Wellness FAQs

Our goal isn’t to just treat your symptoms—we strive to heal the root cause of your symptoms, so that you can go back to living your life free of limitations and doing what you love. We know what is best for our patients; this does not currently line up with what insurance companies are willing to cover. Healthcare is in need of higher-integrity, patient-oriented, physician-led, alternative model of healthcare whose very foundations are built upon complete alignment of patients’ interests with those of their healthcare provider. Our patients that do have insurance (other than Medicare or a Medicare replacement policy) can request a super bill and submit it themselves to their insurance companies to see if they can be reimbursed, or if it can be credited toward their deductible.

We have OPTED OUT of Medicare. Opt-out providers have signed an agreement to be EXCLUDED from the Medicare program. They do not bill Medicare for services you receive.

You should NOT submit a reimbursement request form to Medicare for costs associated with services you received from an opt-out provider. YOU ARE RESPONSIBLE for the entire cost of care when seeing an opt-out provider.

Your initial visit in the office will last roughly 90 minutes to 2 hours. During that time, we will have you fill out some check in paperwork, collect a urine sample- which we will do every time- it’s how we check your vitamin C levels and your acidity. Then you will get a new patient work up with one of our Medical Assistants. This includes vitals, weight and BMI, a heart rate variability test (this shows the Dr. how your body responds to stress- fight or flight mode), and a mineral taste test. When all this has been completed, the doctor will come into the exam room and do a physical examination. Then you will go with the Doctor into her office- she will have already looked at your lab results and your health history that took you so long to fill out online. She will go over all your lab results with you, and address the top 3 health concerns that you have indicated on your health history. At this time, she may order further labs tests or recommend supplements or IV treatments in the office.  If she feels there is a great need for a prescription, she will do that for you during your appointment as well.  Depending on your health needs, she may want to see you back in the office for a follow up visit in about 4-6 weeks.

A follow up visit is usually about an hour in the office. We will collect your urine sample (every time you come to the office!) and have you fill out the check in paperwork. The Medical Assistant will get your vitals and then the Doctor will bring you into her office to go over how you’ve been doing on your supplements, and/or review results from any additional lab tests she had ordered. Based on how you are feeling and any lab results, she may adjust your supplements or any medications that she put you on at your last appointment.

We do not do Telehealth appointments at all, we do offer phone consults for current patients. As a general rule ALL new patient appointments must be done in the office.

NO!!! We will email you the FLCCC protocol the Dr is recommending for all her patients to follow.

As with all medications, the doctor will have to have a consult with you (via phone- if you’ve been seen in the office within the last year) or IN the office if it has been more than one year since your last IN OFFICE visit. The doctor will evaluate you and prescribe the right medication for you based on your symptoms.

Bio-Identical Hormone Replacement Therapy (BHRT) is a method by which you may restore your hormone levels to those of a more youthful stage of life. Bio-identical means the substance is structurally identical to your own human hormones. Thyroid, testosterone, estrogen and progesterone are a few of the hormones that work together like the instruments of a symphony to create your wellbeing. When imbalanced, the music is out of tune and symptoms result. BHRT reestablishes the balance and symptoms go away. BHRT can be provided by creams and pills which work well enough for many individuals, however, research is suggesting that the most physiologic application of BHRT is by pellet therapy.

BHRT may be provided by daily application of creams, gels, oral troches, pills, weekly injections or by hormone pellet insertion 2-4 times yearly. Dr. Migliori is well versed in all techniques of BHRT and will prescribe each patient what type of BHRT they want. The BHRT cream can be applied transdermally or transvaginally on a daily basis. Progesterone and testosterone are important to balance estrogen levels. Progesterone is prescribed as a sustained release pill at bedtime while testosterone is prescribed as a cream, injection or pellet.

BHRT pellets are tiny cylinders of crystalized testosterone or estrogen that are easily inserted under the skin. Blood vessels develop around the crystalline pellets drawing nanoparticles of hormone into the bloodstream as needed by the body. Hormone pellets have been recommended by doctors since the early 1900s.

BHRT pellet therapy is considered by many researchers to be the most physiologic way to restore hormone levels. Pellets are placed once every 3-6 months and provide a balanced level of hormone according to the body’s needs. In comparison, daily application of creams/gels or painful injections provide peaks and valleys of hormone depending on the time of use. This is not physiologic! Do you remember the energy, clarity, spontaneity, strength and libido you experienced in your 20s? BHRT pellet therapy is the answer for regeneration while aging.

Testosterone and estrogen pellet implants work by restoring hormone levels for optimal health. The pellets are simply placed under the skin and provide constant low doses of the same exact hormones your body used to make. Pellets have been proven to be the most effective in terms of absorption, and availability. Unlike creams, gels or injections; the pellets provide more consistent levels over a longer period of time.

BHRT is a short, simple in-office procedure using local anesthesia. Dr. Migliori will insert the pellets into the fatty layer just beneath your skin. In men and women, a tiny incision is made in the upper buttocks area. The process is painless and takes just a few minutes.

How old are your labs? If they are older than 6 months, we will require new labs before the doctor will see you. If your labs are less than 6 months old, we need copies of them no later than 2 days after you make your appointment. After we review them and we will let you know if we need any additional labs. The labs must be drawn as soon as possible so we can have results back before your appointment with the Doctor.

Experience Dr. Mary's Integrative Approach

When becoming a new patient of Dr. Mary Migliori’s, you will be asked to fill out an online health history questionnaire prior to your first visit to the clinic where you will meet our expert phlebotomists for your full comprehensive wellness and hormone blood draw.

We look forward to helping you achieve your optimal wellness.

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