Rejuvime Explains: FAQs About HRT

At Rejuvime Medical, we see patient education as part of our DNA. As you explore your options for hormone replacement therapy from a hormone specialist here in Baton Rouge, we know you’ll have questions about everything from possible side effects to long-term results. We’re happy to share our answers in this FAQ.

1. Will HRT help me with weight loss?

2. Is HRT a long-term commitment, and what happens if I stop HRT?

3. Can women take testosterone as part of HRT?

4. What are the side effects of HRT?

5. Does HRT cause cancer?

6. Will HRT make me mean or change my mood?

7. How long does HRT take to work?

8. How much does HRT cost?

9. What other services does Rejuvime provide?

10. How do I know if I am a candidate for HRT?

11. Will HRT help with my sex drive/libido?

12. Will HRT help me gain muscle?

13. Will HRT make me gain weight?

14. Will HRT increase my estrogen?

15. What happens if I stop HRT?

16. Does HRT cause hair loss?

17. Does HRT cause acne?

18. Will HRT increase my energy?

19. Who should avoid HRT?

20. Who should consider HRT?

21. How long does it take to see HRT results?

22. How do I talk to my spouse about starting HRT?

23. What kind of hormones are available for HRT?

24. What HRT dose should I start with?

25. What factors should I consider before starting HRT?

26. What is HRT?

27. What are peptides?

28. How do I know if I have low T?

29. What is the difference between BHRT and synthetic HRT?

30. What is the safest HRT?

31. Is HRT safe for people over 70?

32. Can a 20-year-old do HRT?

33. Does HRT prolong menopause?

34. How is HRT monitored?

35. Can a Nurse Practitioner prescribe HRT meds?

36. What are the risks of HRT?

37. How is HRT taken?

38. What is an estrogen blocker?

39. How will I know if I need estrogen blockers?

40. What tests do I need to know if I have low T?

41. Will testosterone affect my PSA/prostate levels?

42. What happens if I start and decide to stop HRT?

43. Will HRT shrink my testicles?

44. Can HRT increase clitoris size?

45. Can HRT cause nipple sensitivity?

46. Are pellets as good as injections?

47. Can HRT cause acromegaly?

48. Can HRT get rid of my night sweats and hot flashes?

49. Can testosterone give me “man boobs” or help me get rid of them?

1. Will HRT help me with weight loss?

Weight loss can be a positive byproduct of HRT offered by Rejuvime. The treatment’s primary focus is to restore your hormones to an optimal level. People often find this results in increased energy and productivity, along with improved insulin sensitivity.

2. Is HRT a long-term commitment, and what happens if I stop HRT?

The only reason a patient would be on HRT is due to a lack of natural hormone production. Therefore, the best way to maximize the benefits is to continue HRT treatment through the long term.

3. Can women take testosterone as part of HRT?

Yes. Along with men, women can be deficient in testosterone. Testosterone is actually very important for women as well as men, and testosterone replacement therapy in Baton Rouge can help improve energy, mood, and sex drive.

4. What are the side effects of HRT?

Side effects of HRT vary from patient to patient and are very individualized. Some patients never experience any negative side effects. Some possible side effects include acne, hair thinning, increased blood viscosity, and weight gain. However, when you follow the instructions of Rejuvime Medical’s well-trained providers, these side effects should be minimal, if present at all. We can provide additional medications to help manage side effects, if necessary.

5. Does HRT cause cancer?

HRT is not proven to cause cancer. However, if cancer is ever detected in a patient, it is recommended they stop HRT treatment and seek advice from an experienced specialist, such as a urologist, gynecologist, or oncologist.

6. Will HRT make me mean or change my mood?

Individuals who abuse testosterone are likely to experience an increase in an agitated mood, or “roid rage.” However, when HRT is managed by Rejuvime, we optimize your hormone levels within therapeutic ranges. Patients will typically experience a decline in agitation and anxiety, an improved mood, and an overall increase in a sense of well-being.

7. How long does HRT take to work?

The delivery method determines how quickly the effects of HRT are felt. For example, if you are taking an injection for testosterone, the effects may be felt as quickly as 24 to 48 hours later. Other delivery methods, such as creams or pellets, may take longer to reach optimal levels.

8. How much does HRT cost?

Rejuvime offers affordable subscription plans which help avoid large upfront costs. The average HRT plan at Rejuvime costs $150 per month. This includes:

  • Medications
  • Supplies
  • Provider consults
  • All lab work
  • Any other expenses associated with your HRT plan

You also will receive a 15% discount on all other services we offer for both you and your spouse (IV therapy, BOTOX® Cosmetic, dermal fillers, supplements, and so on).

9. What other services does Rejuvime provide?

Rejuvime offers many other treatments that can help you feel stronger and more vital. Some even address the anti-aging needs of our Baton Rouge and New Orleans patients. A few of the most popular services include:

10. How do I know if I am a candidate for HRT?

Our candidate questionnaire can give you some helpful insight into whether HRT may be right for you. The first step at Rejuvime is to have a comprehensive lab panel drawn to determine your current levels. From there, you will meet with a provider to review the lab work and, equally importantly, your symptoms. The combination of current labs and current symptoms gives your provider the "map" necessary to determine whether you are a candidate. If you are, your provider will use this information to customize a treatment plan just for you.

11. Will HRT help with my sex drive and libido?

HRT has been shown to strongly increase sex drive and libido in both men and women.

12. Will HRT help me gain muscle?

Optimizing testosterone levels can improve muscle mass and strength. Muscle loss is a common condition that affects both men and women as they age, and testosterone is one of the primary drivers of muscle mass.

13. Will HRT make me gain weight?

HRT can cause an increase in muscle mass and bone density, both of which are positive side effects that may cause an increase in weight. However, we find this is more prevalent in men than women because higher doses are given to male patients.

14. Will HRT increase my estrogen?

Estrogen increases are possible due to the body’s mechanism of converting unused testosterone into estrogen. Any time a patient is on testosterone therapy, this is a possibility. As part of your HRT plan with Rejuvime, we can include medications to help manage estrogen levels if necessary.

15. What happens if I stop HRT?

If a patient stops HRT, his or her hormone levels will go back to what they initially were before starting treatment.

16. Does HRT cause hair loss?

Hair thinning can be a side effect of HRT. However, when you follow the recommendations of a well-trained provider, this and other side effects should be limited or not present at all. We can provide additional medications to help manage hair loss if it does occur.

17. Does HRT cause acne?

Acne can be a side effect of HRT. However, when you follow the recommendations of a well-trained provider, this and other side effects should be limited or not present at all. We can provide additional medications to help manage acne if it occurs.

18. Will HRT increase my energy?

A deficiency in hormones is often coupled with a lack of energy, motivation, and drive. By optimizing your hormone levels, you should have an improvement in each of these areas.

19. Who should avoid HRT?

People who should avoid HRT include:

  • Anyone whose endocrine system is not fully developed.
  • Anyone who does not feel the symptoms of hormone deficiency.
  • Anyone who has a history of cancer. (Note: An experienced urologist or gynecologist can determine if a cancer patient is a candidate.)

20. Who should consider HRT?

Anyone who is experiencing symptoms of hormone deficiency or imbalance should consider HRT. The symptoms usually include:

  • Fatigue
  • Low energy
  • Low libido
  • Insomnia
  • Irritability
  • Midsection weight/fat gain

21. How long does it take to see HRT results?

Increases in energy, productivity, and libido may occur as soon as within the first 2 days of starting testosterone injections. However, creams and pellets take longer for hormone levels to increase, so it may be a couple of weeks before the effects are noticeable. Physical or aesthetic results usually occur between 6 to 8 weeks.

22. How do I talk to my spouse about starting HRT?

Everyone ages and, at some point, experiences a decline in energy and well-being. There is nothing to be ashamed about if you are experiencing symptoms associated with hormone deficiency. Be honest and open with your spouse about your symptoms and goals.

23. What kind of hormones are available for HRT?

Examples of hormone therapies include:

  • Testosterone
  • Estrogen
  • Progesterone
  • Pregnanolone
  • DHEA
  • HCG

24. What HRT dose should I start with?

Dosing depends on the delivery method and provider instructions. Common male doses of injectable testosterone range from 140mg to 200mg per week. Common female doses of injectable testosterone range from 5mg to 15mg per week.

25. What factors should I consider before starting HRT?

Consider your current symptoms, your lab values, and the recommendations from your provider. Before starting HRT, consideration and preparation for a long-term commitment are necessary.

26. What is HRT?

HRT stands for hormone replacement therapy. It has become increasingly popular in Baton Rouge and around the globe over the last 40 years for treating a host of symptoms that coincide with aging, including:

  • Lack of energy
  • Lack of libido
  • Increases in body fat
  • Decreases in muscle mass

Hormone replacement can include testosterone, estrogen, progesterone, and thyroid hormones.

27. What are peptides?

Peptides are responsible for naturally increasing human growth hormone (HGH) production in the body. A typical peptide will send a signal to the pituitary gland to stimulate HGH production. This is different than actual HGH and avoids the unwanted side effects of synthetic HGH.

28. How do I know if I have low T?

You may have some suspicion of low T based on your symptoms. However, the quickest and easiest way to know is to get a full lab panel drawn to determine your current hormone levels.

29. What is the difference between BHRT and synthetic HRT?

BHRT stands for bioidentical hormone replacement therapy. BHRT is plant-derived and more closely mimics the hormones our bodies produce naturally. Synthetic hormone treatments are most commonly made by pharmaceutical companies that have proprietary claims on drugs. Our medical professionals have extensive training in providing bioidentical hormone replacement therapy for our Baton Rouge and New Orleans patients.

30. What is the safest HRT?

All HRT is safe as long as it’s medically monitored, which includes routine lab value draws and consults with the provider responsible for your individual treatment.

31. Is HRT safe for people over 70?

HRT is safe at any age, assuming the candidate has no contraindications for treatment. At Rejuvime, our patients’ safety is our No. 1 focus.

32. Can a 20-year-old do HRT?

If the 20-year-old is diagnosed with true hormone deficiency and has no contraindications, then they are a candidate, and HRT can help.

33. Does HRT prolong menopause?

A well-designed HRT treatment plan should help to alleviate the symptoms of menopause. Rejuvime focuses on creating treatment plans designed to specifically meet our patients’ needs.

34. How is HRT monitored?

At Rejuvime, we use specific lab panels for each patient to ensure safe, accurate, and effective therapy.

35. Can a nurse practitioner prescribe HRT meds?

Rejuvime uses nurse practitioners to prescribe to our patients. Our nurse practitioners have a collaborating physician that they report to as required by state laws. They are certified, licensed, and have had specialty training in the field of HRT.

36. What are the risks of HRT?

The risks of HRT vary depending on the individual. However, these risks should always be minimized or negated when following the treatment plan as prescribed by our highly trained providers at Rejuvime.

37. How is HRT taken?

At Rejuvime, we offer multiple forms of delivery for the convenience of our patients. Oral regimens, injections, creams, and pellets are our most common forms of delivery.

38. What is an estrogen blocker?

An estrogen blocker is a term used for a medication that reduces the amount of circulating estrogen. AIs, or aromatase inhibitors, help reduce the amount of testosterone that’s converted to estrogen. Anastrozole is one of the more commonly prescribed AIs that helps maintain normal estrogen levels while on testosterone.

39. How will I know if I need estrogen blockers?

A blood panel will show current levels of estrogen, and your provider will determine if these levels need to be reduced through medication.

40. What tests do I need to know if I have low T?

At Rejuvime, we run comprehensive hormone panels on our patients to determine whether low T treatment would be beneficial.

41. Will testosterone affect my PSA/prostate levels?

Testosterone is not shown to increase PSA levels or cause prostate cancer. At Rejuvime, we continuously monitor PSA levels and the trend of your levels while on testosterone.

42. What happens if I start and decide to stop HRT?

It is not encouraged to start and stop HRT therapy. There are obvious exclusions, including unforeseen contraindications and life circumstances, which may cause a patient to stop HRT. If that happens, your body will return to its baseline hormone levels and functioning.

43. Will HRT shrink my testicles?

Testicular atrophy occurs when the testicles are no longer sending a signal to the pituitary to produce testosterone. However, Rejuvime offers elective HCG treatment to help alleviate this potential side effect. HCG mimics the pituitary signal to help maintain testicular size and prevent atrophy or shrinkage.

44. Can HRT increase clitoris size?

Excessive increases in clitoral size are the result of non-therapeutic dosing. However, optimizing testosterone levels with proper dosing can help improve clitoral size for women experiencing clitoral atrophy due to menopause.

45. Can HRT cause nipple sensitivity?

Yes. Due to potential aromatization, nipple sensitivity is a possibility and is more common in males. This sensitivity occurs due to an increase in estrogen. This can be combated with an aromatase inhibitor (AI) to help block the conversion of testosterone into estrogen.

46. Are pellets as good as injections?

Injections have a shorter half-life, and, due to weekly or twice weekly administration, they offer more flexibility to adjust the dose. Pellets last an average of 3 months after insertion, so it is not possible to adjust the dosing during that 3-month period.

47. Can HRT cause acromegaly?

Acromegaly is an increase in hand and feet size that is directly related to an influx in human growth hormone (HGH) produced by the pituitary gland. Therefore, testosterone replacement therapy has no effect on acromegaly.

48. Can HRT get rid of my night sweats and hot flashes?

A well-designed HRT plan for women will include medications that reduce the symptoms associated with menopause, such as night sweats and hot flashes. Often, HRT can also address symptoms of perimenopause, such as insomnia, in our Baton Rouge office.

49. Can testosterone give me “man boobs” or help me get rid of them?

Gynecomastia or “man boobs” is an increase in breast tissue in males. Low testosterone levels can sometimes lead to the development of breast tissue. Testosterone replacement is shown to increase lean muscle mass. With the proper treatment plan and medications, these symptoms will be reduced.