Anti-Aging/Hormone Therapy

Testosterone Replacement For Men

Men have unique needs when it comes to Hormone Replacement Therapy (HRT). At Rainbow River Medical and Rejuvenation, we understand exactly what those needs are and bring the best possible solutions for optimizing results. Dr. Jeff

And, in true Hormone Zone fashion, we bring together multiple solutions to improve your Testosterone Replacement Therapy experience.


We have taken the classic approach of Testosterone Injections and created a cutting-edge protocol that improves the results for men dramatically. One of the potential issues with Testosterone Replacement Therapy using injections is the large elevation and inevitable drop in testosterone levels from injection to injection. This causes inconsistent results in relieving symptoms. We have developed a unique protocol that keeps the testosterone levels extremely steady and consistent. We have also made the injection process incredibly easy to administer and convenient with at-home injection options.


Bioidentical Testosterone Hormone Pellets have been helping men with their low testosterone (Low T) since 1937. When prescribed and given by an experienced medical expert, Testosterone Pellets provide a consistent flow of testosterone for 4 to 6 months, from a simple procedure that takes five minutes in the office. Testosterone Hormone Pellets are placed under the skin and provide consistent testosterone levels on a minute to minute basis, all day long, over time.


HCG is Human Chorionic Gonadotropin, a natural bioidentical hormone that communicates directly with the testicles to encourage additional testosterone and sperm production. Simply, put it keeps the testicles functioning optimally.

One of the effects of any type of Testosterone Replacement Therapy is the potential for the testicles to shut down to some degree. For many men, they will notice testicular shrinkage and retraction in the scrotum, over time. This does NOT need to be the case. By simply adding in HCG to your testosterone replacement regimen, you will receive the additional benefits:

  • Improved Testicular Function
  • Enhanced Testosterone Production
  • Steady Flow of Testosterone Levels
  • Stabilization of Mood
  • Improved Sense of Well Being
  • Maintenance of Sperm Production & Fertility

Most doctors prescribing Testosterone Therapy do not prescribe HCG at the same time, merely from not understanding or specializing in this approach. We have the experience and expertise to ensure the best overall health approach.


Phosphodiesterase 5 Medications are excellent options for men to enhance their results. We take Erectile Dysfunction very seriously and have excellent results for men suffering from this condition. In fact, studies have demonstrated that the rate of ED in the US to be about 52%. ED is increasingly prevalent with age with approximately 40% of men are affected at age 40 and nearly 70% of men are affected at age 70. This is a problem we are committed to solving. These types of medications, in concert with a comprehensive Hormone Replacement Therapy approach, can be a highly effective.


Premature ejaculation (PE) is likely the most common sexual dysfunction in men, with a worldwide prevalence of approximately 30%, and in men younger than 40 years, a prevalence of 30-70% of males in the United States being affected to some degree at one time or another. It has historically been considered a psychological disease with no identified organic cause. This is NOT the whole truth.

The therapy for Premature Ejaculation starts with an honest conversation with your doctor. That process alone begins the process of fixing the problem. We have developed protocols to aid men with their sexual response and performance. There are simple pharmacological approaches that can greatly improve this situation.

Even if there are adequate hormone levels present and additional medications have been given, the root cause of Erectile Dysfunction can be at the tissue level itself. The P Shot can help men restore and regenerate new blood vessel and nerve growth, improving erectile function, sensitivity, responsiveness, and size of the penis.


There are key nutrients and natural substances that aid in Testosterone Enhancement, Erectile Dysfunction, and stimulating Libido, along with improving athletic performance and working directly with your TRT program.

The key with these types of approaches is to have both high quality and optimal dose. Too often, the reason these approaches do not help men is due to inferior quality products (NOT Physician Grade Supplements) and a dose that is too low to be effective. We only use the highest quality ingredients and prescribe effective, evidence-based doses that give you the results you need.


We will look at your entire medical picture to provide you with a comprehensive approach to your hormone therapy. Prostate Health (PSA Testing), Cardiovascular Function (Hypertension or High Blood Pressure), Thyroid Function, and Human Growth Hormone (HGH) deficiency, to name a few, will all be considered to improve your results with your personalized program.

Human Growth Hormone Therapy

The Human Growth Hormone is Important for Men’s Health

Men begin to experience a decline in Human Growth Hormone levels by the time they are in their mid-30s. HGH levels continue to decline throughout our lifetimes, with a substantial decrease by age 40 and a loss of up to 75% of the HGH produced by our bodies by the time we are 60. In young males, Human Growth Hormone – produced by the pituitary gland – plays an important role in bone, muscle, and organ development during and immediately following puberty. As men age, although HGH is still required for many essential functions in the body, the pituitary gland produces progressively lower levels of the hormone, which results in a wide range of age-related conditions and diseases.

Signs You May be Experiencing Low HGH

Men with low levels of HGH may experience complications such as decreased libido, loss of motivation (apathy), lost muscle mass and bone density, sleep disruptions, increased fat around the midsection, erectile dysfunction, anxiety, and depression. If you have noticed symptoms such as slack, flabby abdominal muscles, weakness, weight gain not explained by diet, thinning hair, fatigue, lack of interest in sex, and/or longer recovery periods needed following exercise, you may have low HGH or some other type of hormone deficiency. To find out if you are a candidate for successful HGH replacement therapy, you should have a complete physical evaluation beginning with a simple blood test at Premier Men’s Medical Center.

How we Diagnose Low HGH Levels in Men

There is a simple test for Human Growth Hormone deficiency that requires a doctor introducing a small dosage of a drug which stimulates the pituitary gland – the area of somatropin production within the body. He or she will then monitor the amount of growth hormone released in response to this stimulation. In people with low HGH, the levels of somatropin released will be significantly less.

Key Benefits of HGH Replacement Therapy

If your doctor determines that you have low HGH, there are medically tested and proven HGH treatment programs that can prevent and even reverse the symptoms you have been experiencing. The benefits of such HGH replacement therapies include:

  • Increased energy levels
  • Easier fat loss (with exercise and good nutrition)
  • Increased endurance
  • Decrease in blood pressure
  • Improved immunity
  • Increased sex drive
  • Improved sexual performance
  • Thicker, fuller hair
  • Improved mood
  • More restful sleep
  • More lean muscle mass and increased strength
  • Improved concentration and memory

Rainbow River Medical and Rejuvenation’s  HGH treatment programs can help you reverse the symptoms of a decline in your natural hormone levels, without debilitating or dangerous side effects. Human Growth Hormone replacement simply replenishes the hormones your body made naturally in your youth; restoring your sex drive and increasing your energy, mental acuity, strength, and stamina. Don’t suffer from the symptoms of low HGH. Call Rainbow River Medical and Rejuvenation to make arrangements for a consultation and blood test. If your problems are due to an HGH deficiency, our safe and effective treatments could relieve your troubling symptoms and restore the vitality of a younger you.

Adrenal Fatigue

Adrenal Fatigue is a condition brought about when the adrenal glands in the body are not functioning correctly. Our adrenal glands produce cortisol, a hormone required for effective functioning of the immune system, brain, muscle tissue, and blood sugar regulation in the human body. When we experience extreme or prolonged periods of stress – such as the stress that stems from hectic work and home schedules punctuated by shots of sugar and caffeine – our adrenal glands become overwhelmed, and no longer efficiently produce cortisol.

Common Signs of Adrenal Fatigue

An imbalance in your cortisol levels can result in Adrenal Fatigue Syndrome, or AFS. The primary symptom of AFS is a run-down, tired feeling that is not relieved by rest or sleep. You may feel unable to stay alert as the day goes on, and lack the energy to accomplish daily activities. There are a wide range of other possible symptoms as well, which can make it difficult to diagnose adrenal fatigue by simply considering symptoms. Some symptoms of low cortisol levels include:

  • Morning weakness
  • Fatigue which worsens as the day goes on
  • Depression
  • Lethargy
  • Sexual dysfunction / diminished sex drive
  • Memory loss, especially short-term
  • Loss of muscle mass
  • General joint and back pain
  • Food cravings, especially for fatty and/or salty foods
  • Sleep disruptions or insomnia even when feeling very tired

Because Adrenal Fatigue can present many different symptoms, those suffering from it are often misdiagnosed as having other conditions such as fibromyalgia, Lupus, chronic fatigue syndrome, or depression. When patients are misdiagnosed, they may be prescribed medications that will not be effective in easing their symptoms.

How We Diagnose Adrenal Fatigue

If you suspect that you are experiencing Adrenal Fatigue, it is recommended that you see a physician to have your cortisol levels tested. A simple saliva test is available that can measure the levels of cortisol in your body. It is important to diagnose and treat AFS, as the condition can worsen over time, making it more and more difficult to be productive throughout the day. In addition, the hormonal imbalance can disrupt or decrease the function of many of your body’s systems and organs. Poor adrenal function can result in imbalances in fluids and electrolytes in your body, damage to the heart and cardiovascular system, and poor metabolic function.

Safe Adrenal Fatigue Treatments

Fortunately, there are simple, effective treatments available for those suffering from Adrenal Fatigue Syndrome. Once you have been diagnosed with Adrenal Fatigue, your doctor will ask questions regarding your diet and exercise, lifestyle, daily schedule, and stimulants such as caffeine upon which you may have become dependent for energy boosts. Depending upon your personal symptoms, health analysis, and lifestyle considerations, recommended treatment may include bioidentical hormone therapy as well as changes in your nutrition and exercise habits.

If being tired and fatigued is affecting your work and family life, it is time to seek treatment. Schedule an appointment today with Rainbow River Medical and Rejuvenation for cortisol level testing and a personal health analysis, so you can begin feeling relief from Adrenal Fatigue Syndrome and regain the health and energy to take back your life as soon as possible.

Microneedling With SkinPen

The SkinPen by Bellus Medical is the only FDA cleared medical grade microneedling device and treats the following conditions on the face and body:

  • Sun damage (sun spots)
  • Age and brown spots
  • Fine lines and wrinkles
  • Stretch marks
  • Acne scarring
  • Uneven skin tone
  • Large pore size

How Does SkinPen Work?

The SkinPen creates thousands of precise micro-injuries or “micro-channels” in the dermis, which stimulates new collagen synthesis without causing scar tissue formation. This technology takes advantage of the skin’s natural healing process. When SkinPen makes microchannels in the skin, the skin naturally produces new collagen and elastin in the treatment areas, leading to a fresher skin appearance.

Who Can Use SkinPen?

The SkinPen is safe for all skin types and is safe for all ages, although we recommend the procedure for ages 15 years old or older.

What Should I Expect From My SkinPen Treatment?

Topical numbing cream is typically applied to the treatment area for 15 minutes prior to the procedure. The actual procedure typically takes 20-30 minutes depending on the size and number of areas treated and the severity of damage on the skin. While you may have some redness and swelling immediately after the procedure, there is usually minimal downtime for the patient.

How Many Micro-Needling Treatments Will I Need?

Every patient is different, but for optimal results we recommend a series of 3 treatments. We will work with you for a customized treatment plan based on your particular skin issue and your goals.

Botox / Juvederm 

Botox and Dysport Treatments


Don’t let the term “neurotoxin” fool you. The paralyzing agent Botulinum toxin type A, the neurotoxin in injectable Botox and Dysport, is responsible for relaxing and easing the appearance of facial wrinkles to help you achieve younger looking skin. Each injectable form of Botulinum toxin has its unique characteristics, but overall they work the same way to relax the facial muscles responsible for creating the lines in your face.

Botox: Eliminate Wrinkles and Crows Feet

Botox works by injecting minuscule amounts of a highly purified botulinum toxin protein into your skin. While the toxin relaxes muscle contractions in the treated areas, the proteins clump together to help the effects of the procedure last longer. After a couple weeks of no furrowed facial expressions, your skin will relax, smooth out, and the creases just disappear! It’s the easiest solution for smooth skin that you could hope to find.

Botox treatment only takes a matter of minutes. During the procedure the experts at Rainbow River Medical and Rejuvenation will inject the Botox into targeted areas of your face. You won’t feel much pain, just a faint pinching feeling. Botox is used to treat crow’s feet, forehead lines and to lift the brow and eliminate the 11 lines or Glabellar lines between the eyes.

Botox has been extensively studied in clinical trials and over 400 peer-reviewed articles, leading it to be FDA-approved for cosmetic use in nearly 80 countries. When you choose Botox, you choose a trusted brand with a proven track record of success.

Botox results lasts up to four months, at which time you can return for another simple procedure to maintain your youthful appearance.

Dysport: The Natural Brow Wrinkle Solution

Much like Botox, Dysport uses an injection of a neurotoxin to temporarily improve the look of moderate to severe frown lines between the eyebrows, called glabellar lines. The Dysport product prides itself on freezing and relaxing only the treated area, leaving the rest of your face moving and expressing emotions normally.

With FDA-approval, use in 57 countries, and backed by 25 years of clinical research, Dysport is a proven cosmetic enhancement. It uses one injection on each of five points above the brows to temporarily halt muscle contractions that cause frown lines. The result is a smoother, more radiant face throughout the life of the injection, which is also about four months.

This treatment takes a mere 15 minutes, and results are visible in as little as two days!

Your new and improved wrinkle-free face will start to show signs of improvement within one week of treatment, and you’ll be able to enjoy smooth, younger looking skin for up to six months before the treatment wears away. Regardless of which product you choose, Botox and Dysport are both guaranteed to help you achieve a more youthful appearance free of wrinkles and fine lines that come with age

Q: What is BOTOX® and Dysport®

A: Botulinum toxin


Q: Are they safe?

A: Yes, they are administered in safe, miniscule amounts. BOTOX® has been used medically for the past 25 years for treatment of medical conditions that require the relaxation of muscles and it was found to have a secondary effect of erasing wrinkles. BOTOX® and Dysport® are both FDA approved for cosmetic use.


Q: How often will you need to have an injection?

A: Most people will want to repeat the procedure every 3 to 5 months when muscle function returns.


Q: Does it hurt?

A: The administration of BOTOX® or Dysport® is simple, takes only about 10 minutes and is minimally invasive. At Rainbow River Medical, we use ice before injecting for two reasons:

  1. it is an effective topical anesthetic
  2. the application of ice minimizes bruising by constricting the capillaries


Q: Is there anything I should or shouldn’t do before or after the injection?

A: To minimize the risk of bruising, it is best not to take aspirin, ibuprofen, fish oils or large doses of Vitamin E (greater than 100 IU/day) for two weeks before the treatment. However, this is a precaution only. Some clients prefer not to stop supplements prior to injections. After your injection, it is best not to lay down on your face for the next four hours. You may resume all other normal activities immediately after your injection.


Q: Will my wrinkles go away completely?

A: The appearance of wrinkles will be significantly lessened within a week. As new skin cells regenerate and old wrinkled cells are sloughed, the wrinkle will eventually disappear as long as the BOTOX® or Dysport® treatment is repeated.

Use Botox with Dermal Fillers for Lasting Results

Dermal fillers are wonderful, since they add lost volume to the face to help you look and feel truly rejuvenated, but it turns out that a simultaneous injection of Botox can support your dermal filler to last longer and work more efficiently. It’s called combination therapy, and women are lining up to try it!


Dermal Fillers

The natural process of aging causes subcutaneous fat to disappear while production of collagen also declines. These changes, in addition to sun exposure and heredity, are largely what lead to wrinkles across the face and neck and lost volume in the cheek region. Dermal fillers, also known are injected in the skin to temporarily fill facial wrinkles and boost the skin’s volume. Many different types of fillers are now available, each offering unique perks and benefits. Depending on the type of filler and its application, it can last anywhere from four months to two years.

Botox is also an injectable, but it doesn’t work in the same way as fillers. Botox temporarily paralyzes the muscles responsible for forming the wrinkles as they contract. Within about a week of Botox treatment, the targeted muscles relax enough to gradually free the skin from its wrinkled position. One Botox treatment usually lasts about four to six months before the effects diminish.

When Fillers and Botox Combine

Utilized in combination therapy, Botox and dermal fillers work like a team to improve each other’s power. Since one takes strain off the other, combination therapy helps both injections last longer. Active facial muscles more rapidly break down the dermal filler, and Botox prevents certain facial muscles from moving as dramatically, so Botox allows the dermal filler to remain useful months longer than it would alone.

The results are amazing, you definitely want to be sure to order the combo!

The Ultimate Facial

This Combo starts with your Skinpen microneedling session followed by our signature Filler and Botox Combo for amazing results that have quickly become the perfect package and a favorite of the ladies.


Monday-Thursday: 8am to 6pm
Friday: Aesthetics by appt only
Saturday: Closed
Sunday: Closed


Fax: 352-489-0129


20312 Robinson Rd
Dunnellon FL 33431


Office Manager


Schedule an Appointment

Or give us a call at 352-489-0126