The problem with “Pellet Mills” and women who need hormone replacement therapy. Scottsdale Internist has advice August 6, 2012
Many doctors dabble in bioidentical hormone replacement therapy and do not treat the whole person, she said. These “pellet mills,” as Dr. DeRosa calls them, respond to the demand by women who recognize their symptoms after watching a TV show or reading web sites and decide they need treatment.
It’s not uncommon for these doctors to have little to no training in understanding hormones. The bulk of them are naturopathic doctors or ob-gyns giving HRT as a way to make a quick buck. Most don’t even accept insurance; it’s on a cash-only basis. And they don’t properly test, examine and assess patients’ overall health, so they give the wrong dosages and even the wrong hormones.
“Most doctors give a lot of estrogen and a little testosterone, but it should be the other way around,” DeRosa said. Almost all of her patients are shocked to hear a typical healthy woman has 60 percent estrogen and 40 percent testosterone, she said. Women come in to her office bloated, crying and with severe premenstrual syndrome, Dr. DeRosa said, because the doctors treating them have given them improper dosages and don’t understand the nuances of their health needs.
“Unfortunately, there’s no good training for this,” she said.
Dr. DeRosa, who went through menopause in her thirties, has spent years researching and learning the data in order to effectively treat women with biodentical hormone therapy. These hormones are compounded in a lab to have the same chemical and molecular structure as natural human hormones. They are different and safer than synthetic hormones such as Premarin, Prempro or Provera.
Her practice, DeRosa Medical, is an internal medical practice specializing in women’s health and offering a comprehensive, “one-stop shopping” approach to care. That way, there’s no lack of communication or miscommunication between two or more doctors trying to manage the patients’ primary care needs, hormone health and other issues.
Most importantly, DeRosa said, hormone therapy can effectively treat everything from hot flashes, sleep problems and migraines to sugar issues, high blood pressure and high cholesterol, which can lead to serious health issues such as diabetes, heart disease and stroke.
Women typically start losing testosterone in their thirties and estrogen in their forties.
“About 40 to 50 percent of the women who come into our office our pre-diabetic,” DeRosa said, “and it’s because they’re testosterone deficient. If you don’t have testosterone, you’re not going to move sugar properly.”
Hormone deficiencies can also rob women of their happiness and fulfillment in life, and Dr. DeRosa is also dedicated to giving this back to women.
Nancy Foote, 52, of Gilbert is a patient at DeRosa Medical who considered quitting her job as an eighth-grade teacher before seeing Dr. DeRosa. She was short-tempered and cranky, and was having trouble dealing with her students. “I had a little black rain cloud over my head all the time,” Foote said.
After HRT, she felt like Dr. De Rosa “gave me a lot of my spirit back” and she had more mental clarity and patience with her students, her nine grandchildren and herself.
“I was amazed at the amount of time she took,” Foote said. “She wasn’t just concerned about my weight gain or my mood swings or my hot flashes. She was as interested in how I felt intellectually and emotionally. I’m more than just a patient; more than just a dollar sign; and it’s been a while I’ve felt like that at a doctor’s office.”
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DeRosa Medical, has offices in Scottsdale and Sedona, and is opening in Chandler in September. On the web: www.derosamedical.com
Specific information on bioidentical hormones:
Top 5 Health Screenings Every Woman Should Have April 25, 2012
What Preventative Health Screenings do Women Need to Stay Healthy?
(April 23, 2012 – Scottsdale, AZ) – Preventative health screenings are important but there is conflicting information about who needs them, when the right time is to get screened and how often certain tests should be done. May is National Women’s Health Month so it’s time to set the record straight and take health matters into your own hands.
“Preventative health screenings are crucial but often confusing for my female patients,” said Dr. Angela DeRosa, president and chief managing officer of DeRosa Medical, P.C., a private women’s heath medical practice in Scottsdale and Sedona. “Routine tests are our best defense for early diagnosis of disease and in-turn higher successful treatment rates if something is detected. Women need to make their health a priority and National Women’s Health month is a great time to do that.”
Dr. DeRosa suggests these Top 5 tests for her patients:
1. Heart disease is the number one killer of women throughout the world, six-times more likely to cause death than breast cancer. Based on these statistics, women over the age of 50 should have an electrocardiogram (EKG) yearly.
2. Skin cancer screenings must be conducted every year no matter what your age. The American Cancer Society anticipates Arizona will have 1,650 new cases of melanoma in 2012.
3. Pap smears should be done annually between the ages of 21 and 30 and then every 3 years in patients older than 30, providing they are in a monogamous relationship and have a history of normal pap smears.
4. Starting at age 40, mammograms need to be performed every other year and annually after age 50.
5. A colonoscopy should be performed at age 50 to screen for colon cancer. After a baseline is established, follow up tests should be done every 5-10 years.
“You can never be too careful when it comes to your health,” added DeRosa. “Just this year I discovered a melanoma on a patient’s stomach during a routine skin cancer exam. She had been told by another physician that it was nothing to worry about.”
May 13-19, 2012 also marks the 10th annual National Women’s Health Week designed to empower women of all ages to take control of their own health needs through screenings, being active, eating right and prioritizing mental well-being.
For more information on what screenings every woman should have, visit www.derosamedical.com.
ABOUT DR. ANGELA DEROSA AND DEROSA MEDICAL: Nicknamed “Dr. Hot Flash” by friends and colleagues, Dr. Angela DeRosa, DO, MBA, CPE is president and chief managing officer of DeRosaMedical, P.C., a private practice in Scottsdale and Sedona dedicated to providing high comprehensive care including advanced care in women’s health and hormonal medicine. She is nationally recognized as an expert in the field of internal medicine and women’s health. After going through menopause at the age of 35, DeRosa focused her attention on hormone therapy to combat early onset menopause. Recruited by Procter and Gamble Pharmaceuticals, DeRosa worked as the Senior Medical Director for the West Coast where she was in charge of their osteoporosis line and a member of the scientific team for the approval and the launch of the female testosterone patch Intrisa. Currently she hosts a weekly radio show in Northern AZ and holds monthly events called “Hormonal Happy Hours” where women can eat, drink and talk openly about their health concerns.