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Bio-Identical Hormones Georgia Atlanta Athens

Bio-Identical Hormone Treatment For Women of All Ages at New Image

  Most women have hormone imbalances before menopause. 
  Any symptom that changes with your cycle is a hormone imbalance. 
  Symptoms of a Hormone Imbalance Include: Hot Flashes, Heavy Menstrual Flow, Menstrual Migraines, Swelling, Breast Tenderness, and Edema. 

Precise Salivary Testing

… assures we get the right dose of each hormone every time customized to your unique needs.

Board-Certified OB/GYN

… with over 16 years of BHRT experience individually designs and manages your treatment.

On-Site Compounding Lab

New dose? No problem!  Get your refill at your visit.
No Painful Shots or Pellets.

Female BHRT Video Library

Produced by New Image
BHRT Director, Gregory P. Zengo, MD


Atlanta & Athens Female Bio-Identical Hormone Evaluation and Treatment

Female BHRT is  our most popular service at New Image since we opened in 2002.  It starts with an precise saliva hormone test to identify your unique hormone deficiencies.  We have the experience of thousands of patients to know how to blend lab results with your symptoms to design the optimal treatment without EVER overdosing you.

Imbalances in the major sex steroid hormones can lead to symptoms later in life, even while you are still cycling.  Accurate testing and replacement of all ovarian hormones, including testosterone can restore your feeling of normal pre-menopause, or during the menopause transition.

Even small, insignificant Stressors can impact the delicate ovarian balance over many years.  In your initial visit, we test every major system which is impacted by stress.  This always includes a Thyroid & Adrenal assessment.  Most women will not feel their best by replacing sex steroid hormones alone and ignoring the adrenal and thyroid imbalances.  Our replacement prescription uses lower daily doses than the FDA-approved pharmaceutical estrogen, testosterone, and progesterone options for women.

Customized counseling for lifestyle and nutritional stressors completes your bio-identical hormone treatment plan at the first visit and beyond.  Additional testing may be added in the future if indicated, but typically the initial assessment is kept affordable with the most helpful testing ordered.

Prozac was approved in the early 1990’s and soon became a “band-aid” for PMS, women have had their cyclic symptoms managed with anti-depressants.  Anti-depressants are birth control pills are not Bio-Identical ways to treat PMS and cyclic symptoms.  Those never treat the source and often create worse side effects.  A salivary test done on the day of worst symptoms can actually diagnose the causes of PMS symptoms and guide our treatment plan better than just giving everyone antidepressants and birth control pills.

Our on-site Compounding Lab can fill your prescription at your visit for maximum convenience and accuracy.  For many patients, the monthly cost of their entire hormone treatment is less expensive than a single drug copay.

The New Image Path to Wellness
Saliva Testing and Stress Hormone Balancing Program

Bio-Identical Medicine means replacing EXACTLY what the body is missing due to age, stress, or both.  This non-drug form of therapy means there are no side effects since the therapy is not a foreign substance in the body.  Bio-identical therapy restores balance, and we can prove that balance is restored by checking subsequent hormone levels.  When was the last time someone offered you an Ambien level, Premarin level, or a Zoloft level?  Those levels don’t exist.   BHRT medicine is simply more precise.  Unlike many drugs, the breakdown metabolites of these natural hormones are also active in the body, and serve to support many more unseen pathways.  For example, giving Zoloft for depressive symptoms can suppress the natural sleep hormone Melatonin.  Testing and giving back the right amount of a serotonin precursor instead can support Melatonin production.

Many patients use this kind of testing and treatment to come off of stimulants and antidepressants which never helped in the first place.  At the conclusion of testing, many patients realize that they do not have any “diseases”, but they learn about their very real, and measurable, stress-induced imbalances that are directly responsible for their symptoms.

All office visits are billable to most private insurance plans except Kaiser and Ambetter.  We offer reasonable cash visit prices for these patients and ones who have Medicare or Medicaid.  We accept HSA cards for payment.  For patients without insurance or have high deductibles, we have low cost live and even cheaper online visits for your ongoing care and needs.

At your first visit, you will meet with Dr. Zengo to discuss and prioritize your symptoms over time.  Based on this initial assessment, the appropriate testing will be ordered.  This can include blood tests for detailed thyroid function ($50 if not billed to insurance), salivary adrenal and gonadal performance ($105-$219), GI testing ($319 and up), and/or Neurotransmitter testing ($209).

Your results will be reviewed at your second visit and targeted bio-identical therapy will be prescribed.  This often involves nutritionals and vitamins.  In some cases, bio-identical hormones will be prescribed.  Some of these will be available at your local pharmacy since many bio-identical hormones are still regulated as prescriptions even though they are not “drugs”.  Others will need to be compounded creams and all of our patients are eligible to receive compounded prescriptions at a deep discount from our in-house compounding lab.

At follow-up visits every 6-12 weeks, progress is assessed using many indicators.  Only rarely will repeat salivary testing be necessary in the first 6 months.  Many patients graduate our program and no longer need any prescription therapy after 12 months.  Others who continue with our program (menopause, andropause, and more chronic cases of higher stress exposure) typically need repeat salivary testing every year and thyroid testing after every medication or dose change.

The New Image Difference

With over 20 years of experience in Georgia, Dr. Zengo and New Image are experts in every service we offer.  Whether it is Female Hormone

Balance for pre-menopause or cyclic symptoms, fixing the ravages of stress on your body clock as measured by adrenal cortisol levels throughout the day, testosterone in men, or thyroid balance in both sexes, our goal is to help you feel your best without drugs or any substances that are foreign to the body.  

Dr. Zengo founded New Image out of his OB/GYN practice back in 2001 and has expanded and focused our services on Bio-Identical diagnosis and treatment of stress hormone imbalances like no other medical practice can do.  Our promise to you is to never use expensive, proprietary supplements or testing.  Everything we sell is below list price and below the national average for an integrative medicine practice like ours.  Our goal is to always provide an honest assessment of your needs and formulate a treatment plan that is reasonable, and provides value in addition to results.

You know you are getting the most cutting edge care since everything offered at New Image is evidence-based.  Dr. Zengo teaches everything he practices and reviews the medical literature constantly to update our protocols while the training curriculum at PracticalCME Medical Training is updated at the same time.