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BOSTON PLASTIC SURGERY
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BOSTON PLASTIC SURGERY
As we age, hormone levels in our body naturally decline, leading to one constantly feeling exhausted, irritable moods, slower metabolism, reduced libido, loss of muscle mass, and even an impact on mental clarity. At Clareo Plastic Surgery in Boston, MA, our Hormone Optimization Therapy (H.O.T.) with EvexiPEL® will help you take control of your body and help restore your hormone balance, helping you get back to living life and shining confidence.
Medical Weight Loss patients can also benefit from this treatment. For patients taking Semaglutide or Tirzepatide, Hormone Optimization Therapy can help you preserve muscle, helping avoid rapid muscle loss, support your metabolism, and help improve your overall wellness.
To help support our patients’ overall health and confidence for years to come, Clareo Plastic Surgery offers a unique approach to Hormone Optimization Therapy through the use of EvexiPEL®. This process uses FDA-compliant, bio-identical hormones, derived from natural sources, and custom-compounded to be an exact match to the patient’s body, introducing them slowly to the system and allowing the body time to realign and balance. Patients have the opportunity to select from different hormone delivery methods to meet their exact needs.
By using bio-identical hormones as opposed to synthetic, natural ingredients structured by the patient’s molecular match, they fit into our human hormone receptors as our naturally occurring hormones. This means that patients experience a safer, more efficient treatment with fewer side effects.
Our team of medical professionals, Dr. Michael Tantillo, Dr. Christopher Lee, and Alexandra Moore, PA-C, will guide you on your H.O.T. journey. From a comprehensive consultation and health evaluation to deciding on the delivery method that will work best for you, our trained team of experts will be with you through every step, helping you rediscover confidence while feeling great and looking even better!
Hormones control many of the essential functions in our bodies, and when those hormone levels are interrupted, whether from aging or other reasons, we can see real-life impacts that disrupt our day-to-day activity. Many patients with hormone imbalances express symptoms of fatigue or generally feeling out of it, mood swings and irritability, sleep issues, decreased libido, brain fog, muscle loss, digestive issues, and poor sleep quality, to name a few.
By incorporating the bio-identical, plant based, Hormone Optimization Therapy with EvexiPEL® at Clareo Plastic Surgery into your personal health plan, patients often report increases in energy and stamina, improved moods with fewer mood swings, increased mental clarity and focus, increased libido, improved sleep quality, and improvements with skin, bone, and muscle health and overall composition.
Hormone Optimization Therapy is an excellent option for men or women that are who are experiencing imbalances due to aging, menopause, or other health-related issues.
If you are experiencing any of the following symptoms, then H.O.T. therapy may be the perfect way to get you back to feeling your best.
If you are experiencing any of these symptoms, it is time to meet with our trusted team of certified medical providers, Dr. Tantillo, Dr. Lee, and Alex, to see if your symptoms are those of a hormonal imbalance.
Pellet Therapy
Pellet therapy and delivery have been used in many medical settings dating back decades, and are now considered one of the most effective and preferred methods of hormone therapy.
This method takes the bio-identical, custom compound and forms it into a small pellet no larger than a grain of rice. Through a minimally invasive procedure, done in the comfort of our office, a small incision is made and the pellet is placed just below the skin, typically in the hip or above the buttocks area. This bio-identical pellet carefully matches the hormones your body naturally produces. It then mimics the natural release of these hormones slowly over time, helping to restore and maintain a natural balance for you.
Injections
Commonly prescribed and unused for some hormone optimization therapies, such as estrogen or testosterone therapy, these can be self-administered by the patient in the comfort of their own homes.
The injections are subcutaneous (under the skin) and are injected just below the surface layers of the skin.
At Clareo, our patients’ care comes first and foremost, ensuring that your ideal goals and needs are at the center of our attention. Our patients will work with a full team of specially certified medical professionals, including our board-certified plastic surgeons and physician assistant.
Our thorough consultation process includes a health evaluation, comprehensive bloodwork, and a full review of your medical history, including symptoms and lifestyle factors. During this consultation, patients will have the opportunity to discuss treatment options, hormone delivery methods, and any questions regarding treatment wth the Clareo medical team. We want you to leave your consultation feeling confident and comfortable with the care that you will receive. We strive to deliver the best transformative results and experience to all of our patients, helping them live their best lives and shine with confidence!
If you are interested in taking the first step toward a newly restored you, we invite you to book a consultation with our providers. Along with your consultation, bloodwork will also be required, which can be done in our office or at a Quest Diagnostics location convenient to you. Upon the completion of your consult and health review, if you decide to move forward, our experts will create a custom patient care plan unique to your needs and goals.
From there, we will schedule your initial appointment depending on your selected hormone therapy, either for your pellet implant or for your first round of injections. Your dedicated Clareo team will monitor your progress closely, ensuring you feel your best and that initial symptoms have subsided.
Message us online, submit our consultation form, or call us anytime at 617-793-7272 to book your hormone optimization therapy consultation.
If you experience a combination of fatigue, depressed mood, and lower/absent libido, you may have Androgen Insufficiency Syndrome (AIS). Hormone Replacement Therapy (HRT) is a highly effective treatment for AIS. Additionally, if you prefer a minimally invasive procedure every 3-4 months (4-6 months for men), you are an ideal candidate.
Other symptoms that often improve with bio-identical hormone optimization include insomnia, early waking, anxiety, lack of energy/drive, lethargy, joint pain, and daytime sleepiness.
To confirm a suspected diagnosis of AIS and begin your evaluation, your physician will order lab work to assess your hormone levels. These results will be discussed during your initial consultation.
Initial bloodwork is performed to establish baseline hormone levels, aid in diagnosing AIS, and assess any imbalances in other major hormone systems (e.g., adrenal, thyroid). These values will help determine your initial dosage.
Four weeks after your first pellet insertion, you will have repeat labs (a smaller panel). These results will be reviewed at your six-week follow-up visit.
Thereafter, a full panel of labs is drawn annually. If you experience any significant changes in symptoms related to hormone therapy, your nurse practitioner will recommend reassessment at that time.
Patients may begin to notice symptom relief within a few days to a week after insertion, but this can vary by patient. Typically, women experience some relief within the first 72 hours, while for men, it may take up to two weeks before noticeable results. Most improvements and symptom relief are seen after the patient’s second pellet insertion.
For optimal results, we recommend pairing the pellet therapy with a healthy lifestyle, including a balanced diet and exercise.
This is different for every patient and is based on the individual and initial symptoms. Each patient care plan is customized and may vary in length. Bio-identical hormone optimization therapy is designed to help you feel your best every day. Discontinuing treatment may result in loss of hormone optimization and recurrence of symptoms reflecting an imbalance.
Your medical team will assess all symptoms, medical history, lifestyle, and lab results to establish the best treatment plan to help you optimize hormone levels and help you reach your ideal goals.
Additional treatments may include estrogen and/or testosterone therapy, progesterone or thyroid therapy, detoxification program, probiotics, nutraceutical support, weight loss programs, and more.
Our bio-identical pellet hormone optimization therapy uses bio-identical hormones derived from plant-based sources. These have not been tied to an increased risk of cancer or blood clots as have been seen with some Synthetic Hormones.
Common side effects to the hormone pellet include minor bleeding or bruising at the insertion site, extrusion of the pellet, discoloration of the skin, and infection. Dr. Terri DeNeui, who designed the EvexiPEL®pellets and method, has optimized the insertion process to heavily decrease the risk of these side effects.
Most common side effects include increase hair growth, acne, oily skin, fatigue, and increased body fat after the first insertion process as the patients body adjusts to treatment.
Yes. Many patients experience a decline in sexual desire and comfort as hormone levels naturally decrease with age. Bioidentical hormone replacement therapy (BHRT) with EvexiPEL® helps restore balance to key hormones—like estrogen, testosterone, and progesterone—that play a vital role in intimacy and overall well-being.
Yes. Women naturally produce testosterone, and it plays an important role in energy, mood, focus, muscle strength, and sexual desire. When levels decline, symptoms like fatigue, weight gain, and low libido can appear. EvexiPEL® therapy helps restore balance so women feel more like themselves again.
Your certified medical team at Clareo will always work with you to assess all symptoms and medical history, developing a customized patient care plan just for you.
It can certainly help. When hormone levels are out of balance, the body may struggle with fatigue, slowed metabolism, poor sleep, and stubborn weight gain. EvexiPEL® bioidentical hormone replacement therapy restores balance to key hormones that support energy, mood, and healthy metabolism.
While BHRT isn’t a “quick fix,” many patients find that once their hormones are optimized, it becomes easier to lose weight and keep it off—especially when combined with a healthy diet, regular exercise, and lifestyle changes.
Transitioning to pellet therapy from other forms of HRT is common. Your physician can assess your needs even if you’re currently using another type of hormone replacement therapy. If you prefer to continue with your current HRT but are not ready for pellets, we can offer alternative formulations.
There is no direct causative link between bio-identical estrogen, progesterone, and breast cancer. The Women’s Health Initiative (WHI) study in 2003 raised concerns about “hormones and breast cancer,” but a long-term follow-up study published in JAMA in 2017 by one of the original WHI authors found no increased mortality from breast cancer in the subjects over an 18-year period.
The number of patients receiving HRT 5 to 10 years after breast cancer treatment and remission is increasing. However, hormone use in patients with a history of hormone-receptor-positive tumors is not yet considered standard care. The decision to use hormones in this situation is an informed one that the patient must make for herself.
Finally, patients with or recently recovered from breast cancer can receive testosterone alone to help manage both AIS and menopausal symptoms.
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BOSTON PLASTIC SURGERY
