SottoPelle Hormone Replacement Therapy
SottoPelle® Therapy was founded by Gino Tutera, MD, F.A.C.O.G. and is now being taught to physicians across the nation. Dr. Tirpack was Trained by Dr. Gino Tutera on May 2008 and is Certified in the SottoPelle® method

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Bio-identical hormones
are identical in structure and function to the hormones naturally produced in our bodies.

They are hand compounded and plant derived, unlike synthetically produced pharmaceutical hormones.


Methods and Choices

Transdermal: this vehicle will by pass the liver and is the most preferred by our patients. However you must do this at the same time of day everyday and make sure you wash the site before applying. You apply the HRT lotion to the inner arms or upper inner thighs. You need to rotate sites so that there will be no saturation in the receptor site you are using.

Sublingual: This vehicle will by pass the liver. However, several patients say this is bitter-tasting and patient compliance isn't always the best with this choice.

Subcutaneous: This is the most physiological way for the hormones to react in the body. It acts most like the testicles and ovaries. The body draws what it needs as it needs it. This vehicle is chosen by many patients and there are many doctors that do only this type of HRT. Women should visit the doctor once every 3 to 4 months for implantation and men every 4 to 6 months. You will be sore for about 3 to 4 days and may have some slight bruising. The procedure itself is not painful at all. You feel a stick and about 3 seconds of burning.

Oral: This is not a preferred way to deliver Bio-Identical HRT or any other hormone therapy for that matter. This system does not bypass the liver and can have the most side effects and conversions. There are other methods but these are the most well known, the others are: Injectable, Vaginal, and Rectal






HRT-Controversy
There has been controversy on the topic of Hormone Replacement Therapy (HRT) for the last 15 years.