Signs of Low Testosterone



Loss of Muscle Mass


Decreased Libido



Low Energy

OKC-area Low Testosterone (Low T) Clinic


Thyroid problems and vitamin deficiency
can impact the quality of your life.

VITAMIN D Deficiency

Risks factors for low Vitamin D are brittle bones, osteoporosis, insulin resistance, high blood pressure, decreased immune function, depression and other mental health disorders. Symptoms of low Vitamin D are muscle aches, weakness, muscle tension, joint pain and fatigue.
The symptoms of Vitamin D deficiency are vague and difficult to diagnose. You may be prone to Vitamin D deficiency if you have one or more of the following symptoms:

  • darker skin – the darker your skin is the more Vitamin D you need
  • obesity
  • pregnancy
  • seasonal depression – Serotonin, the brain hormone associated with mood elevation, rises with exposure to sunlight and falls with decreased sun exposure in the winter months
  • pain in your bones
  • fatigue

Correcting Vitamin D levels is important to your overall health and has been proven to boost the immune system, improve cardio health, reduce likelihood of autoimmune disorders and prevent cancer.

A healthy thyroid can help you maintain your active lifestyle well into your twilight years. Thyroid hormone treatment is important to help keep your mind and emotions in check. As we age, our thyroid levels fluctuate. Maintaining the optimal levels will decrease the consequences of hypo or hyperthyroidism. Benefits of thyroid hormones result in increased metabolism, regulated body temperature and increases fat breakdown (resulting in weight loss as well as lowering cholesterol). It protects against cardiovascular disease while cerebral function is enhanced and symptoms of depression decline. Low thyroid can specifically affect the health of hair, skin, nails and cause fatigue. Thyroid hormone treatment is an important facet to the quality of our life.
VITAMIN B Deficiency

Only certain foods contain Vitamin B12. These include meat, eggs, poultry, dairy products and other foods from animals. Strict vegetarians and vegans are at high risk for developing a B12 deficiency if they don’t eat grains that have been fortified with the vitamin or take a vitamin supplement. People who have stomach stapling or other forms of weight-loss surgery are also more likely to be low in B12 because the operation interferes with the body’s ability to extract the vitamin from food.
Conditions such as celiac or Crohn’s disease can cause a lack of B12 absorption. Likewise, the use of commonly prescribed heartburn drugs which reduce acid production in the stomach halt the absorption of the vitamin. The condition is more likely to occur with aging due to a natural cutback in stomach acid production.

Given the array of symptoms, a B12 deficiency can be overlooked or misdiagnosed. Symptoms may include:

  • strange sensations, numbness, or tingling in the hands, legs, or feet
  • difficulty walking, altered gait or balance problems
  • anemia
  • a swollen, inflamed tongue
  • yellowed skin (jaundice)
  • difficulty thinking and reasoning (cognitive difficulties), or memory loss
  • paranoia or hallucinations
  • weakness
  • fatigue

ESTROGEN Replacement Therapy

Estrogen helps maintain good bone density, skin temperature and vaginal health.
A drop in estrogen levels can cause:

  • Vaginal dryness
  • Urinary problems
  • Thinning hair
  • Sleep problems
  • Night sweats
  • Mood swings
  • Lower fertility
  • Irregular periods
  • Hot flashes
  • Concentration and memory difficulties
  • Tender breasts
  • Accumulation of fat in the abdomen

Symptoms of an Estrogen imbalance may sometimes occur before menopause starts (perimenopause). In this case: the woman is still producing eggs, and the quantity of eggs has dropped significantly which can trigger a fall in hormone levels. The patient may still have regular periods in addition to menopausal symptoms.


OKC SculpSure

Non-Surgical Body Sculpting

What is SculpSure?
SculpSure is a non-invasive body contouring system for the reduction of stubborn fat in areas such as the abdomen and love handles. The 25 minute procedure destroys up to 24% of treated fat cells without surgery.

Is SculpSure right for me?
SculpSure is ideal for people with trouble spots, particularly those that seem resistant to diet and exercise.

How long will the results last?
Treated fat cells are permanently destroyed during the treatment and will not regenerate.

How long before I can resume normal activities?
There is no downtime with SculpSure, so you can have the treatment during your lunch hour and return to work immediately.

What is the difference between fat loss and weight loss?
The number of fat cells stored in our bodies typically remain constant throughout adult life. After the SculpSure treatment, the destroyed fat cells will never return. However, as we lose weight, the size of fat cells become smaller, but typically do not decrease in number. Even with diet and exercise, many people have difficulty losing weight in these trouble areas.

How many treatments will I need?
Most patients see results with as little as one treatment. However, you may wish to have additional treatments based on your desired results. Ask your treatment provider about the best treatment plan for you.

What should I expect during the treatment?
Most patients feel a tingling sensation intermittently throughout the treatment which is generally well tolerated.

When will I see results?
Many patients start to see results as early as 6 weeks following treatment as the body begins to evacuate the destroyed fat cells, with optimal results usually seen at 12 weeks.

Other Med Spa Services

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of both moderate to severe crow’s feet lines and frown lines between the eyebrows in adults.
Juvederm is in the family of injectable hyaluronic acid dermal fillers used to provide between 9 months and one year of correction for moderate to severe facial wrinkles and folds, such as nasolabial folds (lines from the nose to the corners of the mouth).
Permanent makeup usually involves tattooing an area such as eyeliner or lip liner so that when you wake-up in the morning you look as if you already have your makeup on.
Microneedling involves rolling a dermaroller (which looks a bit like a miniature paint roller, except it's covered with tiny needles) over the skin. When rolled over the skin, the dermaroller creates micro-injuries, which tell your brain to kick into repair mode. This prompts your body to send collagen to the epidermis, which is an important building block of healthy, radiant skin. More collagen, better skin.

Paradigm Hormones of Moore, OK has a full-time aesthetician on staff who provides a number of services including BOTOX, Juvederm, Permanent Makeup and Microneedling.

For more information:

Contact Us


Dr. Ramirez has specialized in hormone therapy for the past several years. The doctor received his medical degree from Saba University School of Medicine and completed his residency at Texas Tech University. Dr. Ramirez’s professional affiliations include: serving on the Mercy Hospital Board of Directors, Mercy Hospital Board of Quality Assurance, Mercy Hospital Chair of Robotic Surgery Committee, Mercy Hospital Chair of Labor and Delivery and the Da Vinci Robotic Proctor for Intuitive. Dr. Ramirez is also a former associate professor at Texas Tech University and currently an adjunct clinical associate professor at the Department of Obstetrics and Gynecology at Oklahoma State University. Prior to opening Paradigm Hormones, Dr. Ramirez was the medical director of a major hormone clinic for two years.

Dr. Henry Ramirez, MD, FACOG, currently practices as an obstetrician and gynecologist. He has the unique privilege of understanding both female and male sex hormone balance with his daily practice of treating infertility.

Dr. Henry Ramirez, FACOG

Medical Director

Felicia Ezell-Goodner, APRN-CNP

Clinic Director

Felicia Ezell-Goodner has over 15 years of nursing experience, much of it in women's health. Felicia completed the Nurse Practitioner program at the University of Cincinnati receiving her Masters of Nursing in Women's Health. Prior to Nurse Practitioner school she received her Bachelors of Science in Nursing from the University of Oklahoma.

Felicia's experience has been in Obstetrics and Gynecology, mood disorders, and sexual dysfunction. She is certified in Women's Sexual Health and most recently completed extensive training in Bioidentical Hormone Replacement Therapy. Felicia is passionate about disease prevention and restorative care. She strives to keep up to date on the latest research to help improve her patient's quality of life.

Felicia maintains National and State certification. She is a member of the Oklahoma Nurse Association and the National Association of Nurse Practitioners in Women's Health.


Call us at 405-212-9520

or email using the form below

Paradigm Hormones

  • 1301 S. I-35 Service Road
    Suite 106
    Moore, OK 73160
    fax (405) 703-7021
    Hours: M-F 8:30am-5:30pm
  • (405) 212-9520