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Hi nycjimi:

Your post was reall helpful. I'm not sure how long ago you wrote this post but

would you mind saying which doctor you saw at Holtorf's?

Thanks,

Terri

>

>

> Re: Holtorf Clinic

>

> I have to weigh in on this.

>

> I began as a patient there within the last year.

>

> First off, from what I know I feel like the poster that says Dr. Holtorf knows

his

> stuff is 100% correct. But he isn't seeing new patients.

>

> In my opinion, the doctor I saw was provided a fair at best experience so far.

> He did not listen to me on some critical issues. At least one thing he told

me,

> directly contradicted what is published on the Holtorf website and on handouts

> in the lobby. I pointed that out to him. I don't think he liked it but it

caused

> him to change my treatment.

>

> The initial office visit was over an hour. A general wellness check by a

nurse,

> an hour or so with the doc and some in office tests. They have three tests

that

> everyone seems to get run through on their first visit--- some sort of

metabolic

> rate test, urine iodine test, and an reflex test for thyroid. The doctor

ordered

> over 20 lab tests on this visit.

>

> They seem to have a bag of tricks which are a bit different than other HRT/

anti

> aging clinics I have read about.

>

> They use HGH, time release T3, time release Hydrocortisone,

Welbutrin/Nalrexone

> combo for weight loss, HCG for weight loss and Byetta or Symlin for

leptin/weigh

> loss issues.

>

> I learned male patients are sometimes prescribed Nondralone(sp? )in addition

to

> Testosterone. Apparently, Nondralone(sp?) is unusual to be prescribed in HRT.

> Also, they give guys progesterone.

>

> They push push push their proprietary supplements. In my case the repeated

push

> made me VERY uncomfortable. The doctor must get a cut of the supplements sold.

> He acted like a used car sales person with the supplements. DId I mention he

was

> pushy? I walked out of the office with about $500 in monthly supplements. On

my

> followup I battled and just refused some. He wasn't happy. It's so many

> supplements, how do I know what's working? Some non proprietary supplements

were

> recommended and I have gotten them elsewhere

>

> Another issue is their compounding pharmacy. There is a sign in the lobby

> pointing out that you may have your prescriptions filled anywhere. Since I

Iive

> what is over 5 hours traveling time away and have a great compounding pharmacy

> 10 minutes away, I asked that my prescriptions be filled there. The doctor

told

> me that wasn't an option on one or two. These happen to be the most expensive.

I

> checked with the local compounding pharmacy and a cursory comparison showed

the

> local compounder was around 40% lower than Holtorf. Please give me ideas on

how

> to handle this if you have them.

>

> They also pushed their IV therapy. Sorry I don't remember the details. But I

had

> it. Couple of hours worth of drips. Can't say it did anything one way or the

> other.

>

> As for costs (in round numbers), my first visit was about $700 for the doctor

> plus $500 in supplements plus about $600 in compounded scrips plus $400 in in

> office tests and IV. That's over $2000. The original labs were another $2000 I

> recall.

>

> My second consultation was about an hour. On this visit we discussed my labs

and

> he tweaked my meds and ordered more labs. This was probably about an hour.

$700

> for consultation and compounded meds and after a battle fewer supplements. The

> added scrips were not compounded and I got them locally.

>

> My third consultation was about 30 minutes. Same format as second

consultation.

> Tweaked the meds and ordered labs to be done before my next consultation.

> $300ish for the doctors time. I can't put my hands on the

supplement/compounding

> amounts at this moment but it was substantially less due to " encouragement "

from

> my bottom line oriented spouse.

>

> Next appointment mid summer.

>

> Am I better? Yes. To what degree is the question.

>

> My initial complaints were weight, poor sleep, fatigue and some sexual issues.

>

> I was diagnosed as hypothyroid, adrenal issues, and leptin resistant. No cause

> was defined yet for my sexual issues.

>

> I'm sleeping better. Still tired but maybe not as much. No significant weight

> loss. Sexual issues persist.

>

> Since my spouse is a numbers guru, I'll say I'm 25% there.

>

> They are really expensive (at least by my standards and we're not poor). The

> supplement pushing is very annoying. The compounding issue angers me.

Insurance

> reimbursement has not been what I would have hoped.

>

> The nurses I dealt with were superior. Both caring and excellent. With regard

to

> the office staff, they are like any other business. Some seem real good. Some

> seem not good.

>

> I think if there was a way to separate the medical care from the purely profit

> driven appearance of this practice, they would have earned a mild thumbs up so

> far. HOWEVER, the " let's gouge the patient " feeling I have gotten at almost

> every turn may be too much for them too overcome.

>

> Here's hoping for significant improvement in the coming months. I plan on

> staying the course through my year anniversary but I must see more light at

the

> end on the tunnel.

>

> Forgive the length but I wish I had known all this 9 months ago. I may or may

> not have made the same decision to see Holtorf Clinic but I would have been

much

> more prepared when I walked through their door.

>

> Hope this helps someone.

>

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Guest guest

Hi nycjimi:

Your post was reall helpful. I'm not sure how long ago you wrote this post but

would you mind saying which doctor you saw at Holtorf's?

Thanks,

Terri

>

>

> Re: Holtorf Clinic

>

> I have to weigh in on this.

>

> I began as a patient there within the last year.

>

> First off, from what I know I feel like the poster that says Dr. Holtorf knows

his

> stuff is 100% correct. But he isn't seeing new patients.

>

> In my opinion, the doctor I saw was provided a fair at best experience so far.

> He did not listen to me on some critical issues. At least one thing he told

me,

> directly contradicted what is published on the Holtorf website and on handouts

> in the lobby. I pointed that out to him. I don't think he liked it but it

caused

> him to change my treatment.

>

> The initial office visit was over an hour. A general wellness check by a

nurse,

> an hour or so with the doc and some in office tests. They have three tests

that

> everyone seems to get run through on their first visit--- some sort of

metabolic

> rate test, urine iodine test, and an reflex test for thyroid. The doctor

ordered

> over 20 lab tests on this visit.

>

> They seem to have a bag of tricks which are a bit different than other HRT/

anti

> aging clinics I have read about.

>

> They use HGH, time release T3, time release Hydrocortisone,

Welbutrin/Nalrexone

> combo for weight loss, HCG for weight loss and Byetta or Symlin for

leptin/weigh

> loss issues.

>

> I learned male patients are sometimes prescribed Nondralone(sp? )in addition

to

> Testosterone. Apparently, Nondralone(sp?) is unusual to be prescribed in HRT.

> Also, they give guys progesterone.

>

> They push push push their proprietary supplements. In my case the repeated

push

> made me VERY uncomfortable. The doctor must get a cut of the supplements sold.

> He acted like a used car sales person with the supplements. DId I mention he

was

> pushy? I walked out of the office with about $500 in monthly supplements. On

my

> followup I battled and just refused some. He wasn't happy. It's so many

> supplements, how do I know what's working? Some non proprietary supplements

were

> recommended and I have gotten them elsewhere

>

> Another issue is their compounding pharmacy. There is a sign in the lobby

> pointing out that you may have your prescriptions filled anywhere. Since I

Iive

> what is over 5 hours traveling time away and have a great compounding pharmacy

> 10 minutes away, I asked that my prescriptions be filled there. The doctor

told

> me that wasn't an option on one or two. These happen to be the most expensive.

I

> checked with the local compounding pharmacy and a cursory comparison showed

the

> local compounder was around 40% lower than Holtorf. Please give me ideas on

how

> to handle this if you have them.

>

> They also pushed their IV therapy. Sorry I don't remember the details. But I

had

> it. Couple of hours worth of drips. Can't say it did anything one way or the

> other.

>

> As for costs (in round numbers), my first visit was about $700 for the doctor

> plus $500 in supplements plus about $600 in compounded scrips plus $400 in in

> office tests and IV. That's over $2000. The original labs were another $2000 I

> recall.

>

> My second consultation was about an hour. On this visit we discussed my labs

and

> he tweaked my meds and ordered more labs. This was probably about an hour.

$700

> for consultation and compounded meds and after a battle fewer supplements. The

> added scrips were not compounded and I got them locally.

>

> My third consultation was about 30 minutes. Same format as second

consultation.

> Tweaked the meds and ordered labs to be done before my next consultation.

> $300ish for the doctors time. I can't put my hands on the

supplement/compounding

> amounts at this moment but it was substantially less due to " encouragement "

from

> my bottom line oriented spouse.

>

> Next appointment mid summer.

>

> Am I better? Yes. To what degree is the question.

>

> My initial complaints were weight, poor sleep, fatigue and some sexual issues.

>

> I was diagnosed as hypothyroid, adrenal issues, and leptin resistant. No cause

> was defined yet for my sexual issues.

>

> I'm sleeping better. Still tired but maybe not as much. No significant weight

> loss. Sexual issues persist.

>

> Since my spouse is a numbers guru, I'll say I'm 25% there.

>

> They are really expensive (at least by my standards and we're not poor). The

> supplement pushing is very annoying. The compounding issue angers me.

Insurance

> reimbursement has not been what I would have hoped.

>

> The nurses I dealt with were superior. Both caring and excellent. With regard

to

> the office staff, they are like any other business. Some seem real good. Some

> seem not good.

>

> I think if there was a way to separate the medical care from the purely profit

> driven appearance of this practice, they would have earned a mild thumbs up so

> far. HOWEVER, the " let's gouge the patient " feeling I have gotten at almost

> every turn may be too much for them too overcome.

>

> Here's hoping for significant improvement in the coming months. I plan on

> staying the course through my year anniversary but I must see more light at

the

> end on the tunnel.

>

> Forgive the length but I wish I had known all this 9 months ago. I may or may

> not have made the same decision to see Holtorf Clinic but I would have been

much

> more prepared when I walked through their door.

>

> Hope this helps someone.

>

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