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Hormone levels deteriorate as you age resulting in a rapid deterioration
of your health and quality of life. Restoration of your hormonal balance can slow this rapid deterioration associated with
aging. This therapy is recommended for a lifetime as your health and quality of life are improved only while you’re
taking the hormones and supplements. If you chose to stop the therapy, your hormones levels will return to their previously
deteriorating levels within a few days to weeks and most results will fade within 6 months. 1st Visit: We discuss the concept of optimal levels of hormones for optimal health and how each hormone contributes to our overall health and well being. You’re asked to compare your present mood, energy level, motivation, strength, libido, and level of fitness to when you were 20 to help you decide if anything has deteriorated. You are given a book discussing bio-identical hormone replacement therapy that you are asked to read by the next visit. 1st blood test: Medical insurance Blood levels of all hormones, cholesterol, liver and metabolic panels and blood counts are ordered & PSA for men. Blood tests are usually covered by your medical insurance. 2nd Visit: (1 week after your blood test) physicians fee $600. (or you may pay $1500 for the entire first year then $600 per year) We review your blood test. Any levels that can put you at risk for future disease are discussed. Specific lifestyle and supplement recommendations are made to help you prevent disease. Starting doses of natural hormones are recommended possibly including, but not limited to, DHEA, melatonin, pregnenolone, thyroid hormone, testosterone, HGH (and if postmenopausal then progesterone and estrogen). Prescriptions will be faxed to one of three compounding pharmacies. Hormones average $15 per hormone per month and it generally will cost you less in the long run not to use your insurance. (Insurance forces you to buy a 1 month supply while a 3 month supply is often only $40.) Prescriptions for 100 day supplies of all hormones are faxed to the pharmacy. You may be offered Sermorelin injections to increase your natural production of growth hormone. If it is determined you may have a growth hormone deficiency then you may also be offered to consider growth hormone but Dr. Goodnight never allows growth hormone to be covered by insurance. 2nd blood test: 2 months after your second visit. Medical insurance. Have follow-up blood tests to determine your new hormone levels. Generally these are covered by your medical insurance. 3rd visit (1 week after 2nd blood test) physicians fee $600 We review your new hormone levels and ask for symptom improvement. Dosages of hormones that have not yet reached optimal levels are increased and some may be decreased. Refills for 100 more days of hormones are faxed to the pharmacy. 3rd blood test: 2 months after 3rd visit. Insurance Blood levels of hormones that had their dosages changed are checked. Generally blood tests are covered by your medical insurance. 4th visit: (1 week after 3rd blood test) physicians fee $600 Final adjustments to your hormones are generally made depending on blood levels and how you feel. Refills for 100 more days of hormones are faxed to the pharmacy. 4th blood test: 2 months after 4th visit. Insurance This test is only necessary if your hormones are not yet optimized. Repeat of the last few hormones that had dosages changed, your cholesterol, liver and metabolic panels and PSA for men to make certain you health is now optimal. 5th visit: (1 week after 4th blood test) All blood tests are reviewed, and hormonal levels and symptoms. If everything is perfect then refills for 100 more days of hormones are faxed to the pharmacy. With 1 more refill authorized. Future blood tests: Bi-Annually for first year then annually covered by medical insurance. Blood tests that are recommended annually to include complete hormonal, metabolic and liver panels, blood counts and PSA for men. Annual visits: (1 week after annual blood tests) physicians fee $600 All blood tests are reviewed, as are hormonal levels and symptoms. If everything is perfect then refills for 100 more days of hormones are faxed to the pharmacy. With 2 more refills authorized. If a hormone level is suboptimal then that hormone dosage is changed and that hormone level rechecked in 1 month. Overall Average Fees Summary Physician fee $1800 1st year ( or $1500 if paid in full at first visit) then $600 per year Hormones for males: $1680 per year Hormones for females: $472 per year plus copays for monthly estrogen and progesterone if needed Optional additional hormones for men and women: Often selected: Growth hormone releaser up to $3000 per year
When insuffcient: Growth Hormone: average $4000 per year but up to $12,000 per year. Typical average total fees for optimizing your health:
$5,000 per year includes all hormones, blood tests and physician fees.
Range: $1,000 to $17,000 per year
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