Male Case Study for Doctors and the General Public

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Dr. Maupin’s discusses her approach to Bio-identical hormone pellet therapy at BioBalance Health.

Dr. Maupin and Brett Newcomb are taking the opportunity in this Healthcast to explain the diagnostic and troubleshooting steps that Dr. Maupin uses to evaluate patients to see if she can help them with bio-identical hormone pellet replacement before they are seen in her office. She employs both a patient’s complete medical history, and his or her fasting blood work to determine whether a person should spend their time and money coming to see her in the office.  By the way there is no charge for the initial evaluation that determines whether she can benefit a patient.

We know that our methodology is unique to the medical community, but we find that it allows BioBalance Health doctors and nurse practitioners to treat the right people, and to continue to sustain a 95% success rate from our bio-identical testosterone and estradiol pellet therapy.

Our audience is both doctors who wonder what we are doing and patients who would like to know what the process is as they become a patient.  Moreover I hope that going through this case study will allow those of you who have misconceptions about our practice to consider treatment, and for those doctors who have no answer to the hormone problems of their patients, to join un in St. Louis for training.

For you our patients or potential patients, here is my process:

  1. Send in your questionnaire with your medical history
  2. Have your blood drawn at Quest or Labcorp so we are sure to have the right blood tests (we send you the rec for the blood draw)
  3. All some time for me to review your information and then my staff will call you to tell you that you are a candidate for this type of hormone therapy, or that you need to see another doctor first or that you do not have hormone issues, YET, and we can send you your lab to take to your PCP.
  4. At the first office visit we will have an hour blocked out just for you and either I, or Dr. Sullivan, or my Nurse practitioner will review your symptoms, your blood work, your diet, exercise and bad habits and follow the treatment plan that I created at the time I evaluated your blood work.
  5. You will receive hormone pellets that very day, receive instructions to return in 3.5 months for women or 4-5 months for men, after having a second blood draw a few weeks before your follow up visit.
  6. Your follow up visit will be face to face and will take between 45-60 minutes, and again we will review your progress, tweak your treatment plan and pellet dose, and review the changes you have made in your lifestyle.  Some patients will receive an InBody body composition test to quantitate the fat and muscle mass.
  7. Going forward,blood is only drawn when needed for treatment decisions or once a year.
  8. BTW blood draws are generally covered by insurance and if you don’t  have insurance we offer our discount from the lab to you so it is not so expensive that you cannot manage it.

Now in our Healthcast we will review a Case study of a male patient sent to us by one of our doctors that we have trained.  There are no distinguishing information—a case study is so we can use a real life situation in teaching patients and other doctors.  I would like you to look at the overall process and not the details as we proceed.


The patient In question is a 46 year old Caucasian professional male who is severely stressed. He is overweight at 295 pounds and is 5’10” in height, having a  BMI of 43. His presenting complaints include lack of sex drive, difficulty in thinking clearly, increased belly fat, thinning hair, depression and aching joints.

Click Here to View the Male New Patient Questionnaire

In this health-cast we review the various symptoms, and all of the information we get from the initial questionnaire. We think many of you 40-60 somethings will see yourself or your spouse in this clinical  patient example. 

More about our Training Program

Dr. Maupin receives requests from other practitioners ( Doctors and Nurse Practitioners) to have her teach them the methodology she uses when assessing and treating her patients. These doctors are interested in learning about Hormone Replacement, and  training one on one  with Dr. Maupin and Sullivan using Bio-identical pellets. It is more complicated than just placing estradiol or testosterone pellets in someone’s hip. We teach the doctors/NPs how to do exactly what we do and there is no franchise fee or percentage of your practice that we claim.  Each step that BioBalance Health takes is vital to your health and avoiding misdiagnosis and harm from your treatment. We want  those physicians who come to us  for training to know the difference between us and the other guys before hand, and they definitely get the difference when they are involved in the training!

After training we have our doctors send us case studies like the one above and we email one another.  They send me treatment plans and we send back what we would do differently, the doctors who come to BioBalance for training then return home and begin to practice. And they have 6 weeks to send us case studies and we return the appropriate course of treatment for the patient. Dr. Maupin responds also with a teaching critique of the proposed course of treatment.

It is our hope that both physicians and patients will find this Healthcast to be both helpful and interesting.  As always, we protect the privacy of the patient and make sure that any identifiers are removed and or disguised so that it is entirely a teaching opportunity.

This Health cast was written and presented by Dr. Kathy Maupin, M.D., Bio-identical Hormone Replacement Expert and Author, with Brett Newcomb, MA., LPC., Family Counselor, Presenter and Author.  

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