meet your practitioners
Dr. Vanessa Ocampo, MD
JENNIFER TRAN, BSCN RN
NAOMI MYHRE, RPN
NICOLE REYES, RPN MEPN
Dr. Vanessa Ocampo, MD and our Monaco Nurses offer a full integrative medical and functional medicine program for their patients. Our program is designed to help you balance your hormones, returning them to optimal levels with minimal side effects and maximum effectiveness.
Bioidentical hormone replacement therapy (BHRT) are man-made hormones derived from plant estrogens that are chemically identical to those which the human body produces. Unlike synthetic hormone replacement therapy, these hormones are tailored to the body’s natural chemical make-up and therefore the safest form of hormone therapy.
Estrogen, progesterone, and testosterone are among those most commonly replicated and used in treatment. BHRT can be used to treat men and women when their hormone levels drop or become unbalanced.
BHRT will help you feel like yourself again, even through the ups and downs of hormonal change. BHRT may also help with disease prevention and offers you a better quality of life as you get older. Maintaining optimal hormone levels for your body is important. Low hormone levels cause cancer, bladder infections, dementia and alzheimer’s disease.
BHRT benefits for men may include:
Higher muscle mass
Faster recovery time when working out
More stamina and energy
Reducing facial wrinkles, better skin texture and tone
BHRT benefits for women may include:
Libido enhancement- improves vaginal lubrication
Reduces or stops hot flashes from occurring during the perimenopausal and menopausal stages
Reducing frequency of night sweats
Reducing wrinkles, facial hair growth
How do I begin and what is involved?
You would begin with an extensive assessment and blood work done by our physician and nurses. Based on the results of your assessment, optimal dosing will be determined to ensure your health and wellness goals are met. Follow up appointments along with periodic blood work and treatment prescription changes are recommended to ensure your hormonal levels remain optimal and that you are feeling your best.
How is BHRT administered?
BHRT is available in many types of format of delivery via prescription only – ie: pill or capsule taken orally, sublingual drops and troche, a topical patch, topical cream or gel, transmucosal cream, vaginal cream, suppository or troche, or as an injection.
Are there any side effects to BHRT?
Side effects can occur when a dose is first given. The body is not used to the new level of hormones and it is at this time that we would assess whether your dose may need to be changed. Sometimes your prescription Rx formulation needs adjusting which can be changed if needed, however, many side effects subside as the body adjusts to the new hormone levels.
Some common side effects include weight gain, blurred vision, tiredness, acne, increased facial hair – quite rare (women), headaches, breast tenderness, spotting, cramping, bloating, mood swings, indigestion and itching or irritation around the area where you get your injection or where you apply your hormone patch, cream or gel.
When should I start thinking about BHRT?
Patients who benefit from BHRT are as young as 16 years old (severe issues with periods, PCOS, depression, and acne) right up to 90 years old. Hormone levels drop 1-3% per year once adults hit the age of 30. It is recommended to be tested sooner rather than later, so our medical team can have a better picture of what your hormone levels are like before you start to feel the full affects of lower hormonal levels. However, you can still take advantage of the benefits of BHRT when you start treatment at over 50 years of age and older.
When can I start to see results?
Results definitely vary with each person and depend on which specific hormone therapy you require. Generally, patients can expect to see benefits in a few weeks and full results within three to six months. It will take some time to allow your body to properly balance your hormone levels and rebuild depleted stores, so we encourage patients to be patient.
Will insurance or OHIP cover lab tests or consultations?
Where applicable, some blood tests are covered by OHIP but there may be additional lab tests that are not covered based on your custom BHRT program.
HOW WILL I RECEIVE MY BHRT?
Patients will pay the custom compounding pharmacy directly and the pharmacy will ship the prescription to the patients home or office (box must be signed for). There is free delivery anywhere in Canada.
Looking for more information?
Our Patient Resources Page has more information about Bioidentical Hormones, symptoms to look out for and medical research articles which explain hormone therapy in more detail.
What is the program and how does it work?
We recognize that every patient has different hormone levels and should be treated individually with BHRT. We provide a personalized Wellness Program which caters to your specific and unique requirements. Our current world allows us to access conventional medicine which works in tandem with alternative medicine to help treat the underlying causes of illness. Each patient is evaluated with a full assessment and tested before the Monaco specialist MD prescribes the individualized BHRT hormone treatment prescription. A full consult with our Monaco specialists involving assessment of your hormone function related to adrenals, thyroid, insulin resistance, sex hormones, gut health and weight issues/goals is required.
We optimize your health by addressing the problems which you identify and that we encounter through our Wellness Strategy that will improve your level of nutrition, balance your hormones, increase your energy and give you better ability to relax and manage stress. We work with Bioidentical Hormone and Testosterone Replacement (Human Identical) & Custom Thyroid Hormones.
The program includes:
Initial consultation, including a comprehensive assessment, patient history and treatment plan, plus an array of blood tests.
Three 30 minute follow up appointments at 3, 6 and 9 months which include blood tests at each consult.
A $150 credit which can be used towards the purchase of a service or product at the Monaco clinic you are receiving treatment.
Prescription management throughout the year with any required changes.
Is this program right for me?
The Monaco Wellness Program is highly recommended for those looking for a specific approach to treat multiple issues as well as working alongside the Monaco team to reach a goal of long term and improved health and wellbeing.
We encourage you to schedule your consultation with our Monaco nurses to discuss how the program can benefit your needs.
How much does the program cost?
Please contact our clinics for a personalized, private consultation with our Monaco health care professionals to determine what you need, pricing and developing a treatment plan specialized just for you.
BHRT A LA CARTE PRICING
Initial consult $399
1 month follow-up $299
3, 6 & 9 month follow-up $195 each
BHRT WELLNESS PROGRAM
Annual Wellness Program $1099
Second Year $899 (including 6 & 12 month follow-ups)
Third & Fourth Year 6 & 12 month follow-ups $195 each
MEDICAL WEIGHT LOSS PROGRAM
Initial Round $995
Subsequent Rounds $449
Please note: No prescription medications are stored on the premises. Your prescription Rx will be shipped directly to you after you have completed a physician and/or Nurse Practitioner consultation & labs. The consult & blood tests are done to ensure you are a good candidate for BHRT. Supplements and prescriptions are an extra fee and are not included as part of your consultations or the Wellness Program itself.