Frequently Asked Questions



What Should I Expect From a Hormone Replacement Doctor?

Jennifer Krup, M.D. is the RejuvinAge Bioidentical Hormone Replacement Doctor.  Patients should expect their Doctor to be specially trained in hormone replacement. 

The RejuvinAge program focuses on Individualizing Hormone Therapy and patient management using appropriate dosages, appropriate routes of delivery for the appropriate length of time based on each individual patient. Dr. Krup dedicates her practice to providing  patients with personalized care and one on one private appointments.

What is a Bioidentical Hormone Replacement Doctor?

Our Virginia Beach Bioidentical Hormone Replacement Doctor has trained extensively in hormone replacement and continues her education in this field.  She demonstrates a proficiency in the medical literature that supports hormone replacement. Dr. Krup's focus is Individualizing Hormone Therapy.  Her understanding is "one size does not fit all".  Appropriate Dosages, Appropriate Routes of Administrations and the Appropriate Duration of individual treatment are all factors considered in a hormone replacement program at RejuvinAge.

Every Hormone Replacement Doctor should be proficient in the diagnosis and treatment of hormone deficiencies.  You doctor should have a clear understanding of approved indications for hormome replacement

How Do I Begin Hormone Replacement Therapy ? What is Involved?

STEP 1: Contact Us

Please contact our office at 757-306-4300 to schedule your appointment.  This appointment is one on one with Dr. Krup. You may request an information packet by email at  This email address is being protected from spambots. You need JavaScript enabled to view it..  Please plan your appointment in advance as appointments are very prompt.

STEP 2: Consultation Appointment

The RejuvinAge program begins with a 1/2 hour consultation appointment. Dr. Krup will assess your personal needs and suggest the proper program. You may download the Female or Male Packet or we will forward an information packet to you by mail. We also ask our patients to complete a Health & Lifestyle questionnaire prior to their consultation appointment.

STEP 3: Labwork

After your initial consultation, our staff will direct you to Lab Corp. Lab Corp is conveniently located throughout Hampton Roads and most of the 50 states. Locations may be found by  clicking here.  Most locations open at 8a.m. and appointments are not necessary. Blood draws are done on a walk in basis. Our Premier Lab panel requires you to fast for 12 hours before your testing is preformed. The results are received in our office in approximately 7 days.  Final lab results are an integral part of the RejuvinAge Program Appointment.  Lab work must be completed seven days prior to a scheduled appointment .

STEP 4: Program Appointment

On the day of your program appointment, Dr. Krup will spend 1/2 hour-1 1/2 hours with you in a one on one appointment.  This time is best spent without interruptions, therefore we request cell phone not be used in our center. This appointment begins with a review of individual lab results, an assessment of symptoms and a discussion of medical history as listed on your health and lifestyle questionnaire. Dr. Krup will then discuss the principles of hormone replacement, a personal treatment plan and will complete your appointment with answers to your questions and a physical examination.

STEP 5: Treatment Program

By combining lab results and  medical history, Dr. Krup will determine the best hormone replacement program for you. She will prescribe a prescription program tailored to your lab results and health and lifestyle answers.

STEP 6: Follow-Up

After 7-8 weeks of treatment, patients have their first follow-up appointment with Dr. Krup. Seven days prior to this appointment follow-up lab work must be complete. Dr. Krup will review your new lab results, discuss the effects of your program and adjust  dosages accordingly. Patients repeat this process again in 90 days and then again in six months. Once hormones levels are optimized, it is only necessary to have lab work and an office visit once a year.

What Are the Costs Involved for Hormone Replacement?

Program Fees: The fee for an initial consultation is $175.00.  The fee for the each program is detailed in our Female or Male Packet.

Lab tests: The cost of initial lab testing is detailed in the Female and Male Packet. Patients will typically need 2-4 follow-up lab tests the first year and then annual lab work once hormone levels are optimized.

Hormone Prescriptions: This cost is in addition to all other fees.

What is a Compounding Pharmacy?

Compounding (also pharmaceutical compounding and compounding pharmacy) is the mixing of drugs by a compounding pharmacist to develop medication or supplements for the unique needs of an individual  patient. Compounding Pharmacies provide customized dosages and delivery methods.

 

Does Your Office Accept Health Insurance for Hormone Replacement?

The focus of our program is restoring hormones to optimal levels. Therefore our practice does not accept or participate in insurance programs. We consider Bioidentical Hormone Replacement Therapy an elective. We optimize hormone levels based on exact lab results and do not treat actual illness or disease. We do not accept assignments or participate in insurance plans.  In keeping with a free enterprise philosophy, our policy regarding insurance has always been that we choose to work directly with our patients rather than through an insurance company.  We have opted out of the Medicare Program and are only able to see Medicare eligible patients who first elect to pay in full for all services rendered and subsequently sign a Medicare Waiver, an agreement not to seek reimbursement from Medicare for medical care received at our office.

We are not able to furnish information or answer questions for insurance companies. In keeping with our philosophy, patients are afforded the luxury of treatment without the interference of insurance companies. Our focus is the premier care we provide. 

Will My Insurance Cover the Cost of Labcorp Tests?

RejuvinAge offers customized lab panels which have been negotiated through LabCorp..  These lab panels offer discounted pricing and are not eligible to be filed through insurance.  Because we do not treat illness or disease, we cannot provide diagnosis codes for lab testing.

Will My FSA Cover RejuvinAge's Hormone Replacement Treatment?

Many employers offer a Flexible Spending Account (FSA) to their employees. These arrangements permit the employee to stow a portion of their pre-tax earnings in a special account for use on health-related expenses NOT covered by primary health insurance. Depending on the type of FSA, these arrangements may cover the portion of your treatment. Ask your employer or visit the IRS FSA site.

Can I Use My Own Pharmacy?

We are better able to manage your hormone levels with precise accuracy if all medications come from the same pharmacy. Every treatment regimen is tailored to the individual based on the results of blood tests, symptoms, medical history and a physical exam. 

Do I Have to Come to Virginia Beach for an Appointment?

For your initial consultation, you will be required to come to our Virginia Beach office in person for a full physical examination. Subsequent consultations may be conducted over the telephone if distance presents a problem.  An annual in office visit is required.

How are Bio Idential Hormones Administered? How Often?

Hormones are self-administered usually on a daily basis for approved indications.  Individualizing Hormone Therapy includes prescribing the appropriate dosages, the appropriate route of administration for the appropriate duration for each patient. 

What Are Bio Identical Hormones Made From?

Bioidentical hormones are compounds that have exactly the same chemical and molecular structure as hormones that are produced in the human body. Most bio identical hormones are made from soy or wild yams which contain compounds that are chemically processed and made into identical replicas of hormones produced by the body. Bio identical hormones are prescription medicines and should not be confused with over the counter formulations of creams and supplements.

What Are Hormone Replacement Side Effects?

Side-effects are often minimal and manageable when restoring hormones. Complete side effect information is included in all prescription packaging.

Do You do Saliva Testing or Implant Pellets?

Saliva testing may be accurate for hormones that circulate in high concentrations, such as progesterone but not all hormones can be accurately assessed using saliva. Since we require blood testing for each consultation, there is no need to collect saliva samples as well. All of the hormones we assess are accurately measured using the blood samples. We do not implant Pellets. 

What if I Had a Hysterectomy?

Hormone replacement is usually safe after a hysterectomy. 

How Long Do I Need to Stay on the Hormone Replacement Program?

Until recently the data suggested the lowest dose for the shortest amount of time.  The newest data suggests individualizing hormone therapy. There are women who need hormones for years.  There are also women who choose to not stop hormone replacement therapy.  In every patient indication, age, menopause and risk factors should be considered.

 The three components of successful hormone replacement therapy are:

  • Appropriate Dosing
  • Appropriate Routes of Administration
  • Appropriate Duration of treatment based on each individual patient

What Happens if I Stop the Program?

In general, the body tends to restore hormones to pre-treatment levels after cessation of treatment. If your own hormone production was low before treatment, it will most likely return to the same levels after treatment. 

Will I Continue to Get My Period?

The answer to the question of whether to cycle or not to cycle when undergoing Hormone Replacement Therapy  is specific to each woman. It also entails a long discussion of the evidence for and against this treatment modality. Briefly, our current interpretation of available data is that while cycling may turn out to have benefits there is not enough clinical trial data to mandate it for all patients.

When Should I Start Thinking About Hormone Replacement?

My Doctor Wants Me to Wait Until I Reach Menopause.

Menopause is defined as a single day--12 months after your last period. The majority of women experience their most severe symptoms in the months to years leading up to this milestone.   The RejuvinAge approach is to medically treat symptoms such as hot flushes, night sweats, mental fogginess, and bone loss as soon as they appear.  Our approach is to keep the transition smooth from normal cycling through menopause.


Have Another Question?

2232 Virginia Beach Blvd.
Chambord Commons Suite 104
Virginia Beach, Virginia 23454
Phone: 757-306-4300