Hormone Therapy in Orange County

Hormone Therapy in Orange County

Renew & Reinvigorate 

Hormone therapy isn’t one-size-fits-all. The best programs take a close look at the whole person and come up with solutions that address symptoms of aging that may vary by person. Whether you’re wondering how to delay menopause or looking to address symptoms of menopause in women or andropause in men, the Med Lounge offers well-rounded plans to get to the root of what’s ailing you.

At the Med Lounge, we use tools from Renew Youth, a leader in healthy aging and treatment solutions, to manage the symptoms associated with aging. The programs are focused on 

personalized treatment plans that come together after providers evaluate known symptoms and analyze each patient’s lab work for the best course of action. That can mean human growth hormone therapy, thyroid therapy, estrogen therapy or a combination of treatment plans to renew your energy, improve your mood and address the physical symptoms of aging.

If you’re seeking hormone therapy in Orange County, schedule a consultation with the experts at the Med Lounge. Age better, feel better and look better with our personalized approach.

Benefits of Hormone Therapy

Healthy aging

Look and feel better

Safe and effective

Personalized program

Based on lab work

Daily improvement

Fits your lifestyle

Informed decision-making

Relieves symptoms of andropause

Relieves symptoms of menopause

Frequently Asked Questions

Hormone replacement therapy is most commonly used to treat the discomfort associated with menopause symptoms in women. That can mean hot flashes, vaginal dryness, chronic fatigue, mood changes, even higher risk of osteoporosis, a condition more common in menopausal women. 

In men, hormone replacement therapy has been used to treat andropause symptoms, which most often include lower testosterone levels and a general decline in mood and overall well-being.

Renew Youth is a customized approach to managing the symptoms of aging. For both men and women in the program, that means meeting with a provider who will not only discuss options to treat the signs of aging but a close look at a patient’s lab work to identify root causes of those symptoms. The course of action recommended will be based on a whole-person approach to leave you feeling and looking better as you age.

With the appropriate treatment plan and under the supervision of a provider that has developed a personalized treatment plan for you, hormone therapy can be the answer to the uncomfortable symptoms you’re experiencing as you age. At its best, it has the potential to dramatically improve your quality of life, making sure that your golden years are exactly that.

If you’ve been unable to treat the symptoms of menopause or are struggling with quality of life changes due to andropause, hormone therapy may be right for you. It may also be used to treat the worst symptoms of perimenopause or delay menopause altogether. Our experts at Med Lounge will work with you to determine the best course of action based on your symptoms and what you’re hoping to achieve with a treatment plan. 

In addition to taking a close look at your lab work, we’ll look at your family and medical history to ensure that the treatment plan offered is safe and effective for you.

Hormone therapy is safe and effective when you’re under the care of a provider who has developed an individualized treatment plan for you. That plan may mean tweaks as your symptoms abate or new symptoms arise as you age. It’s a long-term process built on responses to what your body is telling you and your provider.  

Living a healthy lifestyle on top of hormone therapy will also benefit you greatly. That means a nutritious diet, exercise and getting enough rest regularly to see optimal results from your treatment.

How hormone therapy is given depends on the kind of treatment plan you’ll be matched up with. That can mean nutritional supplements, oral medications or injections, or a combination of the two.

Renew Youth Programs

Renew Youth offers personalized treatment plans for both men and women looking not to reverse the signs of aging but age better, feel better and look better as they age. Available programs are customized based on symptoms and analysis of root causes of those symptoms to offer long-term solutions as you age.

RENEW WOMAN

Renew Woman is a comprehensive approach to addressing the symptoms of aging in women, particularly as they relate to perimenopause and menopause. Here are a few available programs, with more available based on need and desired results. These include but are not limited to sexual dysfunction therapy, hair loss therapy and nutritional supplements. 

 

  • Bioidentical Estrogen Therapy: This individualized hormone therapy brings estrogen back to healthy levels with monitoring throughout to make sure symptoms are being treated.
  • Bioidentical Progesterone Therapy: Progesterone and estrogen are given as a combination treatment in hormone therapy targeting menopause symptoms. Progesterone optimizes the work estrogen is doing to alleviate symptoms in your body. 
  • Thyroid Therapy: Optimal thyroid levels can be the key to the worst symptoms of menopause, including chronic fatigue and mood changes. A thyroid therapy program looks at identifying your thyroid levels to have you feeling your best.
  • Growth Hormone Therapy: Significant hormone imbalances and a deficiency in growth hormone, a key component in aging well, may mean you’re a good candidate for growth hormone therapy.
  • Injectable Nutrient Therapy: Even those on a healthy eating plan may find that they’re just not getting all of the nutrients they need to continue aging better. Injectable nutrient therapy fills in the blanks left by traditional methods like diet and supplements.

RENEW MAN

Renew Man is a comprehensive approach to addressing the symptoms of aging in men, particularly as they relate to andropause. Here are a few available programs, with more available based on need and desired results. These include but are not limited to sexual dysfunction therapy, hair loss therapy and facial treatments. 

 

  • Bioidentical Testosterone Therapy: This therapy brings testosterone back to healthy hormone levels with regular monitoring. It may coincide with balancing out other hormones in the body, as well.
  • Estrogen Therapy: Balancing — and in most cases suppressing — estrogen in the body is a key component of successful testosterone therapy in men. Otherwise, too much estrogen can lead to weight gain, fatigue and a decreased sex drive.
  • Thyroid Therapy: Optimal thyroid levels can be the key to the worst symptoms of andropause, including chronic fatigue and mood changes. A thyroid therapy program looks at identifying where your thyroid levels should be to have you feeling your best.
  • Growth Hormone Therapy: Significant hormone imbalances and a deficiency in growth hormone, a key component in aging well, may mean you’re a good candidate for growth hormone therapy.
  • Injectable Nutrient Therapy: Even those on a healthy eating plan may find that they’re just not getting all of the nutrients they need to continue aging better. Injectable nutrient therapy fills in the blanks left by traditional methods like diet and supplements

BOTOX® Cosmetic (onabotulinumtoxinA) Important Information

 

Indications

BOTOX® Cosmetic (onabotulinumtoxinA) is indicated in adult patients for the temporary improvement in the appearance of:

– Moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity

– Moderate to severe lateral canthal lines associated with orbicularis oculi activity

 

– Moderate to severe forehead lines associated with frontalis activity

 

IMPORTANT SAFETY INFORMATION, INCLUDING BOXED WARNING

 

WARNING: DISTANT SPREAD OF TOXIN EFFECT

Postmarketing reports indicate that the effects of BOTOX® Cosmetic and all botulinum toxin products may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These may include asthenia, generalized muscle weakness, diplopia, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence, and breathing difficulties. These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life threatening and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity, but symptoms can also occur in adults treated for spasticity and other conditions, particularly in those patients who have an underlying condition that would predispose them to these symptoms. In unapproved uses and approved indications, cases of spread of effect have been reported at doses comparable to those used to treat cervical dystonia and spasticity and at lower doses.

CONTRAINDICATIONS

BOTOX® Cosmetic is contraindicated in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any botulinum toxin preparation or to any of the components in the formulation.

WARNINGS AND PRECAUTIONS

Lack of Interchangeability Between Botulinum Toxin Products

The potency units of BOTOX® Cosmetic are specific to the preparation and assay method utilized. They are not interchangeable with other preparations of botulinum toxin products and, therefore, units of biological activity of BOTOX® Cosmetic cannot be compared to nor converted into units of any other botulinum toxin products assessed with any other specific assay method.

Spread of Toxin Effect

Please refer to Boxed Warning for Distant Spread of Toxin Effect.

No definitive serious adverse event reports of distant spread of toxin effect associated with dermatologic use of BOTOX® Cosmetic at the labeled dose of 20 Units (for glabellar lines), 24 Units (for lateral canthal lines), 40 Units (for forehead lines with glabellar lines), 44 Units (for simultaneous treatment of lateral canthal lines and glabellar lines), and 64 Units (for simultaneous treatment of lateral canthal lines, glabellar lines, and forehead lines) have been reported. Patients or caregivers should be advised to seek immediate medical care if swallowing, speech, or respiratory disorders occur.

Serious Adverse Reactions With Unapproved Use

Serious adverse reactions, including excessive weakness, dysphagia, and aspiration pneumonia, with some adverse reactions associated with fatal outcomes, have been reported in patients who received BOTOX® injections for unapproved uses. In these cases, the adverse reactions were not necessarily related to distant spread of toxin, but may have resulted from the administration of BOTOX® to the site of injection and/or adjacent structures. In several of the cases, patients had pre-existing dysphagia or other significant disabilities. There is insufficient information to identify factors associated with an increased risk for adverse reactions associated with the unapproved uses of BOTOX®. The safety and effectiveness of BOTOX® for unapproved uses have not been established.

Hypersensitivity Reactions

Serious and/or immediate hypersensitivity reactions have been reported. These reactions include anaphylaxis, serum sickness, urticaria, soft-tissue edema, and dyspnea. If such reactions occur, further injection of BOTOX® Cosmetic should be discontinued and appropriate medical therapy immediately instituted. One fatal case of anaphylaxis has been reported in which lidocaine was used as the diluent and, consequently, the causal agent cannot be reliably determined.

Cardiovascular System

There have been reports following administration of BOTOX® of adverse events involving the cardiovascular system, including arrhythmia and myocardial infarction, some with fatal outcomes. Some of these patients had risk factors including pre-existing cardiovascular disease. Use caution when administering to patients with pre-existing cardiovascular disease.

Increased Risk of Clinically Significant Effects With Pre-existing Neuromuscular Disorders

Individuals with peripheral motor neuropathic diseases, amyotrophic lateral sclerosis, or neuromuscular junction disorders (eg, myasthenia gravis or Lambert-Eaton syndrome) should be monitored when given botulinum toxin. Patients with neuromuscular disorders may be at increased risk of clinically significant effects including generalized muscle weakness, diplopia, ptosis, dysphonia, dysarthria, severe dysphagia, and respiratory compromise from onabotulinumtoxinA (see Warnings and Precautions).

Dysphagia and Breathing Difficulties

Treatment with BOTOX® and other botulinum toxin products can result in swallowing or breathing difficulties. Patients with pre-existing swallowing or breathing difficulties may be more susceptible to these complications. In most cases, this is a consequence of weakening of muscles in the area of injection that are involved in breathing or oropharyngeal muscles that control swallowing or breathing (see Boxed Warning).

Pre-existing Conditions at the Injection Site

Caution should be used when BOTOX® Cosmetic treatment is used in the presence of inflammation at the proposed injection site(s) or when excessive weakness or atrophy is present in the target muscle(s).

Dry Eye in Patients Treated With BOTOX® Cosmetic

There have been reports of dry eye associated with BOTOX® Cosmetic injection in or near the orbicularis oculi muscle. If symptoms of dry eye (eg, eye irritation, photophobia, or visual changes) persist, consider referring patients to an ophthalmologist.

Human Albumin and Transmission of Viral Diseases

This product contains albumin, a derivative of human blood. Based on effective donor screening and product manufacturing processes, it carries an extremely remote risk for transmission of viral diseases and variant Creutzfeldt-Jakob disease (vCJD). There is a theoretical risk for transmission of Creutzfeldt-Jakob disease (CJD), but if that risk actually exists, the risk of transmission would also be considered extremely remote. No cases of transmission of viral diseases, CJD or vCJD have ever been identified for licensed albumin or albumin contained in other licensed products.

ADVERSE REACTIONS

The most frequently reported adverse reactions following injection of BOTOX® Cosmetic for glabellar lines were eyelid ptosis (3%), facial pain (1%), facial paresis (1%), and muscular weakness (1%).

The most frequently reported adverse reaction following injection of BOTOX® Cosmetic for lateral canthal lines was eyelid edema (1%).

The most frequently reported adverse reactions following injection of BOTOX® Cosmetic for forehead lines with glabellar lines were headache (9%), brow ptosis (2%), and eyelid ptosis (2%).

DRUG INTERACTIONS

Co-administration of BOTOX® Cosmetic and aminoglycosides or other agents interfering with neuromuscular transmission (eg, curare-like compounds) should only be performed with caution as the effect of the toxin may be potentiated. Use of anticholinergic drugs after administration of BOTOX® Cosmetic may potentiate systemic anticholinergic effects.

The effect of administering different botulinum neurotoxin products at the same time or within several months of each other is unknown. Excessive neuromuscular weakness may be exacerbated by

administration of another botulinum toxin prior to the resolution of the effects of a previously administered botulinum toxin.

Excessive weakness may also be exaggerated by administration of a muscle relaxant before or after administration of BOTOX® Cosmetic.

USE IN SPECIFIC POPULATIONS

There are no studies or adequate data from postmarketing surveillance on the developmental risk associated with use of BOTOX® Cosmetic in pregnant women. There are no data on the presence of BOTOX® Cosmetic in human or animal milk, the effects on the breastfed child, or the effects on milk production.

 

Please see BOTOX® Cosmetic full Prescribing Information including Boxed Warning and Medication Guide.

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BOTOX® Cosmetic (onabotulinumtoxinA) Important Information

 

Indications

BOTOX® Cosmetic (onabotulinumtoxinA) is indicated in adult patients for the temporary improvement in the appearance of:

– Moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity

– Moderate to severe lateral canthal lines associated with orbicularis oculi activity

 

– Moderate to severe forehead lines associated with frontalis activity

 

IMPORTANT SAFETY INFORMATION, INCLUDING BOXED WARNING

 

WARNING: DISTANT SPREAD OF TOXIN EFFECT

Postmarketing reports indicate that the effects of BOTOX® Cosmetic and all botulinum toxin products may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These may include asthenia, generalized muscle weakness, diplopia, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence, and breathing difficulties. These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life threatening and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity, but symptoms can also occur in adults treated for spasticity and other conditions, particularly in those patients who have an underlying condition that would predispose them to these symptoms. In unapproved uses and approved indications, cases of spread of effect have been reported at doses comparable to those used to treat cervical dystonia and spasticity and at lower doses.

CONTRAINDICATIONS

BOTOX® Cosmetic is contraindicated in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any botulinum toxin preparation or to any of the components in the formulation.

WARNINGS AND PRECAUTIONS

Lack of Interchangeability Between Botulinum Toxin Products

The potency units of BOTOX® Cosmetic are specific to the preparation and assay method utilized. They are not interchangeable with other preparations of botulinum toxin products and, therefore, units of biological activity of BOTOX® Cosmetic cannot be compared to nor converted into units of any other botulinum toxin products assessed with any other specific assay method.

Spread of Toxin Effect

Please refer to Boxed Warning for Distant Spread of Toxin Effect.

No definitive serious adverse event reports of distant spread of toxin effect associated with dermatologic use of BOTOX® Cosmetic at the labeled dose of 20 Units (for glabellar lines), 24 Units (for lateral canthal lines), 40 Units (for forehead lines with glabellar lines), 44 Units (for simultaneous treatment of lateral canthal lines and glabellar lines), and 64 Units (for simultaneous treatment of lateral canthal lines, glabellar lines, and forehead lines) have been reported. Patients or caregivers should be advised to seek immediate medical care if swallowing, speech, or respiratory disorders occur.

Serious Adverse Reactions With Unapproved Use

Serious adverse reactions, including excessive weakness, dysphagia, and aspiration pneumonia, with some adverse reactions associated with fatal outcomes, have been reported in patients who received BOTOX® injections for unapproved uses. In these cases, the adverse reactions were not necessarily related to distant spread of toxin, but may have resulted from the administration of BOTOX® to the site of injection and/or adjacent structures. In several of the cases, patients had pre-existing dysphagia or other significant disabilities. There is insufficient information to identify factors associated with an increased risk for adverse reactions associated with the unapproved uses of BOTOX®. The safety and effectiveness of BOTOX® for unapproved uses have not been established.

Hypersensitivity Reactions

Serious and/or immediate hypersensitivity reactions have been reported. These reactions include anaphylaxis, serum sickness, urticaria, soft-tissue edema, and dyspnea. If such reactions occur, further injection of BOTOX® Cosmetic should be discontinued and appropriate medical therapy immediately instituted. One fatal case of anaphylaxis has been reported in which lidocaine was used as the diluent and, consequently, the causal agent cannot be reliably determined.

Cardiovascular System

There have been reports following administration of BOTOX® of adverse events involving the cardiovascular system, including arrhythmia and myocardial infarction, some with fatal outcomes. Some of these patients had risk factors including pre-existing cardiovascular disease. Use caution when administering to patients with pre-existing cardiovascular disease.

Increased Risk of Clinically Significant Effects With Pre-existing Neuromuscular Disorders

Individuals with peripheral motor neuropathic diseases, amyotrophic lateral sclerosis, or neuromuscular junction disorders (eg, myasthenia gravis or Lambert-Eaton syndrome) should be monitored when given botulinum toxin. Patients with neuromuscular disorders may be at increased risk of clinically significant effects including generalized muscle weakness, diplopia, ptosis, dysphonia, dysarthria, severe dysphagia, and respiratory compromise from onabotulinumtoxinA (see Warnings and Precautions).

Dysphagia and Breathing Difficulties

Treatment with BOTOX® and other botulinum toxin products can result in swallowing or breathing difficulties. Patients with pre-existing swallowing or breathing difficulties may be more susceptible to these complications. In most cases, this is a consequence of weakening of muscles in the area of injection that are involved in breathing or oropharyngeal muscles that control swallowing or breathing (see Boxed Warning).

Pre-existing Conditions at the Injection Site

Caution should be used when BOTOX® Cosmetic treatment is used in the presence of inflammation at the proposed injection site(s) or when excessive weakness or atrophy is present in the target muscle(s).

Dry Eye in Patients Treated With BOTOX® Cosmetic

There have been reports of dry eye associated with BOTOX® Cosmetic injection in or near the orbicularis oculi muscle. If symptoms of dry eye (eg, eye irritation, photophobia, or visual changes) persist, consider referring patients to an ophthalmologist.

Human Albumin and Transmission of Viral Diseases

This product contains albumin, a derivative of human blood. Based on effective donor screening and product manufacturing processes, it carries an extremely remote risk for transmission of viral diseases and variant Creutzfeldt-Jakob disease (vCJD). There is a theoretical risk for transmission of Creutzfeldt-Jakob disease (CJD), but if that risk actually exists, the risk of transmission would also be considered extremely remote. No cases of transmission of viral diseases, CJD or vCJD have ever been identified for licensed albumin or albumin contained in other licensed products.

ADVERSE REACTIONS

The most frequently reported adverse reactions following injection of BOTOX® Cosmetic for glabellar lines were eyelid ptosis (3%), facial pain (1%), facial paresis (1%), and muscular weakness (1%).

The most frequently reported adverse reaction following injection of BOTOX® Cosmetic for lateral canthal lines was eyelid edema (1%).

The most frequently reported adverse reactions following injection of BOTOX® Cosmetic for forehead lines with glabellar lines were headache (9%), brow ptosis (2%), and eyelid ptosis (2%).

DRUG INTERACTIONS

Co-administration of BOTOX® Cosmetic and aminoglycosides or other agents interfering with neuromuscular transmission (eg, curare-like compounds) should only be performed with caution as the effect of the toxin may be potentiated. Use of anticholinergic drugs after administration of BOTOX® Cosmetic may potentiate systemic anticholinergic effects.

The effect of administering different botulinum neurotoxin products at the same time or within several months of each other is unknown. Excessive neuromuscular weakness may be exacerbated by

administration of another botulinum toxin prior to the resolution of the effects of a previously administered botulinum toxin.

Excessive weakness may also be exaggerated by administration of a muscle relaxant before or after administration of BOTOX® Cosmetic.

USE IN SPECIFIC POPULATIONS

There are no studies or adequate data from postmarketing surveillance on the developmental risk associated with use of BOTOX® Cosmetic in pregnant women. There are no data on the presence of BOTOX® Cosmetic in human or animal milk, the effects on the breastfed child, or the effects on milk production.

 

Please see BOTOX® Cosmetic full Prescribing Information including Boxed Warning and Medication Guide.

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