Hormone Therapy

Bioidentical Hormone Therapy (BHT) was developed in the US in the 1930s and has been
approved by the Federal Drug Administration for human use. The effectiveness of
bioidentical hormones has been well established in scientific literature.
learn more


Trouble sleeping, lack of
energy, and moods such as
depression and anxiety could
be a result of a hormonal

Behind The Scenes

The science of hormone therapy and the administration of hormones has rapidly developed in recent years. Modern methods allow for pellets of bioidentical hormones be placed subcutaneously under the skin to be released directly into the bloodstream over time.

The therapy is intended to alleviate symptoms that result from the body’s decreased production of hormones, which can lead to severe sleep problems, mental health and anxiety problems, decreased metabolism, reductions in sexual interest, hot flashes, and night sweats.

Scientific literature has repeatedly demonstrated that hormone therapy has contributed to the slowing down and reversal of diseases associated with aging, such as osteoporosis, heart disease, dementia, menopause, Alzheimer’s, and Parkinson’s

Leading The Way

Jiva Med Spa also offers our own line of
supplements, Nanda RX, that meet or exceed
CGMP quality standards.

Common Symptoms of Hormonal Imbalance

  • Difficulty sleeping
    at night

  • Lack of energy and
    fatique during the day

  • Reduced mental focus
    and memory

  • Moody, anxious, or

  • Weight gain, inability
    to lose weight
    regardless of diet or

  • Decreased muscle
    strength, muscle/joint

  • Reduced sexual desire
    and performance

How does Bioidentical Hormone
Pellet Therapy work?

These scientifically developed and patented hormone compounds are considered bioidentical because they are very similar to the hormones naturally produced by the human body. They can be compounded and administered specifically to each person’s unique medical condition based on the presentation of symptoms and doctor recommendations.

Hormones levels are constantly shifting
and target specific cells

Research has demonstrated that specific types of cells produce and regulate their own hormone levels, such as estrogen. For example, estrogen is synthesized inside the various organs that utilize it (e.g. ovaries, brain, and heart.)

“Each different type of hormone produced by the body
is designed to affect only specific cells or organs.”

– Dr. Rakesh Nanda

Hormones are considered the chemical messengers for the human body. Hormones are secreted into the bloodstream and regulated by the hypothalamus and pituitary gland in the brain, or by the thyroid gland in the neck. Otherwise, they’re produced locally within specific organs. Hormones affect the functioning of cells, organs, and complex biological and nervous system functions such as homeostasis, sleep, appetite, sexual arousal, aging, and mood. Each different type of hormone is produced by the body and is designed to affect only specific cells or organs.

Hormone levels are constantly shifting and target specific cells that have unique receptors for that hormone, similarly like a lock and key. However, cells that do not have the specific receptor site for a designated hormone will not be affected directly by the hormone but may be affected by a cascade of biological events due to the complexity of the human body.

Research has demonstrated that specific types of cells produce and regulate their own hormone levels, such as estrogen. For example, estrogen is synthesized inside the various organs that utilize it (e.g. ovaries, brain, and heart). Additionally, proper hormone levels are needed to maintain neurotransmitters levels (e.g. serotonin, dopamine, adrenaline, etc.) and function in the brain that affects psychological well-being, emotional regulation, and behavioral outcomes. Hormonal imbalances are often correlated with impulsive behaviors, low self-control, anxiety, stress, and depression.

What is the Process for Starting Bioidentical Hormone Pellet Therapy?
Patients begin the process of being prescribed Bioidentical Hormone Pellet Therapy with a complementary visit to our practice. We then complete a patient questionnaire about their medical history and symptoms. The next step is to take a blood draw.

It takes approximately two weeks to receive the results of your blood test. The doctor will educate the patient about the known risks and side effects associated with hormone replacement therapy and length of treatment that is required for positive results to happen. If the patient decides to proceed and accept the treatment recommendations of their physician, then treatment can begin immediately. It takes physicians less than five minutes to insert the pellets subcutaneously under the skin.

Patients are encouraged to resume normal activities, and symptoms should dissipate with a few weeks. Patients are discouraged from swimming or other strenuous activities during the first week as the pellets may become contaminated and ineffective if they’re exposed to water, or they may counteract with excessive hormones that are being naturally released during the course of physical exercise.

The physician will schedule a follow-up meeting four weeks after your first pellet insertion and administration. At the follow-up meeting, the patient will be required to receive another blood test and the results of the blood test will be examined along with questioning the patient about symptom relief. The physician will determine if any adjustments are needed in the management of the hormones contained within the pellets based on current dosage recommendations for specific symptoms. The physician may also encourage the patient to enhance their health by using their surplus energy from increased hormone levels to exercise and to maintain a healthy diet.

During the first year of treatment, patients can expect to receive three to four pellet insertions. Research demonstrates that men require pellet insertion every four months and women require insertion every three months due to natural differences associated with the biological functioning of the different genders. In consultation with a physician, a patient can stop Bioidentical Hormone Pellet treatment at any time, which often results in the patient’s hormone levels to return to their pre-treatment levels. In most cases, pre-treatment symptoms also return upon termination of treatment.

Jiva Med Spa also offers our own line of supplements, Nanda RX, that meet or exceed CGMP quality standards.

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Jiva Med Spa  |  Columbus


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Jiva Med Spa  |  Dayton


4235 Indian Ripple Rd
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Saturday: 10am – 2pm
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