SottoPelle® Recognizes Rikki Youngworth, FNP-C for outstanding contributions to BHRT and Her Quality Care for Her Patients!

SottoPelle® Announces its “Featured Provider Series” showcasing various Providers that have made a difference to their patients offering leading-edge Bioidentical Hormone Replacement Therapy (BHRT).

Rikki Youngworth, FNP-C has been a SottoPelle® Trained Provider since October 2019.

Look around you the next time you’re out and about. Chances are many of the men and women surrounding you are experiencing daily fatigue, unexplained weight gain, mood changes, and muscle aches due to hormonal imbalance. But often these symptoms can easily be alleviated by addressing that imbalance. For many, that journey toward wellness begins by restoring the natural balance of their hormones with SottoPelle® bioidentical hormone replacement therapy, thus helping to ease their symptoms for physical, mental, and emotional health. Rikki Youngworth FNP-C offers personalized care and BHRT pellet therapy, at Valley Spinal Care, helping patients live life to its fullest potential.

Having had her life personally changed from hormonal balance, Rikki strives to focus on the patient’s physical and emotional wellbeing to meet their individual needs. She believes in having a collaborative relationship with her patients, with a passion for patient education and optimal wellness. “I’ve always been passionate about caring for others and being a Nurse Practitioner allows me to live that passion”. At Valley Spinal Care, Rikki helps her patients live happier and healthier through services including chiropractic care, trigger point injections, weight management, allergy testing, and myotherapy.

Rikki Youngworth, FNP-C has the following education and qualifications:

  • Rikki Youngworth, FNP-C graduated from University of Arizona with a Bachelor of Science degree in Social Work in 1993
  • Master of Social Work in 1995
  • Bachelor of Science in Nursing (BSN) from Grand Canyon University in 2006.
  • Rikki Youngworth, FNP-C began her career and spent the next 14 years, working at John C Lincoln Hospital in cardiac, oncology, and medical-surgical units.
  • Rikki Youngworth, FNP-C completed her Master’s degree at Chamberlain College of Nursing in 2018 and is now a family nurse practitioner certified through the American Association of Nurse Practitioners (AANP).

When she’s not working, you’ll find Rikki, a seasoned long-distance runner, outside hiking, or biking and spending as much time as possible with her partner and their 5 children.

“We are proud to be associated with Rikki Youngworth, FNP-C whom we have trained to understand the best practices of BHRT,” states CarolAnn Tutera, CEO of SottoPelle®.   “We are thrilled to have Rikki Youngworth, FNP-C as a Provider of Note who shares our vision of best practices and quality patient care.”

To view additional information about Rikki Youngworth, FNP-C or to contact the office, please visit his SottoPelle® directory listing:

Provider Information:
Rikki Youngworth, FNP-C
Valley Spinal Care
1 N. Central Ave, Suite #104
Phoenix, AZ   85004
(602) 368-3578

Finding Care for Self

Finding Care for Self Right Now
by: Nita Lapinski

Many friends and clients ask me what I see with what’s happening in our world. I’m reluctant to talk about how I feel, as we are in a tender time and easily hurt or angered. Covid-19, racial disparity, gender issues, politics, religion, our collective consciousness, and how we express these have become contentious and, in many cases, shatter delicate relationships.

The eruption and spread of Covid-19 was not a surprise to me, because in my reality, everything is connected. Everything. Tragically, people are dying alone, separated and isolated from those they love.

Covid-19 is remarkably contagious, dangerous, wide-spread, and requires us to separate. It is a physical manifestation of our fear, anger, vulnerability, and fatigue, which is what we experience with the virus. This kind of fearful global thought has been gaining momentum for about a decade.

Over the years, we have become more polarized and less accepting of each other’s differences and surer of who is right and who is wrong. Middle ground no longer exists. We are intolerant of difference of opinion on any topic, whether it be racial inequality, politics, religion, or basic rights. Nowadays, you must be on one side or another. We each believe our view is the right one. If others don’t agree with or believe in what we do, we label them stupid, short-sighted, and ignorant.

I believe the universe is always reflecting belief and collective consciousness back to us.

I don’t have a magic answer or deep wisdom that might save us. There is only myself and a choice each day of who I will be. I do my best to practice humility, not to judge the choice of another as right or wrong, or good or bad, and instead ask, “What can I give? How can I support?” I will not label you as a good person or bad based on your choice to wear a mask or drink and drive or if you lose your temper or vote for someone I wouldn’t. There is no need to make you wrong so I can be right. Because of this, there is an absence of fear, anxiety or dread in my life. Gone is sadness or disgust with the growth of others; rather, I am happy with myself. I am grateful for all that I have and all that I am and I speak it daily.

My best advice is don’t waste time trying to figure out what happened or who is responsible. Be gentle with yourselves and each other. Don’t judge yourself and you will judge others less. Respond with love and understanding. Help others and lift them up without discrimination. As we shift who we are, what and how we think, we let go of fearful anxiety and blame. As we practice acceptance of ourselves, we open to love. This is how we change the world.

Visit Nita’s Website!

SottoPelle® Recognizes Dr. Edmund H. Lew, MD for outstanding contributions to BHRT

SottoPelle® Announces its “Featured Provider Series” showcasing various Providers that have made a difference to their patients offering leading edge Bioidentical Hormone Replacement Therapy (BHRT).

Dr. Edmund H. Lew, MD has been a SottoPelle® Trained Provider since September 2019.

Since 2016, Dr. Edmund H. Lew has added Age Management Medicine to his practice.  He is SottoPelle® certified in Advanced Bio-identical Hormone Replacement for both men and women, nutrigenomic DNA testing and treatment, and Regenerative Medicine using PRP (platelet-rich plasma).  He is also certified in Aesthetic procedures, including neuromodulators, dermal fillers, and fibro-blasting treatment for skin tightening using Plasm Pen. He is also certified in procedures that enhance sexual function, including the P-Shot, P-Shockwave and O-Shot.


Dr. Edmund H. Lew is affiliated with numerous hospitals throughout California and more, such as Adventist health Glendale, Glendale Memorial Hospital and Health Center.

Dr. Edmund H. Lew is a devoted family man who lives with his wife in La Canada, where they raised their 3 children. One of their greatest blessings is living close enough to enjoy frequent family gatherings. Dr. Lew’s older son, Dr. Matthew Lew, MD, just joined his father in medical practice in August of 2019. His daughter teaches Biology at a high school in San Gabriel.  His younger son is studying to be a registered nurse.

“We are proud to be associated with Dr. Edmund H. Lew whom we have trained to understand the best practices of BHRT.” states CarolAnn Tutera, CEO of SottoPelle®.  Dr. Edmund H. Lew has obtained from SottoPelle both the same sourcing of the hormone pellets and the tools to customize the therapy to each patient’s individual hormone needs. “We are thrilled to have Edmund H. Lew as a Provider of Note who shares our vision of best practices and quality patient care.”

Edmund H. Lew MD has the following education and qualifications:

  • University of Health Sciences/The Chicago Medical School, M.D. (1983)
  • University of San Francisco, Department of Psycho/Biology, B.A. (1976)
  • American Board of Family Medicine
  • Geriatric Medicine
  • American Academy of Family Physicians
  • Over 37 years of experience in the field of medicine

To view additional information about Edmund H Lew, MD, or to contact the office, please visit his SottoPelle® directory listing:

Provider Information:
Edmund H. Lew, MD
Lew Medical
1505 Wilson Terrance, Suite 250
Glendale, California  91206, United States
(818) 246-7115

Getting your Hormones in Shape for Summer

Swimsuit season is here! But if you are struggling with the symptoms of hormone imbalance, you might not be too excited about showing off your “beach bod.” Both men and women can have a harder time maintaining a healthy weight and muscle mass ratio when they are “out of balance.” When your hormones are out of whack, the rest of the body usually follows. 

Weight Gain in Women
Ladies, does any of this sound familiar?  

  • Weight gain around the middle 
  • Bloating 
  • Favorite jeans don’t fit 
  • Less muscle mass 
  • Have a harder time losing weight 

As estrogen levels drop during perimenopause and menopause, weight gain and changes in weight distribution can be an unpleasant side effect. Women gain an average of five pounds during menopause, but many women who are already overweight or obese will continue to gain. Other factors can contribute to weight gain during this time, including fatigue, antidepressant use, sleep changes, “empty nest syndrome,” and changes in job or relationships. 

 And it’s not just about switching from a bikini to a one-piece. Significant weight gain in your 40s puts you at greater risk for serious health problems like breast cancer, heart disease, type 2 diabetes and depression.  

 One way to prevent this cascade of health problems is to maintain healthy hormone levels. With SottoPelle bioidentical hormone replacement therapy, one treatment every few months can keep you feeling and looking your best all year round without the hormone roller coaster. Customized to you, pellets deliver the right dose of hormone at the right time for constant, consistent results. 

Weight gain in Men
Men aren’t immune from hormone-related changes that affect their beach body, either. As testosterone levels drop, men tend to experience an increase in weight, an increase in body fat, and a decrease in lean muscle mass and strength. Sometimes breast tissue enlarges (gynecomastia).  

 Additional symptoms such as fatigue, sleep problems, depression, and a decrease in motivation or self-confidence can also contribute to weight gain in men during this time. And, just like with women, obesity raises the risk of cardiovascular disease, type 2 diabetes, and cancer.  

 Something else many men don’t realize: obesity and hormone imbalance can contribute to erectile dysfunction. In fact, obesity and hormone imbalance in men seem to feed into one another, each causing the other to become worse. 

 Good thing SottoPelle Therapy works for men, too! SottoPelle’s bioidentical testosterone therapy delivers a steady, consistent dose of natural hormone right into your bloodstream, keeping your T levels where they need to be all year long. 

 Men and women, If your 40+ “beach bod” isn’t what you hoped it would be and you can’t seem to get and keep the weight off, it could mean that your hormones need to get in shape before you can. 

Book your SottoPelle appointment today and your beach vacation next! 


Re-igniting Your Relationship

Do you like piña coladas and getting caught in the rain?

You don’t have to answer… these are just the lyrics to a familiar song about a longtime couple who went “looking” for adventures in romance and wound up re-discovering one other.

Maybe one of the reasons the song has stood the test of time is because many men and women can relate. Keeping a relationship fresh can be challenging when you’ve been together for a long time. Jobs, kids, parents, stress, plus the effects of aging can all take a toll.

If the romance between you and your partner tastes a little flat, don’t assume it’s “love on the rocks.” There are many things you can do. Think of this list as a swizzle stick for your marriage, stirring up all those feelings from when you first fell in love! So, belly up to the bar and let’s see what’s on the menu.

Write a Love Letter to Your Spouse

Everyone loves to feel loved. Spending some time thinking about and expressing what you love and appreciate about your partner is a great way to re-kindle some of those feelings. Human psychology often leads us to take things (and people) for granted. Let your spouse know you are still in love with him or her. There’s a good chance that some of those little details you fell in love with haven’t changed a bit.

Try Something New Together

Whether it’s a new restaurant, a weekend away to a place you’ve never been, or a salsa class, doing something new together will boost both of your dopamine levels and give you that “butterflies in the stomach” feeling we associate with new love. According to Psychology Today, studies show that learning a new activity together strengthens a couple’s bond.

Kiss More Often

Did you know that simply by smiling, you can improve your mood? The physical act has an impact on your mental state. In the same way, you can increase feelings of love and attraction by simply making an effort to kiss, touch, and cuddle more often with your partner. Give it a try!

Revisit Special Places

Where did you meet? Go on your first date? Did you have a particularly romantic encounter, for example on a cruise or vacation? Go back to that place and watch how the triggered memories can rekindle your flame.

Fix Your Physiology

Sometimes there is a physiological component to why you just aren’t “feeling it.” Hormone imbalance can take a toll on your sex life, creating loss of libido, erectile dysfunction, and vaginal dryness. Low hormone levels can cause belly fat build-up and a reduction in lean muscle mass, making you feel less attractive. Out of whack hormones can even tank your mood, create anxiety, or launch you into depression. If any of this sounds familiar, a SottoPelle provider may be able to help. Bioidentical hormone replacement with pellet therapy is a safe, proven way to bring your hormones back to healthy levels so you can look and feel your best.

So, whether it’s piña coladas, whiskey sours or a cold glass of non-alcoholic bubbly water, let’s toast to your relationship and all the ways to keep it fresh and fun even as the years go by!

Why Your Bones Want You To Have Healthy Hormones

You know that having balanced hormones helps alleviate symptoms like hot flashes, night sweats, loss of libido and mood swings. But healthy hormone levels do more than improve the way you feel– they can save your bones (and maybe even your life).

May is National Osteoporosis Month, and according to the National Osteoporosis Foundation:

● An estimated 10 million Americans have osteoporosis, 80% of them women
● Almost half of women over age 50 will break a bone due to osteoporosis
● A woman’s risk of hip fracture is equal to her combined risk of uterine, ovarian and breast cancer.1

Not only that, studies show that the risk of death goes up sharply in the event of a hip or back fracture.2

What does this have to do with hormones?

The hormone estrogen protects women’s bones, and when menopause hits and estrogen levels plummet, women are at greater risk for bone loss, osteoporosis and fractures. Hormone replacement therapy keeps estrogen levels where they should be, protecting your bones and, as a result, your health and vitality.

What if I am already taking medications to prevent bone loss?

While for older women with a diagnosis of osteoporosis, bone building drugs can and do reduce the incidence of fractures, many younger post-menopausal women with osteopenia (bone loss that is not as severe as osteoporosis) are being prescribed these drugs on a “preventive” basis. These drugs can have serious side effects, and research shows that they don’t provide much protection from fractures for women in these situations.3

Maintaining healthy hormone levels can help women protect their bones without the side effects associated with bone building medications.

What about men?

Just like with women, healthy hormone levels are an important part of protecting bone health in men.

A 2017 study published in JAMA Internal Medicine found that one year of testosterone therapy significantly increased bone density and bone strength in men aged 65 and older. This is part of what researchers have dubbed “the T Trials,” an effort by the National Institutes of Health to study the effects of testosterone treatment in 790 men ages 65 and older. The ongoing trials will next seek to confirm if testosterone therapy and its bone-building ability also protects men from suffering fractures.4

In the meantime, it’s exciting that the research is catching up to what we already know– that healthy hormone levels are key to aging well, staying strong, remaining vital, and holding onto your health, all the way down to your bones!