Testosterone Experts In Central PA

Are you a male over the age 40? Lower sex drive? Increased body fat? It may be a testosterone imbalance that can easily be corrected under the professional supervision and care of Jamie Shirey, CRNP at Advanced PainCare & BioHealth Institute in Camp Hill, PA. Testosterone is the most important androgen (male sex hormone) and is responsible for the physical changes that happen during puberty such as the development of the penis, testicles, facial and body hair, and muscle growth. It is also important for normal reproductive and sexual function.


You have probably heard about Low T and might be wondering, is it really a big deal? I mean, isn’t it just part of getting older? While it is expected that testosterone levels will start to decline as you age, a 2007 study estimated that approximately 40% of men over the age of 45 have low testosterone levels and even more men have testosterone levels that are considered insufficient for optimal health. Testosterone is important for more than just sexual health! Low levels of testosterone have been shown to be associated with an increased risk of:

  • Atherosclerosis and other Heart diseases
  • Diabetes
  • Increased visceral body fat
  • Loss of muscle mass
  • Cancer
  • Decreased sexual function
  • Anxiety and Depression

So how would you know if you had Low T? Some people think if they don’t have sexual symptoms that their levels must be fine, but Low T can cause a lot of different symptoms.

Some of the signs and symptoms include anxiety and nervousness, depressed mood, increased irritability, feeling burnt out, decrease in beard growth,  joint and muscular pain, trouble sleeping, feeling tired or that you’ve passed your prime, excessive sweating or hot flushes, decrease in sexual desire/libido and a decreased ability to perform sexually.

12 Symptoms of a Testosterone Imbalance

  • Low Sex Drive
  • Erectile Dysfunction
  • Low Semen Volume
  • Hair Loss
  • Fatigue
  • Loss of Muscle Mass
  • Increased Body Fat
  • Decreased Bone Mass
  • Mood Changes
  • Affected Memory
  • Smaller Testicle Size
  • Low Blood Counts

Everyone is different and because of this the level of testosterone that causes symptom development can vary. For some men, loss of libido can occur when testosterone levels drop below the 400 ng/dL range and erectile dysfunction does not occur until levels drop much lower (below 250 ng/dL) but for others the ranges can be different. Some practitioners are now recommending that men with levels below 500 ng/dL treat low testosterone to prevent illness even if you aren’t experiencing symptoms. What’s important is that you work with your provider to find a customized treatment plan for you.

About Bioidentical Hormone Replacement Therapy

Advanced PainCare & BioHealth Institute offers bioidentical hormone replacement therapy using pellets to restore your body’s natural hormone balance. A hormone pellet is a tiny packet about the size of a grain of rice. It contains natural, plant-based testosterone that is nearly identical to hormones produced by your body. As the pellet dissolves, testosterone is released into the bloodstream at a consistent rate. After a few weeks, the cells are receiving the correct amount of hormones, ensuring a return to proper function.

Advanced PainCare and BioHealth Institute performs hormone pellet insertions as an outpatient procedure administered by our nurse practitioner. After insertion, patients may resume daily activities almost immediately, and some quickly notice improvements.

Benefits of Bioidentical Hormone Replacement Therapy via Pellet

While there are many options for bioidentical hormone replacement therapy, pellets offer a safe and convenient method for replacing hormones for men. The small pellet implanted under the skin dissolves slowly over several months, releasing a steady dose of testosterone directly into the bloodstream. Other methods must first be processed by the gastrointestinal system or liver before they can be utilized by the tissues that need them. With pellets, however, the hormone is available to your body 24/7. During times of stress, you can absorb more hormones, and while at rest, you use less, which is how your body releases hormones naturally. In addition to better sex, this therapy also helps patients get better sleep, improve overall mood, increase energy throughout the day and makes it easier to maintain or lose weight.

Overall, hormone pellet insertions help maintain balanced hormone levels to improve heart, bone, and muscle strength and general mental health.

Testosterone Replacement Therapy Pricing

  • Initial Consultation: $275.00
  • Male Pellet Insertion: $725.00
    • Usually lasts 4-6 months, most men require 2-3 insertions per year

Lab work is billed to insurance and is subject to the deductibles, co-insurance and copayments per insurance.

Start The Process To Balanced Testosterone Today!

Call us and ask for an appointment with Jamie Shirey, CRNP. This will allow her to perform a wellness evaluation and create a personalized treatment plan. This starts with a comprehensive review of your current hormone levels, health history, and goals of treatment. After this, she will prescribe a customized treatment plan that may include pellets, topicals, or oral replacement therapy.