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Are you suffering from hot flashes or other symptoms of menopause?

Are you worried about maintaining your bone health?

Is your libido not what it used to be?

Is your thinking a little foggy?

When it comes to managing symptoms of menopause, Custom Medicine offers a natural choice for hormone replacement therapy that helps alleviate symptoms and may provide long-term benefits. Ask yourself the questions above to see if bio-identical hormones are a good choice for you.

*If you are a current patient, please use our attached reference forms below.


What people need to understand is that when their natural hormones are at optimal levels in their youthful prime is when they are the healthiest. It's only when hormones decline and synthetic hormones are introduced to the body that we see these problems. In my practice of prescribing natural hormones to women for five years, I have never seen the problems and side effects as we have seen with the synthetic hormones. Why not replace the body with natural biologically identical hormones. Anything else, as we have seen with the recent discontinuation of the WHI Trials, is dangerous to a woman's health.


Achieving Hormone Balance

For decades, synthetic hormone replacement was the unquestioned standard of care until the results of the Women’s Health Initiative revealed the health risks and side effects.

Custom Medicine specializes in Bio-identical, or natural hormone replacement therapy (BHRT). This therapy uses hormones that are
biologically identical and therefore indistinguishable from those created by the body. Rather than replacing lost hormones with synthetics that simply manage symptoms, BHRT helps restore the body’s hormones to optimal levels. 

Our trained pharmacists work with you and your clinician to determine the treatment plan that is right for you and your body alone. Using specialized equipment and purified hormones, we create the
unique formulation that your body needs to restore hormone balance.

Bio-identical Hormone Replacement Dosage Forms

Since dosing is patient specific, we work with you to determine what dosage form is the best fit for your body and your lifestyle:

Topical (transdermal) gels

or creams

Using a penetrating gel, the hormones get absorbed through the skin so the body can use only as much as it needs, and eliminate the rest.

Slow Release Capsules

Allows several hormones to be combined in one capsule.

Sublingual Drops

A few drops under the tongue can deliver a systemic dose in a matter of minutes.

Flavored Lozenges

An effective and tasty vehicle that provides great absorption.

Vaginal Suppositories

Ideal for relieving specific symptoms.


Bio-Identical Hormone Benefits

Bio-identical hormones are an increasingly popular choice that may reduce or relieve symptoms associated with menopause including:

  • Hot flashes and night sweats

  • Increasing anxiety, depression and mood swings

  • Vaginal dryness, vaginal atrophy, and painful urination

  • Loss of concentration and memory function

  • Sleep disturbances

  • Diminished sex drive and painful intercourse

  • Loss of muscle strength

  • Urinary Incontinence

  • Frequent Yeast Infections

  • Hair Loss

May help reduce or relieve symptoms associated with PMS:

Increased anxiety, depression and mood swings

May help reduce your risk of osteoporosis

May improve Sex Drive

  • Why take hormones at all?
    As we age, the body’s decreased production of hormones can bring about the uncomfortable symptoms of menopause in women or andropause in men. Symptoms can include hot flashes, increased anxiety, depression, mood swings, vaginal dryness, painful urination, loss of concentration and memory, sleep disturbances, diminished sex drive, painful intercourse, loss of muscle strength and more. The goal of hormone therapy is to relieve these symptoms and protect the body from other harmful side effects of aging such as osteoporosis and memory disorders such as Alzheimer’s disease.
  • Where do Bio-Identical hormones come from?
    Our bodies use cholesterol to make all our sex hormones. Bio-identical hormones are derived from a cholesterol-like substance found in wild yams or soybeans, however this is not the reason they are called "natural". This plant “cholesterol” is tweaked in the lab in order to achieve the exact chemical structure of hormones produced in the body. Since bio-identical hormones are chemically identical to our own hormones, the body cannot distinguish between them.
  • What hormones are used in Bio-identical hormone replacement therapy?
    Depending on the symptoms and results from blood and/or saliva testing several hormones are used. Primarily they are Estrone (E1), Estradiol (E2), Estriol (E3), Progesterone, Testosterone and DHEA.
  • What is the difference between synthetic and Bio-identical hormones?
    The most commonly prescribed synthetic hormones are derived from the urine of pregnant mares. While these synthetic products contain Estradiol and Estrone, they also contain Equalin and other horse hormones that are not found in the human body. The human body lacks the enzymes necessary to fully metabolize these synthetic compounds, versus bio-identicals which the body can easily use and eliminate. Bio-identical replacement for estrogen is a combination of three different molecules all found naturally in the human body. These three hormones are Estriol (E3), the most prevalent estrogen found in the body and not found in most synthetic hormone drugs, along with Estradiol (E2), and Estrone (E1). Your clinician may prescribe a one or more of these hormones depending on your symptoms, health history and desired result. The most commonly prescribed progesterone replacement is actually a synthetic progestin (a progesterone-like substance), called medroxyprogesterone. This compound is a man-made product which does not mimic all the properties of natural progesterone throughout the body. It masks some of the symptoms of menopause but does not provide the benefits of natural progesterone.
  • How do you determine what hormones I need?
    Hormone testing and symptom evaluation is an integral part of most BHRT treatment plans. Using a blood or saliva test, hormone dominance or deficiencies can be measured and used as a guide for therapy. Understanding which symptoms we’re working to eliminate is also key as this determines the combination of hormones your clinician prescribes. Since everyone’s body chemistry is unique, your plan may need to undergo slight modifications along the way in order to bring your hormones into balance. The trained pharmacists at Custom Medicine can meet with you to evaluate your symptoms and lab results and put a treatment plan recommendation together for your clinician’s review. To schedule a consult, simply contact us.
  • How do I take Bio-identical hormones?
    One of the biggest assets to bio-identical hormone replacement is that they are available in a variety of dosage forms. Since bio-identical hormones are formulated by compounding pharmacists, each dose can be compounded to each person’s specific needs, whereas synthetic hormones are limited to a few doses. Transdermal creams and sublingual (under the tongue) lozenge/troches or drops are usually the most effective ways to administer these hormones to provide more consistent absorption into the body. Slow release capsules, vaginal creams and suppositories are also commonly used. We invite you to discuss these options with our pharmacists.
  • Is it possible to switch to Bio-identical hormones if I am taking a synthetic product already?
    Working with your physician, our pharmacist can develop a transition schedule which would allow for a smooth transition to Bio-identical hormones for most patients.
  • What can I do if my physician is not familiar with prescribing Bio-identical hormones?
    Simply ask your physician to contact our pharmacy staff. We will be happy to meet with him or her and can consult on your specific needs. If your physician is not comfortable prescribing bio-identical hormones, we will be glad to provide you with a list of physicians who support these therapies.
  • How do I get started on Bio-identical hormones?
    1. Information – Custom Medicine Pharmacenter offers a number of resources including bestselling books by BHRT experts such as Drs. Jonathan V. Wright, Susan Rako, Eugene Shippen, Christiane Northrup and John R. Lee. Also, Suzanne Somers speaks to these issues in her book, “The Sexy Years”. We frequently offer seminars which provide an indepth review of the BHRT. 2. Hormone Evaluation – BHRT does not have a “standard dose” and must be customized to each woman. Your current hormone levels are evaluated through either a blood serum test ordered by a physician, or you may choose to conduct a saliva test yourself. 3. Consultation - BHRT needs to be carefully initiated after your personal history, family history, and current medical situation and symptoms are reviewed. We offer private consultations to help answer any questions and review the therapy program with you. 4. Prescription – Based on your symptoms and/or lab results, your clinician will prescribe your specific therapy. Custom Medicine will formulate your prescription in one of many dosage forms, including capsules, sublingual tablets, creams, gels and vaginal suppositories. 5. Ongoing evaluation – In order to achieve true hormonal balance, our pharmacists will work in conjunction with you and your clinician to evaluate your hormone levels and see how you are feeling. If necessary, we will modify your therapy at any time.

“Suddenly, the seven dwarfs of menopause arrived at my door without warning: Itchy, Bitchy, Sweaty, Sleepy, Bloated, Forgetful & All-Dried-Up. One by one they crept into my own private cottage in the woods and started to take over my life.”



Reference Forms


Symptoms of Hormonal Imbalance Form
Bio-identical Hormone Evaluation Form
Bio-identical Hormone Patient Brochure
Hormone Lab Requisition Form

Discuss the possibility of having Custom Medicine compound a therapy with your physician. Or, we can contact him or her on your behalf and work together to develop a treatment plan tailored to fit your body and your lifestyle.

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