This is a telephone appointment unless otherwise specified or requested by you. Please expect a phone call at your appointment time.

Initial consultation includes:

Review of personal goals and desired services- Testosterone replacement therapy, peptides, medication assisted weight loss, skin and hair health, women's bio-dentical hormone replacement therapy, lab analysis (hormone panels/allergy testing/basic labs)

Contraindications will be discussed, *blood work will be ordered prior to initiation of treatment, and consent forms will be generated for you to sign following this appointment.

Please fill out new patient intake: https://intakeq.com/new/3dw6ml

OR

TRT intake questionnaire if interested in testosterone replacement therapy: https://intakeq.com/new/fulz87

*Does not apply to/include the cost of lab work. Cost is dependent on your insurance plan.

Medication Prescription renewal

*TRT patients must have a current in person physical within the prior calendar year for testosterone renewal.

*Testosterone requires this visit at least every 6 months as per DEA regulations

During this appointment we will discuss recommended peptide therapy, medication administration and protocol. All questions and concerns answered prior to initiation. Following completion of this visit, prescription will be faxed to the pharmacy.

Cost of initial consultation $25.00 will be applied to this appointment

Telehealth OR In office Consultation

Medication assisted weight loss patients:

-Weigh In

-Review of medication dosing schedule

-Food diary review

HRT patients:

-Review of symptoms, Focused physical exam

-3-month, 6-month labs

-Dosing schedule and prescription renewal

Chemical Peels exfoliate the top dead layers of skin to reveal healthy, new skin cells and a fresher, more refined complexion.

Superficial peels offered at day spas can give the skin a nice glow, but medical grade peels offer longer lasting results.

The Perfect Derma Peel is a prescription strength medium depth chemical skin peel for the treatment of acne, fine lines and wrinkles, melasma and hyperpigmentation

Includes powerful ingredients: TCA, Kojic Acid, Retinoic Acid, Salicylic Acid, Phenol, Vitamin C and anti oxidant Glutathione.

The Perfect Derma Peel delivers real results for All Skin Types and Ethnicities.

Day 1 is the day of your peel appointment. Most patients look fine, if a bit sunburned, on the day of the peel, though they sometimes feel minor irritation. On Day 2, the skin may feel sensitive and tight, but make up can be used to hide any pinkness or blotchiness.

Most patients peel visibly on Days 3-4 or even days 3-6, especially first timers, so it’s not the best time to go on a first date or make a major sales presentation at work.

Instead, have your girlfriends over for dinner, a movie or game night, or curl up with that great book you’ve been meaning to finish.

Since your skin will be more sensitive to the sun for at least a couple of weeks, don’t plan a peel right before a tropical getaway or other sunny destination vacation.

If peeling before an important reunion, wedding or other event, we advise having your peel 2 weeks or more before your event

$125/mo for 3 months continuous HRT and Peptide Therapy.

Access to provider for questions/dose titrations/refills and blood work monitoring

25% discount for 3 month upfront payment

A lipotropic injection containing:

Methionine – The “M” in MIC Injection, is an essential amino acid, which means that it is not synthesized in humans. This amino acid acts as a lipotropic agent which: assists in the breakdown of fats within the liver; helps to lower cholesterol thereby preventing excess fat buildup in the liver and throughout your body’s circulatory system; is helpful in preventing and relieving fatigue; and is useful in some cases of allergies by virtue of its ability to reduce histamine release.

Inositol – The “I” in MIC Injection, is a B-vitamin that promotes: the health of cell structures and nerve synapses; aids in the metabolism of fats; helps reduce blood cholesterol; and participates in the action of serotonin, a neurotransmitter known to control mood and appetite.

Choline – The “C” in MIC Injection, is an essential nutrient that helps to support the liver in its processing and excretion of chemical waste products. Moreover, it is required for the transport and metabolism of fats

L-Carnitine – Carnitine is an amino acid which is required for the transport and breakdown of body fat for the generation of metabolic energy. Studies show that oral L-Carnitine supplementation can;

1. Decrease fat mass.

2 .Preserve muscle during exercise.

3. Reduce muscle fatigue. and cholesterol, which is important for the healthy support of the endocrine, cardiovascular, and hepatic systems.

Cyanocobalamin (Vitamin B-12) – This form of B-12 vitamin is used in our Lipo-B injection and plays a significant role in the replication of DNA, the normal functioning of the nervous system, and the formation of blood cells. 

Add onto any TRT/HRT/Peptide/weight loss therapy plan.

1 month supply will be mailed to your home with supplies for subcutaneous injection.

A lipotropic injection containing:

Methionine – The “M” in MIC Injection, is an essential amino acid, which means that it is not synthesized in humans. This amino acid acts as a lipotropic agent which: assists in the breakdown of fats within the liver; helps to lower cholesterol thereby preventing excess fat buildup in the liver and throughout your body’s circulatory system; is helpful in preventing and relieving fatigue; and is useful in some cases of allergies by virtue of its ability to reduce histamine release.

Inositol – The “I” in MIC Injection, is a B-vitamin that promotes: the health of cell structures and nerve synapses; aids in the metabolism of fats; helps reduce blood cholesterol; and participates in the action of serotonin, a neurotransmitter known to control mood and appetite.

Choline – The “C” in MIC Injection, is an essential nutrient that helps to support the liver in its processing and excretion of chemical waste products. Moreover, it is required for the transport and metabolism of fats

L-Carnitine – Carnitine is an amino acid which is required for the transport and breakdown of body fat for the generation of metabolic energy. Studies show that oral L-Carnitine supplementation can;

1. Decrease fat mass.

2 .Preserve muscle during exercise.

3. Reduce muscle fatigue. and cholesterol, which is important for the healthy support of the endocrine, cardiovascular, and hepatic systems.

Cyanocobalamin (Vitamin B-12) – This form of B-12 vitamin is used in our Lipo-B injection and plays a significant role in the replication of DNA, the normal functioning of the nervous system, and the formation of blood cells. 

Evaluation and treatment with compounded topical prescription medications and peptide therapy:

includes consultation for perfect peel medium grade chemical peel for treatment of acne and acne hyperpigmentation scarring. Price varies by treatment chosen:

Treatments include but are not limited to:

The Perfect Derma Peel- a prescription only strength medium grade chemical peep minimal downtime, reduces post inflammatory hyperpigmentation, fine lines, active acne, melasma and appearance of rough/dull skin

Prescription grade daily topical therapies:

Tretinoin 0.1% 0.025% 0.5%

Clindamycin/Spironolactone/Benzoyl Peroxide/Niacinamide/Tretinoin 1%/2%/5%/2%/0.025%

Oral Therapies:

spironolactone

minocycline

Hair Loss topical treatment:

Zn-Thymulin/GHK-Cu 30mL "Duo Solution"

GHK-Cu/Argirelne/Leuphasyl 0.2%/0.5%/0.5% + 5% Kakadu Plum Extract

Hydrocortisone/Tretinoin/Hydroquinone/Kojic acid 1%/1%/6%/4% Cream

Minoxidil/Tretinoin/Finasteride 5%/0.02%/0.2% Solution

Hair Loss Oral Treatment:

minoxidil

finasteride

This service is billed monthly and must be paid in full prior to your prescription being processed

Complete blood count, comprehensive metabolic panel, estradiol, Follicular stimulating hormone, luteinizing hormone, thyroid stimulating hormone, T3/T4, thyroid peroxidase Abs, lipid panel, PSA screening test, testosterone total and free with SBHG, vitamin B12, Vitamin D, cortisol

In this 1-hour visit we will do a full History and Physical, review of symptoms, comprehensive lab panel blood draw OR lab review if you have had your labs done through clinical labs of Hawai'i already, and discuss available treatments including current standard recommendations per evidence-based guidelines, the limitations to treatment and contraindications, prescription bio-identical hormone replacement OR medication assisted weight loss options and supplement recommendations when indicated.

Initial application and certifications for Hawai'i State Medical Cannabis Registry Cards:

Application for medical cannabis registration requires an eHawaii account.

Directions: https://health.hawaii.gov/medicalcannabisregistry/329-forms/

One year application costs $38.50, paid to Department of Health with credit/debit/gift card.

Qualifying conditions: As defined in section 121 of HRS-329 , a qualifying debilitating medical condition includes:

1. Amyotrophic Lateral Sclerosis 
2. Cancer
3. Glaucoma
4. Lupus 
5. Epilepsy 
6. Multiple Sclerosis 
7. Rheumatoid Arthritis 
8. Positive status for human immunodeficiency virus
9. Acquired immune deficiency syndrome
10. Post-traumatic stress disorder

OR A chronic or debilitating disease or medical condition or its treatment that produces one or more of the following:

• Cachexia or wasting syndrome
• Severe pain
• Severe nausea
• Seizures, including those characteristic of epilepsy
• Severe and persistent muscle spasms, including those characteristic of multiple sclerosis or Crohn’s disease

Previous HI state cannabis registrants recertification

In office physical and evaluation for continuing certification based on qualifying condition

***This service is for patients presenting labs drawn from another provider (must be pre-approved), or have had their labs drawn using insurance at Clinical Labs of Hawai'i****

At this visit you will meet with the nurse practitioner to discuss labs results, complete a physical exam, and review treatment protocol initiation. Prescriptions will be sent to the pharmacy following this visit, medication arrives to patient physical home address in 7-10 business days.

General Medical Complaints that can be addressed via telemedicine via secure audio/visual platform which is HIPAA compliant.

Examples include but are not limited to: Urinary Tract Infection, back pain, Sinus Infections, Upper Respiratory Infections, yeast infections, skin infections, eczema, rosacea, dandruff, gout flares, motion sickness, medication refills (no narcotics) and many more

Labwork required for any of these visits will have a requisition faxed to Clinical Labs

Please note- controlled substances cannot be prescribed via a telemedicine visit

This service is for cash pay lab patients (those patients not attempting to use insurance coverage at Clinical Labs of Hawai'i).

This service is an in person visit combined with lab draw for comprehensive panel required prior to initiating testosterone replacement therapy. This in person visit will include the mandatory physical exam prior to initiation of TRT.

Complete blood count (CBC) Comprehensive Metabolic Panel (CMP) estradiol (E2) Lipid Panel (Cholesterol) PSA, total (prostate screening antigen) follicular stimulating hormone (FSH) Luteinizing hormone (LH) Testosterone (Free and total) Sex hormone binding globulin (SHBG) Thyroid stimulating hormone (TSH) T4 total T3 Free Thyroid peroxidase Abs (TPO) Vitamin D Vitamin B12 levels