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Patient Information

Patient Information

At Paukman BioAge Clinic, we offer individualized care for each of our patients to help them live a healthier, more active lifestyle. Our staff would be happy to answer any of your questions during your visit to our NYC hormone therapy office. For your convenience, below are just a few frequently asked questions to consider before your appointment.

Do you accept insurance?

Paukman BioAge Clinic does not participate with any third party payers (major medical insurance or Medicare). However, we will provide you with the necessary paperwork so that you may submit a claim to your insurance for reimbursement.

Are lab tests covered by insurance?

Yes. In most cases, your insurance will pay for the lab tests ordered. Some state Medicaid plans may decline payment unless ordered by an in-network physician. Insurance companies may not cover the entire costs of the tests, and the patient is responsible for any laboratory fees.

Are the medications covered by insurance?

We use custom-compounded medications which are often not covered by insurance. Depending on the treatment, the cost of medication may be included in the fees, such as bioidentical hormone implanted pellets.

Dr Paukman talks about the steps of your Clinical Evaluation

What are the steps of your clinical evaluation of each patient?

Identify modifiable risk factors for potentially preventable diseases. Age-related diseases kill approximately 100,000 people daily.

Disease Risk Factors:

  • Obesity
  • Physical inactivity
  • Hypertension
  • Insulin resistance
  • Dyslipidemia
  • Hormonal imbalance
  • Nutritional and vitamin deficiency
  • Unchecked stress
  • Smoking

The following step is to perform laboratory testing and analysis. We will take a sample of blood or saliva for a variety of laboratory tests.

Our goal is to detect any metabolic abnormalities and address and treat them. We help to improve insulin sensitivity and blood pressure, lower serum inflammatory markers, improve levels of vitamins, and optimize lipid profile. A baseline profile must be established so that future testing can be compared to your initial screening.

Listed below are levels that major laboratory tests use as benchmarks of health.

  • Complete blood count (with differential)
  • Metabolic levels
  • C-reactive protein (High levels = inflammation)
  • Homocysteine levels
  • Lipid panel
  • Basic metabolic panel
  • Endocrine (hormone panel)
    • Follicle-stimulating hormone and luteinizing hormone
    • Testosterone (free and total)
    • Estradiol levels
    • Sex hormone-binding globulin (SHBG)
    • Thyroid panel with thyroid-stimulating hormone
  • Tumor markers
  • Hemoglobin A1C levels
  • Insulin-like growth factor (human growth hormone)
  • Vitamins and minerals
  • Prostate-specific antigen

Biochemistry can be assessed to establish various risk factors for disease. An image of the vascular system (blood vessels) and heart can help determine if athererosclerotic disease is present. Therefore, to further identify potential disease risk factors, a thorough cardiovascular and pulmonary assessment inclusive of carotid artery screen, echocardiogram, aortic diameter (aneurysm survey), femoral artery peripheral blood flow, and pulmonary function is done. Ultrasound technology affords us the ability to detect vascular endothelial damage and also quantify and track plaque of peripheral vascular disease (PVD). Ultrasounds can also help size an atherosclerotic aneurysm of the abdominal aorta (AAA).

Hormonal Optimization

Bioidentical hormones are an adjunctive treatment with sometimes life-altering effects but are only prescribed to those meeting strict clinical and medical criteria. Some medical restrictions may make some patients unable to receive bioidentical hormones. In particular, growth hormones and testosterone may potentially be restored to their youthful levels. Many women are in need of bioidentical hormone replacement therapy, which can prevent osteoporosis.

Score Antioxidants Level

Dr. Paukman will perform a diagnostic scan to measure antioxidants, which will be repeated after supplemental therapy. Following this test, a weight and body composition assessment is often performed. In some cases, Dr. Paukman may suggest genetic testing.

One of the final steps is to synthesize the collected data found through physical examination, laboratory testing, and imaging findings. Dr. Paukman will formulate a customized treatment plan that covers nutrition, weight reduction, hormone optimization, peptides, antioxidants, exercise, and stress reduction. If needed, various pharmaceuticals (mostly natural and bio-identical), may be prescribed. IV solutions are also used to supplement depleted minerals and vitamins needed for rejuvenation. Any treatment will be followed up by an evaluation with Dr. Paukman and laboratory every 1 - 3 months to determine effectiveness and adjust any details of your therapy.