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When choosing a HRT - Hormone Replacement Therapy or TRT - Testosterone Replacement Therapy Clinic, Personal Trainer and Nutritionist, one must consider various factors like qualifications, convenience, mobility, and expertise to manage all with one call. The FDA created this new designation of compounding pharmacy to establish a new level of patient care and safety. When a batch of medication is completed, it is placed in a special “quarantine” area while samples from the batch are sent off for independent, third party, laboratory testing. The procedures above are just some of the guidelines that make an WFN outsourcing facility, by far, the safest place to obtain medications from. No prescription will be provided unless a clinical need exist based on required lab work, physician consultation, physical examination and current medical history. Hormone replacement therapy (HRT) is the process by which transgender and transsexual people replace their natural hormones with that of the opposite sex. However, HRT cannot guarantee a complete switching over to the biological state of the other sex. It is difficult to alter the physical changes that happen in the human body during the onset of puberty. Follow acupressure to get rid of painWhat do you do when you suffer from pains and aches in your body? What your tongue tells about your healthWhen words are many, sin is not absent, but he who holds his tongue is wise. Hormones and headacheHormonal headache occur only in women since a normal female cycle is associated with various hormonal stages and fluctuations in hormonal level is quite often.
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Prior to going into the treatment options, there are certain facts men need to know before deciding on a treatment program. The use of creams and gels are very common, requiring daily application once or twice a day. Interestingly many men who seek testosterone replacement therapy prefer injectable therapy For those who are interested in doing self injections, Our office will schedule a training session with Dr.


Recently, the FDA approved implantable testosterone pellets for men which can last about 5-6 months. HCG is FDA approved to treat a low testosterone or Hypogonadism stemming from hypo functioning of the pituitary gland. Outsourcing facilities must comply with strict cGMP (current good manufacturing practices) guidelines, which is the same standards that pharmaceutical manufacturers follow.
Air and surface samples are taken in each clean room and each technician is fully gowned and participates in fingertip testing before entering the compounding environment.
Please note, agreeing to lab work and physical exam does NOT guarantee a finding of clinical necessity and a prescription for hormone therapy, treatment or hormone medications including testosterone, HCG, and Human Growth Hormones. However, it needs to be specially mentioned that all casesof hormone replacement does not relate to transsexuality. Total height, weight, length of arms, legs, feet etc remain unchanged by Hormone replacement therapy. Bissoon does not advocate a “one-size-fit-all” approach to testosterone replacement therapy. There are multiple options which will be discussed during your consultation.
Once you start a testosterone treatment program, regardless of the option, some of your testosterone will be converted to estrogen and some will be converted to Dihydrotestosterone (DHT). This is a major breakthrough since the pellets need to be implanted 2-3 times a year beneath the skin in the upper part of the buttocks.
This is an excellent option for some men who feel taking testosterone replacement therapy is “taking steroids” and they don’t want to be associated with this stigma. Although there is no male indication, it is commonly used by infertility specialists who treats men with low testosterone and sperm count. All prescribed medications, hormones, and nutraceuticals are compounded with care by a licensed US compounding pharmacy using only FDA approved raw materials.
The Outsourcing Facilities are now the ONLY pharmacy’s permitted, under the new law, to provide compounded medications for use in physician’s offices, clinics and hospitals. We can also have testosterone cream and gels compounded to a specific dose for a particular patient. Obviously, this option of testosterone replacement is new to the market but appears to be a better choice for longer lasting therapeutic results.
HCG therapy is a valid from of testosterone replacement therapy without actually taking testosterone. When used to increase testosterone levels it is used off label, this means it is not FDA approved for this indication.


Because the new rules are so stringent, only a handful of compounders in the United States have elevated their pharmacies’ to the new FDA Outsourcing Facility designation. Please consult with a verified WFN Healthcare professional or your doctor before starting any therapeutic program.
However, the purpose behind hormone replacement therapy is to encourage the development of secondary sex characteristics. This is because production of secondary male sexual features by using androgens is comparatively easier. Irreversible changes include growth of facial and body hair, deepening of the voice, enlargement of the clitoris etc. Treatment by injection is often a better option; a shot of testosterone is usually performed 1-2 times a week based on the dose. The dose of HCG necessary to elevate testosterone back to normal levels is 500-1000 units 2-3 times a week.
In certain cases, intersex people also take this treatment in order to ascertain the gender they were already assigned during childhood. We will discuss blocking the conversion to estrogen and DHT with medications and nutrition. If the assigned gender proves to be incorrect, then also Hormone replacement therapy is done. Reversible changes include increased sweat and changes in body odour, cessation of ovulation and menstruation, redistribution of body fat, prominence of veins and coarser skin, increased red blood cell count and changes in body lipids. Bissoon does prefer twice a week dosing with smaller doses to avoid extremely high and low levels. This is mainly because doctors refuse to prescribe hormones with out the letter of authorization from the patient’s therapist. In addition to the pain associated with the injection there may be some pain from the actual testosterone –which is rare.



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