Frequently Asked Questions

What to expect on my first appointment?
All initial exams include a comprehensive history and physical examination. Upon completion of the exam, we will discuss our findings at length with you as well as any recommendations we might have. The first visit to our office will take approximately 30 minutes to one hour and may include laboratory and/or diagnostic testing.
What labs do you have in office with immediate results?
We offer RAPID COVID-19, Flu A/B, Strep, RSV, Lipid Panel, PT/INR, Glucose, and Hemoglobin A1c tests, all of which have a result in 15 minutes or less.
Do you offer the COVID-19 vaccine? If so, which one?
We do offer the COVID-19 vaccine. We currently have Moderna vaccine in office.
Do you have cash pay options?
Yes, we do have cash pay options. We charge $125 for the initial visit to get established and all appointments in office are $50. If there is a visit that qualifies for Tele-health, the cost is $40. We offer rapid COVID-19, Flu A/B, Strep, RSV, Lipid Panel, PT/INR, Glucose, and Hemoglobin A1c tests in office for a cash pay price as well. If you have a need for a rapid test or any other lab test that we send out, please call the office regarding the lab prices since there are multiple labs that are priced.
Do you do x-ray diagnostics in office?
No, we do not currently do imaging diagnostics in office, however, we are contracted with a mobile clinic who will come to your home for most imaging tests. There are a few exams that require visiting an imaging center near you.
How to expedite my appointment?
We make every effort to be on time, so we ask that you arrive at our office at least 15 minutes prior to your appointment to allow for reviewing your information and obtain copies of your insurance card. We strive to help our patients in the quickest manner possible.
Do you draw labs in the office or do I have to travel?
We can draw your labs in the office or you can visit a lab nearest you. We do offer some lab tests in office for your convenience.


Does BOTOX® Cosmetic treatment hurt?
Some patients report that being injected with BOTOX® Cosmetic feels like a pinch. Your provider may use ice to numb the treatment area. If you are concerned about discomfort, your provider may apply a topical numbing cream before administering your treatment.
How does BOTOX® Cosmetic work?
BOTOX® Cosmetic targets one of the underlying causes of frown lines and crow’s feet-the repeated muscle contractions from frowning and squinting over the years. Your provider will inject these muscles with BOTOX® Cosmetic to temporarily reduce muscle activity. You will begin to notice a visible smoothing of your crow’s feet lines and frown lines between your brows.
How long does the treatment take?
Your provider will discuss your treatment goals and perform a facial analysis to determine the appropriate treatments for you. The actual injection process takes about 10 minutes.
Additional Botox FAQs

When it comes to Botox treatments, each patient is unique. The number of Botox units required for each patient varies greatly on how large your muscle is, how strong it is, the position of your muscle, and other factors. The strengthof the muscles in your face, particularly the forehead muscles, plays a large part in how many units you will need. For example, if you have stronger facial muscles, you will need more units, whereas weaker facial muscles typically require fewer units. Some areas of the face naturally have stronger muscles than others (such as the muscles of the jaw), while other muscles may be more well-developed depending on use (like the muscles needed to form a smile). Additionally, this is one area where gender makes a significant difference: men generally will have much stronger facial muscles than women and, as a result, require more Botox units to get the desired results.Here are what the average units of Botox for the different areas of the face are, so you have abaseline of what to expect when doing your first treatment:

  • Chin: 2-6 units
  • Corners of the mouth: 3-6 units
  • Crow’s feet (outer canthal lines): 5-15 unitseach side
  • Eyebrow lift: 2-5 units
  • Forehead lines / horizontal lines: 10-30 units
  • Frown lines: 10-25 units
  • Glabellar lines (between the eyes): 15-30units
  • Jaw area (masseter): 15-50 units per side

Filler FAQs

Do you offer fillers?If so, which brands?
Yes, we do offer fillers of various brands and type of filler. The type of filler chosen is based on the area in which you want treated. We can obtain any FDA approved brand available on the market; however, we keep in office Juvederm and Revanesse Versa. We maintain a stock of each type of filler from these two brands.
Does Filler Treatment Hurt?
We make every effort to maintain your comfort during any procedure. Some patients report that being injected with a Filler feels like a slight pinch with minimal discomfort. Your provider may use ice to numb the area in addition to topical anesthetic or nerve block anesthetic of the treatment area. If you are concerned about discomfort, talk to your provider about the options that may best suite your needs.
How long does the treatment take?
Most of your appointment is spent with the numbing process. Once you are numb, the treatment can take anywhere from 15-60 minutes, depending on how many areas you are having treated.

Bio-identical Hormone Replacement Therapy

Is it true that having imbalanced hormones places me at risk for other health problems?
Yes, this is true. By having imbalanced hormones, one can be at a higher risk for Alzheimer’s Disease, Diabetes Type II, Various Cancers, Depression, Metabolic Syndrome Osteoporosis, Coronary Heart Disease, Fatigue, Libido Loss, Vaginal Atrophy, Bladder complications, and Erectile Dysfunction. There are several symptoms that can generate a concern for requiring the need to check your hormone levels with blood work. Once this is completed, a personal assessment can be made to determine if you are a candidate for bio-identical hormone replacement therapy. For further questions, please contact the office directly or talk to your BioTE Certified Provider at Adjuva Primary Care.
How often will I need pellets?
For women: usually every 3-4 months. For men: usually every 4-5 months.
Why are pellets better than creams, patches, shots or pills?
They are pure hormone that is not metabolized into byproducts by going through the liver, stomach or skin. This delivery system allows your body to use the right amount of hormone from the pellet as the blood flow surrounding the pellets picks up what is needed.
Where do the pellets go?
Because they are pure hormone without fillers or synthetic ingredients, they completely dissolve.
How long will it take for my body to get back to lean normal?
That depends on how much you exercise and work out with weights, as well as your age. Testosterone decreases fat and increases muscle and lean body mass. Testosterone also increases your natural growth hormone and therefore will improve your stamina to work out and increase muscle mass.
I have no libido - what will this do for that, if anything?
Good hormone balance will greatly improve your libido. The addition of testosterone in pellet form will change everything for the better!

Specifically for Women

I get horrible headaches - will they help me?
Yes! We have had great success, especially with women who have menstrual migraines, and new migraines that appear after age 35.
Do I need other medications?
If you still have a uterus, you will need to be on natural progesterone as well.
Why do I need estrogen?
Estrogen is the most important hormone for a woman. It protects her against heart attack, stroke, osteoporosis, and Alzheimer’s. It also keeps us looking young and healthy.
Why do I need testosterone?
Testosterone is the third female hormone and is as essential as estrogen and progesterone. We need this hormone to keep our thought process quick and our libido healthy. It improves bone density, muscle mass, strength and prevents some types of depression. It is also the source of energy and solid sleep!
Will I grow unwanted hair from testosterone?
There is less chance of excess hair growth with natural testosterone than with synthetic hormones. Facial hair will grow with testosterone pellets, but normally no more than when you were in your thirties.

Specifically for Men

How do I take testosterone pellets and not convert them to Dihydrotestosterone and estrone?
Your blood levels of estrone and DHT are checked after treatment to see if they are elevated. Some men still convert to these metabolites even on testosterone pellets. If they are converting, we troubleshoot with natural supplements such as DIM and Saw Palmetto, or an aromatase inhibitor prescription.
What if I have prostate enlargement already?
Testosterone pellets will make it better, if you do not convert it to DHT; we will treat that if it happens.
Will my testicles shrink while I take the testosterone pellets?
Yes, they will. Testicles are suppressed by taking any kind of testosterone and they will not make as much testosterone while the pellets are working. This is not permanent and the testicle retains its ability to produce testosterone.

Adjuva Primary Care

Primary Medical Care, Hormone Replacement Therapy,  & Dermal Aesthetics

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4901 State Highway 114 Ste 102,
Northlake Texas, 76262-1466

Adult Primary Care Services in Northlake, TX:

Justin • Elizabethtown • Keller • Rhome • Argyle • Roanoke • Trophy Club • Corral City • Westlake • Southlake • Haslet • Grapevine • Colleyville • Watauga