BHRT Program Details
In our practice, Dr. Casad and Nurse Practitioner Melissa Lang offer BHRT programs which will focus on targeting the root cause of your symptoms. We encourage all of our patients to preserve and promote long-term wellness by taking proactive measures toward achieving optimal health.
Our knowledge and understanding helps to design the right protocol of hormone balance, nutrition, supplement support, weight management, and if indicated, food sensitivity testing. Our Bioidentical Hormone Replacement Therapy programs are a comprehensive, overall approach to health and wellness.
Services included in BHRT Programs
- Physician or Nurse Practitioner consultations. All of your appointments will include a comprehensive medical evaluation.
- Customized Bioidentical Hormone Replacement Therapy. Your bioidentical hormones will be uniquely prescribed based on your symptoms and lab results.
- Vitamin and supplement recommendations. All vitamin and supplement recommendations are critical nutrients needed for your hormone metabolism, energy production, and restorative sleep. Additionally, these products support the body’s natural detoxification mechanisms and overall health. Dr. Casad has carefully vetted key supplements that have proven efficacy for best absorption and overall results.
- Progress-monitoring consultations. Each patient will receive 3 – 4 consultations during their first year to ensure that they are progressing. During the second and subsequent years, each patient will go on a maintenance plan and receive consultations biannually. Labs are done prior to each consultation to monitor progress.
- Staff correspondence. Throughout your program, you may correspond with our staff through your face-to-face consultations and by email or phone.
- Lab testing.
Comprehensive Lab Testing
Our lab testing is comprehensive and looks at several health markers, and hormone and key vitamin levels to include:
- CBC (Complete blood count)
- CMP (Comprehensive metabolic panel)
- CRP – C-Reactive Protein
- Homocysteine
- DHEA
- Estradiol – women only
- Ferritin
- Free T3 – thyroid
- Free T4 – thyroid
- TSH – thyroid
- FSH – women only
- Hemoglobin A1c
- Insulin
- Luteinizing Hormone
- Lipid panel
- Magnesium
- Progesterone – women only
- Prolactin – women only
- Sex binding globulin, serum
- Testosterone, Free, serum with total testosterone
- Vitamin B12
- Folate
- Vitamin D
Bioidentical Hormone Replacement Therapy Options and Fees
MELISSA LANG – NURSE PRACTITIONER BHRT PROGRAM
Our Nurse Practitioner, Melissa Lang, also sees BHRT patients, and has many years of experience helping patients with proper hormone balancing. She’s an advocate for proactive wellness for both women and men and can help with your individualized needs.
Nurse Practitioner Lang focuses on individualized one-on-one patient care. With a deep knowledge of the problems and issues that both women and men experience, she is able to provide a profound understanding about the causes of your symptoms and the best way to address them.
NP Lang makes the investment of time to get to know her patients, their concerns, symptoms, and history. Her approach is different than what you may be used to. She takes the time with her patients to listen to concerns and thoroughly investigate [based on actual lab results and symptoms] for solutions to the problems that will improve quality of life.
NP Lang will go over all of your test results in detail and work with you on an individualized treatment plan and any follow-up to be done. Your concerns are listened to and can be addressed to work towards long-term wellness.
To start the BHRT program with Melissa, you will begin with 2 appointments bundled together for a total cost of $495. We ask for a $250 deposit at the time of booking and this will hold your first appointment, leaving a balance of $245 due at your first appointment and no further cost at your second appointment, since the first two are bundled together. The first appointment is the prescribing appointment and the second is about 3 months later to check and adjust your levels.
Labs will need to be done at least 2 weeks prior to your appointments and require a separate fee that your insurance may cover. Your initial consultation with Melissa is 60 minutes long and your follow-ups will be 30 – 45 minutes in length.
Additional visits during the first year would be subject to a $250 fee for NP Lang. She will want to see you every three months during the first year, and every six-months for the second and subsequent years.
The cost of labs, hormones, and supplements are additional and not included in the office visit fees.
WE OFFER TWO LAB OPTIONS FOR N.P. MELISSA’S PATIENTS:
- Option 1 – Patient will present their insurance card to the laboratory at time of service. The lab will directly bill the patient’s insurance company. Additionally, the patient is responsible for verifying lab benefits specific to their own policy and prior to any lab draw.
- Option 2 – For those patients who are cash-pay or who have high deductibles, etc., LabCorp offers Melissa’s patients an outstanding discount. The initial comprehensive lab panel is $275 and additional or follow-up lab fees are just $175. Many patients find that it’s more economical to pay for labs out of pocket especially if they have high co-pays or deductibles.
Dr. Casad – Premium Concierge BHRT Program
Due to Dr. Casad’s current patient load she is unable to take on new patients at this time, except in rare circumstances. To this end, she has trained and worked closely with her Nurse Practitioner Melissa Lang for several years, to be able to competently and confidently service more patients and ensure they get the best possible care.
Nurse Practitioner Lang follows the same protocols as Dr. Casad and Dr. Casad does supervise and oversee her cases, so in addition to having a highly skilled and long experienced Nurse Practitioner working with you, you will also have Dr. Casad overseeing your care.
Dr. Casad is accepting a very few new patients through her Premium Concierge BHRT Program. This elite program an annual program and is all inclusive of the following:
- All appointments with Dr. Casad,
- All of your comprehensive lab work,
- All Hormones, and
- All recommended supplements.
Dr. Casad will want to see you every three months during the first year to monitor your progress, and every 6 months for the second and subsequent years. These follow-up visits are 60 minutes long. Labs will need to be completed at least 2 weeks prior to your appointments.
There is a $2,000 initial deposit required when you book the program and the balance of $4,995 is due at your first appointment. The first appointment is a prescribing appointment and is 75 minutes long.
Starting as a New Patient
Once you schedule your first appointment, our office will email you your health questionnaire and your lab order. We ask that you complete your health questionnaire no later than one week prior to your first visit so that we can be prepared for our visit with you.
We also ask that you have your labs drawn no later than two weeks prior to your appointment so adequate time is allowed for the results to get to our office. If you are female and still having a regular menstrual cycle (and are not on birth control pills), you should have your labs drawn between day 19 and 21 of your cycle.
At your first appointment, we will go over your health history, concerns, symptoms, and goals. We will also interpret your lab results with you and discuss a treatment plan based on your individual symptoms and lab results.
Your first appointment is also your prescribing appointment and we can write prescriptions at this time. We offer a variety of hormone application methods including capsules, creams, troches, and pills. If you choose to use pellets, we will get your first pellet inserted at this visit as well.
Bioidentical Hormones at MedQuest Compounding Pharmacy
All types of hormone applications other than pellets will be ordered through MedQuest Compounding Pharmacy located in Utah. Dr. Casad is very particular about the quality of hormones that all patients of our office receive and this pharmacy has been rated as being in the top 2% for quality in the United States. Hormones will be shipped with a 3- month supply directly to your home or office.
Hormones and Supplements Average Fee Scale
- Hormones – For a 90-day (3 months) supply of hormones, the average cost will range between $100 and $200 monthly. Expect to spend $200 – $600 for a 90-day supply.
- Hormone pellets for women – Cost of pellet with one hormone is $250. Additional hormones are $40 each. Pellets usually last 3-4 months.
- Hormone pellets for men – Cost of pellets can range between $490 and $600 for men. These last from 4 – 6 months.
- Supplements – Monthly supplement fees can range between $20 and $150, or as needed. Note: Our supplements are optional.
NOTE: ALL Hormones and Supplement costs are included in Dr. Casad’s BHRT Concierge Program.
Insurance
Our office does not accept insurance for Bioidentical Hormone Replacement Therapy services. However, we do accept HSAs and FSAs.
We also offer interest-free Care Credit plans for 6 – 18 months, depending on the amount financed.
About Our Providers
Connie Casad, M.D.
For over three decades, Dr. Casad has provided the best possible medical care for her patients. Her practice is built on a foundation of serving, caring, and staying up to date on the latest research and technology in health and wellness.
After receiving her Bachelor’s of Science degree from Southwestern University, Dr. Casad received her medical degree at the University of Texas Health Science Center in San Antonio. She completed her residency in obstetrics and gynecology at St. Paul Medical Center in Dallas. Dr. Casad is Board-Certified by the American Board of Obstetrics and Gynecology and holds a Fellowship with the American College of Obstetricians and Gynecologists. She’s also a member of the Dallas Medical Society.
Dr. Casad launched her gynecology practice at St. Paul Hospital in 1986. It wasn’t long before she found that many of her patients were also asking her for help with issues relating to aging. Dr. Casad then became the first female gynecologist in Dallas to branch out into aesthetics. Following this, she also extended her services even further to include addressing the hormonal imbalance symptoms, weight gain, and other issues that she found so prevalent with her patients.
Over the years, Dr. Casad has continually trained herself in the specialty of functional medicine, reading scores of books, extensive research studies, attending countless seminars and educational programs, all to fully educate herself on how to help her patients, including the expert use of Bioidentical Hormone Replacement Therapy.
Dr. Casad now focuses her practice on preserving and improving the quality of her patients’ lives through Bioidentical Hormone Replacement Therapy Concierge Medicine.
Melissa Lang, W.H.N.P., B.C.
Melissa Lang is an experienced and dedicated Healthcare Nurse Practitioner, offering Functional Medicine and Bioidentical Hormone Replacement Therapy services through our office. Her initial education was completed at Grayson College in Denton, which gave her the opportunity to become a labor and delivery nurse in Tyler at Mother Frances Hospital. While serving in this capacity, a well-respected OB/GYN took notice of her special gifts with patients and helped arrange a full scholarship for her to advance her training through the Women’s Healthcare Nurse Practitioner program at UT Southwestern in Dallas.
After completing her degree in 1997, she joined her respected mentor in his group practice. For the next sixteen years until his retirement in 2013, she worked under his supervision as she built her own practice of over 4,000 loyal patients who relied on her for gynecological care and wise counsel in multiple areas of women’s health, helping women to improve their health and wellness by teaching about lifestyle modification, nutrition, and weight loss management.
Melissa Lang grew up in Fort Worth and after practicing in Colorado, returned home to Texas. She has now been working alongside Dr. Connie Casad in Dallas for several years, learning her protocols and gaining so much knowledge. Melissa realizes the importance and difference that Bioidentical Hormone Replacement Therapy can make for so many of her patients. At Dr. Casad’s office, Melissa is able to use her compassion and expertise to help many others achieve a greatly improved quality of life.
Melissa’s functional medicine/whole-body approach includes BHRT and long-term solutions for health and wellness for both men and women, which includes nutrition and lifestyle changes, so that her patients can experience optimal wellness. Like Dr. Casad, Melissa believes that teaching is an integral part of every patient relationship and looks forward to the opportunity to meet and serve patients who are seeking long-term solutions promoting wellness and a healthier life!