Mandy Cotten, DNP, APRN, FNP-C

Institute for Hormonal Balance
Leading Women

Mandy Cotten, DNP, APRN, FNP-C

Institute for Hormonal Balance

By Meredith knight

A leading woman is defined by her dedication and impact. Mandy Cotten, family nurse practitioner, has embodied this by helping her patients feel better and live more empowered lives. Her passion for health and the well-being of her patients is evident in her care. As we age, many things slow down. One of those is hormone production. For women, that means our estrogen, testosterone and progesterone levels decline leading to unpleasant symptoms, such as night sweats and mood swings. Mandy has come to the aid of thousands of her patients—male and female—by educating them about bioidentical hormone replacement therapy (BHRT) and how it can restore their vitality and wellness. At her Institute for Hormonal Balance, she’s spent years helping her patients live happier and age healthier with this revolutionary treatment.

“BHRT can be used to restore the normal level of hormones in your body when they’ve plummeted or are out of balance,” Mandy said. “Without proper hormone levels, your body deteriorates, which can lead to other problems such as osteoporosis and hearty disease because BHRT closely matches the chemical makeup of our own natural hormones, it can help decrease symptoms quickly and allows for a seamless transition as it restores your vitality and wellness.”

The Problem

Reduced hormones in women can cause vaginal dryness, loss of sex drive, painful intercourse, urinary incontinence, memory problems, dry skin, hair loss, insomnia, weight gain, and depression. Low testosterone levels in men can manifest as low energy, loss of sex drive, erectile dysfunction (ED), loss of muscle mass, weight gain, insomnia, difficulty concentrating, and mood changes.

The Solution

Because BHRT mimics your own natural hormones, it enters your body, goes directly to the receptor site, and alleviates these symptoms. With this therapy, Mandy’s patients have experienced balanced moods, improved sleep, reduced brain fog, decreased hot flashes, decreased vaginal dryness, increased stamina, increased muscle mass, decreased fat mass, and increased libido, typically noticing an improvement in seven-to-10 days. Mandy can tailor BHRT to your specific needs and administer it through your choice of creams, patches, pills, or pellets. “We recommend pellets because they maintain balance by delivering a steady flow of hormones,” Mandy said. She has performed over 30,000 pellet procedures—averaging 500 a month.

Meet the Provider

Mandy Cotten completed her Bachelor of Science in Psychology, her Bachelor of Science of Nursing (BSN) both from Texas Christian University, her Doctorate of Nursing Practice from Loyola University in New Orleans, and is certified through the American Association of Nurse Practitioners (AANP). When not on the job, she enjoys spending time with her husband, Casey, and their children, Rylie and Ashton.

For Mandy, the best part of her job helping her patients achieve a better, more vibrant life, empowering them to take their health into their own hands. Find out more at Donovitz.com.


4224 Park Springs Boulevard
Suite 100
Arlington, Texas 76016

202 South Coleman
Suite 100-5
Prosper, Texas 75078

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