| Frequently Asked Questions |
|
|
|
|
How can I get started?STEP 1: Make ContactYou can contact our office by calling 561-450 5884 or 242-328-4100. A member of our staff will answer any question that you may have. If you would like to be evaluated for one of the BAMI programs, we will obtain some personal information about you and your current health status and schedule an appointment. Alternatively, you can also contact us by e-mail at: STEP 2: Complete a Comprehensive BAMI Male or Female Blood PanelIn order to perform a complete health evaluation you are required to get a blood test panel 2 to 3 weeks before your visit to the BAMI. After you’ve made your appointment you will receive a laboratory requisition for the required blood tests. Our current lab provider is LabCorp and they are available throughout the United States. There is no appointment necessary for your lab tests and a list of draw centers located in your vicinity will be provided. Most labs open before 8AM. Remember to fast for 8 hours before the tests are performed - nothing to eat or drink except water. The test results will be sent to you 5 to 7 days after your blood sample has been drawn and you will need to bring those results with you to your appointment. We can accept certain lab tests that you may have already obtained as long as they are no more then 90 days old. We will explain the pricing and the details of the laboratory panel when you call for your appointment.
Once you have scheduled your appointment we will e-mailed, mailed, or faxed you a health history and “consent" form. These forms must be completed and returned to us at least 1 week prior to your appointment. This will allow Dr. Gay to review your health history in advance so that your initial consultation will be as thorough as possible. Step 4: Initial ConsultationYour initial consultation will include Dr. Gay reviewing your lab results and verifying your medical history with you, assessing your symptoms, conducting a physical examination, discussing your personal medical problems, answering any of your questions, and finally developing a treatment plan that is customized specifically for you. Remember: It is important that you bring your BAMI Male or Female Panel (blood test) results with you to your initial consultation with Dr. Gay STEP 5: Customizing Your Treatment PlanOnce your initial consultation is completed Dr. Gay will determine your individualized treatment plan based upon you specific needs and health concerns. Therapies, prescription medications, supplements, herbs, diet and exercise may be included into your treatment plan. STEP 6: MaintenanceIn order to monitor your progress and maintain optimal health it is important that Dr Gay continues to follow your health status. Therefore, 2 weeks after you begin your initial treatment plan we ask you to e-mail or call us with an update. 12 weeks after your initial consultation you will have your first follow-up visit with Dr. Gay. 2-3 weeks before your follow-up consultation you will be required to have some blood test to monitor your progress. Based upon those tests and your progress Dr. Gay will discuss the effects of the program and adjust your dosages accordingly. Typically, you will repeat this process again in 6 months and every year thereafter, depending on your situation. What are the costs for a personalized program?TThe initial consultation is $300 for a 60 to 90 minute complete evaluation. Follow-up visits cost up to $150 and new you will need 1 or 2 follow-ups during the first year of treatment while the proper dosages are determined. Depending on your personal treatment plan, the cost of the prescriptions (without pharmacy benefits) ususlly run between $35 to $95 per month. The initial full panel of laboratory tests costs approximately $370-$425; follow-up tests range from $180 to $280. Does BAMI accept health insurance?The BAMI does not accept insurance for payment. However, your insurance provider may allow you to submit a properly coded invoices for reimbursement. The BAMI will provide you a invoice for all services performed. Some insurance plans may cover the costs as an out-of-network provider and you may be subject to an annual deductible and a co-pay, depending on your coverage. Please contact your provider for more details on coverage. Will insurance cover the cost of prescriptions?
Most insurance companies that offer pharmacy benefits will cover the cost of drug company products, however, only some insurance plans will cover compounded medications. If you wish to determine coverage in advance, tell your insurance provider that you may be treated with compounded medications containing bioidentical hormones. PLEASE SEE CAUTION BELOW How are hormones used? How often?
Different hormones are used different ways. You will be administering these drugs to yourself once or twice per day. If your program calls for estrogen, progesterone, testosterone you may be using transdermal creams or patches. If your program calls for progesterone, DHEA, pregnenolone, melatonin you may be using oral capsules or sub-lingual tablets. If your program calls for HGH, HCG you may be using subcutaneous injections that are relatively painless, using ultra-fine needles. PLEASE SEE CAUTION BELOW What are hormones made from?
The bio-identical hormones such as estradiol, progesterone and testosterone are derived from the wild Mexican yam or soy. These molecules are then chemically modified to exact replicas of human hormones. The hormone HCG is human-derived, and HGH is produced using recombinant DNA technology. In every case, these hormones fit the receptors in exactly the same way as the hormones in your body today. PLEASE SEE CAUTION BELOW
What are the side-effects from using hormones?
When restoring hormones to youthful levels side-effects are often minimal and manageable. Some individuals report swollen joints or breast tenderness when initiating a bio-identical hormone replacement therapy program. However, these and other adverse reactions can be remedied by reducing the dosage. None of our patients have reported long-term side effects. PLEASE SEE CAUTION BELOW What if I had a hysterectomy?
Bio-identical hormone replacement is perfectly safe after a hysterectomy. In fact, since the ovaries produce much of the testosterone in the female body, replacing this hormone is even more important. PLEASE SEE CAUTION BELOW How long will I need to take hormones?
You should continue treatment as long as you wish to see results or resolution of symptoms. Patients sometimes request to stop the treatment. If they ever consider restarting, we can assess their relative health by taking new measurements to determine if they would benefit from additional treatment. The vast majority of the more than 500 patients we have treated are continuing their treatment. PLEASE SEE CAUTION BELOW What happens if I stop taking hormones? Will my body stop producing its own hormones ? Will my hormone levels decrease? Will I lose what I've gained?
In general, when supplementing with exogenous (or external) hormones your own endogenous (or internal) hormone production will decreased. However, the human body tends to restore hormones to pre-treatment levels after treatment has stopped. Remember, if your own hormone production was low before treatment, it will most likely return to the same levels after treatment. As a result, most of the physical changes facilitated by the program will gradually revert back to "normal". PLEASE SEE CAUTION BELOW Does testosterone replacement therapy shrink the testes?
When restoring hormones using testosterone, human chorionic gonadotropin the testes will likely slow production of testosterone in response to (perceived) high levels. This condition may also result in minor shrinking of the testes. However, when including HCG which emulates luteinizing hormone, is also used the testes are stimulated into producing their own testosterone, thereby preserving their function and size. These products are usually injected into muscle 2 to 3 times per week by the patient using an insulin syringe. PLEASE SEE CAUTION BELOW Will I continue to get my period if I use BHRT?
When undergoing Bio-identical Hormone Restoration Therapy (BHRT) the question of whether to cycle or not to cycle is complex and depends upon many factors specific to each woman. We will discuss the evidence with you and provide our current interpretation of available data. While cycling may turn out to have benefits, there is not enough clinical trial data to mandate it for all patients. Individuals who have difficulty tolerating the fluctuation of hormones that cycling entails and are at a low risk of breast cancer may decide not to cycle. PLEASE SEE CAUTION BELOW When should I start considering bio-identical hormones? Should I wait until I reach menopause?
Menopause is defined as beginning on the first day 12 months after you have had your last period. Many physicians suggest their patients wait until they have passed this milestone to begin BHRT. This, however, reflects an antiquated view of a woman's transition from the premenopause to menopause. Many women experience their most severe symptoms in the months to years leading up to this milestone. To wait for this single day would subject women to a year or more of unnecessary hot flashes, night sweats, mental fogginess, and bone loss. the BAMI approach is to start addressing these symptoms as soon as they appear. By beginning BHRT several years before the final menstrual period, a time called the perimenopause women avoid all the havoc that fluctuating hormone levels can wreak. the BAMI's approach is to smooth the transition from normal cycling through the menopause rather than to wait for an arbitrarily defined date. PLEASE SEE CAUTION BELOW WWhat about supplementation?Our bodies require raw materials to create the myriads of enzymes and compounds for building, restoring and creating. In order to meet these requirement both food and supplementation are required. In addition, the toxic challenges that we are all being exposed to daily makes it imperative that we provide our systems with antioxidants, herbals, adaptogens, enzymes, alkalinizes, nootropics, etc. All patients are encouraged to read Suzanne Somers book, "Ageless: The Naked Truth About Bioidentical Hormones". What are the costs involved in Low Level Laser Therapy treatment for pain management?A Low Level Laser Therapy treatment to manage pain consists of 10 sessions with each session costing $150.00. The total cost of the treatment is $1,500.00. Each session is between 20 to 30 minutes long. How do I schedule a Low Level Laser Therapy treatment for pain management?A BAMI staff member will take reservations for the pain management treatments at the Bahamas Anti-Aging Medical Institute and provide hotel accommodations information and arrange for transportation services while clients undergo treatment sessions. To schedual an appointment, or for more information, please call BAMI at 561 450 5884. |



