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.
WHAT ARE THE STEPS OF YOUR CLINICAL EVALUATION OF EACH PATIENT?
THE FIRST STEP
Identify modifiable risk factors for potentially preventable diseases. Age-related diseases kill approximately 100,000 people daily.
Disease Risk Factors:
- Physical inactivity
- Insulin resistance
- Hormonal imbalance
- Nutritional and vitamin deficiency
- Unchecked stress
THE SECOND STEP
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
THE THIRD STEP
THE FOURTH STEP
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.
THE FIFTH STEP
DO YOU ACCEPT INSURANCE?
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.
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.