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hormone therapy for men

Holland Plastic Surgery & Aesthetics was the first in Maine to offer pellet insertion, pioneering the service in the state. With our extensive experience, we are the most trusted provider in the region!

BioTE® Medical has shown excellent results in men's hormone therapy. Research reveals men start losing testosterone at 3-10% yearly from age 30. Andropause, the male equivalent of menopause, is now recognized. Natural testosterone therapy offers bio-identical benefits without synthetic drawbacks. Conventional treatments are costly, require daily intake, and need careful timing, disrupting daily life. Bio-identical hormone pellet therapy ensures stable testosterone levels for 4-6 months, preventing mood swings.

 
 
 

WHAT IS BHRT PELLET THERAPY?

As we age, our bodies naturally decrease the production of hormones like testosterone and estrogen, vital for various bodily functions including the brain, heart, bones, and reproductive organs. Imbalances in these hormones can lead to various symptoms. Bioidentical Hormone Replacement Therapy (BHRT) restores hormonal balance by using compounded hormones identical to those naturally produced by the body. This ensures the body recognizes and utilizes these replacement hormones just like its own, relieving associated symptoms.

THE BIOTE METHOD OF BIOIDENTICAL HORMONE REPLACEMENT THERAPY

The Biote Method of hormone optimization is the result of condensing over 80 years of scientific research into a program that may help with the earliest signs of aging. The Biote Method uses pellets, which are about the size of a grain of rice, for hormone optimization. Our certified providers insert these tiny pellets under the skin during a simple, in-office procedure. The pellets will then dissolve slowly over time – they only need to be re-administered approximately every 3-5 months, depending on the patient. As the pellets dissolve, they release a steady stream of hormones into your bloodstream, which your body will then use as it needs. Over time, the pellets will be completely absorbed, leaving nothing behind.

THE IMPORTANCE OF HORMONE BALANCE

Numerous men face a condition called andropause or Low T (low testosterone), marked by hormonal imbalances. These imbalances, whether excess or deficiency in hormones, affect crucial bodily functions. Hormones play a vital role in regulating various bodily processes, and even a slight imbalance can lead to widespread side effects.

 
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signs of imbalance

Low sex drive*

Fatigue*

Loss of muscle mass*

Increased body fat (especially in the waist area)*

Mood changes*

Irritability*

Elevated blood sugar*

Feelings of stress or anxiety*

High cholesterol*

*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.

prevention

HORMONE THERAPY PROTECTS THE BONES, HEART, BRAIN, BREAST AND PROSTATE!

 
brain

brain

  • Dementia takes 15-20 years to develop and begins with Mild Cognitive Impairment

  • MCI begins in the 30s-40s

  • By 80-85, 50% of Americans have dementia

  • Dementia may be accelerated by hormonal and neurotransmitter imbalances

  • Bioidentical hormones increase cerebral blood flow, decrease inflammation and decrease the unhealthy proteins seen in Alzheimers. Estradiol has better effects on verbal memory and testosterone improves cognition & memory


skeletal of knee

MUSCULOSKELETAL SYSTEM

  • Testosterone increases lean body mass & decreases fat mass

  • Pellets have 8.3% increase per year in bone density

  • Pellets improve most forms of chronic joint and muscular pain and lowers inflammatory markers

  • Most autoimmune disease patients notice improvements when on BRHT


heart

  • Leading cause of morbidity and mortality in the United States

  • Affects 12 million people with 1 million deaths per year

  • Erectile dysfunction predictive of later CVD incident

  • Pellets increase blood flow, decrease inflammation, improve insulin resistance, reduce body fat, and improves HDL (with no adverse effect on platelets)


GETTING STARTED

Embarking on your hormone optimization journey at Holland Plastic Surgery is a straightforward process! Reach out to us today to determine if you're a suitable candidate for hormone optimization. You'll complete a brief health assessment and arrange for a blood test to assess your current hormone levels. Our Biote Certified Provider will thoroughly discuss your lab findings with you and create a customized care plan tailored to your results and health objectives. While many individuals notice improvements after their initial pellet insertion, it might take up to two insertions before achieving the desired results.

 
 
 
 
 
 
 

Learn More About Bioidentical Hormone Therapy Here:

I received the biote male testosterone and I am very happy with the results. This is my second time receiving them and feel that they are working better than the doctor had talked about. This was something that I was unsure of and I am glad I did it. I feel the testosterone boost is what I was missing to make myself feel better physically and emotionally. I will be going back for my next appointment. Thank you Dr Holland
— real patient review

View more Real Patient Reviews here.


biote faq

 
 
 

Q. Are pellets FDA approved?

A. The estradiol and testosterone in the BioTE pellet are FDA approved, but the actual pellet is not.

Q. What should I do before the procedure?

A. One week before the procedure, if possible, stop all NSAIDs (aspirin, ibuprofen, acetaminophen, naproxen sodium, etc.). No fasting in advance of the procedure is required.

Q. What test is required before the insertion?

A. BioTE requires, at the minimum, our comprehensive blood panel which can be discussed with your BioTE provider. A full lab panel is required annually.

Q. Do patients need to stop taking any medications before getting labs drawn?

A. For injectable hormones, BioTE recommends drawing blood the day they are supposed to receive their next shot before they receive their hormones. Men should discontinue their existing hormone therapies 7 days AFTER pelleting. This is often the best method to transition patients from existing hormone therapies.

Q. How big are the pellets and can you feel them?

A. They are about the size of a large grain of rice. Occasionally pellets may be felt underneath the skin. Sometimes the area is more palpable due to swelling. Limit gluteal exercises after insertion can reduce this swelling.

Q. What happens during the in-office insertion?

A. During the in-office visit, which only takes a few minutes, patients are brought into the exam room, and the insertion site is numbed. The most common site of insertion is the upper buttocks. A small incision is then made for the pellet to be inserted. Once the pellet is inserted, the insertion site is covered with a small bandage. You will return 4 weeks after the initial insertion for a follow up blood panel to determine any dosing changes.

Q. Do I need to take supplements in addition to my BioTE pellets?

A. YES. Nutraceutical supplements will be recommended to you by Dr. Holland at your consultation and can be purchased in our office or on the shop page of our website. Supplements are key in providing integrated wellness in the areas of healthy hormone balance, disease prevention and supplementing diets.

Q. What happens during the week following the insertion?

A. After pellet insertion, it’s best to eliminate lower body exercise. This doesn’t include walking, but, extraneous exercise is not recommended. Swimming, hot tubs, and bath tubs are to be avoided, this doesn’t include showers. After removal of the bandage, normal activities may resume.

Q. How often is pellet insertion necessary?

A. Each patient’s symptoms are unique and each patient’s paths to optimization is unique. Your journey will be specialized to fit your specific needs. Just as it doesn’t take you 1-2 weeks to get out of balance, it doesn't resolve that quickly either.

Q. What happens to pellets after insertion?

A. Since the pellets are bio-identical and contain nothing other than the hormone your body naturally produces, the pellets are completely dissolved and absorbed, leaving nothing behind.

Q. How often do you need pellets?

A. For men every 4-6 months. The more patients move, the better they will absorb the pellets, but the faster they will absorb them as well.

Q. Are there side effects to pellet therapy?

A. Less than 2% of patients experience actual side effects. Side effects or secondary responses are minimal and very easily managed. Some reported responses are noticeable in the first two rounds during the initial balancing phase. These include: Mild fluid retention, acne or more growth could occur. You may experience some minimal testicular shrinkage due to the pellets taking over for their natural production.

Q. How long will it take for body changes to occur?

A. An exercise regimen & healthy diet is essential in optimizing hormones. Body changes are typically seen with the 2nd and 3rd insertions, typically 4-6 months after initiating therapy.

Q. Can prostate cancer survivors receive pellets?

A. Yes. After the prostate cancer has been treated or removed and the PSA blood test is undetectable, the patient can be pelleted. Testosterone does not cause prostate cancer and has several important effects in the aging male body.

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