Age management is a particular specialty of Dr. Esquerdo. At DreamBody Medical Centers, our goal is to prevent disease through bio-identical hormones, vitamin supplementation, and lifestyle changes.
What age management services does DreamBody Medical Centers provide?
Dr. Esquerdo of DreamBody specializes in age management medicine and offers bio-identical hormones (hormone replacement therapy), Testosterone Therapy, and Human Growth Hormone Replacement.
What makes DreamBody Doctors different than my regular Doctor?
DreamBody’s goal is to prevent disease through healthy medicines such as bio-identical hormones, vitamin supplements, and lifestyle. More importantly our physicians do not overmedicate patients. Our goal is to use as many natural solutions to solve the cause of the problem rather than treat the symptoms with prescription medications.
What is Hormone Replacement Therapy and who is it for?
Hormone replacement therapy is a medical treatment used to treat aging-related diseases, such as osteoporosis, menopause in women and andropause in men.
HRT can be beneficial for men when testosterone starts to lower, causing andropause. When receiving HRT, men can lose weight, gain muscle, improve energy and prevent age-related diseases such as Alzheimer’s, cardiovascular disease and osteoporosis*.
For women, Hormone Replacement Therapy should be initiated when a woman starts seeing signs of menopause. HRT can help women with the symptoms of insomnia, depression, irritability, low energy levels and weight gain.*
What are bioidentical hormones?
Bioidentical hormones are naturally derived and are as identical to the hormones in your body as are available.
Where do these bioidentical hormones come from?
Bioidentical testosterone, estrogen, and progesterone are derived from wild yams.
How are the bioidentical hormones administered?
Board certified anti-aging doctors will prescribe with creams to the skin or vaginally, injections, or pellets according the patient's symptoms and lab test results. Our board certified anti-aging physicians will administer HRT therapy with bioidentical estrogen, progesterone, DHEA, testosterone, and if thyroid replacement is required the use of Nature Throid is recommended.
When should someone begin bioidentical hormone therapy?
If bioidentical hormone therapy is started early in perimenopause, women may see a reduction in the effects of this change in their natural hormone balance*. Sleeplessness, depression, and irritability are some of the symptoms that can be caused by perimenopause. If bio identical hormone therapy is started early in perimenopause, women may see a reduction in the effect oof this change in their natural hormone balance*. As men age they may see a decline in testosterone levels. This decline may be more gradual over a period of ten or more years. The symptoms of low testosterone are similar to perimenopause and may include sexual dysfunction. If these symptoms affect quality of life it is recommended that blood tests be done to determine if a hormone inbalance is contributing to the symptoms and if hormone replacement therapy could help.*
What is Human Growth Hormone (HGH) replacement?
Human Growth Hormone, HGH is safe and effective but has been portrayed as bad because of abuse in sports by some athletes. 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. Every person has some level of naturally occuring growth hormone. It may become necessary to supplement when through a medical condition, specific injury, or dysfunction a persons level falls to a point that it affects the bodies ability to function properly*. Although safe when used under the correct circumstances, it should only be prescribed by an experienced, specialty trained physician*.
Why would I need HGH replacement?
You may need HGH replacement if you are diagnosed with Adult Growth Hormone Deficiency (AGHD). AGHD is a condition diagnosed by the board certified age management physician using symptom analysis and laboratory testing. HGH therapy may increase growth hormone levels very effectively*. Our Doctors will analyze diet, vitamin supplements, exercise, sleep patterns, and bioidentical replacement therapy, as alternatives to lessen the symptoms of Adult Growth Hormone Deficiency.*
What are signs that I may have Adult Growth Hormone Deficiency?
Physical signs of Adult 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 indicate I may need HGH therapy?
The worse the symptoms of muscle weakness, muscle aches, joint stiffness, chronic pain and fatigue are, the better chance of improvement with growth hormone replacement therapy*.
How safe is HGH?
Compared to most prescription drugs the safety level of growth hormone is very high*. Signs of too much growth hormone are edema of the feet and hands with carpal tunnel symptoms of numbness in the fingers. However, like any prescription medication, human growth hormone should only be administered under the care of a qulaified, experienced physician.*
What can Testosterone Replacement Therapy do for me?
Testosterone Replacement Therapy (TRT) can improve the quality of life and health of men who have symptoms and lab results indicating low testosterone*. TRT may be prescribed by a doctor for almost any age-related disease, including heart attack, stroke, osteoporosis, fractures, diabetes, erectile dysfunction, chronic pain, obesity, dementia, depression, and COPD. Clinical studies of Testosterone Replacement Therapy have shown improvement in cholesterol levels, triglycerides, anemia, blood pressure, BMI, weight, sexual potency, and memory*. Because many symptoms of men growing old are related to low testosterone (flabby belly, decreased muscle tone, older-looking, dry thin skin, wrinkles and depressed attitude) TRT can be benficial for patients reporting symptoms and diseases that come with age*.
How do I receive Testosterone Replacement Therapy?
Testosterone therapy should be administered intramuscular, transdermally (women only) or by pellets, but should never be taken orally. Testosterone cypionate or propionate is most bioidentical to the bodies natural testosterone. Synthetics are more anabolic and may have more side effects.
Testosterone injections should be given every 7-14 days with the smallest dose to relieve symptoms of low T and elevate blood levels to the acceptable range*.
Testosterone creams and gels may be prescribed for daily use and should be applied to hairless areas of the body that won’t come in contact with other people.
Pellets are placed with a minor procedure that includes local anesthesia using lidocaine, very small incision and insertion of a trochar into the muscle fascia to drop the prescribed amount of testosterone pellets. These pellets act in a time release fashion.
Several ways to optimize testosterone therapy include a diet high in protein; lean meat, fish, eggs, protein shakes. Avoid refined carbohydrates such as bread (whole wheat included), flour, sugar, white rice, bagels, cookies, tortillas, donuts, crackers, noodles, pasta, and most cereals. No soda, sweets or candy. Although some aged cheeses are ok, dairy should be avoided.*
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 avoiding refined carbohydrates and alcohol. Persons that have too much testosterone for anabolic reasons take estrogen blocking drugs like Tamoxifen or Arimidex. 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 we 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 experienced specialty trained physician. Board Certified Age management and Regenerative Medicine Physicians have specific training in hormone replacement therapy.
Do you offer payment options?
Yes! DreamBody Centers offers financing options through Care Credit.
* Individual results may vary and are not guaranteed.
DreamBody's medical staff will evaluate your individual goals and medical history and discuss expectations with you prior to treatment.