Contemporary Age Management Bend OR | Oregon Age Management Medicine Center

 
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The Klar Foss™ Contemporary Age Management Medicine program

Klar Foss™ and its board certified physicians Dr. Jason Sundseth and Dr. Al Hsiao (Shaw) are dedicated to treating the whole patient. With age management medicine they will keep your health on course as we monitor your progress by reviewing exam and test results with you, while helping you optimize your personal health and energy maintenance regimen. Improve and maintain a high level of cognitive function, libido, body and skin tone; you will also develop and maintain a vigorous immune system. This is done through hormonal optimization, nutritional supplementation, proper diet, appropriate exercise, and lifestyle enhancement.

It is important to remember that every individual is UNIQUE and we are all different. At our center, we will CUSTOMIZE your program. The following evaluation will take as follow:
  • A comprehensive history, specific questionnaires: Estimated time of completion 2 hours.
  • A comprehensive physical examination.
  • Before the consultation containers for either 24 hour urine collection or saliva test will be sent to your domicile.
  • A comprehensive consultation with our Fitness Specialist. He will evaluate you and will design a specific plan for you based on your needs and goals. Specific measurements will be taken during the consultation. He will do your follow-ups every 4 weeks.
  • Then you will meet with the doctor who will design a specific therapy for you. We will work very closely with the laboratory to assure clinical correlation. This is a very important issue when it comes to hormone replacement.
  • Follow-ups with the doctor are every 3 months or before if needed at no additional cost. You will be able to see the doctor or communicate via phone with previous appointment. You need to continue your medical care with your primary care physician.
  • It is important to know that FOLLOW-UPS are mandatory at least every 3 months. We do not recommend a single consultation since this is an ONGOING process. That is why we have design a YEARLY FLAT FEE to cover your needs. However SINGLE consultations are available as well.

    What is included?

    What is not included?

    What medical conditions are treated?

    Age Management medicine/testing/knowledge/technology

    Age Management for Men

    Age Management for Women

What is included?

CONSULTATION + either URINE 24 hour or OVERNIGHT + or SALIVA TEST and BLOOD TESTS.

See below:
  • Your first consultation.
  • Follow-ups with the doctor every 3 months are mandatory or PRN by appointment.
  • Follow-ups with our Fitness Professional every 4 weeks or weekly if necessary.
BLOOD TESTS covers the following:
  1. CBC
  2. WBC
  3. RBC
  4. Hemoglobin
  5. Hematocrit
  6. MCV
  7. MCH
  8. MCHC
  9. RDW
  10. Platelet Count
  11. MPV
  12. Neutrophils
  13. Lymphocytes
  14. Monocytes
  15. Eosinophils
  16. Basophils
  17. Chemistry Panel
  18. Glucose
  19. BUN
  20. Creatinine
  21. BUN/Creatinine Ratio
  22. Sodium
  23. Potassium
  24. Chloride
  25. Magnesium
  1. Phosphorus
  2. Calcium
  3. Uric Acid
  4. Total Protein
  5. Albumin
  6. Bilirubin
  7. Alkaline Phosphatase
  8. SGOT
  9. SGPT
  10. Lipids
  11. Cholesterol
  12. Triglycerides
  13. HDL
  14. LDL
  15. HbA1C
  16. C-reactive Protein, Cardio-Type
  17. LH (for males only) or FSH ( for females only)
  18. DHT ( Dihydrotestosterone) : Males only
  19. PSA and FREE PSA: Males only
  20. TSH
  21. IGF-1
  22. IGFPB-3

URINE TESTS either 24 hour collection or OVERNIGHT (urine collected during the night or first void) to measure the following:

Males
Females
  • Triidothyronine (T3)
  • Urinary Free Cortisol
  • Allo-Tetrahydrocortisol (a-THF)
  • Tetrahydrocortisol (THF)
  • Tetrahydrocortisone
  • THF+a-THF/THE Ratio (11Beta HSD activity Index)
  • a-THF/THF Ratio (5 alpha Reductase Activity Index)
  • Total 17 OHCS (Catabolic)
  • Androsterone (A)
  • Etiocholanolone (E)
  • A\ E Ratio (5 Alpha Reductase Activity Index)
  • 11 OH -Androsterone
  • 11OH- Etiocholanolone
  • 11 Ketoandrosterone
  • 11 Ketoetiocholanolone
  • Total 17 Keto Steroids: 17KS (Anabolic)
  • 17KS\ 17 OHCS Ratio (Anabolic to Catabolic Ratio)
  • Testosterone
  • Androstanediol (Endpoint Androgen Metabolite)
  • Pregnanediol
  • Pregnanetriol
  • Estrone
  • Estradiol
  • Estriol
  • Growth Hormone
  • DHEA
  • Triidothyronine (T3)
  • Urinary Free Cortisol
  • Allo-Tetrahydrocortisol (a-THF)
  • Tetrahydrocortisol (THF)
  • Tetrahydrocortisone
  • THF+a-THF/THE Ratio (11Beta HSD activity Index)
  • a-THF/THF Ratio (5 alpha Reductase Activity Index)
  • Total 17 OHCS (Catabolic)
  • Androsterone (A)
  • Etiocholanolone (E)
  • A\ E Ratio (5 Alpha Reductase Activity Index)
  • 11 OH -Androsterone
  • 11OH- Etiocholanolone
  • 11 Ketoandrosterone
  • 11 Ketoetiocholanolone
  • Total 17 Keto Steroids: 17KS (Anabolic)
  • 17KS\ 17 OHCS Ratio (Anabolic to Catabolic Ratio)
  • Testosterone
  • Androstanediol (Endpoint Androgen Metabolite)
  • Pregnanediol
  • Pregnanetriol
  • Estrone
  • Estradiol
  • Estriol
  • 2(OH)Estrone
  • 4(OH)Estrone
  • 16Alpha(OH)Estrone
  • 2(OH)E1 \16alpha(OH)E1 Ratio
  • 2Methoxyestrone
  • 4Methoxyestrone
  • Growth Hormone
  • DHEA

SALIVA TESTS are offered if patient is not able to collect urine such as travelers or if it is clinically indicated. The following will be measured:

Males
Females
  • DHT
  • E2
  • DHEA
  • PROGESTERONE
  • TESTOSTERONE
  • E1
  • E2
  • E3
  • DHEA
  • PROGESTERONE
  • TESTOSTERONE
Complimentary Newsletter via Internet

You will have access to fill out your medical history through the internet at your convenience.

Since everybody is different, follow-up tests are not covered. It is the responsibility of the patient to cover the costs. However, we offered very competitive prices on saliva or urine or blood. Again, all will be customized.

What is not included?

 We specialize in Age Management. Furthermore is like when you go to the cardiologist, your heart will be evaluated. However, we do a comprehensive assessment that includes hormones, preventive medicine, customized exercise program and nutrition. These three elements have to be synchronized in order to improve your well-being. You will need to continue your medical care with your medical providers. Example if you develop a cold or any emergency you need to call your primary care provider or call 911. Acute problems need to be managed by your primary care physician. However we are available to answer any questions you might have during your treatment.

If our doctors at Klar Foss™ determine that you might need additional tests based on your clinical picture is then the responsibility of the patient to cover the costs.

Our facility does not accept insurance, nor perform paperwork for medical insurances such as superbills.

Your therapy or any medication is the patient's responsibility. We use bioidentical hormones. We will work with your compound pharmacy once we determine their quality and customer services satisfy our criteria. It is important that you choose the right compound pharmacy, paying close attention to their quality control as well as the type of ingredients used. Remember it is your health that is at risk.

Follow-up blood tests/Urine/Saliva are not covered in the yearly flat fee. The reason is that it would be difficult to estimate costs since we don't know what hormones or inflammation markers you will have. Again is the patient's responsibility to cover their blood tests either is covered or not by your health insurance. Again our package is very comprehensive and includes the initial consultation with BLOOD, URINE or SALIVA as mentioned above.

What medical conditions are treated?

Our CONSULTATIONS might assist patients with the following medical conditions as some examples:
  • Alzheimers
  • Depression
  • Fatigue
  • Sexual dysfunction: males and females
  • Indigestion
  • Lactose Intolerance
  • Memory Problems
  • Arthritis
  • Osteoporosis
  • Premenstrual Syndrome
  • Type II DM
  • Hypertension
  • Cardiac Health
  • Nutritional deficiencies
  • Gastrointestinal problems
  • Male Hormonal evaluation
  • Female hormonal evaluation
Our 24 hour urine collection will take a look to:
  • Thyroid
  • Adrenal
  • Female Hormones
  • Male Hormones
  • Androgens
  • Cortisol
  • Melatonin
  • Metabolites of Hormones

Contemporary Age Management Medicine/Testing/Knowledge/Technology

24 hour urine collection is the GOLD STANDARD. Blood test will give you a snapshot what is happening at the time of your blood is drawn and there are many fluctuations of the hormones during the day. It makes sense to quantify how your hormones fluctuate during a 24 hour period. The 24 hour urine collection will take a look to the metabolites of hormones, meaning how hormones are used by our body.

Some patients might object to have to collect urine for 24- hours. Even though we advocate it, we also offer an OVERNIGHT collection. This is the urine collected during the night time. There is a good correlation between these two.

Some patients might object to urine collection. We offer SALIVA tests as well.

We would rather check URINE or SALIVA rather than blood for hormone evaluation. However since this is a comprehensive program, we also need BLOOD tests to check for markers of inflammation such as HOMOCYSTEINE, C-REACTIVE PROTEIN, HbA1C, INSULIN levels. For patients with cardiac disease or history of Heart attack we offered a very detailed lipid profile looking at all the sub-units of cholesterol.

We offer financing as well. Our physicians have been trained trough CENEGENICS™ in the USA as well as in Europe. They bring a combination that is unique to the Pacific West.

Call 541-317-1117 for more details.
Also you will get to see our state of the art facility. A tour will be given to you and you will get to know our doctors and staff.

Current Medical Care System
America's current medical care system is based on the treatment of disease. See The Decline of Medical Care in America : What Can We Do About It? It is about having something negative happen, and then trying to fix it after the fact. If you assume you are healthy today, but then have a heart attack tomorrow, were you sick yesterday? There is a better way. We have the knowledge, technology, and expertise to prevent or delay degenerative disease and the signs and symptoms associated with aging. The starting place, of course, is a comprehensive evaluation to understand your unique needs. Today, each of us has the power to improve the quality of our lives by focusing on improving our health.

Expertise & Experience of AMM Physician
The most important element necessary for the success of any medical therapy is the expertise and experience of the physicians in whom you place your trust for your health care. Our physicians have a wealth of experience in hormone modulation therapies, nutritional strategies and exercise science. Our goal is to have you become comfortable with the science, the therapies, and our facility that provides AGE MANAGEMENT consultations.

Local Due Diligence
If you are considering a local physician to manage your hormonal modulation program, I encourage you to perform your own due diligence. Ask your local physicians whether they practice Age Management Medicine full-time or part-time, how many patients they have, and whether they have documented or published their clinical outcomes.

Upper 33% of Normal Range
Contemporary Age Management Medicine is defined as preventive medicine focused on regaining and maintaining optimal health and vigor. This medical specialty incorporates well-known and accepted markers of disease-risk into proactive patient management and uses hormone modulation for the endocrinologically normal by identifying hormone levels that yield superior health outcomes. For most hormones, this is simply the upper 33% of the normal range for a patient's age. The exceptions are insulin and cortisol that should be modulated to the lower 33% of the normal range, and human growth hormone which is only prescribed to deficient adults.




Age Management Medicine for Men

Contemporary Age Management Medicine recognizes that successful therapies necessitate healthy lifestyle including optimal low glycemic index nutrition, appropriate nutrient supplementation, and the absolute need for physical exercise. Age Management Medicine focuses on the synergy of all of these elements in order to enhance vitality and extend our health span. While we may or may not be able to increase longevity, we are able to prevent premature disability and death and enhance quality of life.
 

Age Management Medicine for Women

Contemporary Age Management Medicine recognizes that successful therapies necessitate healthy lifestyle including optimal low glycemic index nutrition, appropriate nutrient supplementation, and the absolute need for physical exercise. Age Management Medicine focuses on the synergy of all of these elements in order to enhance vitality and extend our health span. While we may or may not be able to increase longevity, we are able to prevent premature disability and death and enhance quality of life.

Women: Bioidentical Hormone Replacement Therapy


Have Question? Contact Us or Call Us: 541-317-1117

Klar Foss™ Aesthetic and Age Management Center: 2855 NW Crossing Drive, Suite 104 Bend, Oregon 97701