Mandy Cotten, DNP, APRN, FNP-C

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About

The Institute for Hormonal Balance, led by Mandy Cotten, DNP, APRN, FNP-C, is a medical spa and wellness clinic serving patients in the Arlington area. The practice offers a comprehensive range of services spanning facial and body aesthetics, hormone optimization, sexual health, weight management, and general wellness care. The clinic began as an OBGYN practice in 1985 and has evolved to provide multiple services under one roof, combining medical care with aesthetic treatments.

The practice emphasizes patient-centered care tailored to individual needs, with providers working collaboratively to develop thorough treatment plans. The clinic is recognized for expertise in hormone replacement therapy using BioTE pellet therapy methods, and the team has trained providers across the country in these approaches. The practice aims to help patients achieve better quality of life by addressing hormonal imbalances and offering compassionate, comprehensive care.

Services include:

• Facial aesthetics: Botox, dermal fillers, PDO threads, Emface, facials, RF microneedling, and laser facial treatments
• Body aesthetics: Emsculpt NEO body sculpting, Emtone and Tempsure skin tightening, laser hair removal, and PRP hair restoration
• Hormone replacement therapy and hormone optimization
• IV therapy and vitamin injections
• Weight management with semaglutide and tirzepatide
• Blood draws and metabolic testing including PNOE testing
• Well woman services and annual exams
• Intimate health services including O-Shot, P-Shot, feminine rejuvenation, and erectile dysfunction treatments
• STD testing and treatment
• Contraception management
• Medical grade nutraceuticals