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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.


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Age-related diseases kill approximately 100,000 people daily. Our hormone specialist will identify your modifiable risk factors for potentially preventable diseases.

Disease Risk Factors:
  • Obesity
  • Physical inactivity
  • Hypertension
  • Insulin resistance
  • Dyslipidemia
  • Hormonal imbalance
  • Nutritional and vitamin deficiency
  • Unchecked stress
  • Smoking
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We take a sample of blood or saliva for a variety of laboratory tests and analysis.

Our goal is to detect, address and treat any metabolic abnormalities. We help to improve insulin sensitivity and blood pressure, lower serum inflammatory markers, improve levels of vitamins, and optimize lipid profile with IV therapy, vitamin injections, weight loss and more. 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
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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 (a degenerative disease of the arteries) is present. We conduct a thorough cardiovascular and pulmonary assessment inclusive of carotid artery screen, echocardiogram, aortic diameter (aneurysm survey), femoral artery peripheral blood flow, and pulmonary function. 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).
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Hormonal Optimization

Bioidentical hormone therapy can be life-changing, but is 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.

Antioxidant Levels Score

Dr. Paukman will perform a diagnostic scan to measure antioxidants and possibly repeat the scan after supplemental antioxidant injection therapy to compare results. Following this test, a weight and body composition assessment is often performed. In some cases, Dr. Paukman may suggest genetic testing.

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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 loss, hormone optimization, peptides, antioxidant injection, exercise, and stress reduction. If needed, various pharmaceuticals (mostly natural and bio-identical), may be prescribed. IV therapy is 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.


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


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.


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 for pellet therapy.