Health & Cosmetics

Biote Hormone Therapy

Our Biote hormone therapy can decrease body fat, increase mental clarity and concentration, improve memory, relieve anxiety and depression, increase bone density and muscle strength and increase your overall well-being.

BioTE® Hormone Therapy

Our Biote hormone therapy can decrease body fat, increase mental clarity and concentration, improve memory, relieve anxiety and depression, increase bone density and muscle strength and increase your overall well-being. The hormones are derived from natural plant sources and are extremely effective.

BioTE® Hormone Replacement Therapy

Men over age 30 lose up to 3% of their testosterone per year. Women between ages 20 and 40 lose 50% of their testosterone. Bio-Identical Hormone Replacement Pellet Therapy is a safe and effective way to quickly treat and solve this problem for most people.

Hormone Pelleting

Pellet Therapy uses hormones derived from natural plant sources to replicate the body’s normal hormonal levels. Patients have found that bio-identical hormone replacement therapy with pellet implants is extremely effective. Implants, placed under the skin, consistently release small, physiologic doses of hormones providing optimal therapy.

Some of the benefits that patients report are:

  • Enhance libido and increased sexual desire
  • Decreased body fat and greater capacity to get in shape
  • Reduced fatigue and increased energy levels
  • Increased mental clarity and concentration
  • Improved memory
  • Consistency in moods- reduction in feelings of anger, nervousness and irritability
  • Relief from anxiety and depression
  • Increased sense of overall well-being
  • Increase bone density
  • Reduce joint pain
  • Increased muscle strength

Natural Hormones pellet therapy will protect your Heart, Bones, Brain and Breast while losing fat and building lean muscle mass. All hormones are not created equal and to be sure you are getting the right hormone in the right amounts you need an expert!

BioTE® For Men
Why is Natural Testosterone Better?

Several studies show only NATURAL testosterone to be protective and preventative of many disease states. Men with low testosterone are 3 times as likely to get Alzheimer’s dementia. In a recent study men over 55 with higher levels of testosterone showed a significant reduction in coronary artery disease and heart attacks; testosterone builds bone by 8.3% per year, preventing osteopenia and osteoporosis. Low tesosterone increases cortisol levels and insulin levels, both of which increase belly fat and increase your risk for diabetes. Natural testosterone can ONLY be absorbed subcutaneously, therefore a pellet placed under the skin is required.

What Should my Testosterone Level Be?

What is “normal” for the average population may not be optimal for you. The optimal testosterne level in males is 900-1100, a “normal” lab reference can range from 200-1100 for men. Men are typically symptomatic under 400 but thats in the”normal range”.

Why are Hormone Pellets Better?

Hormone pellets offer a natural hormone balance method that keeps your levels in the optimal range 24/7. Methods that put your hormones on a roller coaster by taking something every day like shots and creams don’t offer the benefit of balanced hormones 24 hours a day. The release of the hormones is regulated by your cardiac output. As your heart pumps faster like when you are workng out, blood flow increases over the pellet and increases the release of hormone required by your increase in activity. While you are sleeping, when your cardiac output is lowered, less hormone is released.

Is the Hormone Pellet Made Specifically For Me?

A battery of lab tests are performed and the hormone pellet is customized to your individual hormone levels. A complete thyroid panel is drawn, as well as vitamin D3 levels. If these are abnormal they will also be supplmented because there is a synergy between all of these with testosterone, acheiving optimal levels of all of these will allow you to gain the most benefits and give you the best results.

How Long do the Hormone Pellets Last?

Hormone pellets last longer in men than women, lasting around 9 months depending on your activity level.

How are the Hormone Pellets Placed?

A minor surgical procedure is performed wherethe skin is numbed on the fatty part of your buttock, a small incision is made and a trocar instrument is the used to tunnel under the skin and place the pellets under the skin. The incision is then closed with a sterile paper strip. Most patients experience minimal discomfort.

BioTE® For Women
How does pellet hormone therapy work?

Pellet insertion is a relatively simple in-office procedure done under local anesthesia it takes an average of 4-10 minutes in total. The pellets are inserted subcutaneously ( under the fatty lining of skin) in the upper buttocks through a very small incision. The incision is then closed with sterile tape strips. Patients should not be able to feel the implants under the skin. Hormone implants placed under the skin release small, physiologic doses of hormones, keeping a patient’s levels in therapeutic range until the next pellet procedure.

Benefits of Bio-Identical Pellet Hormone Therapy for Women:

In studies, when compared to conventional hormone replacement therapy, pellets have been shown to be extremely effective for relief of menopausal symptoms, maintenance of bone density, restoration of sleep patterns, and improvement in sex drive, libido, sexual response and performance, relief of depression, anxiety, irritability, mood swings, and many others. Pellet implants have been used to treat migraine and menstrual headaches. It also helps with vaginal dryness, incontinence, urinary urgency, and frequency. Bio-identical hormone pellets have been shown to decrease body fat, and a greater capacity for losing weight. Moreover, hundreds of studies show natural testosterone to be HIGHLY PREVENTATIVE against breast cancer, osteoporosis, and Alzheimer’s dementia to name a few.

Is the Bio-Identical Hormone Pellet Formulated Just for me?

A comprehensive panel of testing is performed. We use these results to then customize your hormone levels to optimal levels to experience all the protective benefits while gaining the great feeling of optimal wellness! Each customized hormone pellet lasts between 4-6 months in women depending on your activity level. A complete thyroid panel and vitamin D3 level is performed. These act in synergy with the hormone pellet and may also be supplemented depending on your levels. It is important to optimize all of these levels to achieve the maximum benefits. Since the release of hormone is regulated by your cardiac output, patients that are very active may require more frequent insertions than a patent with a more sedentary lifestyle. Most patients are able to tell when their hormone levels start to decline! Testing may be performed at various intervals to mantain optimal hormone levels

Botox® and Xeomin®

BOTOX® is a safe and nonsurgical way to help eliminate the appearance of wrinkles and enhance facial features. BOTOX® Injections can help you look as young as you feel.

Botox®

BOTOX® is a safe and nonsurgical way to help eliminate the appearance of wrinkles and enhance facial features.  BOTOX® Injections can help you look as young as you feel. Unfortunately, with age and wisdom can come wrinkles. BOTOX® injections can enhance your natural beauty and make you look refreshed.

What is Botox® Treatment?

BOTOX® Cosmetic is a purified non-animal protein. It can improve the look of moderate-to-sever lines when injected into certain facial and neck muscles.

How does BOTOX® Work?

Botox temporarily blocks the nerve impulses to injected muscles. This reduces muscle activity that causes lines to form on the neck and face. An experienced healthcare professional must administer BOTOX®. BOTOX® is a low discomfort, nonsurgical treatment.

Why Choose BOTOX®?

There are several reasons why BOTOX® Cosmetic has been chosen by millions of patients and their doctors: noticeable results, no surgery and no recovery time are just a few. You might feel that the mild to severe wrinkles between your brows make you look older, tired or have other reasons for being curious about BOTOX® Cosmetic. Ask our nurse practitioners about BOTOX® Cosmetic to find out if it is the right choice for you.
BOTOX® Cosmetic is a prescription medicine that is inserted by injection into muscles and used to smooth the look of moderate-to-severe lines between the brows. The effect can last for up to four months.

Facts about BOTOX® Cosmetic:

In 2002, the FDA approved BOTOX® Cosmetic to temporarily treat moderate to severe glabellar lines between the brows. BOTOX® Cosmetic was given its initial medical approval by the FDA in 1989, and proceeds to obtain approvals for the treatment of various medical conditions. Since 2002, about 11.8 million BOTOX® Cosmetic procedures have been conducted in the United States. Out of 117 patients surveyed, 97% were satisfied with the results of their BOTOX® Cosmetic experience.

Xeomin®

Xeomin® is used for treating lines and wrinkles.  Xeomin®, when applied, can very precisely relax the muscles.  It is an extremely purified, naturally occurring protein.

How does Xeomin® work?

Muscle activity can cause moderate to severe lines to appear between the brow. Xeomin® works by obstructing nerve impulses to the injected muscles, reducing muscle activity. This relaxation usually lasts for about 3-4 months. After that, the treated muscles slowly go back to their original condition. Xeomin® only affects the muscles, not the nerves, so there is no numbness in the treated regions. Our practitioners are highly trained and do this in a way that does not change your natural features and expressions.

Why Choose Xeomin®?

Merz Aesthetics is the leading United States pharmaceutical company that created Xeomin®. Their main focus is the treatment of dermatological and aesthetic conditions. Merz Aesthetics also provides Radiesse®, a favorite wrinkle filler used around the world. Xeomin® is FDA approved and has been used for years in over 20 countries. Xeomin® offers comparable line smoothing changes as BOTOX and Dysport®. Xeomin® is a formulation that has been confirmed to deliver temporary improvement in medium to severe frown lines. The effect of repeat Xeomin® treatment may be similar to your first use. You should not be treated with Xeomin® more often than every 90 days.

Treatment Areas

The forehead is a noticeable area where lines and wrinkles start to appear. Wrinkles tend to show up when showing surprise or excitement due to worry, stress, and aging.

The Glabellar Region also referred to as “elevens” because lines matching the number eleven usually appear between the eyes as we age. These wrinkles are most noticeable while frowning, concentrating, or worrying.

Crow’s feet refer to lines that form around the corners of the eyes matching the foot of a crow or bird. These lines may not be obvious while relaxed but show up most while laughing or smiling depending upon the severity of the creases. Wrinkles can become more noticeable while relaxed if left untreated.

Dermal Fillers

Dermal fillers can serve to return volume to your lips, chin, cheeks, and other parts of your facial features that lose definition as you age.

Dermal Fillers

Dermal fillers can flatter your appearance, ease away fine lines and creases, leaving you appearing youthful and refreshed. Even tho no one can evade the aging process, we can all take advantage of medical progressions that help us sustain our youthful looks. Dermal fillers can serve to return volume to your lips, chin, cheeks, and other parts of your facial features that lose definition as you age.

What Are Soft Tissue Dermal Fillers?

Soft tissue filler or dermal filler is a soft consistency gel made of hyaluronic acid. Hyaluronic acid is a naturally occurring sugar substance in your skin. It helps to add volume and hydration to your skin. Your Dermal Fillers treatment professional injects the gel under the skin to smooth away wrinkles and immediately restore your skin’s volume.

Dermal Filler Treatment Areas

Many people refer to the Glabellar Region as “elevens” because the lines match the number eleven. These creases are a normal part of aging but heredity can decide to what degree they show and how sudden they emerge. Botox may be used to treat this area as well, so consult it with your health care professional.

We can be inclined to deep or shallow areas below the eyes because we lose fat in the face as we age.  Dermal fillers like Restylane and Juvederm are great filling in this section so that it is less noticeable or completely gone.  Results may vary.

Dermal fillers are also excellent for plumping the cheeks and filling in shallow or hollow regions appearing from genetics, aging and fat loss.

Nasolabial Folds also known as “laugh lines” can become more noticeable with time.   Dermal fillers can smooth away and fill in the creases.

Dermal fillers are perfect for plumping. Whether you want to fix a thin upper lip or you just want fuller lips, or contouring and shaping. Lip augmentation with dermal fillers is one of the most desired services that we do, despite age.

Most people do not think about their chin when it comes to creases, but “orange-peel” chin can happen. Dermal fillers can smooth those nooks and crevices.

Types of Dermal Fillers
Belotero Balance®

Belotero Balance® is a Dermal Filler. It is specifically created to integrate into your skin and shape to your distinct facial shapes. It softens wrinkles and lines around the nose and mouth by adjusting to the individuality of your skin.

Belotero Balance® Dermal Filler has unique features that enable it to adapt within the skin for soft and even change. The flexibility of Belotero Balance® makes it powerful enough to manage deep treatment areas, yet simple enough to treat more sensitive areas.

The main ingredient in Belotero Balance® is a material called hyaluronic acid or HA. HA naturally exists as an element of your skin. By joining HA to water, it fills in lines and creases, allowing instant and smooth correction.

Radiesse®

Young skin has collagen that gives it volume, strength, and flexibility. Collagen breaks down as part of the aging process, decreasing facial volume. This decline of resiliency and volume results in the ridges, facial lines that take the youthful appearance out of your skin.

Radiesse® can help you welcome back your natural collagen.
The best way to reduce wrinkles is by replacing lost volume. With Radiesse® wrinkle filler’s special formula stimulates the production of new collagen. This can result in improved volume for natural looking line improvement that may last a year or more in some patients.

Ask our nurse practitioners about the Radiesse® treatment. Radiesse® wrinkle filler is easy, fast, and convenient. Lasting results are visible right away. Many people realize that it is the natural choice for sustaining a more youthful appearance.

Before & After Photos

Weight Loss

Maria Cole is offering a safe and effective supervised weight-loss program which focuses on fat loss.

HCG Diet
HCG Weight Loss Plan

What is HCG?
Human Chorionic Gonadotropin is a hormone that is produced naturally during pregnancy. In the 1950’s a British endocrinologist named A.T.W. Simeons studied the effects of HCG on the body, discovering that it seemed to promote the burning of non-essential fat when administered to an individual on a low-calorie diet. His HCG diet was later popularized by Kevin Trudeau in his book The Weight Loss Cure “They” Don’t Want you to Know About.

What is HCG’s role in weight loss?
There are three types of fat in the body:

  • Structural fat, which cushions the organs
  • Essential fat, which acts as the body’s fuel reserve
  • Non-essential fat, which accumulates around the hips, thighs, waist and stomach.

Normally, when on a very low calorie diet the body burns lean muscle and essential fat first. With HCG the body is encouraged to burn the non-essential fat first.

What should I expect?

  • Lose up to 1 Pound per day
  • Reset the Hypothalamus
  • Support the body in the elimination of toxins
  • Manage and regulate blood sugar levels
  • Support metabolic functions
  • Control appetite and reduce cravings
  • Support the body’s immune system in reducing viral load
  • Minimize the effects of trauma and stress
Lipo-B-12
Health and Weight Loss Supplementation
MIC/B12 Injection

What are the ingredients and what does each do? 
Methionine – is a naturally occurring amino acid which acts as a lipotropic agent to speed up removal of fat within the liver and to prevent excess fat buildup in the body.
Inositol – is part of the vitamin B complex. As a mild lipotropic agent, it aids in weight loss and the redistribution of body fat by breaking down or emulsifying fats in the body.
Choline – is also part of the vitamin B family. It aids the utilization of fats in the body and supports weight loss.
Vitamin B12 (Methylcobalamin) is the “energy vitamin,” as it often increases the energy level and helps to prevent fatigue. It also helps suppress the appetite in weight loss programs, as well as having a mild diuretic effect. It stimulates the utilization of proteins, fats, and carbohydrates in the body.

Can I take the injections along with other weight loss medicines? 
Yes. Most people find that MIC-Ultra injections, along with a sensible diet and regular exercise, is all they need to achieve maximal weight loss and energy levels.
Are there any side effects? 
No serious side effects have been reported. Tingling or a slight burn at the injection site is sometimes reported.
How often should I get an injection and for how long should I continue them? 
MIC-Ultra Injections are given weekly. Receiving them any more often will not increase your results. Most authorities recommend a 3 month course of injections for optimal results. It is completely safe to continue the injections as long as benefits continue.
Does my medical condition prevent me from taking the MIC-Ultra injection?
Not only are MIC-Ultra Injections safe in virtually all medical conditions, they can actually help most chronic conditions such as High Blood Pressure; Diabetes, High Cholesterol, Heart Failure, Fibromyalgia, Chronic Fatigue, Obesity, Fatty Liver, etc.

Infertility

We offer the latest treatments and compassionate care to optimize your chances of creating your family!

Infertility Services

We understand the physical, emotional and financial stress caused by seeking treatment for infertility. We offer the latest treatments and compassionate care to optimize your chances of creating your family! Our practitioner will perform a completed fertility evaluation and offer services including ovulation induction and intra-uterine insemination (IUI). If you require surgery or in-vitro fertilization (IVF) we will refer you to a highly-qualified specialist.

Treatments Available
Intrauterine Insemination

Intrauterine insemination (IUI) is a fertility treatment that places sperm inside the uterus to promote fertilization. The goal is to allow more sperm to reach the fallopian tubes in order increase the chances of fertilization. IUIs at MCFNP are performed in either natural, clomiphene citrate, or gonadotropin stimulated cycles.

Intrauterine Insemination is performed when ovulation is approaching. Sperm is gathered from your partner before the procedure. (Advance Fertility Center at Odessa Regional Medical Center’s laboratory?) prepares the sperm, and they are committed to making sure the highest quality of sperm is gathered from the sample provided. A small catheter is used to transfer the sperm into the uterus, and the IUI is relatively painless.

Artificial Insemination

Artificial insemination using donor sperm is most commonly performed when couples learn that the man is sterile. It is also performed when single women would like to conceive. Donor sperm used at MCFNP are gathered from approved cryopreserved donor sperm banks that are FDA approved, as well as follow strict, mandated infectious disease screening.

Managing PCOS
Polycystic Ovary Syndrome is a syndrome that affects about 5% to 10% or women between the ages of 18 and 44. PCOS has many unfortunate symptoms that include infertility, menstrual problems, hair loss on the scalp, hair increase on the face and body, and acne. If untreated, PCOS can lead to Type 2 diabetes and heart disease.

If diagnosed with PCOS, we will work with you to create a plan to help overcome PCOS and infertility. We will also help try to prevent the long term problems associated with PCOS. Minimizing risk is important to us, so we will recommend the best medication used to treat PCOS. This includes clomiphene citrate, Metformin, and if these do not work, gonadotropin therapy. We understand that dealing with PCOS is tough battle, but we at MCFNP are committed to helping you win the fight.

Clomid Therapy
If women are experiencing trouble ovulating due to PCOS, clomiphene citrate is the best option used combatting this. Clomid is taken orally, and is usually well tolerated by women, but side effects include nausea, mood changes, depression, and vaginal dryness.

Gonodotrapin Therapy
Gonadotropins are two hormones, luteinizing hormone (LH) and follicle stimulating hormone (FSH), and these are usually produced by the pituitary gland. These hormones stimulate the ovaries to help produce a follicle, which contains the egg.

Diagnostic Testing

The beginning of the process starts with an evaluation. Your medical history will be reviewed along with any exams you have previously had. We will also decide if any additional testing will need to take place. Each patient is different, and is going through different challenges. Dealing with infertility can feel overwhelming, but we will give you ample opportunity to ask questions or bring up any concerns you have. At MCFNP we will work with you to determine the best plan of action, and tailor a plan that will give you the greatest chance to conceive.

How The Ovaries Work
Unlike men who produce sperm throughout their lifetimes, woman are born with their lifetime supply of eggs. After a woman passes the usual childbearing years, it becomes much harder to conceive. Women under 30 have the greatest chance to conceive, while women over 40 may have difficulties conceiving. As soon as a woman no longer has any eggs, menopause begins. Usually occurring when a woman is in her early 50s. The average age for menopause to occur in American women is 51.

Although finding out exactly how many eggs a woman has left cannot be done, a number of tests can be performed to help estimate how many eggs are left in the ovaries.

Tests

Day 3 Fish
This test determines the follicle stimulating hormone levels, and is taken during the third day of the menstrual cycle. Usually healthy levels of FSH for women are nine and under. Anything over that means that it will be harder for the woman to conceive.

Clomid Challenge Test
This tests the female pituitary hormone levels in females. It makes use of the medication Clomid, and helps accurately determine if a woman has a decreased ovarian reserve.

AMH Test
The Anti-Mullerian Hormone is a hormone produced by oocytes. As ovarian function declines, so does AMH. The acceptable AMH value is still being debated, but values greater than 1.0 or 1.2 are usually accepted as normal. This test differs from day 3 testing because AMH levels do not change throughout the month, meaning that the test can be taken at any time of the month.

Resting Follicle Count
This is a transvaginal ultrasound taken during the start of a woman’s menstrual cycle where the number of resting or unstimulated ovarian follicles are noted. If a woman has a low Resting Follicle Count, she may not be responding very well to fertility medication.

Hormone Evaluation
Some women may have irregular or absent ovulation, reflected by irregular or absent menses. Additionally, some women experience clinical androgen excess as evidenced by hirsutism (male pattern facial hair) or acne.

Here at MCFNP, we may request blood studies to ascertain the origin of these reproductive endocrine disorders. Furthermore, referral to a Reproductive Endocrinologist may be indicated for the evaluation and treatment with rare and complex reproductive endocrine diseases.

Male Testing
Male infertility is the source of a couple’s inability to conceive about 20 – 40% of the time. If a severe male factor is present, IVF-ICSI (intracytoplasmic sperm injection) may be suggested as a primary treatment and couple would be referred to Reproductive Endocrinology specialist. For couples with a mild male factor, intrauterine inseminations may be suggested.

Saline Sonogram
Sonohysterogram/Saline Infusion Sonogram (SIS). This office based procedure, commonly performed at MCFNP, allows us to view the uterine cavity. During the transvaginal ultrasound, sterile saline is inserted through the cervix and into the uterus through a narrow tube. This well tolerated procedure allows the provider to see the walls of the uterus and evaluate for the presence of intrauterine growths such as polyps or fibroids. Additionally, a SIS is an excellent screening study to determine the location of fibroids and their relationship to the uterine cavity.

Hysterosalpingogram (HSG)
This radiological procedure has been a mainstay of infertility physicians for decades. It is regarded as the principle screening study to help determine if the fallopian tubes are patent (open) or occluded. Additionally, an HSG can help determine if the uterine cavity has any filling defects, including fibroids or polyps. Radio-opaque dye is inserted past the cervix and into the uterine cavity while X-ray images are obtained. HSGs are not always accurate, but are considered a very good screening study.

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