FAQ´s

Frequently Asked Questions

The answer will vary for each client, depending on how much they need (or wish) to lose, how well they adhere to their nutrition and exercise plans, and other metabolic and health factors. Typically, our clients who are committed to our program will lose 5 – 10 pounds the first week, and may lose 15 – 20 pounds during the first month!

We use only FDA-approved appetite suppressants that are recommended by the National Institute of Health for treatment in weight loss. If prescribed as part of your program, these medications will curb your hunger pangs and cravings and help keep you energized. For those clients for whom prescriptions are not indicated, we may recommend natural herbal therapies.

The injections are a unique combination of vitamins, minerals, amino acids and other natural nutrients that supplement what the body needs to stay energized and nourished. They help eliminate fat, control carbohydrate metabolism, and enhance the immune system.

None of the therapeutic agents used in our program have been found to be habit forming, or to elicit any permanent negative side effects.

The initial assessment visit takes approximately one hour. Subsequent weekly check-in’s take about 20-30 minutes. We will do our best to accommodate you with convenient appointment times.

Our plan consists of foods designed to lower blood insulin levels, which increases the body’s ability to burn fat and curbs cravings for sweets and starch. The typical low calorie diet will consist of lean protein, good carbohydrates, and essential fats, all taken in proper proportions and at favorable times of day. Behavioral modification and education will provide tools to help keep the weight off.

Exercise is an important component of any weight management program. While most weight loss occurs due to a decrease in caloric intake, physical activity will help further weight loss as well as help prevent weight regain. We recommend beginning slowly and increasing intensity and duration gradually. The end result will be a tremendous improvement in overall health, energy and quality of life.

HCG stands for Human Chorionic Gonadotropin, a hormone that is produced naturally in the body. It has many functions and is used medically to treat a variety of conditions. This pregnancy hormone has a property that allows the body to mobilize fat and use it for both mother and fetus. For weight loss, only a small amount is needed in order to capitalize on this same mechanism. (see HCG program on website)

You can lose weight by simply eating fewer calories and fat. However, because the body stores fat during times of deprivation, you will most likely lose muscle before fat. This in turn causes cellular metabolism to slow down, causing weight gain. The HCG targets and eliminates your stored fat and distributes any existing healthy fat more evenly throughout your body. For more information on the HCG-enhanced program, consult one of our physicians.

Estrogen is not one hormone, but a group of similar hormones of varying degrees of activity. Estrogen is the female hormone responsible for ovulation. It plays an important role in a woman’s life from the time she enters puberty until the end of her last menstrual period.

Andropause is the male version of menopause; however, it occurs more gradually, over a longer period of time than its counterpart. During andropause, men experience a gradual decline in testicular function and testosterone production. Many physiological and psychological changes occur during this time.

Between their mid-40s and early 70s, men experience a drop in testosterone of about 50%; however, it is often noted as young as 30. Men with reduced testosterone production have an increase in upper and central body fat, decreased muscle mass, diminished libido and erectile dysfunction. Cognitive impairment and depression are also common in men that have low testosterone.

This is taken daily by small injection under the skin, this is the only application method proven to show results.

Every client undergoes a comprehensive evaluation to determine their current health status as well as any hormonal or nutritional deficiencies. This evaluation can also help identify risk factors for age related diseases. When hormonal or nutritional deficiencies are diagnosed, our physicians prescribe the highest quality bioidentical hormones and pharmaceutical grade supplements to safely maximize your body’s potential. Our comprehensive evaluation is specific to each individual and consists of a combination of procedures managed by a physician certified in Age Management Medicine.

Physical Examination
Evaluation and Orientation with Physician
Comprehensive Lab Chemistries
Cardiovascular Analysis
Cholesterol Panel
Basic Hormonology
Women’s Hormone Profile
Men’s Hormone Profile
Body Composition Analysis
Lifestyle and Nutritional Assessment

Hormone modulation is the science of optimizing hormones that once may have been in abundance when we were young but are no longer being adequately produced by the body. The goal of hormone management is to modulate our hormones to the levels at which our immune system is the strongest, our metabolism is most efficient, and our ability to build muscle, rather than fat is the greatest.

While this varies with each person, some people feel results within days. You can expect to feel results within three to six months after beginning hormone management. Often the results of proper modulation are manifested by what you don’t feel; i.e., sick, tired, moody, etc.

You should give your program at least six months to see significant benefits. Your body needs that much time to heal and rebuild. You should stay on the program for as long as you want to optimize your health.

You will have gained time while on the program, but if you should elect to stop, you will experience no accelerated aging. Should you stop the program, your body will simply begin to age again at the normal rate.

It’s never too late for any adult to begin the nutraceutical program. A person does not need to begin hormone modulation therapy, however, until such time when the body begins to lower its own hormone production. Our thorough blood tests and assessments help us determine exactly where you may be most deficient and how we can best help you. Every person is different and will have different needs and may need different adjustments as far as hormone modulation go.

Generally no. In some instances, medications may actually be reduced or no longer needed. Your Total Vitality Medical Group physician will be able to advise you best on this and will be happy to work with your own doctor should you so desire.

Absolutely not. As a wellness program, Total Vitality Medical Group is happy to communicate with your health care team, and/or any specialists you may be seeing. Total Vitality Medical Group encourages you to continue your usual visits with your regular doctor.

Human Growth Hormone breaks down if taken orally, so the only true effective way to obtain its benefits, at this time, is by injection. Be aware that there are many counterfeit over the counter or online products on the market today that claim to be HGH. Unless they are medically prescribed by a physician and administered by injection, be wary of their claims as you can bet they are not the real thing.

HGH was approved by the FDA for treatment of hormone deficient adults in the summer of 1996. While not all our patients are deficient by FDA standards, therapies of this type are prescribed “off-label” and considered acceptable medical practice.

The HGH we use is identical to the Growth Hormone naturally produced by the body. It is spread to target organs just as it would be if secreted by the pituitary gland. Supplementing HGH is as natural as supplementing thyroid hormone. It simply returns your body to a state in which it is functioning more optimally.

Human Growth Hormone is safe in physiologic doses. Among its many functions is that of repairing and regrowing tissue. When a person reaches maturity, Growth Hormone is important for cell revitaliztion and repair. Cells cannot repair, maintain, and heal properly in its absence. While HGH is sometimes used to stimulate height in children who are pituitary dwarfs, it does not make an adult grow taller.

There has been absolutely no correlation between physiologic doses of HGH, such as those given in our programs, and cancer of any kind. Quite the contrary. HGH has proven to be extremely helpful in strengthening the immune system, increasing mental acuity and focus, and preventing the onset of diseases usually associated with aging.

It’s very important to distinguish between natural and synthetic hormones. Traditionally, synthetic hormones have been used in hormone replacement programs for menopausal women. There is a big difference between, for example, the commonly used Progestins-Provera, Noresthisterone, etc. and bio-identical progesterone found in natural progesterone creams. Your Total Vitality Medical Group physician will be happy to answer any questions you may have about the risks and benefits of hormone replacement therapy for menopause.

You can call Total Vitality Medical Group right now at 727-726-1460 and you will be given all the information you need to enroll in our program and the necessary paperwork for your initial blood test, evaluation & assessment. Once we receive your results (usually 5-7 days), you will need to follow up with your Total Vitality Medical Group physician so he can explain to you the details of your personalized program and the amount of hormones you will be prescribed. You will also be given instructions as to the proper way to self-administer the hormones at home. You will then receive your shipment every month delivered straight to your door. So all-in-all, you could be started in as little as two week’s time. The program requires that you schedule a follow-up appointment every six months to monitor your progress.

Reduced body fat
Increased muscle mass
Higher energy levels
Enhanced sexual performance
Restoration of vital organs
Stronger immune system
Increased bone density
Lower cholesterol and blood pressure
Faster wound healing
Smoother, firmer skin
Re-growth of hair
Sharper vision
Elevated mood
Improved cognition

Weight gain
Night sweats
Thinning hair
Brittle nails
Hot flashes
Mood swings
Loss of sex drive
Insomnia
Forgetfulness
Vaginal dryness

Loss of energy
May become apathetic towards ideas and goals
Lose zeal
Depression
Weight gain
Diminished sex drive
Loss of muscle mass
Loss of strength

Bioidentical hormones exactly mimic the structure of the hormones your body produces naturally. Bioidentical hormones come from plant sources, and help rebalance hormone levels in our bodies in a natural way.

Synthetic hormones are called synthetic because, they do not mimic the body’s natural hormones. Synthetic hormones mainly turn off symptoms then rebalance hormone levels.

This varies from person to person. Some people notice results within one month and others up to 3 months.

Semorelin stimulates the pituitary gland to produce more of your own human growth hormone. It is injected 7 nights per week.

Human Growth Hormone is bio-identical, increases levels of growth hormone, and it does not stimulate the pituitary gland. It is injected 6 times weekly in the morning.

Most people do not develop any side effects. The most common side effects you could experience are water retention or joint pain. In these cases joint pain can be cured by lowering the dose of HGH and slowly increasing it. Water retention can be alleviated by the use of recommended products.

Male hypogonadism is a condition in which the body doesn’t produce enough of the hormone testosterone — the hormone that plays a key role in masculine growth and development during puberty.

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