Frequently Asked Questions

New Patients

What is bioidentical hormone replacement therapy (BHRT)?

BHRT uses hormones that are structurally identical to the ones your body makes, to restore levels that decline with age. Think of hormones as our batteries: they are the spark plug for our cells to do their job well.

When hormones are low, at any age, a patient can feel fatigue, develop insomnia, have difficulty losing weight, lose their desire to do daily things, or lose their desire for sex. Another example of losing our hormones is found in men when they develop erectile dysfunction, which is preventable with hormone replacement therapy.

Who is a good candidate for hormone therapy?

Men and women who have symptoms of hormone imbalance and want a personalized, lab-based plan. Symptoms of hormonal imbalance include poor sleep, low energy, unfavorable body composition changes (more fat, less muscle) even when patients are eating and exercising the same, mood changes, memory challenges, and hair thinning. The symptoms can be as simple as dry skin or constipation.

Some patients simply want to prevent age-related conditions like heart disease, Alzheimer’s disease, and cancer, specifically breast, prostate, and colon cancer.

What are hormone pellets and how long do they last?

Pellets are a form of hormone therapy placed under the skin during a short in-office procedure. They last on average 3 months. I only do testosterone pellets on female patients; in men, the levels don’t get high enough to protect the prostate.

Women choose pellets for convenience, as they won’t have to use daily creams or weekly injections. Some pellet patients have tried other delivery methods but didn’t feel as sustained as they do on pellets, which shows how unique each patient is.

What is the difference between pellets, creams, and injections?

Pellets are placed under the skin over the buttocks. We reserve testosterone pellets for women only. Both men and women can choose testosterone injections or creams. Injections for men are twice weekly, and injections for women are once weekly.

Creams can be applied to the scrotum in men, to the vaginal tissue in women, or topically. Injections are often chosen by patients with young children at home, because cream can transfer to others by touch for a period of time after it is applied.

Do you treat men? What about testosterone replacement therapy (TRT)?

Yes. Revitalize provides treatment for men. Most men have low testosterone, DHEA, and vitamin D3. Most men, like most women in our practice, also have normal but not optimal thyroid levels. Thyroid replacement makes aging easier and treats symptoms such as fatigue, weight gain, dry skin, hair thinning, constipation, and foggy thinking: anything the body’s cells do.

I will also treat men with estradiol, as it protects the prostate, heart, and brain.

How much does a first visit cost?

A 60-minute new patient visit with Dr. Theresa Ramsey, NMD is $1,000. A 60-minute new patient visit with Angela Colpaert, DNP, FNP-C is $700. Hormone lab panels are separate: the Female Complete Panel is $475 and the Male Complete Panel is $405. Full rates are on our Pricing page.

Do you take insurance?

We don’t take insurance because we provide well care instead of sick care, and insurance covers sick care. We do provide documentation of your investment in your health for tax purposes, and we accept HSA and FSA.

What happens at the first appointment?

During the first appointment, I want to find out why you are choosing us for your care. I share my background, then we review your health goals and symptoms. For each patient we: 1) review your labs, 2) start your patient plan based on your symptoms, goals, and labs, and 3) review the benefits and side effects of each hormone being prescribed.

Prescriptions are sent in, and you follow up in 6 weeks to see what has improved.

How long until I feel a difference?

Typically, by the time we see patients at their first follow-up at 6 weeks, most of their symptoms have resolved. For patients who are sensitive and increase their dosages more slowly, it takes a little longer. By the time we recheck labs, most patients are in the optimal range.

What IV therapies do you offer?

IV options include NAD+, Hydration, Recovery, Low-, Medium-, and High-Dose Vitamin C, Magnesium, Glow, Alpha Lipoic Acid, Ozone, and Chelation. Packages of 3 or more IVs are 20% off. Prices are on our Pricing page.

Do you offer telemedicine appointments?

Yes. Telemedicine offers the comfort and convenience of receiving care at home over Zoom or by phone, for any patient.

How do I become a new patient?

Call our office at 480-970-0077 to schedule your first appointment. We are located at 5410 N Scottsdale Rd, Suite C200, Paradise Valley, AZ 85253.

Current Patients

Where is the clinic located?

Our address is 5410 N Scottsdale Rd Suite C200, Paradise Valley, Arizona, 85253. We are in the northeast corner of the lot. If you happen to enter the wrong office, the receptionist should be able to point you in the correct direction as most of the businesses within our complex are familiar with each other.

How do I contact the office?

We cannot communicate with patients regarding their treatment plan, changes to treatment, lab results, etc. via email or text. We will not respond to those as it is not HIPAA compliant. We can communicate via the patient portal or telephone. All lab results can be faxed to us or uploaded to the portal.

What do I need to establish care?

In order for us to be able to treat you, we must have updated labs, consent forms, patient portal login and a scheduled appointment.

How do I request a prescription refill?

You can request a prescription refill two different ways!

  1. Patient portal – click on “Medications”, select the one you want refilled, add a note and hit send!
  2. Leave a voicemail on the Rx line. We will check these daily and call them in within 1-2 business days.

When I have a phone appointment, do I call in or does the physician call me?

You call in! It is the same as if you were to come in for an appointment.

How quickly can I get my prescriptions refilled?

We can refill your prescriptions within 24-48 business hours as we are not in the office on weekends. Please request your refill a week in advance so we have time to send it and the pharmacy has time to fill it before you run out.

What do I do if I have an acute concern?

If it is a medical emergency, please dial 911 or visit the nearest urgent care or hospital. However, if your concern is not an emergency, call the front desk to schedule and we will fit you in.

Do I have to sign consent forms?

Yes. Legally, we cannot see a patient, draw labs or perform any procedures without signed consent forms.

Do I have to use the patient portal?

Yes. This is where we communicate with patients, upload lab results, display your Patient Plan (treatment and instructions), refill prescriptions, electronically sign consent forms, etc.

Where do I order supplements from?

You can order supplements through our website via the shop link! You will be able to create an account for each of our distributers and order direct.

Can I pay for someone else or have someone else pay for me?

Yes, but a consent form must be signed allowing someone other than yourself access to your account. This consent must be signed by both parties and can be withdrawn by one or both at any time.

How often do I need to update my labs?

When a patient sees Dr. Ramsey for the first time or at an annual appointment, their patient plan will always reflect their next lab draw and follow up timeframe. This is imperative and should not be missed. The reason is that they are usually given 60 to 90 days worth of prescription when they start and told how to increase their dosage in the appointment. This will allow them to get to their optimal dose by their follow up. Then we draw labs and see how well they are optimized. If they are optimized, we write prescriptions for a year. This means that the next time they call in for a prescription, it is time to do their labs and their annual appointment. This cannot be missed. If not optimized, the dosage changes for another 60-90 days and another follow up scheduled. Once optimized, that is when the patient’s 6 months and one year begins ticking.

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