Rhoades Family Practice

04/21/2026

I started mine this week, what about you?

This week I added MOTS-C to my peptide list, I am already injecting GLOW and have been using NAD for years, I am a firm believer in peptides 💉

In addition to my hormone replacement therapy, peptides keep me feeling great !!

What does MOTS-C do?

Weight Loss:
It promotes the reduction of fat stores without compromising muscle mass or energy levels, making it a smart solution for healthy, sustainable weight loss.

Physical Performance & Endurance:
It acts as an exercise mimetic, enhancing mitochondrial function and increasing ATP production, which can improve athletic endurance and physical capacity.

Anti-Aging & Longevity:
It is believed to improve healthspan by countering age-related metabolic decline and enhancing stress resistance.

Muscle Protection:
It supports muscle adaptation to stress, potentially aiding in muscle preservation

Give the office a call today for a consult
find out what peptides we offer 😁
903-202-0765

Dusty Rhoades MSN, APRN, FNP-C
Certified Hormone Specialist

04/21/2026

The famous Maple Bacon Donuts, sadly do not come from anywhere around here, they are from Momo's in Sherman Texas, look them up on Instagram, for all who have asked !!! 😁

17K Followers, 2,609 Following, 4,666 Posts - See Instagram photos and videos from Momo's 🍩 Doughnuts & Foodporn ()

04/21/2026

Today is CC birthday 😍 we are celebrating with food !!!!
One of her favorites, maple bacon donuts, and for lunch we are doing a Mexican potluck, pulled pork tacos 🌮 with all the fixins, we love Cinthya, she has worked with me for almost 10 years now if you count my time doing clinicals, we have been through a lot together !! She is not just my MA, she is family ❤️

Happy Birthday !!!!!

04/20/2026

Hormone Facts

Today we are going to take a deeper dive into progesterone and why I give it to all of my menopausal women taking estradiol regardless of the presence of a uterus.

So many times I hear my patients that have come to me from other providers say, "I was told I did not need that since I have had a hysterectomy" 😲

Let me tell you what all progesterone does for your body.......

Yes, if you still have your uterus, it is imperative that you take progesterone due to its uterine protection, but other than that it protects against breast cancer, osteoporosis, heart disease, and it has been shown to improve cognitive function and memory, helping prevent dementia, progesterone has also been shown as a proven tool to help manage the symptoms of neuropathy.

Always treat menopause as a progesterone deficient state !!!!

Things you will never see me do in practice...........

You will never see me test your progesterone levels

You will never see me comment or agree with a saliva progesterone test done with another provider, levels do not correlate and are not reliable

You will never see me prescribe transdermal progesterone, systemic absorption is low, and thus dangerous to rely on for treatment purposes, especially in women that have not had a hysterectomy, bad outcomes may result

Education is key 🩺💊

Dusty Rhoades MSN, APRN, FNP-C
Certified Hormone Specialist
Top Evexipel Hormone Provider serving East Texas

04/20/2026

I have been using and prescribing peptides since I started practicing, I am a firm believer in peptides and how beneficial they can be to treat many conditions.

If you are interested in knowing more about how peptides work, and seeing a full list of available peptides, give us a call to schedule a consult.

All peptides are cash pay.
903-202-0765 🩺💊

04/20/2026

We are back !!!!!

Office is up and in full swing this morning, and all of Tori's walk in spots are already full today, please call Courtney if you are needing to get in for later this week, we always have cancelations and things can change last minute.

We also have a waiting list we can add your name to and we call you if a cancelation comes in, busy is a wonderful problem to have !!!!

So happy to be back, we hope everyone has a great week 😁

903-202-0765 🩺💊

04/18/2026

Vacation is coming to an end, and we are excited to get back to our patients on Monday !!!!

We want to thank everyone for allowing us a week to relax and decompress, it allows our minds and soul to unwind.

We will be back in the office next week ready to see everyone, again, thank you for allowing us to care for you, it is always our pleasure 😉

Even the Bible recommends getting away to a "quiet" place to restore the soul.....

Jesus told his disciples to come away to a quiet place and get some rest when they were too busy to eat, in the book of Mark.

Mark 6:31
"Then, because so many people were coming and going that they did not even have a chance to eat, he said to them, 'Come with me by yourselves to a quiet place and get some rest'"

We hope you all have a blessed weekend, get some rest, and we will see you next week !!

Dusty Rhoades MSN, APRN, FNP-C

04/18/2026

I get asked this question all the time !! Why did my "other provider" check my progesterone level and you don't? 🧐

Well......

Let's talk about why you do not monitor progesterone levels in women being treated for menopausal symptoms.

Routine monitoring with blood tests is not considered necessary or clinically useful during peri and post-menopause. It is simply an unnecessary blood test that tells us what we already know.

Progesterone levels are typically never checked in women being treated with progesterone for menopause because, after menopause, a woman's natural progesterone levels are always very low, we know this, and the primary goal of progesterone therapy is to maintain a stable, protective level in the uterine lining, or to control symptoms, which can both be achieved with a standard dosage regardless of individual fluctuations in blood levels.

When you give a progestogen in HRT for symptom management, most women feel great. The micronized progesterone in oral capsules can help get you into a deeper state of sleep and will take the edge off of anxiety.

Most women are prescribed either a standard 100mg or 200mg capsule orally. In some instances we will increase the dosage to 400mg temporarily to shut down any unwanted uterine bleeding.

The only use of blood tests for progesterone is to check to see if you have ovulated – that is to find out if you have released an egg during the menstrual cycle that can then become fertilized by s***m. This blood test should be timed to be taken 7 days before your period.

None of my patient are seeing me for fertility issues. I am practicing BHRT for peri and post menopausal symptoms, therefore there is no reason for me to check your progesterone levels. 😉

Education is key !!

"I believe the second half of one’s life is meant to be better than the first half. The first half is finding out how you do it. And the second half is not letting anyone tell you that you don't need hormones !!!"

Dusty Rhoades MSN, APRN, FNP-C
Certified Hormone Specialist
Top Evexipel Hormone Provider serving East Texas

04/18/2026

Tesamorelin

The latest peptide that is making headlines 🔥

Originally approved by the FDA as a synthetic, injectable peptide analog of growth hormone-releasing hormone (GHRH), to reduce excess abdominal fat.

Tesamorelin's primary function is to target and reduce visceral fat, the deep fat that surrounds internal organs and is linked to health risks. It achieves this by boosting natural growth hormone and insulin-like growth factor-1 (IGF-1) levels.

Benefits associated with tesamorelin therapy include:

Targeted Fat Reduction: Significant reduction in visceral abdominal fat.

Improved Body Composition: Preservation or increase of lean muscle mass.

Metabolic Health: May improve lipid profiles (e.g., lower triglycerides and LDL cholesterol) and insulin sensitivity.

Potential for Liver Health: Studies indicate it can reduce fat accumulation in the liver in patients with nonalcoholic fatty liver disease (NAFLD).

Other Benefits: Some users report improved sleep quality, energy levels, and cognitive function.

Tesamorelin is administered as a subcutaneous injection, usually once daily, into the stomach area.

Patients will need to do at least a 10-12 week stack of this peptide prior to seeing any real results.

Contraindications: Should not be used by individuals with active cancer, a history of pituitary gland disorders or surgery, head trauma, or during pregnancy or breastfeeding.

To get started on Tesamorelin, give us a call today
903-202-0765

04/18/2026

Did you know that an update made to the WHI study in 2022 shows that the ONLY medicine that has ever been shown to decrease the incidence of breast cancer and mortality from breast cancer is......

ESTRADIOL !!!!!!

As our body ages, we need estradiol, it does many things for us, it is associated with multiple health risks, including bothersome menopausal symptoms, decreased bone density and increased risk of fractures, early progression of cardiovascular disease, psychologic impact that may include depression, anxiety, and a potential early decline in cognition.

Appropriate hormone replacement therapy (HRT) to replace premenopausal levels of ovarian s*x hormones is paramount to increasing quality of life for women and eliminating associated health risks.

One of the biggest risk factors associated with low estrogen levels as we age is fractures secondary to osteoporosis.

Women have been told for so many years that hormones, estradiol in particular, will cause breast cancer, this is FALSE. This update in the study, is why the FDA removed the black box warning from estradiol.

Estradiol is in fact breast protective, and there is absolutely NO evidence that currently supports discontinuation of HRT therapy after the age of 65.

Optimal replacement ranges for me in the office are 80-100, if you have been in to see me, you have heard me preach this. Studies have proven this time and time again.

What if admitting we were wrong is the biggest thing we ever did right?

"I believe the second half of one’s life is meant to be better than the first half. The first half is finding out how you do it. And the second half is not letting anyone tell you that you don't need hormones !!!"
Dusty Rhoades MSN, APRN, FNP-C
Certified Hormone Specialist

04/18/2026

Hormonal Hair Shedding

Did you know that over half of menopausal and peri menopausal women will suffer from significant hair loss?

This type of hair loss is due to a specific cause created by a sub optimal scalp environment that is created when our hormones shift as we age. I also suffered with this personally, and for someone that has always had very thick, long hair, this was devastating !!

Part of treating menopause is learning how to combat this and shut down hair shedding.

I not only want you to feel good, but I want you to look your best as well, and part of feeling good is having self confidence 🙌

If you are struggling with this, ask me how to stop it, after implementing this easy daily regimen on myself, I have zero hair shedding, and my hair is growing back thicker and fuller, don't let people tell you that this is just how it is at "our age"

"I believe the second half of one’s life is meant to be better than the first half. The first half is finding out how you do it. And the second half is not letting anyone tell you that you don't need hormones !!!"
Dusty Rhoades MSN, APRN, FNP-C

Give us a call today for an appointment
903-202-0765🩺💊

04/13/2026

Thought for the week.....

In yesterday's sermon we discussed the importance of church attendance, did you know that the average "routine" church goer only attends church an average of 1.7x a month.

What does the Bible say about this?
Hebrews 10:22-25
Let us draw near with a true heart in full assurance of faith, having our hearts sprinkled from an evil conscience and our bodies washed with pure water. Let us hold fast the confession of our hope without wavering, for He who promised is faithful. And let us consider one another in order to stir up love and good works, not forsaking the assembling of ourselves together.

Assembling ourselves together !!!

When we assemble ourselves together, God is drawn near, he encourages believers to regularly gather together, primarily to foster mutual encouragement, love, and support, saying it is vital for strengthening faith and supporting one another, particularly as times become more challenging.

We are living in a culture that is trying to redefine the truth, as Christians, we must encourage one another to stand together and hold tight to the truth. We must know who we are and what we believe, and not loose ourselves in this broken culture we are living in.

There is no such thing as a churchless Christianity ✝️
Go get ya some Jesus 🙌