The Marion Gluck Clinic

FAQ

Please see below for frequently asked questions, please also contact us if you want to ask any questions.

Balance Health Energy

If I decide to start bio-identical hormone replacement therapy, how long will I be on it for?
The duration of treatment is highly individual and dependent on your personal situation. Your treatment plan will be tailored to your needs in consultation with your doctor.

Will bio-identical hormone replacement therapy help my particular symptoms?
Bio-identical hormones are frequently effective in resolving and reducing symptoms caused by hormonal imbalances.

During your first consultation, there will be a thorough evaluation of your history, symptoms and lifestyle, and a series of tests will be recommended. When the results are available, your doctor will be able to assess the full picture. If this shows that you have a hormonal imbalance and that bio-identical hormone therapy is an appropriate treatment for you, a bespoke prescription will be formulated to meet your specific needs.

For more information on symptoms and conditions that we treat click here

Are all the hormones you prescribe natural?   
In the case of the hormones we use, the word ‘natural’ is used to refer to the structure of the hormone molecules, which are produced from natural plant sources. This chemical structure is 100% the same as that of the naturally occurring hormones produced by your glands. This means their effects are more consistent with the normal biochemistry of your body than those of synthetic hormones.

Where do the bio-identical hormones come from?    
Bio-identical hormones are derived from diosgenin, which is sourced from Mexican yams and then converted into human hormones. They need to be prescribed by a doctor and bespoke prescriptions are designed for each individual patient. The treatments are then compounded under strict guidelines by a specialist pharmacy. Bio-identical hormone therapy (BHRT) is usually administered in the form of creams, lozenges or capsules.

How can I get a copy of Dr Gluck’s book ‘It Must Be My Hormones’?    
‘It Must Be My Hormones’ is available in paperback from most bookstores and online book retailers, including Amazon. You can also download it as an ebook.

What other conditions do you treat?     
The Marion Gluck Clinic specialises in the treatment of hormonal imbalances in women and men. For a full list of what we treat, please click here

Can you improve my fertility?    
There are many cases where hormonal adjustments can improve fertility.

Do you see male patients?    
Yes, Dr. Valeria Acampora and Dr. Elaine McQuade are the doctors who see male patients at the clinic. Men also suffer from hormonal deficiencies, mood swings, osteoporosis and andropause.

How do I make an appointment?    
Please visit our ‘Book an Appointment‘ page to submit your appointment request. One of our patient care team will contact you within 24 hours to finalise your booking.

How long will it take to get an appointment?    
You can make an appointment with any of our doctors at the Marion Gluck Clinic. All are specialists in hormonal balancing and have been trained in the Marion Gluck Way by Dr Marion Gluck herself. You can usually get an appointment within two weeks; however, during busy periods our doctors can get booked up 2-3 months in advance. We recommend that you do not delay calling once you know you may need help with hormonal imbalance.

If, following the first consultation, treatment is recommended, we advise that you book the follow-up appointments that will be part of your treatment plan for the next 12 months. Appointments can always be rescheduled providing at least 2 working days’ notice is given. Working days are Monday to Friday. Book an appointment here.

How many appointments will I need?    
This really depends on the specifics of your case. Please click here to see an example treatment schedule.

I am already on Hormone Replacement Therapy/Bio-identical Hormone Replacement Therapy, what do I need to do before my appointment?

If you are a new patient and you are already taking HRT or BHRT, we always recommend that you continue your current treatment regime until you see a doctor at the Marion Gluck Clinic for further instructions.

Very often, patients are able to transition from synthetic HRT over to BHRT quickly, however, a doctor may wish to carry out some blood tests or further investigations before this transition.

With any medication, we recommend that you bring along details of what you are taking and how long you have been on it, alternatively, you can bring any packaged medication to your initial consultation to show to the doctor.

I live overseas. Do you do telephone or Skype consultations?
Initial appointments must take place in person at the Marion Gluck Clinic, however, follow-up appointments can be done via Skype. These can either be booked through our receptionist. You will be required to call the Clinic at the time of your appointment and payment will be taken with credit card prior to the consultation.

What is the cost of the consultation?
Please see the price list here

How often will I need to see the doctor?
Please see our treatment schedule here for guidance.

Can you provide me with initial advice before I have my consultation?
It is imperative that we see you in the Clinic first, before we are able to offer advice. Careful consultation and appropriate testing enables us to make a considered diagnosis and recommendations for treatment.

Can I have a chaperone present during my consultation?
If you would like to have a chaperone present in your consultation please inform reception prior to your appointment and this will be arranged for you.

Can I communicate with my doctor in between consultations?
Yes, the Marion Gluck Clinic offers a telephone call back service for patients who have questions in between their consultations. This phone call lasts for 5 minutes and costs £25, your doctor will call you back within 24 hours of you scheduling in the service. The Marion Gluck Clinic does not offer any medical advice over email due to confidentiality reasons.

 

What blood tests do I need?

When you first meet with your doctor, you will be advised which blood tests you will need to have. The exact tests required will depend on the symptoms that you present with, together with your medical history. If you have made arrangements for blood tests to be done before your initial consultation, we recommend at least the following tests:

Thyroid Profile (TSH, Free T3 and Free T4)

Female Hormone Profile (FSH, Estradiol, Progesterone, Free & Total Testosterone, DHEA-S and Vitamin D) ­

Male Hormone Profile (PSA, Estradiol, Progesterone, Free & Total Testosterone, DHEA-S, SHBG and Vitamin D)

Please note that these are only intended as a guideline and that your doctor may suggest additional blood tests to be carried out after your initial consultation. For all repeat blood tests, we advise for you to always speak with your doctor first. Please refer to previous information about when these will need to be carried out. If you have had these blood tests carried out previously, please bring them along to your appointment.

Can I do the blood tests with my GP?

Yes, you can have blood tests through your GP however please be aware that they may not be able to offer all the specialist tests which we recommend. Please bring any printed results along to your consultation.

How much do the blood tests cost?

Please refer to our price list here for more information about the costs of blood tests.

When do I need a blood test?

Blood tests are usually necessary at the time of your first consultation, or shortly afterwards. For any new patient, we always recommend for you to have a consultation with a doctor first before going ahead with any blood tests.

For women, if you are still experiencing a regular monthly cycle, we suggest for you to schedule your initial consultation around the 21st day of your cycle (where day 1 is the first day of your period) as this is considered the best time to assess your blood hormone levels. If you are no longer experiencing a regular cycle, an appointment can be made for any date. For men, we recommend scheduling your initial consultation early in the morning before 11am, as this is the best time to assess your male hormones. Our doctors are able to carry out the blood tests during the consultation if needed, should they advise for you to have blood tests at an alternative time or date, we can advise about having these carried out via a private laboratory (The Doctors Laboratory) near to our clinic, or alternatively assist you in having these done with your own GP or private facility.

For ongoing treatment and monitoring, our doctors routinely advise for blood tests to be carried out on an annual basis to ensure that your treatment is still suitable to your specific needs. Additionally, blood tests may be required when there is change to your symptoms.

When/how do I get my results?

Blood test results are returned to the Marion Gluck Clinic electronically, please ask your doctor or a member of the Patient Care Team for a copy of the results to be printed or sent to you. For more information about how to read your blood test results click here.

Do you do saliva tests?

Saliva testing does not form part of the initial hormone investigation here at the Marion Gluck Clinic, however saliva tests may be requested and organised by your doctor if necessary.

Do you offer mammograms?

Unfortunately, we do not offer mammograms here at the Marion Gluck Clinic. Should your doctor feel it necessary for you to have a mammogram, they will organise a referral to a clinic with breast assessment facilities.

Do you offer pelvic ultrasound scans?

Yes, we are able to carry out pelvic ultrasound scan in clinic. Should you wish to schedule an appointment for a scan or would like some further information, please ask a member of the Patient Care Team.

Are there any other tests that I may be advised to have during or following my appointment?

As each person will vary in the symptoms they are experiencing and with what treatment is required to suit their specific needs, alongside hormone blood tests the doctor may recommend relevant functional medicine tests where there is a need to explore symptoms even further.

We currently only have the Marion Gluck Clinic in Marylebone, Central London and our clinic at Bamford Haybarn Spa in the Cotswolds which is open one day a month. However, over the course of 2018, we have plans to open a number of regional clinics in the UK and we’ll be announcing those soon so please sign-up to our newsletter to find out more.

We also work have a number of regional partner clinics that we work so if you’d like to know more about them, please email lindy@mariongluckclinic.com

How do I renew my prescription?    

Your doctor will indicate whether they have issued any repeats on your medication, these will be sent electronically to the Specialist Pharmacy for you to order directly. A member of the pharmacy team will also inform you of how many repeats are left on your medication. If you are on your final repeat of medication, you will need to ensure that you have a review and tests scheduled before you run out.

How long is a prescription valid for?    

For most preparations, a private prescription will be valid for six months from the time of issue. For any medication that contains DHEA or testosterone (Controlled Drugs Schedule 2, 3 and 4), the prescription is valid for a period of 28 days from the issue date. If the prescription contains a number of repeats, where the patient can order further quantities of the same prescribed medication up to a set limit by their doctor, repeat items can be order for up to 12 months from the date of issue, providing the first order was made within the correct timeframe (28 days or 6 months). Once a prescription is no longer valid, it is the responsibility of each patient to contact their doctor. Please note that a new prescription will invalidate any pre-existing prescriptions, even if repeat items are left on the previous prescription.

How long does my medication last for (expiry date)?

The expiry date for compounded medication is 12 months for transdermal creams, 6 months for capsules, lozenges, hair tonics and facial creams. If there is a different expiry date due to medication ingredients, the expiry date will be issued on the medication. Always check the expiry date in case it differs.

Where do I get my prescription from?     

Your prescription for bespoke bio-identical hormone medication will be dispensed by the Specialist Pharmacy. The prescription will be sent electronically following your consultation, a copy will also be emailed to you for your own reference and you will simply need to contact the Specialist Pharmacy to order and pay for your medication, and confirm your postage details. Please click here for more information.

What is the cost of the medicine?    

The cost of bio-identical hormone replacement therapy prescriptions is subject to their formulation. The medication costs an average of £2-3 per day, please contact the Specialist Pharmacy for exact pricing and further information.

How do I take my medication?

The instructions for taking your medication will vary depending on the formulation of bio-identical hormones you have been prescribed. During the consultation, your doctor will discuss with you the differences between the types of medication.

Bio-identical hormones may be combined with a base cream for transdermal application, depending on the type of cream these may applied directly to the face, limbs or genital area. Simply press the pump all the way to achieve the full dose, and apply the cream to clean and dry skin. Rub the cream in for at least a minute to ensure full absorption before replacing the cap on the tube.

Alternatively, bio-identical hormones may be administered in the form of an oral lozenge which can be cut into quarters to suit your recommended dose. After removing it from the tray, place the lozenge between upper lip and gum and allow it to dissolve. Do not suck, chew or swallow the lozenge.

Certain bio-identical hormones may also be compounded into capsules for oral administration. Please take the capsule with a glass of water and avoid sucking or chewing the medication.

Additionally, depending on your specific needs you may be prescribed a hair tonic which is applied directly the scalp. We recommend that you always following the instructions advised by your doctor and contact the Specialist Pharmacy for more information about medication.

What are the possible side effects of BHRT?

Bio-identical hormone therapy has few potential side effects, which are most often linked to the dosage and as your symptoms and hormone levels begin to improve this may need to be adjusted by your doctor.

Side effects from estrogen-based therapy may include bloating, headache, breast tenderness and irregular bleeding or spotting.

Progesterone-based therapy may cause spotting, missed periods, breast tenderness, drowsiness, headaches, nausea, and breakthrough bleeding.

Medication containing testosterone is sometimes associated with side effects such as acne, greasy skin, change in libido, hirsutism, clitoral engorgement, change in voice, and an increase in red blood cells. The side effects to DHEA treatment are similar to those of testosterone including acne and in rare cases, unwanted hair growth.

Can you send my prescription abroad?

The Specialist Pharmacy are able to post medication overseas to countries within the EU. For delivery addresses outside of the EU, it is the patient’ responsibility to determine whether the local customs system allows in medication. Specialist Pharmacy is not liable for medication that goes missing during delivery to a non-EU country.

 

Will my private medical insurance cover my treatment?     
You will need to check with your health insurer to determine your level of cover. The Marion Gluck Clinic is registered as a General Practice rather than a Consultant Specialist. Please note that if you are covered by your insurance, you would need to pay the Marion Gluck Clinic in full and claim this amount from your health insurer.

Are you registered with the General Medical Council (GMC)?    
All the doctors at the Marion Gluck Clinic are registered with the GMC.

Are all the doctors trained in bio-identical hormone therapy?    
Yes all the doctors have been trained in prescribing Bio-Identical Hormone Therapy and are continuously participating in further education.

Is the Marion Gluck Clinic registered with the Care Quality Commission (CQC)?
 Yes the Marion Gluck Clinic has been registered by the Care Quality Commission under the Health and Social Care Act 2008. Our certificate Number is  CRT1-561600073.

 

You can read the latest CQC report for the Marion Gluck Clinic here.

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