hormone specialist arizona

To learn more about our services, to schedule an appointment in Gilbert or Chandler, Arizona or for answers to your questions, give us a call at 480-525-7747. Scottsdale, AZ 85260. Hormone Therapy in Gilbert, AZ | Life Care For Women My favorite thing about Dr. Smithers is how confident she is in her treatments, and it shows through excellent results. Our email newsletter brings the most important hormone health topics to you. 2023 Balance Hormone Center. She has taken a deep dive into my health and I can already see a difference. She graduated with her Doctorates from Southwest College of Naturopathic Medicine. As a result, traditional HRT was associated with significant risks that were caused by the bodys inability to properly process and eliminate the hormones, resulting in elevated levels of hormones. Sitemap | Accessibility | Website by DOCTOR . Menopause & Hormone Replacement Therapy - Desert West OB/GYN Scottsdale, AZ. We want your dollars to be spent wisely on our treatment methods, whether it is bioidentical hormone pellet therapy, bioidentical progesterone cream, or any other kind of medication. 602 . Every woman is an individual, and likewise, will have to be treated as an individual. I feel better than I have in 30 years, I didn't even know I could feel this good! Physicians & Surgeons, Endocrinology, Diabetes & Metabolism. between hormones is extremely difficult, which is why seeing a hormone specialist is really important. Arizona 85086 Phone 602.978.1500. Contact us at 928-569-7049 or visit us at 9823 N 95th street, Suite # 101, Scottsdale, AZ 85258: Arizona Women's Care Best HRT Doctors in Arizona Diagnosing and treating hormone deficiencies and imbalances in women requires the attention of a physician specializing in adult female hormone replacement therapy. The Hormone Doctor. A custom exercise program and access to our library of exercise videos. Dr. Smithers runs a complete thyroid panel on all of her patients and specializes in optimizing its entire function. Not only is she a great doctor, but she is also an educator who empowers her patients to learn about their bodies. The medical definition for this condition is a reduction in estrogen and progesterone due to decreased ovarian function. Traditional HRT uses synthetic hormones to supplement naturally occurring hormones while bioidentical HRT uses natural hormones to mimic the ones produced in our body. Yuma Anti-Aging and Wellness Center (928) 726-3003 (928) 726-6772. Sreedevi Reddy is an Endocrinologist in Scottsdale, Arizona. 308 Telemedicine Visits I recently saw her after experiencing extreme PMS symptoms for more than 3 months. Men were introduced into Dr. Bartels practice through the women he was treating with bioidentical hormones. Hormone Replacement Therapy Specialist - Phoenix, AZ: David L Scottsdale's Hormone Specialist. Hormone replacement therapy is a highly personalized treatment. If you suspect or know that you have a medical problem, contact your physician or health care provider immediately. The referral is updated daily with physicians who are accepting new patients. Top 10 Best Hormone Doctors in Scottsdale, AZ - Yelp As a hormone specialist, Dr. Smithers uses comprehensive hormone testing combined with a detailed patient report to reveal, understand, and explain the imbalances. Hormone Therapy Specialist - Lifestyle Spectrum Use tab to navigate through the menu items. Location: 14300 N Northsight. Dr. Comstock is proud to offer an advanced, customizable, and controlled mode of HRT available the SottoPelle implantation pellet method, as well as sublingual (under the tongue), topical, and injectable bioidentical hormone options for customized hormone optimization. Trusted Hormone Replacement Therapy Specialist serving Scottsdale, AZ. More than 90% of patients feel better in the. Let Us Help You Find Your Strength, 3530 S Val Vista DrSuite 214Gilbert, AZ 85297, 8575 E Princess DrSuite A-115Scottsdale, AZ 85255. Arizona Endocrinology Center Phoenix, Arizona Once the pellet is in place, it continuously releases just the right amount of hormones to correct your bodys imbalance. They can include weight gain, poor concentration, reduced energy, reduced sex drive, weight gain, and even depression. Our doctors are nationally recognized in the field of BHRT and have received hundreds of hours of additional training in this specialized branch of medicine. Sex hormone imbalances can affect men and women of all ages, leadingto a myriad of symptoms. Always speak with your physician or other healthcare professional before starting any new medication or nutritional, herbal or homeopathic supplement, or using any treatment for a health concern. These can cause you to experience mood changes, insomnia, hot flashes, night sweats, and more. Arizona Bioidentical Doctors will answer your questions and provide you with the general guidance YOU need to help get the best possible results for your specific symptoms, conditions and hormone levels. I'm a licensednaturopathic medical doctor practicing in Scottsdale and Tempe, Arizona. Aside from the usual bioidentical or plant-based hormone replacement therapy, we also provide other treatments. Gender-affirming care with Dr. Taylor doesn't follow a cookie-cutter approach. I wish I'd seen her sooner, because the treatment she prescribed to rebalance by hormones helped me see improvements within my first cycle. To find a specialist near you, please use the search tools below. Age-related decreases in male sex hormones can cause a number of unpleasant symptoms such as weight gain, poor concentration, reduced energy, reduced sex drive, and even depression. Movie Director (The Notebook, John Q, Alpha Dog), Actor and Writer, Estrogen Hormone Replacement Therapy Florida, Causes Of Night Sweats in Men: Low Testosterone, HOW MEN AND WOMEN ARE BOTH AFFECTED BY HORMONAL IMBALANCES, Improves quality of life & overall health, We will discuss your symptoms along with your health and fitness goals, Free post-consult access for any additional questions you may have. Do not disregard professional medical advice or delay in seeking professional advice because of something that you have read on this web site. She has extensive experience working in the field as a Hormone Specialist and Natural Endocrinologist. I kept telling them that I didn't want to take a prescription that wasn't actually treating my concerns, but every time I was left feeling unheard. I absolutely love this place! Feel Good From the Inside Out With Aesthetics, Aging doesnt only affect you on the inside. To know which of them are appropriate for your unique health condition, feel free to consult with our experts. Unlike traditional synthetic hormones, which are structurally different from your natural hormones, bioidentical hormones are safer, more effective, and far less likely to cause unwanted side effects. Community Clinical Pharmacy- Mesa, Tempe, Chandler, Gilbert Compounding Your doctor takes your lifestyle and other factors into account when selecting the best type of hormone replacement for you. Reviews on Hormone Doctors in Scottsdale, AZ - Tara Burke, NMD, Monica Hershaft Holistic Health & Nutrition, Infinite Wellness Hormone Specialists, Andrea Purcell, NMD, Natural Endocrinology Specialists Dr. Linda Khoshaba Hormone replacement therapy (HRT) uses a custom-prescribed supplement ofdeficient hormones to counteract the common negative health effects caused by age-related hormonal imbalances. Dr. Linda Khoshaba completed her undergraduate degree in Health Sciences (Honors) at the University of Western Ontario, Canada. Her office is located in Scottsdale, Arizona, however, patients all around the valley use her as their primary doctor. We are more than happy to answer all your queries about the procedure and its outcome. Nothing stated or posted on this website or available through any services offered by Dr. Jillian Smithers, N.M.D. Explore the journey of Dr. Linda Khoshaba and discover the story behind NES. If you live in the Phoenix area and you're tired of living with hot flashes, night sweats, and low energy, call or book your appointment online today. Trusted Hormone Therapy Specialist serving Tucson, AZ. Understanding the intricacies between hormones is extremely difficult, which is why . Dr. Chavez is internationally known as a specialist in Women's Health, Preventive Medicine, and Bio-Identical Hormone Replacement Therapy. To learn more, call the office or request an appointment online today. The information is not intended to substitute the advice provided by your physician or other healthcare professional. Dr. Linda Khoshaba is the Leading Integrative Health and Hormone Doctor in Scottsdale, Arizona. Home | Dr. Jillian Smithers, NMD HRT products are available in different forms, including pills, patches, suppositories, and gels. Read More. is board certified physician who specializes in bioidentical hormone replacement for men and women. At Arizona Womens Care in Scottsdale, Arizona, the board-certified OB/GYNs and clinical team offer bioidentical hormone replacement therapy to women. We want your dollars to be spent wisely on our treatment methods, whether it is bioidentical hormone pellet therapy, bioidentical progesterone cream, or any other kind of medication. If you'd like to learn more about how my treatments can help unlock your body's innate healing response, I would lovetoinvite you to schedule a free meet & greet with me. Frank Comstock, MD, ABAARM, FACEP, Tucson, AZ, Anti-Aging & Regenerative Medicine located in Tucson, AZ, Vaginal dryness and discomfort during sex. such as elevated or decreased estrogen levels, which can result in hot flashes, decreased libido and mood swings. In Dr. Keaton's extensive experience, when bio-identical hormones are effectively prescribed they can protect against high blood pressure, heart disease, high cholesterol, and osteoporosis. But Genemedics isnt limited to BHRT. We work with men, too, but our practice is built around women. , including two visits to the emergency room for the worst abdominal pain I've ever experienced. Hormone Pellet Therapy Specialists Near Me in Scottsdale, AZ To know more about our hormone replacement therapy in Arizona and its many benefits, read on. What symptoms are associated with decreases in estrogen and progesterone? Dr. Smithers is a naturopathic medical doctor (NMD) specializing entirely in sex hormone, thyroid, and adrenal disorders in women. This is a review for naturopathic/holistic in Phoenix, AZ: "I highly recommend Dr. Burke for any thyroid or hormone health related needs. 40 North Central Avenue, Suite 1400 Phoenix, Arizona, 85004 (480) 939-3082 Get Directions. To find a specialist near you, please use the search tools below. Menopause is a part of aging that will inevitably occur in all women. Latest scientific studies link these chemicals produced by our endocrine system with our physical, mental and even emotional wellness. Bioidentical hormones come in many forms, including pills, troches (a small losenge), and subdermal pellets. Unusual hair growth on the face or body or thinning hair on the scalp. At Life Care for Women, hormone replacement therapy is an optimal treatment to help balance your hormones, elevate your mental state, and boost your sex drive. 25 of the Best Endocrinologists in Arizona, US | MediFind Call Arizona Womens Care or schedule a consultation online today to learn about your treatment options. Trusted Hormone Replacement Therapy Specialist serving Phoenix, AZ. Website. Dr. Linda Khoshaba completed her undergraduate degree in Health Sciences (Honors) at the University of Western Ontario, Canada. Contact us at 928-754-8489 or visit us at 2152 S Vineyard, Suite 138, Mesa, AZ 85210: Center for True Harmony Wellness & Medicine . To know more about our hormone replacement therapy in Arizona and its many benefits, read on. CLOSED NOW. This place is a Godsend. Now, after 3months, my hormones are balanced, my periods are regular, and my cholesterol and blood sugar are better than ever! Yep, that was thirteen different doctors, including two visits to the emergency room for the worst abdominal pain I've ever experienced. The Hormone Doctor. At Embry Women's Health in Mesa, Arizona, our providers our experts in Hormone Replacement Therapy. The thyroid gland regulates every cell in the body, so it's no wonder patients feel poorly when their thyroid isn't functioning properly. This condition results in a string of age-related diseases that may bring inconvenience and even result in serious health conditions that include heart problems and depression. Regenerative medicine can help restore your body from the inside out. As director for The Center for Natural Medicine, she continues to take students for her specialized training in hormone prescribing and alternative therapies. Click here to learn more about anti-aging services in Arizona by the best hormone doctor. This website offers health, wellness, nutritional, and fitness information and is provided for informational purposes only. If you have an underactive thyroid gland, you may have a condition called hypothyroidism. Tucson, AZ 85715. Nick Cassavetes ,60 yrs old His top areas of expertise are Hypopituitarism, Growth Hormone Deficiency (GHD), Pituitary Tumor, Hypothalamic Tumor, and Hormone Replacement Therapy (HRT). Reddy has been practicing medicine for over 29 years and is highly rated in 10 conditions, according to our data. Genemedics prefer to use BHRT because of its effectiveness and compatibility with our body. Many of the changes associated with age are a direct result of declining hormone levels, such as testosterone in men, and estrogen as well as testosterone in women. Dr. Smithers is a naturopathic medical doctor (NMD) specializing entirely in sex hormone, thyroid, and adrenal disorders in women. So happy I found them.. Marlon Alex Guerrero, MD. Anti-aging medicine, using scientific research principles and proven therapies, can be applied that addresses how and why aging occurs, and how to reduce the effects of too-early aging. Dr. Smithers, aka The Hormone Doctor, is a naturopathic medical doctor specializing in sex . We also provide primary care for ages 18 and up. Imbalance and disease. As that goes on, they can't continue releasing those hormones in those same amounts, and the hormone production declines. Dr. Linda Khoshaba is the Leading Integrative Health and Hormone Doctor in Scottsdale, Arizona. Over time, the effects of chronic stress begin to tax our adrenal glands and they respond by increasing cortisol and DHEA production. Gender-Affirming Care Specialist - Phoenix, AZ: DeShawn Taylor, MD Hormone Replacement Therapy in Arizona | Hormone Doctor in Arizona If you're struggling with low energy, brain fog, weight gain, irregular/heavy/painful periods, mood swings, headaches, acne, cravings, low sex drive, hot flashes + night sweats, etc., apply to become a new client to see how The Hormone Doctor can help you. Women age 35 and men age 40 who frequently experience the symptoms of hormone imbalance may consult Genemedics experts for free. Our medical experts at Genemedics have helped thousands of Arizonans experience anti aging benefits associated with bioidentical hormone replacement therapy in, Mitochondrial ORF of the twelve S c (MOTS-c), A personalized nutrition and supplementation program based on extensive test results. Ive lost weight and have a ton of energy. My mission as a naturopathic medical doctor isto help patients, one by one, rebalance their hormones, reduce their stress, and regain their life, invite you to schedule a free meet & greet, Sex hormone imbalances can affect men and women of all ages, leadingto a myriad of symptoms. As a hormone specialist, Dr. Smithers usescomprehensive hormone testing combined with a detailed patient report to reveal, understand, and explain the imbalances. Center . Aging can cause rapid body changes, from that diminishing youthful glow to the loss of energy and libido, to name just a few. Dr. Greenspan will discuss all your options during your office visit so you can select the one thats best for you. I'm sure you know where this is going- that was when I found naturopathic medicine. I'm a licensednaturopathic medical doctor practicing in Scottsdale and Tempe, Arizona. 123 Horner St, Henderson, NC 27536. Your Desert West doctor will work with you to determine the proper level of hormones you need. "I've never had acupuncture before and wanted to give it a try. Dr. Smithers, aka The Hormone Doctor, is a naturopathic medical doctor specializing in sex hormone, thyroid, and adrenal disorders. Based on our years of experience, we only use natural methods like BHRT because of its efficacy. I knew something was wrong, that my digestive system and hormones were imbalanced, but I didn't know what to do, how to address it, or even where to start. To learn more about HRT with bioidentical hormone pellets, call Lifestyle Spectrum today or request an appointment online any time. Dr. Chavez is internationally known as a specialist in Womens Health, Preventive Medicine, and Bio-Identical Hormone Replacement Therapy. Over the next several months, I went to 13 doctors. Understanding the intricaciesbetween hormones is extremely difficult, which is why seeing a hormone specialist is really important. For 100 years, the Endocrine Society has been at the forefront of hormone science and public health. . Typically, patients notice significant symptom reduction within a couple of days, while other benefits of the pellets may take slightly longer to notice. Women age of 35 and men aged 40 who are experiencing the symptoms of hormone imbalance may need to undergo HRT. As you begin to develop menopause symptoms, talk to your physician about them and how they affect your life. These medical issues can result in debilitating symptoms such as pain and swellingsymptoms that threaten to reduce your quality of life. 7. I have so far had great results with her and she is so nice and warm and friendly. All rights reserved. Hospitals: Mayo Clinic-Phoenix Some popular services for naturopathic/holistic include: What are people saying about naturopathic/holistic in Phoenix, AZ? After struggling with hot flashes, night sweats, extremely low energy, zero sex drive, and steady weight gain ever since menopause, I finally found Dr. Smithers. Hormone Pellet Therapy Specialist for Women in Scottsdale, AZ Bioidentical Hormone Specialist in Yuma, AZ | Yuma Anti-Aging and Dr. Keaton first began her investigation of the use of bio-identical hormones while still in medical school. Genemedics has a nationwide network of BHRT therapy centers that consistently rank among the best hormone therapy clinics and, Latest scientific studies link these chemicals produced by our endocrine system with our physical, mental and even emotional wellness. Blvd Ste 124. Watch the video and discover why Linda is the best Endocrinologist in Scottsdale, Arizona. Over the next several months, I went to 13 doctors. Dr. Linda Khoshaba gained her working experience at another local Naturopathic Doctor's Office. Not only can feel like yourself again, you can feel even better than you did before! Arizona Endocrinology Center is a single specialty group of 8 endocrinologists and 3 Nurse Practitioners. 480-376-2176 Female Hormone Replacement Therapy | Phoenix, AZ When the needles were put in I could feel parts of body tingling and she had explanations as to why I had certain block", "Dr Burke is amazing!!! Scottsdale, AZ. Arizona practice, David L. Greenspan, MD, offers several methods of HRT to help women relieve bothersome symptoms and lead healthier lives. Menu. Low Energy | Weight Gain | Insomnia | Brain Fog | Low Sex Drive | Hot Flashes, Night Sweats | Vaginal Dryness | Painful Intercourse | Infertility | Irregular Periods, Loss of Muscle Mass | Decreased Strength | Erectile Dysfunction, Menopause | Andropause | Hypothyroidism | Adrenal Fatigue, Bio-Identical Hormone Replacement Therapy | BioTe Hormone Pellets | Cryotherapy, Cryotherapy Facials & Spot Treatments | Microneedling | Vampire Facials | Injection Therapy, Infrared Sauna | Steam Shower | Herbal Medicine | Acupuncture | Nutritional Counseling, Physician Grade Supplements | Trigger Point Injections |Prolotherapy | Platelet Rich Plasma, Food Allergy Panels | Advanced Diagnostic Labs and Imaging | Comprehensive Hormone Labs. Our physician referral directory is comprised of over 6,500 members of the Endocrine Society, the largest and most influential organization of endocrinologists in the world. Find an Endocrinologist | Endocrine Society Phone: (623) 643-9598 | Fax: (623) 478-0960 Address: 1646 N Litchfield Rd #200 Goodyear, AZ 85395 . What are you waiting for? In this way, bioidentical hormones can function as intended in your body. You can expect your SottoPelle implant to last up to 3-4 months in women, and 5-6 months in men. 1999 - 2003. No more abdominal pain. As early as 35 for women and 40 for men, the rate our body produces estrogen, progesterone and testosterone starts to fall. Movie Director (The Notebook, John Q, Alpha Dog), Actor and Writer, I am now in my mid-sixties and feel better than I did in my 20s. Accepting new appointments. Ph: 480-837-0900. Oftentimes patientshave had their thyroidtested in the past and were told that it was "normal," but it's important to note that within normal ranges, Physician Grade Supplements | Trigger Point Injections |. help reduce the signs of aging, including wrinkles, volume loss and discoloration. 25 of the Best Endocrinologists near Phoenix, AZ | MediFind We believe in using the lowest dose for the shortest amount of time. At Lifestyle Spectrum, anti-aging specialist Dr. Frank Comstock offers comprehensive HRT services, including bioidentical hormones and revolutionary hormone pellet implants, to men and women in Tucson, Arizona, as well as surrounding cities and states. Endocrinology. I kept telling them that I didn't want to take a prescription that wasn't actually treating my concerns, but every time I was left feeling unheard. Call us today for more information or schedule an appointment online . To our valued patients: A friendly reminder that all appointments are booked in Arizona Mountain Standard Time (MST) . Take advantage of services such as: Over time, many of us suffer injuries or illnesses that permanently damage our critical organs and tissues. Our professionals can help you lose extra pounds and keep it off. At my 4-week follow up I felt totally renewed - I was sleeping, I had energy again, and my sex drive was coming back. Once your doctor understands your needs and current hormone levels, they may prescribe bioidentical hormones. Thomas Bickley, DO, and Eericca Bickley, DO, of Arizona Women's Health Partners can help determine whether a patient is near menopause. Click here to learn more about anti-aging services in Arizona by the best hormone doctor. 2021 by Dr. Jillian Smithers, NMD and AZ Hormone Specialists, LLC. Accelerating Breakthroughs & Improving Care. No more bloating when I ate or drank anything. What are some popular services for naturopathic/holistic? The Hormone Doctor. The Best Endocrinologists in Phoenix, AZ | US News Our team is dedicated to helping you experience full-body health again. Whether you need relief from diabetes or want to improve your self-confidence, were here to support you. To correct this health condition, doctors recommend hormone replacement therapy in Arizona by Genemedics. Based on our years of experience, we only use natural methods like BHRT because of its efficacy. So grateful to Dr Cafaro for his expertise & time he takes to explain everything & address all my questions. Led by George Shanlikian, M.D.a leader in HRT and other kinds of hormone therapyGenemedics offers the best natural hormone replacement medications in our Arizona hormone therapy clinics. Diabetes, Metabolism & Endocrinologists Near Me in Maricopa, AZ No more abdominal pain. Copyright Genemedics Health Institute. Anti-aging medicine, using scientific research principles and proven therapies, can address how and why aging occurs as well as how to reduce the effects of aging too early. Thyroid, Osteoporosis & Bone Metabolism Medicine, Diabetes, Parathyroid. The use of any information provided on this website is solely at your own risk. Yes, hormone replacement therapy is safe. Dr. Bartels primary focus is to provide the most up to date medical care and procedures for his patients in a warm, caring, and friendly atmosphere. Dana Keaton, N.M.D., L.A.C. The Arizona Womens Care team uses several steps to ensure that hormone replacement therapy is right for you and that they prescribe the correct dose. To supplement the loss in hormone production, doctors use either traditional (synthetic) HRT or BHRT. During this period, symptoms become more prominent, making life around 50 difficult. She explained the differences between normal and optimal lab ranges and put me on thyroid hormone and bio-identical hormone replacement, which completely changed my life. To correct this health condition, doctors recommend hormone replacement therapy in Arizona by Genemedics. Many patients seek Dr. Keatons expertise not only because of her excellent medical skills and knowledge but also because she will listen. At hormone replacement therapy clinics in Arizona such as Genemedics, we offer a wide range of hormone replacement therapy medications. This procedure will ensure that we give the appropriate hormone replacement medications or plant-based hormone replacement therapy at our hormone therapy clinics and testosterone clinics before we charge them. In addition to having an initial evaluation to ensure HRT is a good option for your needs. She took the time to explain what was going on in my body and how my hormone imbalanceswere causing my symptoms. Continuous testing throughout the program to monitor your health status. within the United States and abroad. Your body needs a precise amount of each hormone to stay in balance and support your health. Book Online | The Hormone Doctor After meeting Dr. Smithers, she checked my hormones and explained exactly what was going on so I could understand. We are a functional and integrative medical practice located in sunny Tempe, Arizona, led by our CEO and founder, Dr. Jillian Smithers, a.k.a. I am so excited I found her. She was one of the first physicians who received the Fellow of the American Board of Naturopathic Endocrinology (FABNE) specialization certificates. Perks of this hormone therapy at our Gilbert, AZ facility include: Improving sexual performance and libido Diminishing or stopping hair loss Boosting overall energy To learn more about our treatments, contact the best hormone doctor in Arizona at Genemedics. Hormone imbalance is common among men and women, resulting in a host of unpleasant symptoms that too many people accept as normal signs of aging. Contact us at 602-562-5924 or visit us at 600 W. Thomas Road, Phoenix, AZ 85013. Scottsdale Bioidentical Doctor - Russell Bartels, M.D. These include male anti-aging hormone therapy, natural progesterone therapy that uses bioidentical progesterone, bioidentical thyroid medication, and bioidentical hormone therapy for weight loss. Arizona Bioidentical Doctors - Hormone Doctors Arizona The thyroid gland regulates every cell in the body, so it's no wonder patients feel poorly when their thyroid isn't functioning properly. Thank you Dr. Smithers! Clinic Location 8415 North Pima Road, Suite 210 Scottsdale, AZ 85258 Schedule an Appointment 800-775-4902 EXT. Our clinic is conveniently located at 7373 N Scottsdale Road, Suite B270 . These symptoms include decreased energy levels, fatigue, weight gain, decreased sex drive, decreased concentration and memory, as well as difficulty in sleeping. HRT can help women address a variety of common symptoms and problems, including: For men, HRT means optimizing testosterone levels, which declines gradually starting at about the age of 30. Switching my health program and hormone replacement therapy regimen over to Genemedics was one of the best decisions Ive ever made in my life! Dr. Bartels has been caring for patients in the Scottsdale/Phoenix area since 2002, initially with a focus on ob/gyn care.

Park Pizza Menu Waterbury, Ct, Rutherford County Schools Graduation Dates 2022, Kansas Unsolved Homicides, 100 Sockanosset Cross Road Vaccination, La Crescenta Elementary School Calendar, Articles H

hormone specialist arizona