Hormone Replacement Therapy

Hormone Replacement Therapy in Nashville, Mt Juliet, Paris and Jackson TN

At VIP Weight Loss Center, we offer a number of hormone replacement therapy options for both men and women to provide relief of symptoms and help improve your quality of life!

Men’s Testosterone Replacement Therapy in Nashville, Mt Juliet, Paris and Jackson TN

Free Testosterone lab test for Men!

Qualifying new patients will receive a free Viagra and Cialis sample.

What is Testosterone?

Testosterone is a hormone and helps maintain men’s bone density, fat distribution, muscle strength and mass, sex drive.

What are the symptoms of Low Testosterone?

  • Reduced libido and low sex drive
  • Always feeling tired and fatigued
  • Decrease in physical stamina or endurance
  • Difficulty in having or maintaining erections
  • Memory impairment
  • Weight gain
  • Depression
  • Irritability and anxiety
  • Decreased muscle and bone mass
  • Insomnia

How is Low Testosterone treated?

We treat low testosterone with weekly injections of testosterone.

Testosterone Treatment Packages in Nashville, Mt Juliet, Paris and Jackson TN

If you are curious about your testosterone levels, now is your chance to have a free lab test and know for sure!

Free Testosterone Lab Special

  • Free Lab Test (results back in 48 hours)
  • Review of Lab Test Results w/Doctor or nurse practitioner
  • Testosterone Lab Test

New Patient Pkg:

  • Visit Doctor/Nurse Practitioner
  • Testosterone Injection
  • Lab Work
  • Office Visit
  • MIC Extreme Shot

Follow up Weekly Treatment Program:

  • Testosterone Injection (weekly)
  • Labs are done every 12 weeks
    (visit includes review of labs with Doctor / Nurse Practitioner)

Benefits of Low T treatment include increased libido, muscle mass improvement, increased energy and endurance, and improved health, mood and quality of life. A thorough lab panel is done every three months to maintain optimum performance levels. Feel like the man you used to be!


Erectile dysfunction is when a man has difficulty getting an erection. Or keeping it long enough for sex. It’s also known as ED or impotence. It happens when not enough blood flows to the penis, preventing an erection. Viagra helps with this condition.

It affects about 30 million men in the U.S. Some guys with ED find it difficult to either get or keep an erection every time they try to have sex. For others, ED symptoms can happen just once in a while. Either way, you should know that you’re not alone.


Cialis is a PDE5 inhibitor. It works by blocking the effects of an enzyme called cGMP-specific phosphodiesterase type 5 (PDE5). PDE5 is responsible for regulating blood flow to and from certain parts of your body, including the erectile tissue of your penis.

By blocking PDE5, Cialis allows blood to more easily flow into your penis when you’re sexually aroused, helping you to get hard and stay hard for longer.

The basics of Cialis are the same as for the other popular erectile dysfunction drugs, such as Viagra (sildenafil) and Levitra (vardenafil).

However, Cialis differs in that it’s much longer lasting than other ED medications. While Viagra works for three to five hours and Levitra for four to six (on average, in most cases), a typical dose of Cialis keeps working for 24 to 36 hours in your body.

This long half-life — and as such, long-lasting effects — makes Cialis a great option for everyday relief from erectile dysfunction.

Women’s Female Hormone Replacement

Hormone therapy (HT) is a treatment that is used to supplement the body with either estrogen alone or estrogen and progesterone in combination. When the ovaries no longer produce adequate amounts of these hormones (as in menopause), HT can be given to supplement the body with adequate levels of estrogen and progesterone. HT helps to replenish the estrogen, relieving some of the symptoms of menopause and helping to prevent osteoporosis.

What are estrogen and progesterone?

Estrogen and progesterone are hormones that are produced by a woman’s ovaries.

Why does the body need estrogen?

Estrogen thickens the lining of the uterus, preparing it for the possible implantation of a fertilized egg. Estrogen also influences how the body uses calcium, an important mineral in the building of bones. In addition, estrogen helps maintain healthy levels of cholesterol in the blood. Estrogen is necessary in keeping the vagina healthy.

As menopause nears, the ovaries reduce most of their production of these hormones. Lowered or fluctuating estrogen levels may cause menopause symptoms such as hot flashes, and medical conditions such as osteoporosis.

What is hormone therapy (HT)?

Hormone therapy (HT) is a treatment that is used to supplement the body with either estrogen alone or estrogen and progesterone in combination. When the ovaries no longer produce adequate amounts of these hormones (as in menopause), HT can be given to supplement the body with adequate levels of estrogen and progesterone. HT helps to replenish the estrogen, relieving some of the symptoms of menopause and helping to prevent osteoporosis.

Why is progesterone taken?

Progesterone is used along with estrogen in women who still have their uterus. In these women, estrogen– if taken without progesterone–increases a woman’s risk for cancer of the endometrium (the lining of the uterus). During a woman’s reproductive years, cells from the endometrium are shed during menstruation. When the endometrium is no longer shed, estrogen can cause an overgrowth of cells in the uterus, a condition that can lead to cancer.

Progesterone reduces the risk of endometrial (uterine) cancer by making the endometrium thin. Women who take progesterone may have monthly bleeding, or no bleeding at all, depending on how the hormone therapy is taken. Monthly bleeding can be lessened and, in some cases, eliminated by taking progesterone and estrogen together continuously. Women who have had a hysterectomy (removal of the uterus through surgery) typically do not need to take progesterone. This is an important point, because estrogen taken alone has fewer long-term risks than HT that uses a combination of estrogen and progesterone.

What are the types of HT?

There are two main types of HT:

  • Estrogen Therapy (ET): Estrogen is taken alone. Doctors most often prescribe a low dose of estrogen to be taken as a pill or patch every day. Estrogen may also be prescribed as a cream, vaginal ring, gel or spray. You should take the lowest dose of estrogen needed to relieve menopause symptoms and/or to prevent osteoporosis. This type of HT is used if a woman has had a hysterectomy.
  • Estrogen Progesterone/Progestin Hormone Therapy (EPT): Also called combination therapy, this form of HT combines doses of estrogen and progesterone (progestin is a synthetic form of progesterone). This type of HT is used if a woman still has her uterus.

What are the benefits of taking HT?

HT is prescribed to relieve:

  • Hot flashes
  • Vaginal dryness that can result in painful intercourse
  • Other problematic symptoms of menopause, such as night sweats and dry, itchy skin

Other benefits of taking HT include:

  • Reduced risk of developing osteoporosis and reduced risk of bone breakage
  • Improvement of mood and overall sense of mental well-being in some women
  • Decreased tooth loss
  • Lowered risk of colon cancer
  • Lowered risk of diabetes
  • Modest improvement in joint pains
  • Lower death rate for women who take hormone therapy in their 50s.

What are the risks of taking HT?

While HT helps many women get through menopause, the treatment (like any prescription or even non-prescription medicines) is not risk-free. Known health risks include:

  • An increased risk of endometrial cancer (only if a woman still has her uterus and is not taking a progestin along with estrogen).
  • Increased risk of blood clots and stroke. However, in women within 5 years of menopause there was no statistically significant increase in stroke risk. Also, studies suggest that using estrogen delivered from the skin via a patch/cream might further lessen the risk of blood clots.
  • Increased chance of gallbladder/gallstone problems.
  • Increased risk of dementia if hormone therapy is started after a woman has been in menopause for 10 years. It is not yet known if it might be beneficial for women who start HT in their 50s.

Most of our understanding about the benefits and risks of hormone growth therapy on the heart and breast come from the Women’s Health Initiative (WHI) study (one of the largest studies done on hormone therapy):

HT and the heart

Recent analysis of WHI actually shows that the risk of heart disease may be related more to the advanced age of the participants as opposed to the HT. The study also found that HT given to younger women, at the onset of menopause, appeared to lower the risk of heart disease. More specifically:

An increased risk of heart disease is only seen in women taking long-term estrogen-progestin combination therapy (EPT) if they start HT in their mid-60s (or after 10 years from menopause). There does not seem to be an increased risk of heart disease when women start EPT in their 50s (or within 10 years of menopause). Estrogen alone (ET) has not been shown to increase the risk of heart disease. Analysis of the age since menopause actually shows a lower risk of heart disease when ET was started in younger women (those just beginning menopause).

Currently, it is not recommended to use hormone therapy solely for the purpose of preventing heart disease. However these studies give us reassurance that when women just newly approaching menopause need HT for a short time, it is safe to do so in terms of long term heart disease risk.

HT and breast cancer

Diagnosis of breast cancer increases when combination EPT is used beyond 3-5 years. This means that out of 10,000 women who use estrogen progestin therapy for more than 5 years, there will be 8 additional breast cancers diagnosed. In contrast, the WHI study showed women who use estrogen alone had no increase in risk of breast cancer even after 11 years of use. In fact, fewer breast cancers were seen in the group taking estrogen alone, though this was not statistically significant. When a woman comes off of hormone therapy, any potential increase in her risk of breast cancer quickly goes back to her baseline norm. This is why hormone therapy can be a safe option when women in their 50s (who are generally at lower risk for breast cancer compared to older women).

Does starting HT closer to the time of menopause make it safer?

One of the problems with the WHI study, which gave us much of our knowledge on the risks of HT, is that most women in the study were starting hormones in their mid-60s. Typically, women who need HT are newly menopausal, in their early 50s. Younger women in the WHI study had fewer risks and more benefits from HT. Newer studies are trying to understand the risks and benefits of HT in women in their 50s. One such study showed HT started early in postmenopausal women significantly reduced death rate, heart attacks and heart failure. These postmenopausal women who started HT early and used it for more than 10 years were not at increased risk of breast cancer or stroke.

Who shouldn’t take HT?

HT is not usually recommended for women who have:

  • Active or past breast cancer
  • Recurrent or active endometrial cancer
  • Abnormal vaginal bleeding that has not been evaluated
  • Recurrent or active blood clots
  • History of stroke
  • Known or suspected pregnancy

What are the side effects of HT?

Like almost all medications, hormone growth therapy has side effects. The most common side effects are:

  • Monthly bleeding (if progestin given cyclical)
  • Irregular spotting
  • Breast tenderness

Less common side effects of hormone therapy include:

  • Fluid retention
  • Headaches (including migraine)
  • Skin discoloration (brown or black spots)
  • Increased breast density making mammogram interpretation more difficult
  • Skin irritation under estrogen patch

How can I reduce these side effects?

Adjusting either the dosage or the form of the hormone replacement therapy medication you are taking can often reduce side effects of HT. However, you should never make changes in your medication or stop taking it without first consulting your doctor.

How can I know if HT is right for me?

The balance of risks versus benefits of Hormone Replacement Therapy can be very different for each woman, depending on her age, family history, and personal medical history. It is important to allow enough time at an office visit to discuss the risks and benefits of hormone therapy. This is a question that should usually be addressed at a separate office visit to allow plenty of time for detailed discussion with your doctor.

How long should I take HT?

Since research on HT is ongoing, women should reevaluate their treatment plans each year. Discontinue HT (under your health care provider’s guidance) if you develop a medical condition that would make it less safe for you.

Based on the WHI study results, should I stop taking HT?

It’s important that you do not make any abrupt changes to your HT without consulting your doctor. He or she can discuss with you the benefits and risks of HT based on your individual circumstances.

  • First, the therapy should not be continued or started to prevent heart disease. Women should consult their doctor about other methods of prevention, such as lifestyle changes, and cholesterol- and blood pressure-lowering drugs.
  • Second, for osteoporosis prevention, women should consult their doctor and weigh the benefits against their personal risks. Alternate treatments also are available to prevent osteoporosis and fractures.
  • Finally, women taking HT for relief of menopausal symptoms may reap more benefits than risks. Women should talk with their doctor about their personal risks and benefits.


  • North American Menopause Society. The 2012 hormone therapy position statement of the North American Menopause Society Accessed 2/27/2017.
  • American College of Obstetricians and Gynecologists. Practice Bulletin No. 141: Management of menopausal symptoms. Obstet Gynecol 2014; 123:202-216.
  • Stunkel CA, Davis SR, Gompel A, et al. Treatment of symptoms of the menopause, an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2015; 100: 3975-4011.
  • deVilliers TJ, Pines A, Panay N, et al. International Menopause Society. Updated 2013 International Menopause Society recommendations on menopausal hormone therapy and preventive strategies for midlife health. Clincateric 2013; 16: 316-337.
  • Is there a right time to stop hormone therapy? Cleveland Clinic Journal of Medicine 2016: 83(8): 605:12.

Seramolin (Hormone Replacement Therapy)

in Nashville, Mt Juliet, Paris and Jackson TN

Sermorelin is a “growth hormone-releasing hormone” used in hormone replacement therapy that is produced naturally by the human brain to stimulate production and release of growth hormone by the pituitary gland.

  • Increased development of lean body mass through the development of new muscle cells
  • Reduce body fat through lipolysis
  • Increase energy and vitality
  • Increase strength and endurance
  • Accelerates healing from wounds or surgery
  • Strengthens the heart
  • Enhances the immune system
  • Improves sleep quality
  • Increases calcium retention and bone density