WHAT IS PELLET THERAPY & WHY SHOULD YOU CONSIDER IT?

What is Pellet Therapy and why should you consider it? Subcutaneous estrogen replacement therapy often referred to as “Pellet Therapy” is not a novel idea. It was initially described in 1938 as an alternative treatment for menopausal symptoms. Subcutaneous estrogen replacement involves the placement of crystalline, biodegradable pellets of estradiol subcutaneously into the buttocks. Placement is performed in the office using local anesthesia.

Advantages of Pellet Therapy

Estrogen replacement therapy (ERT) is very advantageous. ERT is superior to any other remedy for the treatment of hot flashes and vaginal atrophy. It has also been found to be cardio-protective, to improve cognitive effects, and to aid in the prevention of osteoporosis.

Despite these advantages, many patients discontinue their ERT for various reasons. The most common include irregular bleeding and or concern about breast cancer. Women discontinue therapy due to unreliability in taking pills, skin reactions to patches, nausea, or incomplete relief of symptoms. These patients may benefit from alternative routes of ERT like “pellet therapy”.

Subcutaneous ERT, unlike oral estrogen therapy, is better able to mimic premenopausal physiologic levels of estradiol and estrone. Subcutaneous estrogen has a favorable effect on lipid profiles with an increase in “good” cholesterol HDL and decreased level of LDL’s “bad” cholesterol. Although estradiol levels differ among patients, individual levels within each patient have very little variation. Implants provide more stable circulating estrogen levels than any other route of administration.

Insertion

Insertion is easily performed in the office. After a small area of skin is prepared with local anesthesia, a 5 mm skin incision is made in the subcutaneous fat of the buttocks. The trocar with cannula is advanced through the incision. The trocar is removed and the pellets are loaded into the barrel of the cannula. The obturator is inserted forcing the pellets out of the instrument into the subcutaneous layers of the buttocks. Complications, albeit rare, include bleeding from the insertion site, bruising, or wound infection.

Testosterone & Progesterone Therapy

Another potential benefit of pellet therapy is the ability to combine subcutaneous estradiol and testosterone replacement. Testosterone therapy has been used for patients who complain of reduced libido. A combined dose of estrogen and testosterone has been shown to significantly improve libido, sexual enjoyment, and menopausal symptoms lasting for 5-6 months.

Appropriate patients include peri/postmenopausal women seeking to relieve hot flashes, vaginal atrophy, maintain or increase bone density, and produce favorable lipid changes. Patients with an intact uterus require progesterone therapy to protect the endometrium, as do patients using other forms of estrogen replacement.

Pellet Therapy and Libido

Subcutaneous ERT or “Pellet therapy” is a convenient form of estrogen replacement therapy, eliminating the need for daily pill or patch. Furthermore, combined therapy adding testosterone can also be used to adjudicate symptoms of decreased libido, leading to more sexual enjoyment.

New Leaf Wellness has a vision to provide women with awareness, options, and solutions. We take pride in providing a safe space for women to explore choices for their sexual health, rejuvenating their appearance, and improving their lives. New Leaf Wellness understands the intensely personal and sexual health issues involved in these surgeries/treatments. Our staff is dedicated to patients having the best outcomes with the highest levels of safety and comfort.

Lastly, if you have questions, please reach out using the contact form below and we will make arrangements for a FREE personal consultation!

LOW TESTOSTERONE MAY CONTRIBUTE TO DEPRESSION AND ANXIETY IN MEN AND WOMEN

We traditionally think about testosterone helping with energy, sexual interest, erectile dysfunction and libido. When we look closely at medical studies, we find a link to depression and anxiety when testosterone is low.

I’ll repeat it: Low testosterone levels may increase the risk of depression and anxiety. Higher testosterone levels decrease the risk of depression and anxiety. Taking testosterone (testosterone therapy) if your levels are low often improves depression and anxiety.

Testosterone levels are tested with blood tests at our clinics. Blood testosterone tests give providers an accurate idea of the amount of testosterone that is available to be used by your body.

Testosterone levels can be raised in numerous different ways and require a prescription from the provider at New Leaf Wellness. New Leaf Specialty Pharmacy specializes in compounding personalized testosterone and other hormones. At New Leaf  Wellness, we also have NLRx supplements that can support your wellness.

Once you start testosterone therapy it will take 2 weeks or sometimes longer to see how well testosterone helps with depression, anxiety and other health issues.

There are many other factors that can contribute to depression and anxiety including nutrient deficiencies, let’s get you feeling better! New Leaf Specialty Pharmacy specializes in compounded personalized prescriptions of testosterone and hormone therapy prescribed by our providers.  We can help; contact us for more information…

CELEBRATION OF HEALTH

Celebration of Health
June 3, 2021  |  9am – 5pm

We are offering give aways, demo’s and specials that we have never offered before!
We are giving all who attend a FREE B-12 injection!  Please join us!

New Leaf Wellness has a simple mission – your health. Our commitment is not only the science, the reports and diagnosis, but also the healing, comforting and support that you need.

New Leaf is a partner with you for your life in wellness. What makes us able to help YOU uniquely? The fact that many of us are patients and have dealt with the same issues you are dealing with. That’s what makes our lives so enriched – holding your hand with understanding as you take each step of a journey we have walked ourselves. This last year all of us learned how precious health is so we are having a Celebration of Health on June 3rd.

Remember there is good news for those who suffer from hormone deficiencies, weight issues, migraines, or other health concerns: There are solutions. Schedule a time for a complimentary consultation and sit comfortably one on one with a coordinator to explore what you want from life, what the journey can look like, and how to reach your goals with help from New Leaf. There are no shortcuts to wellness and happiness. We’ve helped thousands  – let New Leaf help you reclaim the life you love and come to the Celebration of Health.

GIVEAWAYS!*
Plasma Pen Treatment (valued at $600)
Microneedling with PRP (valued at $349)
3 Month IV Vitamin Therapy Club Membership (valued at $765)

SPECIAL VALUE OFFERS
Hydration IV $39.00
Botox EXCLUSIVE pricing (limited)
Special Offers on Hormone, Low T and Weight Loss Evaluations
25% off Supplements & Skincare
50% OFF Plasma Pen, Microneedling and Facials
One Day Only Special Prices!
FREE B-12 Injections for EVERYONE!*

*Must meet with a consultant to confirm eligibility!

VITAMIN D FOR IMMUNE SYSTEM SUPPORT

Winter is almost over, but with winter months come more illness. There are good reasons why we tend to see more illness during the winter months. One of those reasons is lower Vitamin D levels. As spring approaches it is vital you get your Vitamin D levels back to their optimal levels.

Humans are supposed to get over 90% of their vitamin D from the sun (diet provides very little), and the recommended Daily Value (or previously the RDA) assumed that most people received plenty of vitamin D from the sun. Our ancestors (both ancient and recent) spent a lot of time outdoors in the sun. However, in today’s modern world many people do not get enough vitamin D even during the summer months. People living in northern locales get even less. If you haven’t had your vitamin D levels checked (and most people have not) we highly recommend asking your New Leaf Provider about it. In America, most people test insufficient or deficient for this important vitamin. It is thought that most people need from 7,500-20,000 IUs per day (from all sources, including sun) to meet our needs; we need more when we’re sick or stressed.

Vitamin D helps our immune systems stay balanced during the cold and flu season. There are Vitamin D receptors and activating enzymes on the surfaces of all White Blood Cells. The role that vitamin D plays in keeping the immune system healthy is very complex because the immune system has to be perfectly balanced. If there is too much stimulation, autoimmune diseases can set in. If there is not enough immune system activity, frequent infections can occur.

Low levels of vitamin D have been linked with both extremes, including being associated with worsening autoimmune diseases. Low levels of vitamin D are not the underlying cause of the autoimmune disease, but low levels of vitamin D can make autoimmune disease states worse. Low levels of vitamin D have also been associated with frequent infections. In 2009, the National Institute of Health warned that low vitamin D levels are associated with frequent colds and influenza.

So it appears that vitamin D helps keep the immune system balanced much like a gymnast walking on a balance beam. It is important that daily and weekly vitamin D supplementation help keep your immune system balanced during the cold and flu season.

TESTOSTERONE: Moods, Motivation, And More…

Most people associate testosterone with men. It’s true that this vital hormone drives the development of the male brain and is responsible for the deep voice, facial hair, and many other features we associate with maleness. But women produce and need testosterone too (just as men have some estrogen), just in smaller amounts.

In both men and women, testosterone helps protect the nervous system and wards off depression, cognitive impairment, and Alzheimer’s disease. The aging process, however, can leave some men with low testosterone levels that have been shown to increase symptoms of anxiety and depression, as well as a host of other issues.

COMMON SYMPTOMS OF LOW TESTOSTERONE

  • Moodiness

  • Depression

  • Anxiety

  • Difficulty concentrating

  • Lack of motivation

  • Low libido

  • Fatigue

  • Trouble sleeping

  • Erection problems

  • Increased body fat and reduced lean muscle

  • Low bone density

  • Hot flashes

  • Hair loss

PROGESTERONE: NATURE’S ANTI-ANXIETY HORMONE

Progesterone is the other major hormone in a woman’s monthly cycle. It affects the brain in the following ways:

  • Supports GABA, which helps the brain relax
  • Protects your nerves
  • Supports the myelin that “insulates” and protects neurons

When progesterone is in balance with estrogen, it calms you, brings feelings of peacefulness, and promotes sleep. But when they are imbalanced or when the relaxation hormone drops too dramatically, calmness can give way to irritability, anxiety, depression, sleepless nights, and brain fog. For some women, when progesterone and estrogen plummet right before menstruation starts, mood stability goes out the window.

COMMON SYMPTOMS OF LOW PROGESTERONE

  • Anxiety/Depression
  • Trouble sleeping
  • Fibrocystic breasts
  • PMS
  • Premenstrual headaches
  • Postpartum depression
  • Bone loss

ESTROGEN: THE MOOD MODULATOR

Estrogen is one of the primary hormones involved in a woman’s menstrual cycle. When estrogen levels are healthy and balanced, it helps optimize neurotransmitter production and brain function so you feel good all month long. When estrogen levels are off, it causes problems.

Too much estrogen in relation to progesterone can lead to a condition called estrogen dominance. This causes the gentle monthly hormonal rise and fall to turn into a series of intense spikes and dramatic drop-offs that disrupt important brain processes and make you anxious and irritable.

Too little estrogen leads to feeling depressed and confused. The loss of estrogen also hinders critical thinking, short-term memory, and other cognitive functions. These problems can worsen during perimenopause when estrogen levels can fluctuate wildly and during menopause when the hormone drops and stays low.

COMMON SYMPTOMS OF ESTROGEN IMBALANCES

ESTROGEN DOMINANCE
• Mood swings, depression
• Fatigue
• Sluggish metabolism
• Low libido
• Headaches or migraines
• Brain fog, memory loss
• Weight gain, especially in the belly and hips
• Thyroid dysfunction
• Sleep disturbances
• Fibrocystic breasts
• Bloating
• Vaginal or oral yeast (thrush)
• Heavy bleeding
• Carbohydrate cravings

LOW ESTROGEN
• Mood changes, depression, weepiness
• Fatigue
• Heart palpitations
• Osteoporosis
• Painful intercourse
• Brain fog, memory loss, focus problems
• Weight gain
• Bladder incontinence and infections
• Sleep disturbances
• Pain
• Hot flashes

Hormone Evaluation and Replacement Therapy

Are you feeling down and worried that you might have depression? Do you have memory problems or trouble focusing and are worried that you might have ADD? Are you gaining weight and don’t know why? It could be your hormones!

Hormones are chemical messengers produced in the body that control and regulate the activity of certain cells or organs. Neurohormones have an important impact on the brain. The human body produces hundreds of hormones, but the following four of them have a very direct influence on brain health/mental health:

• Thyroid—energy regulation
• Estrogen—mood modulator
• Progesterone—nature’s anti-anxiety hormone
• Testosterone—mood, motivation, sexuality, strength

NEUROHORMONES AND THE BRAIN

Communication between the brain and hormones goes both ways. The brain sends out signals that instruct your body’s glands to produce and release hormones, and hormones from within the body send messages back to the brain that influences its activity.

When hormones are healthy, you tend to feel vibrant and energetic. When the hormones that affect your brain neurohormones are off, you are off. You may experience symptoms that change the way you think, feel, and act in negative ways. It also makes you more vulnerable to conditions like anxiety, depression, and even psychosis. If nobody checks your hormone levels, you will never know the root cause of your issues. And if your hormones are the problem, no amount of psychiatric medications will get you right.

THYROID: THE MOOD AND ENERGY REGULATOR

The thyroid is a small, butterfly-shaped gland located in your lower neck that plays a powerful role in keeping your brain and body healthy. This gland regulates how your body uses energy, and it also has a strong impact on the brain because it controls the production of many neurotransmitters, such as dopamine, serotonin, and GABA. Problems occur when thyroid dysfunction causes the gland to produce too little hormone (hypothyroidism) or too much hormone (hyperthyroidism).

Hypothyroidism: Brain SPECT scans of people with hypothyroidism show overall decreased brain activity, which often leads to depression, cognitive impairment, anxiety, and brain fog.

Hyperthyroidism: An overactive thyroid produces too much hormone, making everything in your body work too fast. It can feel like you’re in hyper-drive—you feel jittery and edgy, as though you’ve had way too much caffeine.

COMMON SYMPTOMS OF THYROID DYSFUNCTION

Hypothyroidism

• Fatigue
• Difficulty concentrating
• Memory problems
• Depression
• Attentional problems
• Psychosis

Hyperthyroidism

• Sleeplessness, restlessness
• Anxiety
• Irritability
• Racing thoughts
• Difficulty concentrating
• Memory problems
• Depression
• Mania
• Psychosis

The Benefits of Estradiol

Estradiol protects the nervous system from the body’s fight against its effort to detoxify free radicals that damage all components of the cell, including proteins, lipids, and DNA. This stress is increased without estradiol, causing the toxic effects of free radicals, and is dangerous to the central nervous system. The consequences of being without the protection of estradiol may be neurodegenerative diseases including gene mutations, chronic fatigue syndrome, heart and blood vessels disorders, heart failures, heart attacks and inflammatory diseases. Further insults on the body come from disruptions in normal mechanisms of cellular signaling, which may cause cancer, Parkinson’s disease, Alzheimer’s atherosclerosis, fragile X syndrome, Sickle Cell Disease, lichen planus, vitiligo, autism, and chronic fatigue syndrome.

“Estrogen replacement therapy is associated with improvement of cognitive deficits and reduced incidence of Alzheimer’s disease.”

The beneficial effects of bio-identical estradiol was touted in an article published by The Endocrine Society in 2002: “Estrogen replacement therapy is associated with improvement of cognitive deficits and reduced incidence of Alzheimer’s disease. This combination, protected against glutamate toxicity. Without becoming too complicated, glutamate is a neurotransmitter. It is especially important in the brain to keep us thinking and remembering. Having just the right amount is paramount. Too much glutamate is toxic to the brain and results in memory loss and eventually Alzheimer’s. Estradiol and progesterone ,that are natural to humans, protect the brain from excess glutamate.

Check your levels TODAY
for healthy cognitive processes TOMORROW!

How does hormone health impact your immune system?

With all of us trying to stay healthy and avoid getting sick, it seems like everyone is willing to try anything to strengthen their immune system for better protection from disease. Many adopt a healthy lifestyle by eating better and getting more exercise. Others stock up on supplements. And some try getting more sleep. But few people realize that all of these habits may not be enough if your hormones are unbalanced. That’s because your hormones have a direct effect on the strength of your immune system. See, balanced hormones equal better immunity. If you’re experiencing hormonal imbalance, it’s more important than ever to discover the root and the remedy to keep your immune system strong and tip the scales in favor of better health. 

The Balancing Act Between Hormones and Your Immunity

So how do your hormones affect your health and your life? Well, hormones are chemical messengers produced by your body that regulate many processes, from your mood and your energy level, to your blood pressure, appetite, sex drive, physical performance—and yes, your immune system. As a result, hormones control how you feel and function.

The Impact of an Imbalance

The hormones that play the biggest role in our health and our quality of life are estrogen, progesterone and androgens like testosterone. As we age, our body’s natural levels of these hormones can drastically fluctuate. This sudden shift can also result from menopause, obesity and other medical conditions.

No matter the cause, the result is a hormonal imbalance that completely disrupts the many processes that your hormones normally control. That’s why so many women and men that have a hormonal imbalance experience fatigue, weight gain, mood swings, loss of sex drive, lack of strength—and yes, a weakened immune system which leaves you more likely to feel run down and makes it harder to stay healthy.

Don’t Get Mad, Get Even

You should never ignore a hormonal imbalance. Not only because the symptoms are too uncomfortable to ignore, but because one of the processes it impacts and impairs is your immune system. And the longer your hormones are out of whack, the harder they are to get back in sync. So if you’re trying to boost your immunity but your hormones are unbalanced, you can take an alphabet of vitamin supplements or completely change your lifestyle, but nothing you do may do any good.

Help for Hormonal Imbalance

If you’re worried about a hormonal imbalance, you need to speak to a healthcare provider, like New Leaf Wellness, to discuss your different options. One possible and popular treatment is hormone replacement therapy (HRT). Several studies support its benefits, with research showing that estrogen plays an important role in a woman’s immune response, along with medical evidence that HRT can reverse the hormonal changes that women naturally face after menopause. Another alternative is nutrient IV therapy, which infuses high doses of vitamins and minerals directly into your bloodstream to help support and strengthen your immune system. But only your New Leaf Wellness provider can help you find the remedy that’s right for you.

Take the Next Step

By getting to the root of the issue and getting your hormones back in balance, you will be able to get your immune system and your life back on track. Set up a FREE consult today!

New Leaf Wellness offers comprehensive, individualized, and a healing approach to total wellness and age management. By focusing on customized medicine, New Leaf Wellness helps patients earlier in the aging process in order to help prevent, rather than treat age-related issues. Dr Robert Sieman, Medical Director, is dedicated to helping patients identify the root causes of any issues in order to restore the body to its peak performance, alleviate symptoms and ultimately, reverse the effects of aging and prevent age-related diseases. New Leaf Wellness creates personalized treatment plans with proven, effective and safe anti-aging solutions that include highly advanced testing, bioidentical hormone therapy, nutrient therapy, sexual health programs, medical aesthetics, weight loss and much more.