Are you a candidate for hormone replacement therapy?

Testosterone pellets for men with "Low t"

The following information is provided by Nurse Practitioner Christy Collins:

The new name for andropause (male menopause) is the phrase “Low T.” This refers to low testosterone as men age. You can’t avoid it! Although it happens later than menopause does in women, andropause is inevitable and is caused by low testosterone. For most men, the irritability, shrinking muscle mass, loss of stamina, erectile dysfunction and low sex drive are unavoidable unless they replace their diminishing testosterone through methods such as Bioidentical Hormone Pellets for men.

Testosterone pellets deliver a customized amount of testosterone, the hormone that disappears as you move through andropause, according to your needs. By implanting tiny rice-sized pellets just under the skin of your hip twice a year, the pellets release testosterone as you need it directly into your bloodstream. This delivery method is far more effective than patches, creams, injections, or pills. Through careful monitoring of all levels by Christy Collins NP-C, the risk of an enlarged prostate is reduced. Once the pellets are implanted, the results are almost immediate.

Men consistently report having more energy, increased mental clarity, a reduction in depression and anxiety, and a satisfyingly high sex drive after having the hormone pellets implanted. Don’t let the aging process rob you of a productive, fulfilling life – renew your passion for life with Bioidentical Hormone Pellets.

Are you a candidate?

Are you a candidate for Bioidentical hormone pellet therapy?

-You have completed procreation and now have the symptoms of andropause

-You are cleared by your doctor to use ED drugs like Viagra

-You are free of prostate cancer and have a normal prostate exam

-We need to see a measurement of your testosterone blood levels—free and bound—as well as a panel of other markers

Symptoms associated with decrease in testosterone

Symptoms associated with progressive decrease in testosterone

  • Decreased Sexual Desire and Fantasies
  • Enlarged Prostate
  • Short Term Memory Loss
  • Weight Gain
  • Loss of Muscle Strength
  • Loss of Stamina
  • Loss of Balance
  • Hair loss
  • Fatigue
  • Insomnia
  • Increased Difficulty Staying on Task
  • Erectile Dysfunction
  • Shrinking penis
  • Loss of Morning Erection
  • Lack of Ejaculation
  • New Onset of Anxiety/Irritability/Depression
  • Loss of Motivation
  • Loss of Skin Tone (Sagging and Wrinkles)
  • Dry Skin
  • Dry Eyes
  • Arthritis

What about Prostate Cancer and Testosterone?

Prostate Cancer and Testosterone

One of the issues we frequently discuss with men is their fear of prostate cancer and testosterone replacement. This is one of those questions that takes some time to discuss. The short answer is, testosterone replacement does not cause prostate cancer.

We are confident in the statement above, based on the research that has been done by Dr. Morganthaler, the chief of Urology at Harvard Medical School. He has done more prostatectomies for prostate cancer than anyone else in the US. He has also done extensive research with prostate cancer cells in the laboratory and in volunteer patients. Here is what he found:

Low testosterone and not normal or high testosterone causes prostate cancer. Both by retrospective studies of men with prostate cancer and their pre-cancer testosterone levels as well as their testosterone levels as the time of diagnosis (no replacement), he determined that it was very risky to have a low testosterone level, without replacement, because that was the highest risk factor for men who got prostate cancer. That makes sense in many ways, because men do not get prostate cancer when they are young, they get it when they are old, which is when their testosterone levels drop to a very low level.

His recommendation for men without prostate cancer is to keep their testosterone at optimal levels to avoid prostate cancer.

Indulge does not take insurance assignment. We provide the paperwork necessary to receive reimbursement from insurance companies. Fortunately, medical savings accounts generally pay for Bioidentical pellet replacement.

Save Time, Money

Patients save time, money by replacing hormones in various ways

Save time spent in other doctor's offices waiting for treatment for multiple symptoms.

Save your job by decreasing poor work performance.

Save your marriage if health and sex are points of contention.

Save money on weight-loss programs as you are finally able to lose weight.

Delay plastic surgery to look younger as pellets immediately improve skin color, tone, and elasticity.

Improve your cognitive ability. 

Testerone Therapy Frequently Asked Questions

Testosterone Therapy FAQs

How do you diagnose low Testosterone in men?

Low Testosterone can be diagnosed if you have 3 or more of the following symptoms:

  • lack of libido
  • fatigue
  • insomnia
  • erectile dysfunction (ED)
  • depression
  • loss of muscle mass
  • loss of stamina
  • hot flashes
  • osteoporosis
  • migraines
  • decrease in mental acuity
  • loss of motivation
  • osteoporosis
  • loss of balance
  • irritability

Along with the symptoms, we look for a low total testosterone blood level, such as something below 400 pg/ml, or a low free testosterone blood level of less than 129. A man must have both symptoms and a low blood level of testosterone for me to treat him.

What Symptoms do Bioidentical Testosterone Pellets Treat?

When men age, testosterone production normally declines which causes them to lose their ability to have sex without ED medications, experience aging of their body losing muscle and gaining belly fat, developing diseases of aging including heart disease, diabetes, obesity, osteoporosis, joint damage and autoimmune diseases. Testosterone keeps us young and healthy when we are under 40.

Where are the pellets inserted in men?

There are two places that pellets are placed in men: upper outer hip and love handles.

How long will it take for my pellets to work?

It takes about 3-5 weeks to get the full effect. Pellets must be re-inserted every six months to prevent symptoms from reoccurring.

Does testosterone cause prostate cancer?

No. The metabolites of testosterone, dihydrotestosterone and estrone, cause prostate enlargement but the expert in prostate cancer, Dr. Morgantaler has proven that low testosterone and not normal young healthy levels contribute to prostate cancer.Should a man who has had prostate cancer take bioidentical testosterone pellets?Once prostate cancer has been diagnosed, the cancer cells in the prostate are completely different from the benign prostate cells that were there before, so it is recommended that men refrain from replacing testosterone if there is prostate cancer present. If cancer is metastasized, we don’t advise replacement of testosterone, in any form.

Should a man who has had prostate cancer take bioidentical testosterone pellets?

Once prostate cancer has been diagnosed, the cancer cells in the prostate are completely different from the benign prostate cells that were there before, so it is recommended that men refrain from replacing testosterone if there is prostate cancer present. 

Why are pellets better than testosterone patches, shots and pills?

Bioidentical Pellets are the pure hormone, testosterone, that is dissolved and absorbed directly from the pellet to the blood stream. Bioidentical Pellets are not immediately converted to the byproducts (Estrone/DHT), which can cause prostate swelling, hair loss, belly fat and a requirement for more and more testosterone. Pellets do not have that issue. Other forms of testosterone are delivered in a form that causes blood levels to rise and fall drastically between dosing. Pellets are dosed twice a year which allows blood levels to stay stable.

If I have a genetic reason that causes me to convert testosterone to dihydrotestosterone (DHT) and estrone, how is that monitored and managed?

We follow blood levels of your estrone and DHT, before and after treatment, and then once a year. If they are, elevated we treat with medications and/or herbal supplements to decrease DHT and Estrone. DHT is lowered by using the herb Saw Palmetto, or the medications Avodart, Propecia or Proscar. We treat too much estrone with the supplement DIM or the drug Arimidex.

What if I have prostate enlargement already?

Bioidentical Testosteron pellets will usually shrink the prostate. There are exceptions to this rule, but this is our experience.

Will my testicles shrink while I take the testosterone pellets?

Yes, they will to some extent. Testicles shrink normally with age, as they provide less and less testosterone. As the pellets take over the supply of testosterone, testicles are not producing as much as usual, so they get smaller. This is usually not a permanent change.

How long will it take for my body to get back to my lean normal self?

That depends on how obese you are at the beginning of treatment as well as how much you exercise, your diet, and how often you workout with weights. 

If I have used alcohol to excess or drugs like marijuana, will my effect be the same as other men?

No. You will use up the testosterone more quickly because your liver is activated to metabolize testosterone with the same enzymes that metabolize alcohol and drugs. Marijuana increases prolactin, the hormone that increases breast size in men and women. Prolactin not only decreases your testosterone level but decreases your sex drive, ejaculatory function and sexual stamina. It is expected that if you take testosterone, you will stop using marijuana altogether and decrease or stop alcohol consumption.

If I have diabetes will testosterone help me with my sexual response?

Yes, in most cases it will. It also increases insulin sensitivity which will decrease triglycerides and stabilize blood glucose. It will improve the overall status of your diabetes. In men who have had many years of diabetes—especially without good control—the vessels in the pelvis are damaged and cannot dilate anymore to get enough blood to the penis for an erection. In these cases the only medication that consistently works are injections into the penis at the time of intercourse.

Do present and former athletes need testosterone replacement at an earlier age than other men?

In general that is the consensus, however the physiology behind it is not clear. Pellets tend to improve the joint function and cartilage thickness and muscle tone necessary to relieve the pain from damage to the joints from years of sports. It also replaces the testosterone that decreases because of head injuries in contact sports.

Does testosterone improve depression and anxiety?

Yes, it may provide relief from depression and anxiety. It often can replace the need for antidepressants which decrease the libido.

How do cholesterol-lowering drugs affect testosterone?

Testosterone is made of cholesterol. When you take cholesterol-lowering drugs, you decrease the primary ingredient that testosterone is made of.

Why are testosterone pellets better than Viagra?

Testosterone fixes the real problem—lack of testosterone that decreases libido and sexual response. Viagra does not fix the sexual desire issues. Viagra is only treating the symptom of ED not the other symptoms of low testosterone, and it has many side effects.

What treatment will I need if I want to receive testosterone pellets because I have andropause, and also have high levels of red blood cells?

This is a concern for men who take testosterone, because the addition of testosterone can increase the red blood count in anyone. If there is an underlying condition that also elevates the blood count then it is prudent to diagnose and treat that condition early on in the treatment with testosterone. The reason it is important is that elevated concentrations of red blood cells cause sludging of the blood and could cause clots to form, so it is important that this is diagnosed and treated prior to, or early in the replacement. Evaluation of elevated hematocrit determines whether you have Hemachromatosis, a benign elevation of red blood cells, and a Jak 2 genetic defect which has other far-reaching consequences with or without testosterone replacement. We can also determine whether your situation requires a specialist such as a hematologist/oncologist.

Do Testosterone Pellets increase my risk of blood clots?

No, because we evaluate and treat men with an increase in blood count, discussed above. They do not increase the risk of clotting for other reasons either.

Should I try another form of testosterone before I come in for testosterone pellets?

No. There is no reason for you to try a different method of Testosterone replacement therapy prior to having pellets placed.

Will I still need my E.D. medicine after I get pellets?

Maybe. Most men find that they do not. However, if there is vascular compromise from arteriosclerosis or diabetes, then it is still possible that ED medicine in one form or another may be needed. Often we find that a patient’s blood pressure medicine is contributing to the problem and we advise our patients to switch to the blood pressure medication that is least likely to cause ED. In any case, if ED meds are needed, they are generally used at a lower dose.