Can Hormone Replacement Therapy Help Parkinson’s Disease?

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Treating Treat Parkinson’s Disease with Hormone Replacement Therapy –

The brain regulates every aspect of the body – including voluntary functions like thinking and involuntary functions such as heartbeat, breathing and even hormone production. The pituitary gland and the hypothalamus are located within the brain and are responsible for controlling hormone production.

Parkinson’s disease, however, causes the failure and death of the critical nerve cells in the brain called neurons. Parkinson’s mainly affects neurons in an area of the brain that produces the dopamine, which is a neurotransmitter that sends messages between nerve cells that controls movement and coordination.

Recent ground-breaking research has begun to suggest that hormone replacement therapy may be able to help Improve neuromuscular functioning in patient’s with Parkinson’s disease.

Studies Supporting Hormone Replacement to Treat Parkinson’s Disease

In August of 2019 the website Science Daily reported the results of a cutting-edge study from the Society for Neuroscience. There it was reported that brain-selective estrogen treatment had improved the symptoms of Parkinson’s disease in male mice, according to research published in JNeurosci.

It was also postulated in that report that women’s protective estrogen levels may be the reason that two times more men than women are diagnosed with Parkinson’s disease (PD).  The authors expressed optimism that these findings could eventually lead to estrogen-based treatments for Parkinson’s disease .

In another study, the Neurology Solutions Movement Disorders Center conducted trials on approximately 80 Parkinson’s disease (PD) patients with bioidentical hormone replacement therapy (HRT). The hope was that bringing the patients’ hormone levels closer to the hormone profile of their youth would improve mobility, motor activity, cognition, mood and overall quality of life.

Encouragingly, about 50 percent of Parkinson’s patients in HRT study reported benefits including improved energy level, better cognitive performance, increased muscle tone, higher sex drive, and less depression. And, 10 to 15 percent of those patients reported experiencing “remarkable” results, that included better physical mobility.

Bioidentical hormone replacement therapy (BHRT) delivers hormones that are identical to the estrogens and testosterone found in the human body. And, research seems to indicate that hormone therapy may benefit certain symptoms associated with Parkinson’s disease, in two ways.

Estrogen Replacement & Parkinson’s Disease

Recent literature has indicated that two forms of bioidentical estrogen, estradiol and estriol, may help provide protective benefits that arrest the progression of Parkinson’s Disease, as well as other neurological conditions such as Alzheimer’s, dementia and multiple system atrophy.

Additionally estrogen (estradiol) replacement increases dopamine production and decreases inflammation in the female brain.

Testosterone Replacement & Parkinson’s Disease

Low Testosterone is quite common in older patients – and, interestingly, the symptoms of “low T” overlap with symptoms of Parkinson’s disease, including loss of muscle mass, decreased sex drive, anxiety, depression and fatigue. In both healthy individuals with “low t” and patient’s with Parkinson’s disease these symptoms do not respond to antidepressant therapy or other traditional treatments.

Early tests have suggested that testosterone replacement aids patients with Parkinson’s in exercise and physical activity. It is believed that testosterone replacement improves the patient’s motivation, endurance and stamina to improve their physical fitness, in the same way that it helps aging men who do not have Parkinson’s.  just as it does in those without the disease.

Additionally testosterone replacement increases dopamine production and decreases inflammation in the male brain.

Can Hormone Replacement Help Parkinson’s Disease?

Hormone Replacement is not a cure for Parkinson’s Disease. However, some studies, as well as reports for Parkinson’s patients and their doctors indicate that patients using bioidentical hormone replacement can experience some significant improvements in their symptoms.

If you are suffering from Parkinson’s Disease, and you and your doctor believe hormone replacement therapy might be a beneficial treatment for you, BHRT pellets offer the safest, most consistent, most effective and easiest to use form of hormone replacement.

Or, schedule a consultation with hormone replacement expert Dr. Ali for a full hormone blood analysis – to see if perhaps hormone replacement pellets may help improve your quality of life.

Hormone Replacement Therapy – Detroit Area: 248.335.7200

Can Hormone Replacement Treat Traumatic Brain Injury (TBI)?

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Treating Traumatic Brain Injury (TBI) With Hormone Replacement – 

A Traumatic Brain Injury – or “TBI” – refers to physical damage to the brain, usually the result of a powerful impact to the head. When the head is struck it can cause bruising, bleeding and other damage in the brain that can create life-shattering emotional and cognitive difficulties.

Traditional treatments for Traumatic Brain Injury (TBI) have typically focused only on addressing the initial injury to the brain, while ignoring the chronic and debilitating symptoms that can surface or persist for years after the initial brain injury.

However, new, cutting-edge research has begun to reveal that a Traumatic Brain Injury can also trigger serious deficiencies in certain of the body’s hormones hormones. And, researches are beginning to understand that it is this hormone imbalance that may be causing or worsening the symptoms of the TBI.

The good news is that scientific evidence is emerging suggesting that replacing missing hormones in people suffering from a Traumatic Brain Injury can help treat or reduce many of the long-term symptoms of TBI.

It has long been known that a TBI can cause problems with attention, memory, sleep and executive functioning such as flexible thinking, impulse-control, and the ability to focus, follow directions, and handle emotions. But new research shows that hormone replacement may be able to help remedy or alleviate some of this devastating TBI symptoms.

Why a Traumatic Brain Injury (TBI) Causes Hormone Problems

The brain regulates every aspect of the body – including voluntary functions like thinking and involuntary functions such as heartbeat, breathing and even hormone production. The pituitary gland and the hypothalamus are located within the brain and are responsible for controlling hormone production.

A healthy brain communicates constantly with the body to regulate a healthy, natural balance of hormones. But, injury to the brain can result in damage to the pituitary gland and the hypothalamus – which can severely impede the normal production and regulation of hormones.

In fact, scientists believe that 50% to 76% of people with a Traumatic Brain Injury experience “hypo-pituitarism” where the pituitary gland does not produce normal hormones levels. This can result in a decrease in the brains growth hormones which are needed by the brain’s receptors in regions responsible for learning and memory. Additionally, sex hormones, which are also closely related to cognitive function may be decreased

Treating Traumatic Brain Injury (TBI) with Hormone Replacement

Cutting edge doctors are now beginning to utilize hormone replacement therapy in patients with Traumatic Brain Injury (TBI), to reduce cognitive impairment. In fact, some specialists have been using hormone replacement therapy to assist retired professional football players who are suffering from lasting symptoms of brain injuries incurred while on the field.

While the scientific research on treating Traumatic Brain Injury (TBI) with hormone replacement is still very new, it is also very promising. And, hormone replacement pellets are the only form of delivery that mirrors the way that the human body releases hormones: gradually and consistently over time from within the body, with steady, around-the-clock, low dosages.

If you or someone you love is suffering from the devastating symptoms and side-effects of a Traumatic Brain Injury, consider discussing the use of hormone replacement pellets with your physician. Or, schedule a consultation with hormone replacement expert Dr. Ali for a full hormone blood analysis – to see if perhaps hormone replacement pellets may help improve your quality of life.

Hormone Replacement Therapy – Detroit Area: 248.335.7200

Male Hormone Replacement FAQs

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Male Hormone Replacement
Frequently Asked Questions – 

Nearly every bodily function and process in a man’s body – including sexual arousal and performance – are regulated by male hormones. So when a man experiences a hormone imbalance, he will experience serious negative effects. A male hormone imbalance can not only affect sexual function, but can also lead to loss of energy, decreased muscle mass, weight gain and many more serious health problems.

At AMAE Plastic Surgery in the Troy, MI area we offer male hormone replacement pellets as a 100% natural and highly effective means of rebalancing male hormones – for improved health, vitality and sexual performance.

What are the Symptoms of Male Hormone Imbalance?

Male hormone imbalance can cause a wide variety of physical and mental symptoms. Because these symptoms are so diverse, many men and their doctors do not realize that a hormone imbalance is the underlying cause. And not every man has every symptom.

Symptoms of male hormone imbalance include:

  • fatigue,
  • insomnia,
  • mental fogginess,
  • depression & anxiety,
  • loss of muscle & weight gain,
  • decreased sexual interest,
  • reduced sexual performance,
  • low blood pressure,
  • unstable blood sugar,
  • acne breakouts,

Can Male Hormone Replacement Treat “Low T”?

Yes! Low testosterone – also known as “Low T” – is indeed one of the most common types of male hormone imbalance. More than13 million men suffer from low testosterone.

Replacing or re-balancing low testosterone can improve a man’s vitality, energy, and sex life. It can also help to ward off more serious medical issues related to “Low T” such as strokes, heart attack, and other serious long-term health risks.

How Do Biote Male Hormone Replacement Pellets Work?

First the man’s blood is tested, to identify his unique, individual hormone imbalances. Then Dr. Ali implants a tiny (rice-grained size) pellets under the patient’s skin containing customized bioidentical hormones. A single miniscule pellet delivers a low, steady and consistent dose of hormones such as testosterone for periods as long as 6 months!

Why are Biote Pellets the Best Form of Male Hormone Replacement?

Male hormone replacement pellets are not only more convenient than testosterone injections, but are also less painful.

Additionally, there are no daily pills you have to remember to take to take with BioTe hormone replacement pellets. Because hormone pellets can deliver consistent male hormone replacement for up to 6 month, it’s “one and done” twice a year.

And, importantly, unlike other kinds of hormone therapy, male hormone replacement pellets do NOT interfere with your sex life.

Additionally, BioTe male hormone replacement pellets are 100% natural “bioidentical” hormones – and not synthetic like some other forms of hormone replacement therapy.

When Will I see Results from Biote Pellet Male Hormone Replacement?

As rapidly as 7 to 10 days, many male patients begin to see dramatic improvement in symptoms of male hormone imbalance, allowing them to return to a more active, vibrant and healthy lifestyle. A single insertion will then continue to consistently relpace and rebalance hormones for up to 6 months.

Male Hormone Replacement Pellets – Troy, MI Area

At AMAE Plastic Surgery in the Troy, MI area, we believe that men should live life with energy, health and sexual vitality at any age!

If you are suffering from any of the symptoms that could be related to male hormone imbalance, call us today to schedule a consultation and blood test to see if male hormone replacement pellets can help you attain better health, renewed energy and an improved sex life!

Male Hormone Replacement Pellets – Troy, MI Area: 248.335.7200

 

BioTe Hormone Replacement Pellet FAQs

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BioTe Hormone Replacement Pellet FAQs –

At AMAE we now offer BioTE® bioidentical hormone replacement therapy – to help both female and male patients balance hormones to lead a better, healthier, longer and more satisfying life.

In this article we answer some of our patient’s most frequently asked questions about BioTE® bioidentical hormone replacement therapy using pellets.

Why do my hormones need to be replaced or “balanced”?

Often, people experiencing symptoms such as exhaustion, stress, “brain fog”, weight gain, low sex drive, sleep disturbances, and more are actually suffering from hormonal imbalance. Additionally, low or imbalanced missing hormones can contribute to serious medical conditions such as cardiovascular risk, repressed immune system function, osteoporosis, and more.

Bioidentical hormone replacement therapy (BHRT) can get to the root cause of these complex symptoms and conditions – and return patients to a state of healthy hormone balance.

What are bioidentical hormone replacement pellets?

“Bioidentical” hormone replacement therapy (BHRT) means that the hormones used are structurally the same as normal human hormones. Therefore, they bring the patient’s hormones – such as estrogen, and/or testosterone – back into balance naturally, in just the same way that one’s body does when it is functioning properly.

The hormones are delivered via tint time-released “pellets” that are smaller than a grain of rice. These are placed under the skin for constant consistent and ongoing release of the necessary levels of hormones making them the most superior method of hormone replacement.

How do I know if I have a hormone imbalance?

The first step to BHRT is to schedule a consultation with certified BioTE provider Dr. Ali. A simple blood test is administered in out Birmingham, MI medical office, and it will be sent out for extensive lab work to determine which hormones are reduced or out of balance in your body.

Once your individual and unique hormone profile has been established, Dr. Ali will personalize a hormone replacement therapy program just for you. The bioidentical hormone replacement pellets are not “one size fits all” – they will be customized for your body’s unique hormone replacement needs.

What is the time-frame for bioidentical hormone replacement pellet therapy?

Studies show that patients may see the effects of hormone therapy as soon as two to four weeks after pellets are inserted – often with a dramatic decrease in symptoms.

Even better, one BHRT pellet insertion can last up to five weeks in women and six weeks in men. This means that there are no daily pills to remember, and no messy creams to apply. All it takes is a five minute procedure in our Birmingham, MI office – and you can forget about it for a full month or more!

How can bioidentical hormone replacement pellets help women?

Female hormone imbalance can cause the development of brown spots on the face, aging skin, severe or painful menstruation, PMS, ovarian cysts, infertility  thinning hair, loss of energy, vaginal pain or dryness, loss of sexual interest, reduced sexual sensation, or even pain during sex can also result from hormone imbalance.

The effects of a female hormone imbalance may also be emotional, causing mood swings, depression, anxiety and other mental conditions.

But thanks to women’s hormone replacement therapy, many of these conditions or symptoms can be significantly minimized.

How can bioidentical hormone replacement pellets help men?

An estimated 13 million men suffer from low testosterone. Symptoms of male hormone imbalance can include low sex drive, decreased performance, loss of muscle, weight gain, fatigue, insomnia, low blood pressure, unstable blood sugar, acne and much more. Mental effects of insufficient male hormones can include lack of mental clarity, depression, and anxiety.

BioTe bioidentical hormone replacement pellets can help alleviate the physical, mental, and emotional strains of male hormone imbalance.

Bioidentical Hormone Replacement Pellets – Birmingham, MI

If you are experiencing any of the above health problems, a decrease or imbalance in your body’s hormone production may be the underlying cause. But BioTe Bioidentical Hormone Replacement Pellets, could very well provide the solution to help you live an energetic, healthy and satisfying life once again!

For more information on the benefits of BioTe Bioidentical Hormone Replacement Pellets, or to schedule personalized blood testing to see if BioTe pellets can help you, call Dr. Ali in Birmingham, MI today.

Bioidentical Hormone Replacement Pellets – Birmingham, MI: 248.335.7200

12 Symptoms of “Low T” & What You Can do About It (Part 1)

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12 Symptoms of Low T (testosterone) and What You Can do About It (Part 1) – 

The male hormone called testosterone affects everything from a man’s sexual development to his physical appearance. Testosterone aids in the building of muscles and bone mass, and is also – perhaps most famously – responsible for a man’s sex drive and production of sperm.

As men age, their body begins to produce less and less testosterone. Commonly known as “Low T,” low testosterone is estimated by the American Urological Association to impact roughly 2 out of every 10 men above the age of 60. And by the time men reach their 70s and 80s, those numbers only continue to increase.

Fortunately, Dr. Ali in Birmingham, MI, now offers the latest and most advanced, 100% natural, clinically tested and FDA approved “Low T” (testosterone) treatment. In this two part article, we discuss 12 of the most common signs and symptoms of Low T – as well as the low testosterone treatment we provide to help men treat this condition.

10 SYMPTOMS OF LOW T

  1. Low T can lower your sex drive

A man’s sex drive is determined largely by his testosterone levels. Consequently, many men experience a diminished sex drive as they get older. If you suffer from Low T and have experienced a dramatic decrease in your desire to have sex, you will most likely benefit from the low testosterone treatment offered at our Birmingham, MI medical spa.

  1. Low T causes difficulty with erections

Not only is a man’s libido stimulated by testosterone, it is also crucial to his ability to achieve and maintain an erection. While testosterone isn’t solely responsible for achieving an erection, it does play a vital role in stimulating the brain’s receptors necessary to do so.

While low testosterone treatment can help patients with Low T erectile issues, there are numerous medical reasons why one may experience erectile dysfunction. As such, it is important to see a doctor and not try to treat yourself if you have ED. Dr. Ali will take a blood test to measure your testosterone levels to make sure this is the cause of your erectile problems.

  1. Low T can lower semen volume

Similarly, the body’s production of semen is impacted by its levels of testosterone.

If you have noticed a lower-than-usual volume of semen during ejaculations, you may very well benefit from low testosterone treatment, available at our medical spa in Birmingham, MI.

  1. Low T can lead to hair loss

Hair production is among the numerous body functions testosterone effects. While most men will experience some form of balding as they age, men with Low T often experience loss of facial and body hair as well. At AMAE in Birmingham, MI, our low testosterone treatment is an excellent way to catch testosterone-related hair loss before it worsens.

  1. Low T is known to cause fatigue

If you experience feelings of extreme fatigue despite getting regular sleep, you may benefit from low testosterone treatment. Low T is known to significantly decrease the energy levels of those effected.

  1. Low T can cause loss of muscle mass

Low T patients may also notice a decrease to their body’s muscle mass. While testosterone is not responsible for the strength or function of one’s muscles, studies have proven it to impact their mass.

CLICK HERE for PART 2 of This Article

Low T (Testosterone) Treatment –  Birmingham MI

Low T can bring about countless painful frustrations, both physical and mental/emotional. But thanks to modern advancements in the field of low testosterone treatment, patients who visit Dr. Ali Birmingham, MI can finally free themselves from the struggles of Low T.

If you’re ready to enjoy your life as you did before ever experiencing the impact of Low T, contact Dr. Ali  for a consultation. Then come relax in our comfortable and discreet Birmingham, MI area medical spa for low testosterone treatment –  and get ready for a future free from Low T!

Low T (Testosterone) Hormone Replacement Consultation : 248.335.7200

12 Symptoms of Low Testosterone & What You Can do About It (Part 2)

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12 Symptoms of Low T (testosterone) and What You Can do About It (Part 2) – 

Dr. Ali in Birmingham, MI, now offers the latest and most advanced, 100% natural, clinically tested and FDA approved Low Testosterone treatment.

In this two part article, we discuss 12 of the most common signs and symptoms of “Low T” – as well as the low testosterone treatment we provide to help men treat this condition.

CLICK HERE for PART 1 of This Article

  1. Increased body fat from Low Testosterone

When men visit our Birmingham, MI medical spa for low testosterone treatment, one of their most common concerns is unwanted weight gain. This can include gynecomastia (enlarged breast tissue), and is believed to result from a testosterone-to-estrogen ratio that is out of balance.

  1. Decreased bone mass from Low Testosterone

While the thinning of bone mass known as osteoporosis is most often associated with women, bone loss is also known to affect men with Low T. Since testosterone is responsible in part for producing and strengthening bones, men with Low T – particularly older men – often have lower bone volume.

If your battle with Low T has left you more susceptible to bone fractures, visit AMAE Med Spa in Birmingham, MI for low testosterone treatment.

  1. Low Testosterone can cause mood changes

At AMAE in Birmingham, MI, our patients with Low T regularly report experiencing mood swings. This is a product of testosterone impact on one’s mood and overall mental capacity. According to clinical research, men with Low T are more likely to experience difficulty focusing, irritability, and depression. Fortunately, our state-of-the-art low testosterone treatment should aid in patients feeling more “normal” – both physically and mentally/emotionally.

  1. Low Testosterone can affect memory

Along with testosterone levels, cognitive functions like memory tend to decline as a man ages. For this reason, doctors hypothesize a link between Low T and affected memory.

The Journal of the American Medical Association has published the findings of a number of studies that link low testosterone treatment with improved memory.

While experts do not agree on a conclusive connection between Low T and memory loss, a great many of the low testosterone treatment patients at our Birmingham, MI medical spa report experiencing issues with memory.

  1. Low Testosterone can decrease testicle size

At our Birmingham, MI area medical spa, many of our low testosterone treatment patients report having smaller-than-average sized testicles. This is due to the penis and testicles requiring testosterone to develop. Consequently, Low T often causes patients to have disproportionately small genitalia when compared to men with healthy levels of testosterone.

Nonetheless, numerous other factors may be responsible for testicles that are below-average in size, not just Low T. Again, that’s why you should see a doctor for symptoms of Low T and not try to self-medicate

  1. Low blood counts from Low Testosterone

If you’re seeking out a low testosterone treatment, you may also experience an increased risk of anemia. While Low T has more than its fair share of unpleasant symptoms, anemia can bring about even more. Dizziness, increased heart rate, leg cramping, and difficulty sleeping and/or concentrating are among common symptoms of anemia.

According to research published in the Journal of the American Medical Association, men who suffer both from Low T and from anemia experienced improvements to both conditions after receiving low testosterone treatment.

The Natural & Convenient Way to Treat Low Testosterone

Decreases in a man’s testosterone levels will occur incrementally over time, unlike women, who experience dramatic drops to their hormone levels during menopause. Below-normal testosterone levels are most likely to be found in older men. But regardless of age, anyone in the Birmingham, MI area suffering from Low T is invited to visit Dr. Ali, for the most effective, convenient and consistent FDA approved low testosterone treatment.

The BioTe hormone replacement therapy treatment (BHRT) is capable of restoring the body’s testosterone to ideal levels. The BHRT low testosterone treatment begins to correct Low T within 10 days of treatment, providing results that can last up to 6 months in male patients.

Low Testosteron) Treatment –  Birmingham MI

Low T can bring about countless painful frustrations, both physical and mental/emotional. But thanks to modern advancements in the field of low testosterone treatment, patients who visit Dr. Ali in Birmingham, MI can finally free themselves from the struggles of Low T.

If you’re ready to enjoy your life as you did before ever experiencing the impact of Low T, contact Dr. Ali for a consultation. Then come relax in our comfortable and discreet Birmingham, MI area medical spa for low testosterone treatment –  and get ready for a future free from Low T!

Low Testosterone Hormone Replacement Consultation: 248.335.7200

Bioidentical Hormone Replacement Pellets: FAQs

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Hormone Replacement Pellet Therapy: FAQs

At AMAE in Birmingham, MI we offer the safest, most natural and truly effective hormone replacement treatment in the form of BioTE® bioidentical hormone pellet therapy.

In this article, Birmingham, MI board certified plastic surgeon Dr. Ali, MD answers patients’ most frequently asked questions about BioTE® bioidentical hormone replacement pellet therapy.

What is Hormone Replacement Therapy?

Almost every aspect of human health and wellness is regulated by the body’s hormones. But, decreases or imbalances in the production of hormones puts a person at risk for a great number of health issues. Some of the many problems that can result from hormone imbalance include: loss of energy, weight gain (particularly belly fat), decreased sex drive, painful sex, thyroid problems, aging skin, osteoporosis and many more health problems.

Hormone replacement therapy is used to replace a patient’s missing or declining hormone levels, to restore the healthy functioning of the body’s many systems.

What is “BioIdentical” Hormone Replacement?

The hormones used in bioidentical hormone replacement are derived from natural sources and are structurally, identical to the actual human hormones that occur naturally within a person’s body.

The BioTE® hormone replacement pellets we offer our patients at AMAE in Birmingham, MI are chemically identical to human hormones, as well as completely naturally derived. BioTE® hormone replacement pellets are 100% derived from natural plant or animal sources, and are NOT synthesized in a lab like other hormone treatments.

Naturally restoring hormone balance to patients with bioidentical hormones can offer lasting relief from a wide variety of medical issues and symptoms that are caused by hormone deficiency.

How do Pellets Deliver Bioidentical Hormone Replacement?

BioTE® hormone replacement pellets are inserted under the patient’s skin, by Dr. Ali in our Birmingham, MI medical office.  It is a quick 5 minute procedure that only requires a mild local anesthetic.

The pellets are time-released, and continue to release estrogen, and/or testosterone into the body incrementally and consistently over time – replacing the depleted or missing hormones and maintaining a healthy hormone balance.

Why are Hormone Pellets the Best Delivery Method?

Other methods of delivering hormone replacement – including pills and creams – only provide inconsistent delivery of hormones. So, the hormone levels do not stay level or balanced – and relief from symptoms is irregular and unpredictable. However sub-dermal (under-the-skin) time-released pellets deliver constant, consistent, and balanced delivery of the bioidentical hormones.

Why Choose BioTe Hormone Replacement Pellets?

At AMAE Med Spa, in Birmingham, MI Dr. Ali exclusively uses BioTE® natural bio-identical hormone replacement pellets because of their unparalleled quality and well established safety record. Every batch of BioTE® bioidentical hormone pellets is subjected to rigorous testing, to guaranteeing the highest quality.

The creation of the hormones used in BioTe hormone replacement pellet therapy is overseen by a dedicated FDA compliance officer. And the pellets used are compliant with the rigid FDA process of sterility and endotoxin control.

Bioidentical Hormone Replacement Pellets – Birmingham, MI

If your health problems have increase – or your quality of life has declined – a hormone production decrease or imbalance may be the underlying cause. But BioTe Bioidentical Hormone Replacement Pellets, may be the answer to help you live an active, normal, and healthy life again.

For more information on the benefits of BioTe Bioidentical Hormone Replacement Pellets, or to schedule personalized blood testing to see if BioTe pellets can help you, call Dr. Ali in Birmingham, MI today.

Bioidentical Hormone Replacement Pellets – Birmingham, MI: 248-335-7200