Hormone Restoration--The Nuts and Bolts

Dr. Lindner seeks to make state-of-the-art hormone restoration affordable for everyone. He
charges for his time, as needed, on a pay-as-you-go basis at a rate of $80 for 20 minutes
($240/hr). See the
contract for details. For most persons, the physician fees will add up to $300 to
$600 the first year and can be as little as $160/year afterwards. Those who just need simple sex
hormone replacement or only thyroid optimization will usually require minimal time. Dr. Lindner
responds to e-mail in a timely manner, and usually at no charge (see
fee schedule). This is an
important benefit.

Dr. Lindner does not accept any insurances nor is he a Medicare or Medicaid provider. He will
provide a receipt so that those persons with recognized diagnoses can submit the bill to their
health insurance for reimbursement. Dr. Lindner does not profit from any tests, hormones, or
supplements he recommends; patients purchase these directly from labs and pharmacies.
Health insurance plans will usually cover the cost of blood tests and the hormone prescriptions
when a recognized diagnosis exists. For most persons, the sex hormones will only generally cost
between $30 to $80/month in total from a compounding pharmacy. Thyroid and adrenal hormones
cost another $20 to $30/mo each. Commercial bioidentical hormone products are more
expensive than compounded hormones, but may be cheaper for some persons if their insurance
doesn't cover compounded hormones and their co-pays are low. Saliva cortisol testing is
increasingly being covered by insurers and is covered by Medicare.

Dr. Lindner will answer preliminary general questions by e-mail for free, but he cannot order
insurance-covered blood tests until a doctor-patient relationship is established at the initial office
visit. Initial appointment forms can be downloaded
here. Fill them out and bring them with you to
your first visit. If you would like an initial phone consult only, then e-mail, mail or fax the
pre-appointment forms, lab copies, and other relevant medical information to Dr. Lindner's office.
Then call his office to set up a time for the phone consultation.

At the initial office visit, Dr. Lindner can initiate hormone restoration if a deficiency is already
established by prior test results or history. Otherwise he'll give you a laboratory request for the
relevant hormone levels as required. If fatigue, pain, or depression are a problem, he'll also give
you a kit for saliva cortisol testing. He'll notify you when he has received all the results--usually in
about 2 weeks from the test date--so that you can set up a follow-up visit  to discuss the results
and decide upon hormone restoration. Follow-up tests will be ordered as needed.  Doses are
adjusted according to symptoms primarily, and blood test result secondarily. It can take many
months to fine-tune hormone restoration as individuals vary greatly in how they absorb and
eliminate hormones and how their body responds to them. All hormones affect all other
hormones--so getting the dose, form, and delivery method right for each hormone for each person
is a complex art often requiring a lot of trial-and-error. This is espeically true for those persons
who need to restore and balance 5 or more hormones.
For Health and Quality of Life