Hormone Replacement Therapy: Palo Alto

At Vistnes Plastic Surgery of Palo Alto we believe that replenishing the hormones that decline through aging can help keep your body younger and healthier. The hormones that we replenish include, but are not limited to:

  • Human Growth Hormone
  • Estrogen
  • DHEA
  • Progesterone
  • Pregnenolone
  • Testosterone
  • Melatonin
  • Thyroid Hormones

Why We Are Committed to Hormone Replacement Treatments in Palo Alto, CA

Michael Dean Vistnes, M.D., the founder and Medical Director at Vistnes Plastic Surgery has impressive credentials. He completed his medical training at Stanford University and is a board-certified plastic surgeon, certified by the American Board of Plastic Surgery. He has extensively studied hormone replacement and has attended some of the most prestigious training seminars in this groundbreaking medical treatment. Dr. Vistnes believes that preventive medicine can prolong life and health, and that a vast majority of medical illnesses associated with aging, such as heart disease, diabetes, cancer, strokes and osteoporosis can be ameliorated with proper nutrition, exercise, hormone replacement and various alternative medical therapies.

Personal Consultation for Hormone Replacement Treatments

We personally consult with each patient at length to customize an individual medical program of natural hormone replacement, proper exercise, nutrition and we recommend annual physical examinations. Patients can expect excellent follow-up in subsequent consultations and laboratory tests to assess progress.

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The Benefits of Hormone Replacement Therapy

At Vistnes Plastic Surgery of Palo Alto we make every effort possible to help our patients successfully reach and maintain the benefits of total hormone replacement therapy. To identify, diagnose and treat any abnormalities related to hormone imbalances or deficiencies, we require all patients to have a complete and comprehensive blood analysis. Our patients will be referred to a local qualified blood drawing facility. To ensure our commitment to our patients, follow-up blood studies are part of the process. By closely monitoring changes in blood levels, we can make any necessary adjustments to ensure our patients achieve peak performance while maintaining health and safety.

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Quality Hormone Replacement Products for Better Results

The quality of our products is of great importance to us. Therefore, all our pharmaceutical-grade hormone prescriptions are prepared by a respected compounding pharmacy. These products are produced from pure ingredients that are pharmaceutical grade and regulated by FDA standards.

We believe that we are rather unique as compared to most other conventional and alternative medical facilities. As professionals in a spectrum of preventive medicine treatments, and total hormone replacement therapy, we acknowledge the importance of the individual patient and his or her health needs. It is for this reason that we address all areas of health maintenance.

FAQ Hormone Information Palo Alto


    DHEA is a hormone secreted by the adrenal glands. This hormone is a precursor to other sex hormones. Along with its hormone effect, it results in a shift to an anabolic or protein-building state. It reduces cardiovascular risk by increasing lipolysis (the breakdown of fat). It also stimulates the immune system, restores sexual vitality, improves mood, decreases cholesterol, and reduces body fat. Recent studies point to DHEA as an anti-stress hormone, and reveal it can reverse the effects of stress on the immune system.


    Estrogen is secreted by the ovaries, which cease production at menopause. Estrogen protects against heart disease, stroke, osteoporosis, Alzheimer’s disease and is linked to other memory disorders. It protects against vaginal atrophy, urinary incontinence, and prevents symptoms of menopause, including hot flashes. Estrogen deficiency results in urogenital atrophy, incontinence, sagging skin in the breasts, increased skin wrinkles of the face, increased fatigue, depression, mood swings and decreased libido.

    It is of extreme importance that the estrogen prescribed be a natural estrogen and not a synthetic estrogen. The synthetic estrogens have been shown to be harmful. For optimal protection, natural estrogen supplementation should be balanced by natural progesterone supplementation. You do need estrogen! But it must be the right type of estrogen, maintained at optimal levels for maximum protection.


    Thyroid hormone is a metabolic hormone secreted by the thyroid gland that regulates temperature, metabolism and cerebral function. It contributes to energy levels and temperature regulation and body warmth. It increases fat breakdown, resulting in weight loss as well as lowered cholesterol. It protects against cardiovascular disease and improves cerebral metabolism. It helps to prevent cognitive and memory impairment. Thyroid hormone is probably the safest and most beneficial cholesterol-lowering agent, yet it is infrequently used for this. More than any other hormone, the thyroid hormone is most responsible for improvement in energy and reducing fatigue.


    Testosterone is a hormone normally associated with men, but is also be present in women. Testosterone is a hormone secreted by the adrenal glands, testes and ovaries. It contributes to muscle mass, strength and endurance, decreased fat, increased exercise tolerance, enhancement of well-being and psychological status. Testosterone protects against cardiovascular disease, hypertension, body fat and arthritis. It leads to improved lean muscle mass, increased bone density, decrease in cholesterol, improved skin tone, improved healing capacity, and increased libido and sexual performance. Testosterone is a hormone that increases the natural collagen and elastin in the skin. It prolongs the quality of life by decreasing age-related diseases, as does estrogen in the female. Testosterone is also present and extremely important in the female as well as the male, making supplementation absolutely recommended for both men and women. Testosterone is the second most important hormone for energy and well-being.

    Menopause in females is a widely discussed, well-studied phenomenon, yet its equivalent in males – andropause – is virtually ignored. They are very similar experiences. Both typically occur from age 40 on and are caused by a reduction in hormone levels. Both can be accompanied by fatigue, depression, irritability, aches and pains, reduced sexual interest, enjoyment and/or performance, general signs of aging and increased risk of chronic degenerative disease. Yet while women are very savvy about hormone replacement, men are left to suffer silently, even though the obvious therapy, testosterone replacement, has been available for over 50 years.

    Typically, when hormones in men are discussed it is usually in reference to abuse among athletes, which has given rise to the perception that testosterone is dangerous. Add to that the unfounded fear that testosterone causes prostate cancer and the misunderstanding escalates.

    Testosterone replacement in men, done with bioidentical testosterone in physiologic doses, is not only safe, but also protective. This is well supported in the medical literature. Testosterone has been shown to increase muscle strength and lean body mass, improve sexual response, prevent osteoporosis, protect against cardiovascular disease, increase energy, fight impotence, and improve mood and sense of well-being. A recent published study showed that men with higher testosterone levels live longer.

    Multiple medical studies have proven that testosterone does not cause prostate cancer. Interestingly, men typically get prostate cancer when they are older and testosterone levels are naturally at their lowest. In fact, low levels of testosterone are associated with more aggressive tumors. No study has shown that supplementing with testosterone increases your chances of getting prostate cancer.

    If one does develop prostate cancer, testosterone supplementation might accelerate the growth levels of the tumor. Therefore, there is a need to monitor the PSA on a regular basis when supplementing with testosterone. Men who receive testosterone replacement typically report they feel sexier, stronger, and healthier. They state that it makes them feel as they did when they were in their prime. After all, this is what replenishment of hormones is all about. It is about restoring hormones to youthful levels so you can feel as you did when you were at the peak of your physical and mental ability. Testosterone can slow down the physical decline that robs men of their energy, strength, and libido. Testosterone can restore muscle tone and improve stamina. Testosterone can improve mood and overall sense of well-being. Why would men not want this healthy hormone?


    Melatonin is secreted by the pineal gland. It is a circadian rhythm hormone – affecting the patterns of sleep. Research has shown that the cells of the body rejuvenate and repair during the deeper stages of sleep. It is during the deeper stages of sleep that the body produces natural killer cells or CD4 cells. Melatonin increases the deep stage of sleep and stage IV sleep, thereby increasing and enhancing immunity. Improved sleep patterns serve to energize the body and improve mood. Melatonin has powerful antioxidant effects which accounts for disease prevention qualities. Melatonin has tremendous cancer prevention effects due to its enhancement of the immune system. Melatonin deficiency results in poor sleep, jet lag in travelers, irritability, hypersensitivity and premature aging.


    Progesterone is secreted by the ovaries, but ceases production at menopause. Progesterone protects against uterine and breast cancers, osteoporosis, fibrocystic disease and ovarian cysts. It dramatically decreases pre- and post-menopausal symptoms. Most U.S. physicians prescribe synthetic progestins which cause such side effects as bloating, headaches, fatigue and weight gain, and most recently linked to an increase in the risk of cancer. The natural progesterone must be prescribed in place of the synthetic progestin to avoid the side effects and to protect against cancer. We emphasize the use of natural hormones and not synthetic hormones, which have been proven time and time again to cause significant side effects. Progesterone is very beneficial in treating premenstrual symptoms (PMS) such as mood swings and migraine headaches.


    Vistnes Plastic Surgery

    We invite you to discover our serene, luxurious clinic where a full spectrum of surgical and non-surgical enhancements for face and body are found in one place, and where you can expect to be treated with the warmth, dignity, and respect you deserve.

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