"I have been going to Dr. Jackman for the past 15 years. She is the most kind, understanding, caring doctor I have ever met. She cares about every aspect about me, not just the physical."

"Dr. Dan goes beyond the call of duty--not with one or two patients but with each one he meets. If it had not been for his experience, knowledge and attention to detail, I would never have delivered my last child safely."

"Dr. Dan and his staff always greet you with a smile. The office is warm and friendly and the care is outstanding."

"Dr. Dan is very knowledgable and caring, he takes his time and makes you feel like you are his only patient for the day."

"Dr. Linda, Thank you for your patience & not giving up the last few years. The journey was anything but easy. I am now feeling like myself again and it feels great! I have my energy back and my mind is clear and at peace. Please continue to care for people as you do. The health care system needs more like you."

"Dear Dr Linda, It was a pleasure to visit with you last month. You made me feel so comfortable and answered all my questions. Thank you so very much for all your kindness and your sensitivity to my situation. I really appreciate it." "I will be most happy and enthusiastic to recommend your practice to my patients."

"Dr. Linda, Thank you so much for your sharing, caring, empathy and support. I really appreciate your skills."

Dr Pesavento, "I have been a patient of yours (and recently Dr Kleiss since I have 3 teenage girls) for close to 18 yrs. I feel a need to let you know that your staff is one of the nicest, most accomodating professionals I have ever dealt with. Each time I have calleId with questions or concerns, I have been taken care of immediately, and with the utmost professionalism and kindness."

"I have always been put through to the nurse immediately. They have always taken the time to listen to my conccerns and relieve any issues I might have had. The same goes with office visits. It is pretty rare to have a group of people working with you that are so nice to deal with, especially in health care."

Individualized Bio-identical Hormone Replacement Therapy


Whether you are a woman who is premenopausal, perimenopausal, or postmenopausal you have probably asked yourself or friends, "Could this be my hormones?" And then the big question we face is what to do?! What are these symptoms you ask; some but not all of them include: night sweats, insomnia/disturbed sleep, poor concentration/memory lapses, weight gain, decreased libido (sex drive), PMS symptoms, irregular menstrual cycles (if still having one), depression or bluesy feeling, mood swings, irritability, anxiety, hot flushes, vaginal thinning/dryness, painful intercourse and carbohydrate cravings (you know, candy, cookies, crackers and chips)! Sound familiar?

In contrast to classic hormone replacement therapy (HRT) such as Premarin and Provera, bio-identical hormones are the same as those found in the female body. Bio-identical hormones are synthesized in a lab from precursor hormones that are found in soybeans and yams. The molecular structure of bio-identical hormones are identical to those made by the human body.

Since bio-identical hormones are just like the hormones in our bodies, their effects are more consistent with our own biochemistry. Our bodies are better able to recognize and utilize these hormones with less chance for unpredictable side effects. With the ability to prescribe low replacement doses through the use of a formulary or compounding pharmacy, we can prescribe customized doses of estrogens, progesterone, DHEA and testosterone. It isn't an easy one size fits all. Dosages are based on a woman's blood or saliva hormone test results and each woman's symptoms and self-report. This individualized approach allows a woman to take the smallest necessary dose to maintain optimal levels of hormones in her body. Some of these hormones can also be used for decreased libido, PMS symptoms as well as postpartum depression.

Recent concerns regarding the safety of classic hormone replacement therapy has increased woman's desire for a more natural approach to hormone replacement. While BHRT is marketed as a "safe" way to take hormone replacement therapy, it does come with potential risks and side effects. All hormone therapies should be fully discussed with a health care provider comfortable with all methods of hormone replacement.

Recommended Reading:

What Your Doctor May Not Tell You About Premenopause by Dr. John Lee, Dr. Jesse Hanley and Virginia Hopkins

What Your Doctor May Not Tell You About Menopause by Dr. John Lee with Virginia Hopkins

The Wisdom of Menopause by Dr. Christiane Northrup

Menopause and Beyond by Dr. Christiane Northrup

The Perfect Balance by Dr. Robert Greene and Leah Feldon

Stay Young and Sexy with Bio-Identical Hormone Replacement by Dr. Jonathan Wright

The Miracle of Bio-Identical Hormones by Dr. Michael E. Platt