Testosterone, Andropause and Men’s Health

Testosterone, Andropause and Men’s Health

A man’s testosterone (T) is his most vital hormone. It impacts everything from muscles, brain and sex drive, to blood, arteries, organs and glands. Take it away and his well-being goes with it. That’s why low testosterone (Low T) can be so devastating.

Andropause: Every man begins a gradual drop in hormone production around age 30. He loses approximately one to two percent a year until sometime between 40 and 50 years of age, his T levels fall sharply and signify the beginning of andropause. By age 50, most men have lost over half of their T, which can have a major impact on their health. Lifestyle changes alone aren’t sufficient to address hormonal imbalances. Therefore, it’s important for men to be aware of early symptoms and start checking their hormone levels in their 40’s with a simple blood panel – before Low T strikes.

Symptoms: Fatigue, mood swings, poor mental focus, low stamina, sleep disturbances, memory loss, depression, erectile dysfunction, irritability, decreased sex drive, anxiety, bone loss, high cholesterol, loss of muscle mass, weight gain, belly fat, and decreased sense of well-being. Studies show a link between Low T and cardiovascular risk, insulin resistance, high cholesterol and osteoporosis.

Health Benefits: Enhances energy, well-being, memory, concentration, lean body mass, muscle strength, bone density, metabolism and sexual function. Relieves depression, anxiety and fatigue. Helps maintain a healthy supply of red blood cells, cardiovascular function and a normal lipid profile.

Testosterone Replacement Therapy (TRT): There are many different forms of TRT and it’s important to distinguish between the synthetic type found in most traditional hormone replacement therapies (HRT) and natural, plant-based compounds used in bio-identical hormone replacement therapy (BHRT).  Synthetic pills, patches, gels, drops, troches, creams and injections with generic doses often contain harmful chemicals and additives that can pose serious health risks. BHRT uses natural hormones whose molecular structure contains the exact biochemical structure as the human hormone, with no side effects.

The Power of Pellets®: Delivery is key to effective TRT. Studies show that hormone pellets – about the size of a grain of rice and slipped under the skin – provide the most effective delivery system because they are monitored naturally by the body’s own heart rate for 24-7 distribution exactly when needed. This approach can restore the body to its normal physiology. Pellets last on average 5 – 6 months for men.

Dosing: Pellets work best when they are precisely dosed and individualized for each patient’s specific needs. Safe and effective TRT involves: accurate testing and analysis; bioidentical hormones, proper dosage and round the clock delivery to sustain hormone levels. Restoring T to normal, physiologic levels. means customizing the dosage to the individual and monitoring patients on a regular basis.

Beyond Andropause: Parkinson’s & Traumatic Brain Injury: A number of retired NFL players have turned to SottoPelle® for relief from a variety of issues related to brain injuries. New studies show that Low T is related to neurodegenerative conditions such as Traumatic Brain Injury (TBI), concussions, Parkinson’s disease (PD), Alzheimer’s and dementia. Since the sex hormones are also closely related to cognitive and neuromuscular function, positive results are being reported in patients with PD, TBI and PTSD.

SottoPelle® has been diagnosing andropause and treating men with Low T for over 20 years. With founder, Gino Tutera MD, being the inventor of the patented BioCalc® method of pellet dosing, SottoPelle® remains the BHRT global leader. We understand the strain that Low T can put on a man’s energy, drive and quality of life and that your body needs a steady flow of testosterone that it may not always be able to produce by itself. We use only the purest pellets and quality plant-based compounds to deliver the right amount of testosterone your body requires exactly when it needs it. This can keep you going and feeling great! Reclaim your life with SottoPelle® — helping people live longer, stronger and healthier!

Bibliography

Cattabiani C, Basaria S, Ceda GP, et al. Relationship between Testosterone deficiency and Cardiovascular risk and Mortality in Adult Men. J Endocrinol Invest. 2011 Nov 8; [PubMed]

Leung-Wing Chu, Sidney Tam, Rachel LC Wong, Ping-Yiu Yik, Youqiang Song, Bernard MY Cheung, John E Morley, Karen SL Lam. Bioavailable testosterone predicts a lower risk of Alzheimer’s Disease in older men. Journal of Alzheimer’s Disease 2010; 21 (4).

  1. Srinivas-Shankar U, Roberts SA, Connolly MJ, et al. Effects of testosterone on muscle strength, physical function, body composition, and quality of life in intermediate-frail and frail elderly men: a randomized, double-blind, placebo-controlled study. J Clin Endocrinol Metab. 2010;95:639–50. [PubMed]

Farid Saad,1,* Antonio Aversa,2 Andrea M Isidori,2 and Louis J Gooren3. Testosterone as Potential Effective Therapy in Treatment of Obesity in Men with Testosterone Deficiency: A Review. Curr Diabetes Rev. Mar 2012; 8(2): 131-143.

Moffat SD, Zonderman AB,Metter EJ,Blackman MR,Harman SM, Resnick SM. Longitudinal assessment of serum free testosterone concentration predicts memory performance and cognitive status in elderly men. J Clin Endocrinol Metab. 2002 Nov;87(11):5001-7.

Gino Tutera and R. Don Gambrell Jr. Marked reduction of breast, endometrial and ovarian cancer in users of bio-identical estradiol and testosterone subcutaneous pellets, Maturitas, 2009. Journal of Spanish Society of Anti-Aging Medicine and Longevity, Vol. 18, Sept. 2014, pp 27-33.

  1. Travison TG, Araujo AB, Kupelian V, O’Donnell AB, McKinlay JB. The relative contributions of aging, health, and lifestyle factors to serum testosterone decline in men. J Clin Endocrinol Metab. 2007;92:549
  2. Kapoor D, Goodwin E, Channer KS, Jones TH. Testosterone replacement therapy improves insulin resistance, glycaemic control, visceral adiposity and hypercholesterolaemia in hypogonadal men with type 2 diabetes. Eur J Endocrinol. 2006;154:899–906. [PubMed]
  3. Kenny AM, Fabregas G, Song C, Biskup B, Bellantonio S. Effects of testosterone on behavior, depression, and cognitive function in older men with mild cognitive loss. J Gerontol A Biol Sci Med Sci. 2004;59:75–8. [PubMed]
  4. Marin P, Holmang S, Jonsson L, et al. The effects of testosterone treatment on body composition and metabolism in middle-aged obese men. Int J Obes Relat Metab Disord. 1992;16:991–7. [PubMed]

Seidel B, Lewis T, Kucer B. The decision to provide testosterone supplementation in patients with traumatic brain injury. PM R. 2013 Nov;5(11):985-6.

Young TP, Hoaglin HM, Burke DT. The role of serum testosterone and TBI in the in-patient rehabilitation setting. Brain Inj. 2007 Jun;21(6):645-9.

  1. Emmelot-Vonk MH, Verhaar HJ, Nakhai Pour HR, et al. Effect of testosterone supplementation on functional mobility, cognition, and other parameters in older men: a randomized controlled trial. Jama. 2008;299:39–52. [PubMed]

Holland J, Bandelow S, Hogervorst E. Testosterone levels and cognition in elderly men: a review. Maturitas. 2011 Aug;69(4):322-37.

I just want you back

It’s 4am, I cant sleep.
I remember sleeping in late, but now I can’t even sleep more than a few hours. It’s funny how you take for granted people, things and even yourself.
I stumble to the bathroom and catch sight of myself in the mirror. At first, I’m startled in my sleep deprived state. I think there is someone else there – that’s not me. People once told me I was pretty now they just call me Mam.

I look in the mirror and wonder when I got old.

I have gained some weight in the last year. My mom just passed this fall after a 6 year battle with colon cancer. It’s unfortunate how old we suddenly feel when a parent passes or maybe it just brings our own mortality front and center. Either way, it’s a sad and scary time.  Then a series of life’s unfortunate events and post menopause and my former size 2 self is now 20 pounds heavier. My daughter scoffs when I complain as she is now struggling to lose 50 pounds herself.

It’s all about perspective, each person’s battle is difficult to them. The worst is not feeling healthy with this extra weight – I don’t feel like me. I have some really pretty clothes and I will  be damned if I have to buy more. Who wants to buy clothes because you can’t squeeze into your current ones ?

That’s not fun.

Midlife is filled with not fun moments for both men and women. Most people are suffering from the challenges of getting older and experiencing changes in body and mind. The key is not to change our spirit. I try to look at everything happening with a sense of humor and as a challenge. But, when you lose sight of yourself it becomes harder.

Starving yourself or crazy fad diets are not the answer. I know because I tried it – no luck.

I spent a lot of money to lose water weight and it’s just not a long term or healthy alternative.

Menopause and Andropause make it harder to do things exactly as we have always done them and reap the same results.  Change can be good if you look at as an opportunity to be a better healthier you. You have to start by getting help.  If your experiencing big changes in weight and health, check in with your doctor.

Gaining weight or feeling bad does not have to be the new you.  I found out that part of my menopause experience was suddenly out of whack hormones and thyroid.  A better diet, regular exercise and medication and I’m beginning to feel better. I’m still getting up earlier but I’m just using that time now for good and not evil. I’m not staring in the mirror at 4am examining wrinkles or grey hairs but taking the dog for a walk or writing.

By the way, taking power naps do work when needed. I’m learning that I’m still me – I’m just evolving.

Who knows, I may become a butterfly!!

What is your midlife experience and how are you dealing with it?

 

Featured Doc: Heather Chauhan, MD, FACOG

SottoPelle is proud to showcase one of our providers in our “Featured Doc Series.”  Heather Chauhan, MD, FACOG practices in Germantown, Tennessee and has been a SottoPelle Trained Provider since January 2014.

Practice Name:
Exceed Hormone Specialists

 

 

Heather Chauhan, M.D. has the following qualifications:

  • Fellow of the American Congress of Obstetricians & Gynecologists
  • Diplomate of the American Board of Obstetrics & Gynecology
  • Active Member of:
    • North American Menopause Society
    • Sexual Medicine Society of North America
    • International Society for the Study of Women’s Sexual Health

Please see Heather Chauhan, MD, FACOG’s profile on our directory at: https://www.sottopelletherapy.com/doctors/heather-chauhan-md-facog/ 

Follow her on Facebook: https://www.facebook.com/exceedhs

Visit her website: https://exceedhs.com/

 

Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
[gravityform id=”2″ title=”true” description=”true”]

Featured Doc – John Molland, MD

SottoPelle® is proud to showcase one of our providers in our “Featured Doc Series.”  John Molland, MD practices in Odessa, Texas and has been a SottoPelle® Trained Provider since October 2018.

Practice Name:
The Women’s Center of the Permian Basin, PA

 

 

“SottoPelle® is a unique method which offers my patients an individualized approach to hormone imbalance and well-being.,” states John Molland, MD, SottoPelle® Trained Physician.

John R. Molland, MD is now offering expanded treatments for:

  • Anti-aging
  • Aesthetics
  • Wellness

Please see Dr. Molland’s profile on our directory at: https://www.sottopelletherapy.com/doctors/john-r-molland-md-facog/ 

Follow him on Facebook: https://www.facebook.com/DrMolland/

Visit his website: https://www.drmolland.com/

 

Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
[gravityform id=”2″ title=”true” description=”true”]

SottoPelle® Dedication to the Ethical Treatment of Patients

SottoPelle® is committed to the ethical treatment of our patients and to supporting the dedicated SottoPelle physicians that maintain the highest quality of patient care. Physicians are governed by core principles of medical ethics as defined by the American Medical Association (AMA). These top five mandates are the foundational requirements for all physicians when treating patients.

  1. A physician shall be dedicated to providing competent medical care, with compassion and respect for human dignity and rights.
  2. A physician shall uphold the standards of professionalism, be honest in all professional interactions, and strive to report physicians deficient in character or competence, or engaging in fraud or deception, to appropriate entities.
  3. A physician shall respect the law and also recognize a responsibility to seek changes in those requirements which are contrary to the best interests of the patien
  4. A physician shall respect the rights of patients, colleagues, and other health professionals, and shall safeguard patient confidences and privacy within the constraints of the law.
  5. A physician shall continue to study, apply, and advance scientific knowledge, maintain a commitment to medical education, make relevant information available to patients, colleagues, and the public, obtain consultation, and use the talents of other health professionals when indicated.

All physicians take The Hippocratic Oath, which originated in ancient Greek medical texts, and it requires all physicians to uphold very specific ethical standards. The integrity of a physician is pivotal in his/her role as a medical practioner. Integrity is based on serving the patient’s best interests and gaining the experience, training, and continuing qualifications to accomplish that task.

There are doctors who don’t care about the qualifications or certifications. There are those who even cross the line and prescribe drugs yet they have no qualification to treat. This is lack of honesty and integrity.[1]

Why is the topic of ethics and BHRT so important?  Many people hear Bio Identical Hormone Therapy (BHRT) and they don’t understand that although it’s a natural solution to hormonal imbalance, it must be prescribed, dosed, and maintained by a qualified medical professional.  BHRT is not a therapy that should be obtained at the local beauty spa or administered by an unqualified medical professional. To engage is such activity is blatantly unethical as it endangers the health and well-being of the patient. Determining who is qualified to provide BHRT can be a source of confusion among patients and physicians alike.  As the pioneer in BHRT, SottoPelle has developed the baselines and methodology that can only be acquired after decades of successful patient treatment. SottoPelle innovation has created BHRT specific and proprietary technology and dosing algorithms that have become the qualitative standard among most experienced BHRT physicians.

SottoPelle® is an organization steadfast to upholding and maintaining the highest standards for quality and ethical care for our patients.  Before a physician can become a licensed SottoPelle physician he must be thoroughly vetted and trained by our staff. This means that SottoPelle checks that the medical professional is in good standing with his local medical board and that he has the perquisite medical training and background to be considered for SottoPelle methodology training. Once approved for the training and to become licensed, the physician has to successfully complete a clinical training with our medical trainers. After training, continuing education follows to assure that SottoPelle certified physicians are up to date with all aspects of HRT and related patient care. Our methodology was created by physicians who have a specific background in this area of medicine and practice.  The evolution of the therapy is based in science, so every physician must have the required relevant medical background to understand all aspects of the method, and all the medical implications to the patient.  This is the ethical application of our medical approach and therapy.  Adhering to high standards and qualifications is why SottoPelle has consistently been trusted by patients and physicians as the providers of choice for Hormonal Imbalance concerns.

There is an overabundance of information on the internet, but googling information does not provide a medical degree. Physician marketing and advertising has become aggressive but being on the first page of Google is not an indicator for finding an ethical or qualified health care provider. Patients want medical care they can trust and count on for solutions for their health and lifestyle concerns.  Different physicians and/or medical professionals have varied medical experience and knowledge.  You would not go to a dentist for a cardiac issue, and you should not go to just any type of physician for Bio Identical Hormone Therapy (BHRT).

The physician should be licensed and trained on this specific type of therapeutic treatment. A generalized understanding of BHRT is not enough.   As previously noted, the SottoPelle methodology requires a comprehensive understanding of hormonal balance, familiarity of various medical conditions that can cause imbalance, and also the ability to medically and legally be allowed to implant the BHRT pellets under the skin.

Many of us have heard stories about “Botox” parties performed by unqualified people with substandard products, that have led to disastrous results. The same type of worst case scenarios can occur with BHRT practioners, if they do not have the experience, training, and knowledge of the therapy and appropriate dosing.  BHRT requires a physician to medically evaluate the patient, perform lab work, and then understand the results to determine if patients are candidates for BHRT. Once the patient is medically cleared to get BHRT, then the practioner has to have the prerequisite and underlying training to successfully dose, implant the pellets and maintain the therapy. Without these baseline competencies, the likelihood for unsuccessful treatment and medical complications arise.  Unfortunately, there are medical providers not following protocol or without the training required to successfully administer this therapy.  This unethical behavior can lead to unexpected patient results, health concerns, and overall negative impact or perception of BHRT.

SottoPelle® supports the ethical physician and patient imperative:  treating hormonal imbalance must only be performed by those medical providers with the essential requisite skills and qualifications.

Why would some practioners treat patients without these core training and experience?  Just like every other profession, there are many ethical and responsible practioners with integrity, but then there are a bad few – that are putting the needs of their practice over that of the best interests of the patients. Others are established doctors who just think they can “figure it” out on their own, but your patient care should not be the learning experience nor should it be a “one size fits all approach.”

If you are considering BHRT, do your homework first. There is a lot of data and information out there, and it can be overwhelming.  Don’t pick the best price or the number one on Google, this is your health, look at the experience, results, and reputation of the BHRT provider.  Make sure your doctor is licensed, ethical (in good standing with local medical governing agencies), and is specifically trained to administer BHRT therapy to you.  If you are not sure about your choices, or the doctor’s qualifications, call us and we can help you.

[1] http://advancingebp.org/hello-world/

¿Qué me está pasando?

¿Qué me está pasando?

Testosterona, salud y calidad de vida

Ha oído hablar de las mujeres que tienen bochornos y otros síntomas a medida que atraviesan el “cambio”, pero ¿y los hombres?

La verdad es que los niveles hormonales de los hombres disminuyen a medida que envejecen, igual que los de las mujeres. Los niveles de testosterona en el hombre alcanzan generalmente su punto máximo alrededor de los 20 años. En algún momento entre los 30 y 40 comienzan a disminuir a razón de un 1% anual en promedio. Si la disminución en los niveles de testosterona es lo suficientemente severa, un hombre puede experimentar síntomas parecidos a la menopausia. Es lo que se conoce como andropausia.

La testosterona baja puede causar cambios físicos, mentales y cognitivos no solo desagradables, sino también peligrosos para la salud. Los siguientes síntomas indican bajos niveles de testosterona asociados con la menopausia masculina:

  • Disfunción eréctil
  • Reducción del deseo sexual
  • Pérdida de masa muscular
  • Aumento de la acumulación de grasa (especialmente alrededor de la sección media)
  • Baja masa ósea
  • Fatiga
  • Depresión
  • Ansiedad
  • Irritabilidad
  • Insomnio
  • Problemas de concentración

En general, la depresión acostumbra a ser de los primeros síntomas en aparecer en estos casos. La testosterona es una hormona clave que afecta el estado de ánimo tanto en hombres como en mujeres. Niveles bajos pueden provocar sentimientos de tristeza, soledad, ira y/o ansiedad. Puede perder interés en las actividades de las que normalmente disfrutaba. También juega un papel importante en nuestro funcionamiento cognitivo, lo que significa que, si no tiene suficiente testosterona, puede tener problemas para concentrarse o recordar cosas. Además su pensamiento puede ser confuso o borroso.

Físicamente experimenta una reducción en su libido. También puede tener dificultades para lograr o mantener una erección. Los niveles saludables de testosterona nos ayudan a construir y mantener la masa muscular. Si la testosterona es baja, puede desarrollar más grasa alrededor de su área abdominal. Además, como consecuencia de ello, las enzimas en esas células grasas pueden convertir buena parte de la testosterona circulante en estrógeno, lo que se conoce como aromatización, lo cual hace que sus niveles de testosterona libre bajen aún más. Algunos hombres con niveles bajos de testosterona incluso experimentarán también agrandamiento de los senos o reducción del vello corporal.

La buena noticia es que estas deficiencias se tratan perfectamente con la terapia de reemplazo de hormonas bioidénticas. Los niveles insuficientes de testosterona no deben ser parte del proceso en un envejecimiento normal y saludable. Si cree que puede estar experimentando síntomas de baja testosterona, llámenos hoy para una consulta.

¿Por qué SottoPelle® es la mejor opción para la THS bioidéntica?

Nuestros médicos expertos empiezan con pruebas y análisis adecuados de su estado hormonal, además de revisar su historial médico. Nuestros implantes, precisamente por ir directos al torrente sanguíneo utilizan dosis extremadamente bajas en comparación con los otros métodos y consiguen el equilibrio hormonal tan importante para la salud y el bienestar general. Este método seguro y eficaz, logra en horas hormonales niveles fisiológicos que permanecen estables durante meses.

Nuestros pacientes con frecuencia elogian la mejor calidad de vida que están experimentando con la Terapia SottoPelle®. Pérdida de peso, mejor libido y deseo sexual, mejor sueño y mayor agudeza mental son sólo algunos de los beneficios que los pacientes nos reportan.

¡Consulte con su médico!

Consultar con un experto en la Terapia SottoPelle® puede ayudarle a crear un futuro más saludable para usted. Descubra lo que nuestro método extraordinariamente simple y sin complicaciones puede hacer por Vd.

Obtenga más información sobre SottoPelle® en www.sottopelletherapy.com o contacte con nuestros médicos acreditados:

https://drive.google.com/open?id=1XJxCsVBBeSZWLwTwolU3SzJ57OVw_FGl

Featured Doc – Clark Brittain, DO

SottoPelle® is proud to showcase one of our providers in our “Featured Doc Series.”  Clark Brittain, DO practices in Bloomington, Indiana and has been a SottoPelle® Trained Provider since May 2007

Practice Name:
Vibrant Life

Location
642 South Walker St ,
Bloomington, Indiana, United States

Phone Number
812-331-9160

 

Clark Brittain, DO has the following qualifications:

  • Board-certified Gynecologist specializing in intimate wellness for both men and women
  • Brittain’s staff offers personalized treatment for conditions such as hormone deficiencies and sexual intimacy concerns/disorders. These procedures treat symptoms that include painful intercourse, vaginal dryness, erectile dysfunction, and Peyronie’s disease.
  • Brittain is certified to administer SottoPelle® hormone pellets, GAINSwave, CO2RE Intima laser services and Cellular Medicine treatments including the O-Shot and P-Shot. We deal in intimate health matters because Intimate Health Matters.

Please see Clark Brittain, DO’s profile on our directory at: https://www.sottopelletherapy.com/doctors/clark-brittain-do/

Follow him on Facebook: https://www.facebook.com/VibrantLifeBloomington/

Visit his website: http://drbrittain.com/

 

Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
[gravityform id=”2″ title=”true” description=”true”]

Featured Doc – Warren Scott Lafferty, MD

SottoPelle is proud to showcase one of our providers in our “Featured Doc Series.”  Warren Scott Lafferty, MD practices in Bentonville, Arkansas and has been a SottoPelle Trained Provider since August 2013.

Practice Name:
Lafferty Family Care

 

Warren Scott Lafferty, MD has the following qualifications:

  • Clinic focuses on true prevention to disease
  • Also offer SculpSure, Botox and fillers.

Please see Warren Scott Lafferty, MD’s profile on our directory at: https://www.sottopelletherapy.com/doctors/warren-scott-lafferty-md/

Follow him on Facebook: https://www.facebook.com/LaffertyFamilyCare/

 

Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
[gravityform id=”2″ title=”true” description=”true”]

Featured Doc – Harry Condoleon, D.O.

SottoPelle is proud to showcase one of our providers in our “Featured Doc Series.”  Harry Condoleon, D.O. practices in Algona, Iowa and has been a SottoPelle Trained Provider since August 2019

Practice Name:
Soma Med Spa

Phone Number:
515-395-7663

 

Harry Condoleon, D.O. has the following qualifications:

  • Member of the American College of Surgeons and American Academy of Cosmetic Surgeons
  • Reputation as a highly skilled surgeon who delivers the safest state of the art treatment to his patients
  • Brings non-invasive, non-surgical services with little to no downtime to the Algona, Iowa area.

Please see Harry Condoleon, D.O’s profile on our directory at: https://www.sottopelletherapy.com/doctors/harry-condoleon-d-o/

Please visit Dr. Condoleon on Facebook at: https://www.facebook.com/somaalgona

Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
[gravityform id=”2″ title=”true” description=”true”]

Featured Doc – Donna Breeland, MD

Today we proudly showcase one of our amazing providers in our “Featured Doc Series.”  Donna Breeland, MD  practices in Flowood, Mississippi and has been a SottoPelle Trained Provider since May 2013.

Donna Breeland, MD has the following qualifications:

  • Board Certified by the American Board of Obstetrics and Gynecology.
  • Has particular interest in infertility, minimally invasive surgery, and menopause medicine.
  • Has expertise in the use of bio-identical hormones in all forms: creams, pellets, and troches.

Practice Name
East Lakeland OBGYN Associates

Location:
1020 River Oaks Dr 320, Flowood, Mississippi United States

Phone Number
Fax Number
601-936-1416

 

Please see Donna Breeland, MD’s profile on our directory at: https://www.sottopelletherapy.com/doctors/donna-breeland-md/

Follow Donna Breeland, MD on Facebook: https://www.facebook.com/EastLakelandOBGYN

Visit Donna Breeland, MD’s website: https://eastlakelandobgyn.com/

Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
[gravityform id=”2″ title=”true” description=”true”]