medicine Physicians are the most qualified to guide your therapy, don’t settle for less.
Do you offer payment options?
Yes! DreamBody Centers offers financing options through Care Credit. All costs will be discussed during your complimentary consultation.