North Hills Integrative Medicine Associates

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Bio-Identical Hormone Replacement Therapy (BHRT) services at NHIMA
BHRT services at NHIMA is a UNIQUE comprehensive and individualized program designed to help you achieve a state of wellness beyond just balancing hormones.
It is an anti-aging strategy!


Services included in this program are a comprehensive hormonal assessment, nutritional wellness recommendations, and an energetic assessment using traditional healing techniques. 
When warranted, we prescribe a precise dose of bioidentical estrogens, progesterone, testosterone, DHEA, and/or others that are prepared at a registered compounding pharmacy. Each patient is then monitored carefully through follow-up hormone panels to ensure  symptom relief at the lowest possible dosage. Once balance is restored, we will monitor you twice yearly.

In addition to, or instead of prescriptions for BHRT, individualized herbal formulations may be utilized. Patients can also receive several cycles of acupuncture. Recommendations for lifestyle changes to maximize overall health are also given.  


What are "Bio-Identical Hormones"?
Bioidentical hormones are manufactured in the lab to have the same molecular structure as the hormones made by your own body. By contrast, synthetic hormones are intentionally different. Some of the most common synthetic ones in use are Premarin, Prempro, and Provera and are made by the pharmaceutical industry.

Is BHRT the first step to hormonal balance?
Bio-identical hormones can work wonders, but they are not necessarily the first place to turn when hormonal imbalance is a problem. In our experience many women can rebalance their hormones without the use of drugs, and even without hormone replacement therapy (HRT) in any form. We have found that about 50% can find relief through a natural approach that combines nutritional supplements, gentle endocrine support, and dietary and lifestyle changes. We recommend that every woman start with this combination approach as the foundation to her health.

Even with this foundation, a minority of women will need to add prescription-strength hormone supplements to get complete relief, at least through a transition period. We recommend they use bioidentical hormones, preferably in a compounded form personalized to their needs. 

Are bioidentical hormones safer than synthetic hormones?
A study called the Women's Health Initiative, published in 2002, involving over 16,000 women between the ages of 50-79, who took synthetic (horse) estrogen called Premarin as well as a synthetic progesterone called Provera, were found to have a higher rate of heart attacks, strokes and breast cancer.  Since that time, European medical studies suggest that bioidentical hormones are safer than synthetic versions.  However more long term studies are needed to determine their safety.

Benefits of BHRT:
Ultimately, the benefits of any HRT includes the relief of menopausal symptoms such as hot flashes, vaginal dryness, better mood and sleep.  The Womens Health Initiative study also found reduced chance of hip fractures and colon cancer.
Undoubtedly, the great appeal of bioidentical hormones is that they are natural, and our bodies can metabolize them as it was designed to do, minimizing side effects. Synthetic hormones are quite strong and often produce intolerable side effects. Moreover, the compounded bioidentical hormones can be matched individually to each woman's needs - something that is not possible with mass-produced products. 

For Men:

We offer a comprehensive and individualized HRT program for men. This program also includes nutritional and energetic assessments as well as clinical and lab monitoring of the course of each year.


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