Institute for Hormonal Balance and BioTE

Top Docs 2021 - Mandy Cotten, DNP, APRN, FNP-C
Photo by Lauren Medean

By Meredith Knight

Last year was a tough year for everyone but even more so for the thousands of men and women who are experiencing daily fatigue, unexplained weight gain, mood changes, and feelings of discomfort due to hormonal imbalance. Dr. Mandy Cotten, FNP-C has made it her life’s work to address these symptoms—and others—by helping balance hormones so her patients regain the vigor and good health they once enjoyed. And they couldn’t be more grateful.

Patients extol the care they receive at the Institute for Hormonal Balance in online reviews such as:

“Dr. Mandy Cotten is a compassionate, kind, smart, and knowledgeable provider. She’s an example of what comprehensive care really looks like.”

“I’ve been going to them for years. I live 40 minutes away and would never consider going anywhere else.”

“The treatment has given me back a quality of life I didn’t think was possible. I love the staff and the service is professional and world class. I’ll keep making the trip from Australia as I can’t imagine life without this medical support.”

For many, the journey toward wellness begins by restoring the natural balance of their hormones with BioTE Medical’s method of bioidentical hormone replacement therapy (BHRT), helping ease their symptoms for physical, mental, and emotional wellness. For her female patients, Dr. Cotten begins with an annual well-woman exam offering her patients the chance to ask questions, discuss their symptoms, and make sure their body is operating the way it should. “I’m passionate about longevity but also about optimal wellness and quality of life,” she said. “My goal is to empower male and female patients to make informed, savvy decisions about their own healthcare.”

Dr. Cotten completed her doctorate in Nursing at Loyola University in New Orleans with clinical training at both JPS and Baylor. She is certified through the American Association of Nurse Practitioners (AANP). She has performed over 15,000 pellet procedures, making her one of the most experienced in pellet procedures within the BioTE network. She also offers aesthetic services, including Botox, dermal fillers, and SlimShots, weight management, vaginal rejuvenation, SkinPen, Emsella for incontinence, PRP injections for sexual wellness, and skin tightening, so patients look as good as they feel. Last year Dr Cotten decided to add IV hydration and vitamin therapy to her extensive list of services due to the immune boosting effects of this type of treatment. She is expanding her office in March 2021 to have an IV hydration center that is open 5 days a week.

As clinical director at BioTE, Dr. Cotten helps train others in the importance of hormone optimization to assist patients in achieving the highest quality of life. The clinic at BioTE trains over 70 practitioners and their staff monthly. Dr. Cotten was also invited to present at the North Texas Nurse Practitioners Association on Hormone Optimization and was selected as a Top Family Nurse Practitioner by the International Nurse Association. When not on the job, she enjoys family time with her husband, Casey, and their two children.


4224 Park Springs Boulevard, Suite 100
Arlington Texas 76017

1875 West Walnut Hill Lane, Suite 100
Irving, Texas 75038

(817) 467-7474