Meet Our Team
Hormone Specialist in Arlington
The Experts Behind Your Care
Our team is led by hormone expert, Dr. Mandy Cotten, APRN, FNP-C. She leads the team with longstanding experience and expertise that ensure our patients receive the best care possible. From our aestheticians to our hormone specialists in Arlington, our team is here to use their expertise to ensure you can restore balance to your hormones.
Providers
Mandy Cotten
Owner, DNP, APRN, FNP-C
Mandy Cotten
Owner, DNP, APRN, FNP-C
Mandy is the owner and a Family Nurse Practitioner at the Institute for Hormonal Balance in Arlington, Texas. Mandy feels privileged to follow in her father’s footsteps — Gary Donovitz, MD, taking care of the patients he has cared for since opening the practice in 1985.
Mandy graduated from Texas Christian University in 2006 with a Bachelor of Science in Psychology and a Bachelor of Science in Nursing in 2010. While working as a Registered Nurse for five years at John Peter Smith Hospital, Mandy completed her Doctorate in Nursing Practice at Loyola University in New Orleans. Mandy served on the Clinical Advisory Board for BioTE Medical for eight years and was the Director of Clinic and Research for BioTE. During her time with BioTE, Mandy was involved in the training of over 4,000 practitioners internationally and became a published author –She & Dr Gary Donovitz wrote “Breast Cancer Incidence Reduction in Women Treated with Subcutaneous Testosterone: Testosterone Therapy and Breast Cancer Incidence Study” which was published in the European Journal of Breast Health in 2021.
Mandy is passionate about helping her patients find the best plan of care for them and involving patients in their health and decisions surrounding it. Mandy’s goal is to help patients feel the best that they can feel and be educated about their decisions. Mandy loves teaching and research. She currently serves on the board for Formula 30A CBD company, speaks on thyroid management for Acella Pharmaceuticals, and is available for interviews and speaking engagements.
When not caring for patients and running the office, Mandy loves spending time with her family, including her two children, Rylie & Ashton, and her husband, Casey.
Gary Donovitz
MD
Gary Donovitz
MD
Gary Donovitz, MD, is an obstetrician, gynecologist, and hormone specialist in Arlington and Prosper, Texas. He has decades of medical experience and is the founding physician of the practice.
Dr. Donovitz founded his private practice in 1985. He provides top-quality care to men and women from all walks of life. He is also the founder, chairman, and medical director of BioTE® Medical, the largest provider of natural hormone pellet therapy in the United States.
He trains physicians and other healthcare providers nationwide on how to correctly use bioidentical hormone pellet therapy.
Dr. Donovitz has been the leader in innovative bioidentical hormone replacement therapy for more than 20 years, changing the course of health care using individualized, comprehensive hormone optimization methods.
Having performed more than 50,000 pellet insertions, he lectures internationally about subcutaneous hormone pellet therapy and has trained nearly 4,000 practitioners in pellet insertion. Dr. Donovitz is also a pioneer in robotic surgery. He has trained physicians nationwide on how to utilize procedures using this cutting-edge technology.
He graduated from the University of Texas Health Science Center at San Antonio Joe R and Teresa Lozano Long School of Medicine in San Antonio. Dr. Donovitz completed his residency at Louisiana State University Health Sciences Center in New Orleans and is affiliated with USMD Hospital at Arlington in Texas.
He received the Isadore Dyer award for best teaching resident while studying at Tulane University in New Orleans. He’s a fellow in the Royal Society of Medicine, a fellow in the American College of Obstetrics and Gynecology, and the medical director of the Institute for Hormonal Balance.
Dr. Donovitz and BioTE® Medical are committed to helping patients feel better at every age, as hormone balance allows them to thrive during every season of life. He welcomes them to the Institute for Hormone Balance.
Kara Kramer
MSN, APRN, FNP-C
Kara Kramer
MSN, APRN, FNP-C
Kara is a Family Nurse Practitioner that has been at the Institute for Hormonal Balance in Arlington since 2021. Kara is a bioidentical hormone specialist who loves creating treatment plans that help her patients look and feel their best. She aims to empower her patients to take control of their health by providing them with the support, guidance, and tools they need to reach their goals.
Kara completed her Bachelor of Science in Nursing at Newman University in Wichita, Kansas, and then worked in the clinical setting for several years before returning to school and earning her Masters of Science in Nursing at Wichita State University in Wichita. She’s a board-certified Family Nurse Practitioner through the American Academy of Nurse Practitioners (AANP). Kara received her BioTE certification in 2020. She enjoys spending time with her husband, Travis, and two children, Joey and Khloe traveling and spending time at the lake.
Kylie Bunner
DNP, APRN, FNP-C
Kylie Bunner
DNP, APRN, FNP-C
Kylie is a family nurse practitioner that has been with the Institute since 2017. She specializes in hormone balance and disease prevention at the Institute for Hormonal Balance in Arlington and Prosper, Texas. Kylie provides compassionate and individualized care, creating plans that give her patients great long-term results.
After earning her Bachelor of Science in Nursing at the University of Central Oklahoma in Edmond, Oklahoma, Kylie completed her Master of Science in Nursing, Family Nurse Practitioner (MS-FNP) at Texas Women’s University in Denton, Texas.
Kylie continued her education, completing her Doctor of Nursing Practice at the University of Alabama in Tuscaloosa, Alabama, and is board certified by the American Academy of Nurse Practitioners (AANP).
Kylie has been a certified Sottopelle Texas and BioTE provider since 2012 and previously served as a proctor for BioTE Medical for 10 years where she assisted other providers in learning safe hormone replacement and pellet therapy.
Kylie lives in Prosper with her husband, Eric, and their three children, Avery, Kirby, and Rigley. Outside the office, Kylie enjoys exercising, watching sporting events, and spending time on the lake with her family.
Amy Dean
MSN, APRN, WHNP-BC
Amy Dean
MSN, APRN, WHNP-BC
Amy has been a Nurse Practitioner with the Institute for Hormonal Balance since 2024. While new to the Arlington practice, Amy worked with Mandy and her team at BioTE Medical for 4 years as a clinical trainer for pellet therapy and is an expert in this treatment.
Amy completed her Bachelor of Science in Nursing at the University of Texas in Arlington in 1997. While attending school, Amy worked at Baylor Hospital in Labor and Delivery for 6 years until she completed her Masters of Science from Texas Woman’s University and graduated in 2003 as a Nurse Practitioner. She is Board certified through the National Certification Corporation. She has over 20 years of experience as a Nurse Practitioner, with an expertise in hormones, health, and preventative medicine. She has a passion for teaching both patients and other providers alike.
Amy enjoys spending time with her three beautiful teenage daughters and continues to stay active with her own health and wellness. They have all accomplished black belts together in taekwondo. Amy has competed in many triathlons including the Ironman in Boulder and now continues with her journey in health and wellness in figure competitions
Registered Nurses
Kim Ingram
Nurse Injector
Kim Ingram
Nurse Injector
Kim is one of our highly experienced aesthetics nurses at the Institute for Hormonal Balance. She has more than 31 years of nursing experience, including 29 years of experience in women’s health and 4 years in intensive care units (ICUs), and 8 years as a nurse injector.
Kim has received advanced training through Allergan obtaining certifications in the Juvederm ® line of dermal fillers as well as Botox and other neurotoxins. Her calming, gentle, caring personality makes patients feel at ease during their treatments. Kim develops personalized plans that enhance patients’ natural beauty without the need for surgery or other invasive procedures. She enjoys helping patients achieve the self-confidence and quality of life they deserve. When not in the office, Kim enjoys attending church, and spending time with family and friends, including her husband and 2 fur babies.
Brandy Ray
Nurse Injector
Brandy Ray
Nurse Injector
Brandy is one of our highly experienced aesthetic specialists at the Institute for Hormonal Balance in Arlington. She has over 23 years of experience in the medical field, 12 of which she spent running her own aesthetics business while also being the director of the Emergency Department. Brandy tailors each patient’s treatment to restore their youthful appearance, health, and well-being. Brandy has studied and trained to perform aesthetic procedures in California, Colorado, Dallas, and Florida.
Her main focus is to make her clients look fresh and naturally young without a plastic finish and is committed to making sure patients stay completely comfortable during their treatments. Her theory is that if her clients are comfortable, then the results will be better, making the whole experience amazing! Brandy also loves to teach and is able to keep her clients informed on current options and choices so that they know and feel confident that they have chosen exactly what they want.
In her free time, she loves to travel, exercise and drag race her dragster.
Becky Vanicelli
Nurse Injector
Becky Vanicelli
Nurse Injector
Becky Vanicelli, RN, is an accomplished nurse specializing in facial aesthetics, Hormone Replacement Therapy (HRT),Vampire and GainsWave procedures, which improve sexual health for both women and men. Becky’s goal is to work with you to enhance your quality of life, living, relationships, and self-confidence by creating a plan tailored to your individual needs.
Becky graduated from Wayne State University with a Bachelor of Science in Psychology and soon realized her calling in nursing. After completing her nursing degree, she held various positions before settling into Labor and Delivery. Following 17+ years in this field, she shifted her focus to HRT, sexual health, and aesthetics. In 2012, she founded Ageless Expressions MedSpa in Littleton and Golden, Colorado, achieving top rankings in all services.
She has received extensive continuous training in facial injectables, becoming a Platinum Provider for all Allergan facial injectables. Becky is also highly trained in hormone optimization for both men and women and holds certifications from GainsWave and the Cellular Medicine Association. Additionally, she has experience training fellow providers to include nurses, Nurse Practitioners, and Physicians.
Recently, Becky relocated to Westlake, Texas, and is joining the Institute for Hormonal Balance. She has two daughters and is eagerly anticipating her first grandbaby.
Diane Pierce
Infusion Specialist
Diane Pierce
Infusion Specialist
Diane Pierce is a Registered Nurse who has been with the Institute for Hormonal Balance since 2022 and specializes in IV Infusion therapy. Dianes’ past experience includes critical care, cardiology, oncology, infusion centers and surgical tours throughout Guatemala. Diane enjoys being part of a program that supports and promotes health and wellness. Diane volunteers as a Texas Master Naturalist and spends her free time camping around Texas in her teardrop camper with her Corgi sidekick, Lola.
Support Staff
Jasmine Montalvo
Office Manager
Jasmine Montalvo
Office Manager
Jasmine began her career at the Institute for Hormonal Balance in 2020 as a patient coordinator and now manages the office. Jasmine attended Tarleton State University where she graduated with her Bachelor’s degree in Business Administration with an emphasis in Management in 2022.
Jasmine oversees daily administrative functions, helps coordinate patient care, and leads a dedicated team. She is committed to fostering a productive and compassionate healthcare experience.
Jasmine’s favorite services at IHB are pellet therapy and all of our aesthetics options. In her free time, she enjoys time with her family, friends, and pets and also loves trying out new restaurants around town.
Priscilla Long
Patient Coordinator - Arlington
Priscilla Long
Patient Coordinator - Arlington
Priscilla is the friendly face that will greet you when you arrive to our Arlington office. Priscilla has been with the Institute for Hormonal Balance since 2011.Priscilla loves to help everyone she meets to feel valued. Priscilla’s favorite service at IHB is ZO Skincare. In her free time, Priscilla enjoys spending time with her son, Chance, and of course shopping!
Julie Perkins
Patient Coordinator - Medical Assistant
Julie Perkins
Patient Coordinator - Medical Assistant
Julie is a Nationally Registered Certified Medical Assistant and one of our patient coordinators. Julie graduated as Valedictorian from Everest College in 2012, and worked in family practice for 6 years before beginning her time with IHB in 2017. Julie loves to discuss nutraceuticals with our patients, and making sure they are well educated in our recommendations and services. Julie enjoys spending free time with her husband Michael, friends, and family, and their 2 chocolate labs, Libby & Luka.
Lexi Calvin
Skin and Laser Specialist
Lexi Calvin
Skin and Laser Specialist
Lexi is a dedicated and highly skilled professional in the beauty and skincare industry that has been at the IHB since April 2023. She graduated from Ogle School as a licensed Cosmetologist with a specialization in esthetics. With a passion for helping patients achieve their best skin, Lexi furthered her expertise by becoming a ZO Skin Health Expert. In addition, she has completed advanced training to become a licensed Laser Technician. Lexi’s commitment to continuous learning and excellence ensures that her patients receive the highest standard of care and results. Lexi’s favorite services at IHB are Potenza, Vampire Facial, and Emsculpt NEO. When she is not in the office, she enjoys spending time outside and spending quality time with her husband and kids.
Alexis Mosley
Patient Coordinator - Medical Assistant
Alexis Mosley
Patient Coordinator - Medical Assistant
Alexis is a Certified Medical Assistant and has been with the Institute for Hormonal Balance since April 2024. Alexis attended Texarkana College where she received her medical assistant certification in 2019. You will always see her around the office with a big smile on her face while helping patients. Alexis’s favorite thing at IHB is the amazing variety of nutraceuticals. In her free time, Alexis enjoys camping, being outdoors, and spending time with family and friends and especially her baby boy.
Tammy Duncan
Medical Assistant
Tammy Duncan
Medical Assistant
Tammy has been a Registered Medical Assistant for over 30 years. She served 8 years in the United States Army before she joined the Institute for Hormonal Balance in 1999. Tammy has a true passion for helping patients. Tammy’s favorite service at IHB is pellet therapy and the O-Shot/P-Shot. In her free time, she loves spending time with her children and grandbabies and also enjoys fishing and gardening.
Kylie Ryals
Medical Assistant
Kylie Ryals
Medical Assistant
Kylie is a medical assistant and has been with the Institute for Hormonal Balance since March 2012. Kylie enjoys getting to know the patients and being able to help them look and feel their best. Kylies favorite services at IHB are Emsculpt NEO, Laser Hair Removal and Vitamin Injections. In her free time, she enjoys spending time with her husband, son, and nieces and nephews.
Nicki Munson
Medical Assistant
Nicki Munson
Medical Assistant
Nicki is a Registered Medical Assistant that has been with IHB since September 2023. Nicki attended Sanford Brown College in Fenton, Missouri where she obtained her RMA. Nicki spent ten years in Women’s Health before joining IHB and really enjoys connecting with patients through her compassion of making sure they feel understood and well taken care of. Nicki’s favorite service at IHB is Neurotoxins! In her free time Nicki loves to watch sports and hang out with her dad and her niece Skylar. She’s a dog mom of three wonderful dogs who always make her smile.
Karin Solis
Medical Assistant
Karin Solis
Medical Assistant
Karin is a certified Medical Assistant and has been with the Institute for Hormonal Balance since 2023. Karin attended Tarrant County College where she received her medical assistant certification in 2021. Karin loves being part of the IHB family. Karin’s favorite service at IHB is IV Therapy. In her free time, you will find Karin in the soccer fields watching her kids play.
Kelli Fears
Patient Coordinator - Prosper
Kelli Fears
Patient Coordinator - Prosper
Kelli is the patient coordinator for the Prosper office. Kelli has been with the Institute for Hormonal Balance since 2024. Kelli is a recent graduate from the Collin College’s Health Information Program. Kelli enjoys making connections with patients and assisting them in their health journey. In her free time, Kelli loves spending time with her husband and adult children, hiking, swimming and canoeing.
Tina Robles
Phlebotomist
Tina Robles
Phlebotomist
Tina is the most amazing phlebotomist who has been with CPL (Clinical Pathology Laboratories) since 2014 and has worked with the Institute for Hormonal Balance since 2016. She loves meeting new people and giving them a positive experience while getting their labs drawn. In her free time, Tina enjoys spending time with her family and watching movies.
About Our Practice
First opening its doors in 1985 as an OBGYN, The Institute for Hormonal Balance has since grown to encompass much more, including aesthetics, wellness, and hormone therapy.
Our goal ever since opening has been to help our patients restore balance to their health. By expanding our services, we’ve helped many more patients feel more confident in how they look and feel, making us the one-stop-shop for your healthcare and med spa needs.
Come See Us!
Come see our nurses and hormone specialists in Arlington by scheduling a consultation to find your unique aesthetic and wellness solutions.