I’ve been seeing Dr. Casad for the past 8 years. Initially, I began as a true hormone patient in full-blown menopause after a full hysterectomy. Her theory of getting to the root cause of my symptoms has worked wonders and has changed my life for the better. Her office staff are super sweet as well. Thanks, guys!”

Causes of Hormonal Imbalance

Women and men can experience hormonal disruption or imbalances at any age. But, their bodies will produce fewer hormones as they grow older. It is a myth that hormone loss is nature’s way of handling things as we age. With medical advancements over the last several decades, people are living longer lives. 

Many things can contribute to or speed up the aging process including hormonal imbalances or depletions, stress, illness, trauma, nutritional deficiencies, lack of quality sleep, and other unhealthy lifestyle issues.

Our goal is not only to balance your hormones, but to provide you with the education and guidance that you need. This includes diet, lifestyle, and how to manage stress better. Bioidentical Hormone Replacement Therapy restores the hormones that your body naturally makes. This will help you to feel better, be healthier, and overcome the negative effects of aging. Each hormone controls different functions within your body. Together they all work in concert with each other. This allows the body to perform at an optimal level if they’re all in balance. If any part of your endocrine system is off-kilter, this can create many problems.

Bioidentical hormones can be administered through a variety of delivery methods including:

• Capsules
• Creams
• Patches
• Triturates (placed under the tongue to absorb)
• Troches (placed between the teeth and gum to absorb)
• Rapid dissolve tablets
• Pellets (implanted under the skin; pellets are the size of a grain of rice and last 3-6 months)

Some of the Benefits of Bioidentical Hormone Therapy

• Better quality and quantity of sleep
• Increased energy levels and motivation
• Enhanced libido
• More muscle mass and less fat build-up
• Elimination of hot flashes and night sweats
• Improved mental sharpness
• Better mood and mental status
• Reduced anxiety/depression
• Enhanced ability to cope with stressors
• Improved skin elasticity and muscle tone
• Improved vaginal health
• Reduction/elimination of joint pain
• Improved hair growth

*Results may vary from patient to patient and we cannot guarantee exact results for each patient.

Why Come to Our Practice?

We see patients who have tried some BHRT therapies in the past, but who still don’t feel good. Our providers also see people who are having symptoms and don’t feel good, yet prior labs have shown “normal.” and they’ve been told nothing is wrong with them, or that it might all be in their head.

Additionally, your lab work doesn’t only include testing of your sex hormones. We also test for other health markers, hormones, and key vitamin levels. This also gives you a snapshot of your health and allows us to treat you from a holistic standpoint. We need this because hormones act synergistically with each other, this is an important step in helping you to feel better!

• Estrogen, progesterone, testosterone
• Cortisol
• DHEA
• Pregnenolone
• Ferritin (iron levels)
• Liver and kidney function
• Cardiac markers
• Lipids
• Glucose metabolism
• LH/FSH (Pituitary)
• Folate (Anemia)
• Vitamins such as D3, B12, and Magnesium
• Homocysteine (inflammation and cardiac markers)
• Prolactin
• Thyroid (TSH, T3, T4)

Are Bioidentical Hormones FDA Approved?

The ingredients in bioidentical hormones such as estrogen, progesterone, and testosterone are FDA-approved. But, state and local pharmacy boards have jurisdiction over them, not the FDA. We also use the highest quality compounding pharmacy and they follow stringent guidelines. All compounding pharmacies are required to meet the requirements set by their state boards of pharmacy. However, PCAB Accredited denotes a more stringent standard. Because of this, it is an assurance that the compounding pharmacy has tested against the profession’s most rigorous standards.

“Exceptional care! I have been a patient for 28 years and have always been treated with respect and kindness. Rare huh? All of her patients receive the same treatment! In this day and age, I find these qualities to be awesome. I highly recommend this physician and her medical practice!”

Bioidentical Hormone Replacement Therapy Safety

There is a huge difference between old-school, synthetic HRT and Bioidentical HRT. Additionally, these terms are sometimes used interchangeably so it can be hard to know exactly what’s been prescribed along with risks. There was a study done by the World Health Organization (WHO) that included almost 90,000 women. This study was also about the use of Synthetic Hormone Replacement Therapy. In this study, the results were alarming and showed some significant risks associated with synthetic hormones. Some physicians stopped prescribing hormones altogether. Yet there are many out there that still prescribe them today. But Bioidentical hormones Replacement Therapy is different. This is because their molecular structure is identical to the hormones produced by your body. Additionally, the WHO also did a large-scale study on the safety of bioidentical hormones. During this study, they found risks considered to be minimal. They also found that BHRT provides some health benefits. There are some cases where it may not be safe to take bioidentical hormones. But, these cases are addressed individually. In most cases our patients respond well to bioidentical hormones and feel so much better!

A Functional Medicine Approach

Dr. Casad and Melissa use a functional medicine approach with our patient’s care. Because of this, there are some fundamental differences between this approach versus a conventional one. These include:

• Spending more time with our patients to understand individual needs and goals. 
• Comprehensive lab work to identify underlying health issues, hormonal imbalances, and nutritional deficiencies.
• Meaningful discussions with patients about symptoms, prior health histories, lifestyle, and diet.
• Nutritional guidance.

• Stress management guidance.
• Balancing hormones.
• Addressing nutritional deficiencies through food changes and/or supplementation.

Now Offering In-Person and Virtual Appointments

TELEMEDICINE SERVICES FOR BIOIDENTICAL HORMONE REPLACEMENT THERAPY

Dr. Casad and Nurse Practitioner Melissa Lang are now offering virtual appointments. If you prefer to come to the office for your appointment, that is fine too. How much easier would it be for you to see your provider if you log in from the convenience of your own computer? No arranging for time off work or setting up day-care for the little ones. No long drives fighting traffic. And most importantly, no health risks with our current viral concerns. You check in online and fill in your new patient forms or update your information. You will then go to our online waiting room for a few minutes while the doctor is getting ready. You’ll go into the virtual doctor’s office and see her caring face when she asks you how you are doing. Your visit with Dr. Casad or Nurse Practitioner Lang is in real-time, as if she is standing in front of you in her clinic.