Revival

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Revival We are your hormone and weight loss specialists - right here in small town Iowa! Carly M Parker ARNP, Alison Coffman RN

A quick clarification about compounded medications at Revival Wellness & Weight Loss:Our compounded medications come fro...
09/28/2026

A quick clarification about compounded medications at Revival Wellness & Weight Loss:

Our compounded medications come from licensed compounding pharmacies. We know where our medications come from, who is preparing them, and what we are prescribing.

Compounding pharmacies prepare customized medications when a patient may need a specific dose, formulation, or route of administration that is not otherwise commercially available.

And yes — compounding pharmacies are regulated.

Most traditional compounding pharmacies operate under **Section 503A**. These are state-licensed pharmacies that are primarily overseen by their state Board of Pharmacy and generally compound medications based on an individual patient prescription. Federal laws also apply, and the FDA can inspect these pharmacies under certain circumstances.

Some larger compounding facilities operate as **503B outsourcing facilities**. These facilities register with the FDA, are subject to FDA inspection on a risk-based schedule, must follow Current Good Manufacturing Practice requirements, and have additional quality and reporting requirements.

Compounded medications themselves are **not FDA-approved finished drug products**, meaning the FDA does not individually review each compounded prescription before it is dispensed. That does NOT mean the pharmacy or the compounding process is “unregulated.”

Federal law also places requirements on ingredients used in compounding. For example, bulk drug substances used by 503A pharmacies must meet applicable requirements regarding ingredient eligibility, certificates of analysis, and sourcing.

Compounding serves an important role in medicine when an individualized medication is clinically appropriate. The FDA itself recognizes that compounded medications can meet important patient needs when an FDA-approved product is not appropriate for a particular patient.

At Revival, we take medication sourcing, patient safety, appropriate prescribing, informed consent, and transparency seriously.

If you are ever unsure about where your medication comes from, ask us directly. We are happy to tell you.

There is a difference between asking appropriate questions about compounded medications and implying that a medication is unsafe simply because it is compounded.

Our patients deserve accurate information — and that is exactly what we intend to provide.

09/26/2026

A “normal” testosterone level doesn’t always tell the whole story. 🧪

When evaluating testosterone, we’re looking at more than one number on a lab report.

⏰ Timing matters — testosterone is generally best evaluated with early-morning testing.
🧪 Repeat testing as needed matters — one isolated result may not be enough to diagnose low testosterone.
💪 Symptoms matter — libido, sexual function, energy, muscle changes and other symptoms help provide clinical context.
🔍 The bigger picture matters — total testosterone, and when appropriate free testosterone and SHBG, can help us understand what’s going on.

A number sitting at the bottom of a lab’s “normal” range doesn't automatically mean everything is fine—but symptoms alone don't automatically mean someone needs TRT either.

💡 Good TRT care means putting the symptoms, history AND properly collected labs together.

Hey all, If you are new here, this is Carly! I am the owner and ARNP here at Revival. I have been a Family Nurse Practit...
09/24/2026

Hey all,

If you are new here, this is Carly! I am the owner and ARNP here at Revival.
I have been a Family Nurse Practitioner since 2020 and owned Revival since March 2023.
This is my family - Cadence, Grady, Madeline, Me, Wade and Henry.
We are currently moving to our farm in the next month, and we are so excited to get back to our roots and be in the country.
We have a beautiful home in Winterset, and we are going to try our hands at airbnb soon. Stay tuned. We have no idea what we are doing, but that is really what I do best in. Wish us luck.

I am Obesity Medicine Certified and all things HRT obsessed! Learning more and more every day in every way to help my patients.

My goal at Revival is to be welcoming, understanding, and guide you to your goals.

Thanks for attending my TED talk.
Carl

These are one of my favorite here at Revival.
09/23/2026

These are one of my favorite here at Revival.

I really want to grow our TRT members. It’s fun to see men feel so much better and their health improve. So, I’m offerin...
09/18/2026

I really want to grow our TRT members. It’s fun to see men feel so much better and their health improve.

So, I’m offering $75 off your initial consultation for October.

Come see me!

09/17/2026

No conference for me. Next time!

Leaving on a Jet ✈️ Plane for a Hormone Replacement Therapy conference. We are delayed a few hours but excited to learn ...
09/17/2026

Leaving on a Jet ✈️ Plane for a Hormone Replacement Therapy conference.
We are delayed a few hours but excited to learn and rejuvenate my brain for our patients.

09/14/2026

Address

116 N 2nd Street
Winterset, IA
50273

Opening Hours

Monday 8am - 6pm
Tuesday 8am - 3pm
Thursday 7am - 7pm
Friday 8am - 12:30pm

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