Frequently Asked Questions
What is hormone coaching to balance energy glands
(thyroid, adrenal and sex glands)?
Hormone coaching to re-balance your energy glands (thyroid,
adrenal and sex glands) occurs when a person with these concerns
books time with Dr. Richard Shames for over the telephone
information specific to his/her own personal situation. It
is your time - 50 minutes alone with the doctor.
What is the difference between a health coaching session
and in-person medical office visit to Dr. Shames?
When you come into the medical office as a patient, you are
being treated as a medical patient of the office. However,
Dr. Shames has very limited office hours. When you sign up
for health coaching with Dr. Shames, you are receiving health education
to help you guide your local practitioner better in evaluating
and treating your condition; no Dr.-patient
relationship exists with the coaching option. The coaching
session are valuable in a different way; you receive the full
advantage of Dr. Shames vast experience, can fax him your
recent lab results, and get his impression of your status
and your best options for the future. Keep in mind that even
as a medical office patient, you are required to be working
with a primary care doctor; Dr. Shames works solely as a health care consultant
regarding your possible hormone imbalances. Office fees are
significantly higher in person, and must be paid at the time
of booking your in-person office appointment, though often
you can be reimbursed for partial expenses. You will not receive
reimbursement for health coaching. Still, we considering coaching
the model for the future, and often people can get coaching
must sooner than an office appointment. - We view this option
as a way to help you advocate for better health care for yourself
and loved ones.
What generally occurs during a health coaching session?
Dr. Shames will go over your pertinent health history, blood
tests, other lab data, including basal temperature and scans,
family history, associated conditions, and previous recommendations
from other practitioners. This composite of your own individual
health information is then summarized by the doctor with an
eye toward achieving the most beneficial treatment plan. Dr.
Shames will make suggestions for additional testing if needed
and tell you where they can be obtained.
What if I'm already taking medications for these glands?
If you are already diagnosed and currently taking medication,
either prescription or over-the-counter variety, Dr. Shames
can suggest to you ways in which your present treatment program
might be optimized. Many people do better with a change in
brand, dose, or type of thyroid medicine; sometimes two or
three medicines need to be combined for best results. How
and when to make such changes is a very intricate and personal
matter, also taking into account your belief systems, life
events and current stressors that may be contributing to your
Dr. Shames can only be a personal physician for those people
who he actually meets and examines - and sees face-to-face
on a regular basis in his medical office. Therefore, a coaching
session is something different. Instead of being your doctor,
and ordering tests and prescribing medicines, Dr. Shames is
your health care consultant—your information source point and answer person. He
is someone who really listens to you, and offers his best
thinking based on 25 years of clinical experience. He will
help you to create a hormone recovery plan.
Then who will order my tests, and prescribe my medicine?
Dr. Shames will help you learn how to best present his suggestions
to your regular doctor in a way that will ensure the greatest
likelihood that the tests or medicine you want will indeed
be ordered. If your present physician will not listen to you,
or consider you as a therapeutic partner in your own health
care, then Dr. Shames will recommend a more appropriate physician
for you to see in your own locale when possible. He pulls
from a variety of databases from which he will choose several
practitioners who practice near you and can help you proceed
What does a health coaching session to balance
my energy glands cost?
The initial session (50 minutes time on the phone with the
doctor) costs $270. Some people choose to have subsequent health
care consultations after the initial one, in order to better understand
their complex situation, and make inroads into successful
management quickly. The half-session (25 minutes) re-consult
is available at a fee of $170, generally preserved for those
who have had at least one full consult, and for their practitioners,
who may wish to consult with Dr. Shames as well.
Can Dr. Shames give me a referral for a good local
Dr. Shames may indeed be able to recommend a particular practitioner
as part of your health coaching session.
After speaking with you about your individual situation and
needs, he will be much more likely to know your case well
enough to make an appropriate referral from his practitioner
***DR. SHAMES CAN ONLY MAKE REFERRALS
FOR THOSE HE HAS PERSONALLY COACHED.***
I notice that Karilee Shames is available to do mind-body
health coaching. What is that? and what does it cost?
Karilee's work is viewed as an extension of the more
medically-oriented work of Dr. Rich, wherein she makes herself
available via phone for those who wish to discuss emotional
/ spiritual / energetic challenges from hormone imbalance.
As a longstanding low-thyroid person herself, as well as a
Certified Holisitic Nurse and Certified Clinical Specialist
in Psychiatric Nursing, Karilee has worked with this condition,
and its many faces, for almost 30 years. She is gifted in
helping people access their emotional blocks, even via telephone,
and in supporting assertive communications and healthy decision-making
that will enable hormone sufferers to feel better more of
the time. Her health care consultations emphasize self-care aspects and empowerment.
A 50 minute phone or office session with Karilee Shames is
Are the Health Coaching Sessions offered in another language
No. Though the website can be translated into several languages
to make it easier for you to read, the Coaching Sessions themselves
are in ENGLISH ONLY.
How do I sign up for hormone coaching to balance
my energy glands?
On the Hormone Coaching Sessions
page there is a link to a one-page Coaching Agreement and
instructions on signing up for a coaching session.