Testosterone is a man’s most vital hormone and is critical to overall health and well-being. Every man experiences a gradual decline in hormone production as he gets older. Beginning at age 30, his body starts to manufacture less and less testosterone, losing roughly one to three percent per year. Then, sometime between age 40 and 55, testosterone levels drop dramatically and signal the onset of Andropause, the medical term for the male equivalent of Menopause. Throughout this process, men find themselves putting on weight, losing muscle mass, feeling sluggish, feeling depressed and becoming increasingly irritable. They remember a time when they had energy for work and family, but those days are now few and far between. They find it harder to concentrate at work and their workouts are cut short by pain or fatigue that didn’t previously exist. The realization is even more troubling for those men who begin to experience lack of sexual drive and impotence. If the root problem, hormonal imbalance, is not treated properly men can experience a number of physical and mental challenges.

Treating Low Testosterone with bio-identical hormone replacement (FAQ’s)

Q: What is a bio-identical hormone replacement therapy?

A: Bio-identical hormones are the same as those produced by the human body. They are not synthetic or replicas. At Mirabile MD, we use SottoPelle, a bio-identical hormone pellet therapy, for the treatment of low testosterone in men. Pellets are derived from wild yam and other natural plant-based ingredients.  They are hand formulated in compounding pharmacies and possess the exact hormonal structure of the human hormones.  Pellets, once implanted, work automatically. The hormones are secreted in tiny amounts into the blood stream daily.  When more hormones are needed due to stress or exercise the body will respond and deliver more.  No other form of hormone delivery, whether capsules, pills, creams, or patches can produce the consistent blood level of testosterone that pellets can.


Q: Why SottoPelle®?

A: SottoPelle founder, Dr. Gino Tutera, is recognized worldwide as a pioneer and leader in the field of bio-identical hormone replacement therapy. Made by a highly-respected pharmacy, the precision process used results in superior quality pellets every time; pellets that can perform reliably week after week, month after month. This ensures that each patient receives the full benefit of a steady, accurate dose.


Q: What is the difference between pellets and testosterone shots?

A: Pellets work with the brain to regulate hormones. Pellet therapy is the only method of hormone therapy that gives sustained and consistent testosterone levels throughout the day without any “roller coaster” effect.  Other forms of therapy simply cannot deliver such steady state of hormone levels.  Also the pellet is placed in the subcutaneous fat, it is not metabolized by the inside GI tract, liver or kidneys and any extra breakdown by the organs.  Pellets are released through the capillaries, to match up with your hormone levels in your brain and are released as needed.


Q: Why Mirabile M.D?

A: At Mirabile M.D., we are experts in the field of bio-identical hormone replacement therapy. Our owner and on-site physician, James Mirabile, MD, has over 20 years of experience treating women for hormonal imbalance. Dr. Mirabile and his team saw a need for men experiencing low testosterone. After much evaluation and research, Dr. Mirabile selected SottoPelle as the bio-identical hormone replacement therapy for both male and female patients. First time Mirabile M.D. SottoPelle patients receive 20% off.

Sandy Edwards, APRN