Podcasts about Estradiol

In this powerful episode, I was interviewed by Rita De Michele, host of Beyond Diagnosis Podcast and the founder of Beyond Diagnosis Directory, a platform connecting people worldwide with trusted functional, integrative, holistic health professionals and mindset coaches.With a background in Master-level NLP and emotional empowerment, Rita bridges mindset, innovation, and healthcare to help people discover root-cause solutions and new pathways to healing beyond conventional approaches.A passionate advocate for “our health, our choice,” she is building a global movement that empowers both practitioners and health seekers to collaborate toward genuine healing and lasting wellbeing.For too long, couples have been told:“You've been trying for 12 months. You're infertile.”But what if infertility isn't a final diagnosis — it's a symptom?In this conversation, I break down the truth about fertility testing, hormone cycles, and the deep connection between your body's sense of safety and your ability to conceive. You'll discover why so many lab tests are done incorrectly, how toxins and lifestyle play a role, and what your doctor might have missed.⏱️ Timestamps00:00 – Intro: The Fertility Conversation You Need to Hear04:12 – Why infertility is often misdiagnosed09:35 – How most hormone labs are done at the wrong time13:00 – The truth about IVF and why it's not the first solution18:25 – What your fertility labs should actually include (FSH, LH, Estradiol, AMH)25:10 – Infertility as a symptom, not a diagnosis30:45 – Environmental toxins that silently affect reproduction (BPA, phthalates, glyphosate)38:10 – How GMO and seedless foods can harm fertility45:20 – Lifestyle factors that sabotage fertility without you realizing52:00 – Thyroid, Hashimoto's & methylation issues: the hidden root causes1:03:15 – Male fertility: why sperm health matters just as much1:15:00 – The 4R Method: Reveal, Remove, Rebalance, Receive1:25:40 – The “safety signal” that helps your body conceive naturally1:32:00 – Simple daily fertility practices you can start today

Schaue dir das Video zu dieser Folge auf YouTube anund abonniere gleich den Kanal, um keine neue Folge mehr zu verpassen!ZusammenfassungIn dieser spannenden Episode spricht Julia mit Dr. Julia Wilke, leitende Ärztin am Health Performance Institut in Innsbruck und Spezialistin für Langlebigkeitsmedizin. Sie beleuchten die Wahrheit über bioidentische Hormontherapie und räumen mit alten Mythen auf. Du lernst, dass Geschlechtshormone wie Progesteron, Estradiol und Testosteron weit über die Fortpflanzung hinausgehen – sie sind unerlässlich für Hirnleistung, Schlaf, Psyche, Immunsystem und Darmfunktion. Schlafstörungen, Gereiztheit, Ängste, Hitzewallungen oder Gewichtszunahme – all das kann auf eine Hormondysbalance hindeuten.Dr. Wilke erklärt, warum Frauen heute etwa 40 Jahre in einem Hormonmangelzustand leben, was zu zahlreichen Beschwerden und langfristigen gesundheitlichen Risiken wie Osteoporose, Herz-Kreislauf-Erkrankungen und Demenz führt. Wir tauchen tief in die Problematik des Progesteronmangels ein, der oft schon bei jungen Frauen zu starken PMS-Symptomen führt, und verstehen die Zusammenhänge der Östrogendominanz in der Prämenopause.Ein zentrales Thema ist die Entmystifizierung der Angst vor Hormontherapien, die oft auf der Fehlinterpretation der Women's Health Initiative (WHI) Studie basiert. Dr. Wilke betont, dass eine physiologische und humanidente Hormonersatztherapie, mit regelmäßiger Kontrolle der Werte, nicht nur sicher ist, sondern die Gesundheit erhält und sogar die Sterblichkeitsrate senkt. Du erfährst, wie bioidentische Hormone aus Pflanzenstoffen gewonnen und im Labor so aufbereitet werden, dass sie für deinen Körper nicht von selbst produzierten Hormonen zu unterscheiden sind. Die Expertin gibt auch Einblicke in pflanzliche Unterstützungen und erklärt, warum sie bei einer Krebserkrankung in der Vorgeschichte aus Vorsicht von einer Hormontherapie abrät.Unterstützt durch Patent WheyDiese Folge wird durch Dr. Priemer Patentwhey ermöglicht. Das vollständig durchfermentierte Proteinpulver mit 20 freien Aminosäuren - keine langen Ketten, sondern direkt verfügbare Bausteine. Das bedeutet: extrem schnelle Aufnahme, maximale Bioverfügbarkeit und null Verdauungsprobleme. Falls Whey-Produkte dir Blähungen oder Magendruck machen, probier das. 1 Esslöffel reicht für optimale Versorgung. Leicht, bekömmlich, wirksam.*10% RABATT mit dem CODE TULIPAN**Was du in dieser Episode lernst

Episode 161.2: Pharmacies, Peptides, BPC 157, Intestinal Flora, Zone 2 Cardio, Ethinyl Estradiol, Rebel Distillers Collection, and Hog Hunting

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog This Blog post is for mature women to read.  If you feel embarrassed by sex or offended that I am addressing these genuine female concerns, please skip this Blog. Among the many questions I have received, I am sharing a few with you in case you also have these questions but are hesitant to ask when you visit your gynecologist's office. At BioBalance Health, our doctors conduct consultations with new patients and follow-up visits that last an hour. During these consultations, patients are free to ask questions about their health including sexual questions.   The atmosphere in our office is open to all questions, and the doctors offer hour-long visits, fostering a supportive environment for discussing embarrassing sexual situations, asking awkward questions, and addressing concerns about sexuality and aging. I am going to offer some of the questions I have been asked and the answers that I give to my patients who ask. Question 1:” Am I normal to think about sex and fantasize about having sex all the time now that I have testosterone pellets?” Yes, that is normal and healthy to think about sex…humans are sexual beings and thinking about or planning to have sex with your partner is normal.  After Testosterone pellets are inserted for the first time, they have magnified sexuality for a few weeks.  After that the sex drive of a patient goes back to what was normal for them when they were at their prime. Testosterone is necessary for a person, women and men to have a sexual drive. Those women and men who have had a healthy sex life before their testosterone was lost can still have sex, on their usual schedule, but what we think of sex DRIVE, won't be there without T….just the habit of having sex will make them continue to have an active sex life.  Question 2: “Before pellets I didn't have any discharge in my underwear, and I thought that was a benefit of menopause but now I experience wetness/slight white discharge Am I OK?” When women are mature and have fertility, (women between 12 years old and menopause) have some discharge clear or white in their underwear.  It is from the vagina, and it is a way of the vagina cleansing itself. Without the hormones estradiol and testosterone, as in menopause and when a woman takes low dose birth control pills, the vagina dries up and doesn't “cleanse itself”. Vaginal lubrication stops, so does vaginal discharge, and painful intercourse is a real problem for women after they are not producing estradiol or replacing it with HRT. Experiencing normal vaginal discharge is a small price to pay to comfortable sex and a good sex drive. If the discharge changes, please watch or read my last Healthcast #685 or blog #685 to determine if you need to see a Gynecologist. Question 3: A question women ask me before they experience replacement of testosterone and estradiol. “Do I have Alzheimer's disease?  I'm only 50 and I can't remember things. I lose words and I am always late because I can't remember appointments.” One of the most important benefits of taking testosterone by pellet insertion is that my patients usually get their brain back!  It is rare that anyone who is having trouble with their memory before age 55 is really starting to have an early onset dementia. By taking Estradiol and Testosterone pellets my patients regain their normal brain function in the first 8-12 months.  Those women who are still struggling with memory after taking Estradiol and Testosterone Pellets should be evaluated by a psychiatrist or neurologist to test them to see if they are having the beginnings of a type of dementia. The sooner a person takes TE hormone pellet replacement, the longer they will have a clear and functional mind.  If a woman takes T and or E2 pellets, they can delay the genetic onset of dementia by 10 years. That means if genetically you were wired to lose your ability to think at age 70, then you should get a ten-year delay in the onset of your dementia. E + T pellets are the only treatment I know can preserve your ability to think 10 years longer than if you didn't take them within 10 years of losing your Estrogen and Testosterone (around age 45).  Question 4: “Now that I have pellets, I have great orgasms but I produce a lot of fluid when I come.  Is that normal?” Yes. Estrogen increases vaginal wetness, and lubrication for sex. Testosterone stimulates the sensitivity of the area around and inside the vagina. Testosterone pellets are the only form I have heard of that can cause vaginal ejaculation, or forceful production of fluid from the vagina.  Not everyone experiences this phenomenon, and some women love it as do their partners, and other women dislike it because it makes sex messier than usual. It is a testosterone dose dependent action, and lowering the T dose in pellets can decrease the response to sexual stimulation. Question 5: “My husband can't keep up with my sex drive.  I have the same drive as I had when I was younger, but he is not able to keep up with my libido.  What can I do?” My response has several options because every sexual partnership is different. You can use vibrators or sex toys to stimulate yourself. He can use the same toys to engage in sexual activity with you. You can lower your dose of T pellets to decrease your sex drive. You can invite your husband to visit us or another Pellet practice to have his level of T and Free T checked and replaced if it is low and he is a good candidate. Question 6: “My husband likes me to give him oral sex. I like it, but what do I do with the semen he produces? The eternal problem:  to swallow ejaculate or not.  You can only decide this for yourself and if you are uncomfortable with this, then have a washcloth or Kleenex handy to handle the fluid. Question 7:” I have had pellets for a year now, and I have never been so happy, and I feel young again, but my gynecologist examined me and said I had an enlarged clitoris, and she told me to stop pellets because of that!  I don't get it!  It doesn't bother me; why is she so upset? What should I do?” Your GYN is clearly not educated in hormone therapy using T pellets. She also seems to be uncomfortable with her own sexuality if she cannot see the benefit of having a clitoris that is slightly larger than normal, so it is easy for a partner to access.  She may be recalling something from residency, that we were taught: “An enlarged clitoris is a sign of an ovarian tumor, and these tumors secrete high levels of testosterone-like hormone. This is not the same as a slight enlargement of the clitoris that is normal with T replacement. She has not considered that you are receiving Testosterone to replace what you are no longer producing. When we no longer make testosterone at fertile levels, our clitoris shrinks so small that it can hardly be found. Testosterone reverses that change reviving the size and function of the clitoris. Honestly, the change is minimal, and the size of the clitoris varies based on a woman's genetics and testosterone levels before the age of 40.  The natural shrinkage of the clitoris after menopause corresponds with low levels of testosterone, along with the loss of clitoral sensitivity, which can lead to a decrease in orgasms!  We are sexual beings, and testosterone is essential for sexual function. The ignorance of your gynecologist is both sad and common.  In the last 20 years, there has been no training for OBGYNs in sexuality or hormone replacement during menopause.  There is complete ignorance regarding treating women with testosterone. As in the general population that has a subset of people who are sexually inhibited, the group of board certified gyns carry their own attitude into the treatment room. Clitoral orgasms are the most common type of orgasm in women. After menopause, they can disappear without testosterone stimulation.  That will stop sexual pleasure completely. Most of my patients don't complain about having a visible clitoris, and they say “I can see my clitoris again and my husband can find it now! It makes sex great again.” Question 8: “My internist asked me why I wanted to have sex now that I am old!  I'm 45! I am changing doctors, but what was she thinking?  Again, the training of normal sexuality in residency programs is minimal.  She might also be sexually unaware or inhibited, as she revealed when she told you that it is not normal to have sex as we age (over 40); clearly, she does not view it as an important part of her life, so it shouldn't be an important part of yours! Question 9: “Now that I am having sex again, I am shooting fluid out when I climax!  What is that and where does it come from?  By the way, my husband loves it!” This phenomenon is called “female ejaculation,” and it is a normal, yet uncommon, part of great orgasms.  Women can produce fluid through transudation via the vaginal wall (which is incorrectly dubbed “vaginal sweating”).  There are no sweat glands in the vagina; the fluid comes from the abdomen and is known as peritoneal fluid.  When a woman orgasms, her vagina contracts, and this fluid squirts out of the vagina with force. The second source of fluid is the Skene's glands, which are small glands located on either side of the urethra (the opening that leads to the bladder). They don't produce a large amount in most women, but it is possible for them to “squirt” fluid with force. Most men find this gratifying, as an unspoken sign that they did a great job.  Women may find it upsetting and ask me to decrease their testosterone levels to lessen the likelihood of “making a mess” when she has sex; however, this also decreases the orgasmic experience. I will keep collecting questions that my patients ask me in my office to offer a continued version of “Embarrassing Questions” in future blogs. I hope this helped you answer some of your unanswered questions!

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog If you are female who is menopausal and you have experienced your OBGYN or internist drawing your blood to check your hormone levels, (Estradiol, and LH and FSH) to see if you are menopausal or to see what your estradiol level is while on HRT, you may have heard your doctor tell you that your estradiol level is too high. That is what I would like to talk about today….. This often occurs when my patients take the blood work I order to another doctor who doesn't know anything about estrogen and just looks at the reference range on the lab sheet. Most of you have heard me talk about the fact that lab reports must be interpreted by the treating physician, because what is written on the lab sheet isn't tailored to your situation. The lab reference ranges for menopausal women are based on women who don't take any hormones, very low estradiol and high LH and FSH, which is not healthy and is the level that causes women overwhelming hot flashes and painful periods. Estradiol blood tests have a list of numbers that don't reflect the healthy estradiol level, but a level that makes women miserable. After I replace a woman's estradiol, their tests show blood levels of a young healthy woman who is pre-menopausal, and that brings them back to feeling like themselves. “I have my life back!  Estradiol and Testosterone Pellets have cured all my symptoms (low libido, hot flashes, poor interrupted sleep, bladder spasms, depression, and I feel like myself again!” No other hormone replacement brings estradiol blood levels to (60-250ng/ml), patches, creams and gels just stop one symptom, hot flashes.  There is a reason that your doctor doesn't know about hormones. The education that OBGYNs get in residency effects what they recommend to their patients for life, and they have very little training about hormones which means that no one is taking care of the hormones for women, and bioidentical estradiol is never discussed because it is not approved by the FDA which is why I DO!  I have made it my business to know everything about women's hormones and have prescribed them to women for over 45 years.  Therefore, when I am told that the primary care or internal medicine doctor told one of my patients that their estradiol and estrone are “too high”, I am dismayed.    Women must think about the fact that when they feel normal after menopause treatment, then that is the best treatment for them.  My patients become better, healthier, and their relationships are more fulfilling with Estradiol replacement, and I know the range the Estradiol should be within (60-250), the same as when we were fertile and young. Estradiol taken non-orally (patch, cream or pellet) is safe and does not cause breast cancer or liver cancer or cause blood clots. What Should I Tell My Doctor about my estrogen replacement? Therefore, If your doctor tells you to stop estradiol, you can tell him that estradiol replacement decreases all causes of death in Menopausal women, it decreases heart disease, bladder disease, bladder infections, osteoporosis, and dementia/Alazheimer's Disease! Tell him or her that, they can stop worrying about your Estrogen because you are being prescribed it by a doctor who knows how to manage hormones. Breast Cancer Patients There is another type of patient who I often see in my office. Breast Cancer patients with estradiol receptors are taken off their estrogen, and they are given an estrogen blocker like Tamoxifen® (oral) or Anastrazole (Arimidex®) to get rid of the estrogen in their body which is to “starve” breast cancer cell that may have seeded other tissues in the body. These patients are miserable. I treat them with Testosterone pellets only and monitor their Estrogens. That works until their doctor sees an Estradiol level that is in the premenopausal range in a patient who hasn't had an estradiol pellet in a year.  E2 pellets are tiny and friable, and they can't last longer than 6 months. What happens when the oncologist freaks them out saying it is the Estradiol pellet causing the E2, E1 levels. They are upset but this is estradiol from other sources (not the ovaries). Here are the facts: Estradiol pellets are 2-3 mm in size. They dissolve by blood flowing around the pellet located in the fat. Estradiol pellets dissolve completely over 3-4 months in most women. We cannot see them by ultrasound at 4 months. Therefore, a year later a woman who has estradiol over 60 The oncologist is not a hormone specialist and doesn't know the other sources of estradiol and estrone in the body. a prescribed amount of Estradiol (E2) is given every 4 months. The medium dose of E2 is 25mg and it lasts 120 – 180 days The size of an estradiol pellet = 2×2 mm Causes Of Continuing High Estrogen In a Woman Long After She Stops E2 Pellets: Tamoxifen given for Breast Cancer is an Estrogen and also an Estrogen Receptor modulator, but is really an Estrogen, which turns off the receiving end for E2 (the cellular receptors) so the breast cancer cannot be stimulated by circulating estrogens, but the rest of the body is. When on Tamoxifen it is not the pellets that are raising the blood level of E2, E1, it is the Medication. When someone is on Tomoxifen all their other organs are stimulated by estrogens from Tamoxifen, but the Breasts are not. That means that the estrogen in the blood is from the medication Tamoxifen and not the previous pellets. Obesity increases body fat and E2 is made in the fat and the less fat the lower the Estrone and estradiol. Other Medications and supplements can increase the E2 and E1 in the circulation but rarely help with menopausal symptoms. Your doctor should know what medications you can't take if you are trying to get rid of estradiol and estrone usually prior to Breast Cancer therapy. Drinking alcohol can prevent the liver from processing the estrogen that is meant to be removed normally so it builds up in the circulation. Liver disease causes an increase in E1 as well. Some medications increase estrogens in the body, but do not relieve symptoms of menopause, so have you doctor review your other medications you take. High intake of soy, edamame, soy nuts, soy in nut milk, Tofu, and other vegan (fake meat) is made of soy and soy is a phytoestrogen which can cause uterine bleeding but doesn't help the symptoms of menopause. Soy is in everything so read the labels. Genetic Diseases can cause high estrogen in menopausal women who are not taking estradiol for their symptoms.   Some women have an aromatase defect, which is genetic and can't be cured but can be treated with anastrazole or Arimidex, the same medication. This means that they convert Testosterone into estradiol and estrone. Even before menopause women have very low testosterone, so this is not obvious when they come to my office. The test for the gene defect is very expensive and this is not a common occurrence.  We diagnose this when a woman's estrogen is too high for the dose she is taking, AND her testosterone ran out too fast! We treat that condition with a testosterone + anastrazole pellet in the normal dose of T, and it corrects the conversion of T into E2, E1. Oral anastrazole also called Arimidex blocks that conversion too and is tolerated better by men but women get arthritis symptoms. DIM can treat this genetic conversion by blocking the enzyme at a different place than Arimidex. Fat Loss through dieting releases the estradiol stored in the body fat   Obesity and weight loss can cause estradiol and estrone to be high in the blood. Estrogen is made and stored in fat tissue.  The more you have, the more E1 and E2 you have in your fat.  Obesity can store the hormone and slowly release it which fools us and makes us think we are seeing pellet E2 nd E1. The more fat you have the more estrogens you make! When people lose fat under the supervision of a doctor, they usually have somewhat rapid weight loss.  This floods the blood with both estradiol, estrone, and triglycerides.  It takes longer to clear the estrogens because the liver is also processing fat. PubMed https://pubmed.ncbi.nlm.nih.gov Does reducing body fat reduce estrogen? Making some lifestyle changes may help lower your estrogen levels. Your provider may recommend that you: Decrease your percentage of body fat. Decreasing your body fat can reduce the amount of estrogen that your fat cells secrete. Feb 9, 2022 Above is what your doctor should think about when diagnosing you for high estradiol long after a pellet is gone.  There are some ovarian and adrenal specific problems that are also possible to be the reason E2, E1 are increased. I hope this gives you ammunition to discuss with the doctors who don't know anything about hormones, estradiol and menopausal women.  Tell them what you know to be true and stop blaming a 2mmx2mm pellet that can't physically last more than 120 day.

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog All testosterone pellet medical practices are not equal.  Most use pellets that are inferior to ours, inexpensive but have more side effects, and are not as effective as the testosterone and estradiol pellets that I use in my medical practice, BioBalance® Health. Most practices do not understand the many interactions between other hormones and sex hormones (testosterone and estradiol) like we do therefore you are not going to feel renewed, with all of your symptoms of testosterone and estradiol deficiency treated. At BioBalance® Health, we provide more than just testosterone pellets. We not only replace missing hormones like testosterone and estradiol, but also address other deficiencies, manage age-related diseases early, and offer nutrition guidance, medical weight loss, genetic nutrition advice, and exercise planning. Our comprehensive approach is unmatched in the US. Our use of non-micronized testosterone pellets and comprehensive care helps patients restore their health, leading many who leave to return when other practices do not meet their needs. These facts were impressed on me when one of my long-term patients who had moved to Florida, returned to me after a few years and related all of her efforts to find a doctor in Florida who would treat her like we did. A month or so ago I saw a familiar name on my appointment list.  When I reviewed her old chart, I saw that she had moved to Florida and had found a new pellet doctor there.  But I had no idea what she had gone through to find a doctor to treat her like she needed to be treated until she sat down in my office for her consultation. I will protect her identity, by calling her Beth, my best friend's name.  At first, I didn't recognize Beth sitting in my waiting room.  It appeared that she had aged more years than the two she had been in Florida.  She sat down and regaled me with this story of her experience.  Some background.  Beth had had a hysterectomy and had her ovaries removed before she saw me for the first time in 2007. She had been on some kind of hormones since then and pellets with me since 2007.  When she was my patient the testosterone and estradiol pellets literally cured all of her symptoms.  It wasn't easy to come to the right dose of pellets and to treat her other problems:  She converts T into Estrone and Estradiol, and she is a fast metabolizer, so she needs a higher dose of testosterone that the average woman. I ushered Beth into my office and asked how she'd been, and she began a long and sad story about trying to find a doctor who would treat her with pellets so that all her symptoms were resolved.  She went to 5 different doctors, who had her BioBalance chart, and all of them said they had to treat her differently because they were not in line with my treatment.  She argued and got nowhere.  #1 Doctor: The first hormone doctor did not agree with giving her testosterone plus anastrazole (Arimidex), a TA Pellet, yet that was what I treated her with to lower her Estrone and Estradiol from testosterone conversion.  She got straight testosterone and her estrogens soared and inactivated her testosterone, so she felt no different on pellets than she did off of them.  She also gained belly fat and breast size and was very emotional. #2 Doctor: This doctor was a Bio T doctor who refused to give her TA pellets and also wouldn't give her the dose she needed.  Bio T uses MICRONIZED testosterone which are cheap, and cause hair to fall out, acne and oily skin.  That is exactly what he got, and she didn't go back. #3 Doctor: Not only did this doctor refuse her anastrazole in any form but he made her take progesterone even though she didn't have a uterus and told him that progesterone made her fatigued. #4 Doctor was clueless and used a formula one size fits all Testosterone dose, which wore off in 2 months. #5 Doctor was essentially not educated in testosterone pellets. Because of these experiences, she now flies in three times a year and gets the pellets dose, Estradiol dose, with anastrazole in the pellets, without useless progesterone (because she had a hysterectomy), with NON-MICRONIZED pellets that last 4 months that are dosed for her unique metabolism. The moral to the story is all pellet treatment is not the same!  So many doctors have jumped on the bandwagon with a few days of training or no training at all so if pellets don't work for you, PLEASE DON'T GIVE UP ON PELLETS.  Beth didn't.  You need a doctor who understands the interactions of T and E2 and E1, and who use pellets who are non-micronized and who individually dose your pellets for YOU!  This Healthcast  is not about patting ourselves on the back, but it is aimed at informing patients who have been disappointed with their treatment using  testosterone and estradiol pellets because of inability to relieve their symptoms of menopause or testosterone deficiency, that they should find a practice who uses NON_MICRONIZED PELLETS and who have experience taking care of all interactions of hormones with other medications, who understand the trouble shooting for every unusual symptom that may occur after pellet replacement of hormones.  It is not easy to learn to take care of hormones like Dr. Sullivan our staff, and I do, so finding someone with a lot of years in practice, who is not in a “franchise practice” which is just a business and usually use the cheapest pellets. Don't give up if at first you don't feel better.  Just change pellet practices!  BioBalance® knows how to treat all hormone deficiencies, and we have 95% success rate!

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog If you ever doubted your doctor because she wrote a script that you later “Googled” and found was not FDA approved, I hope you trusted your doctor enough to realize that she wouldn't recommend any medication that would hurt you…. What is an unapproved use of a drug, also called “off-label”? Unapproved use of an approved drug is often called “off-label” use. This term can mean that the drug is: Used for a disease or medical condition that it is not approved to treat, such as when a chemotherapy is approved to treat one type of cancer, but healthcare providers use it to treat a different type of cancer. The drugs that are not approved by the FDA, yet are commonly used, have been used for decades before the 1964 law that required new drugs to go through extensive and very expensive testing before their release to the public. The operative word is NEW DRUGS AFTER 1964. Today I will talk about the safety of non-FDA approved drugs because they are: Older cheaper drugs used for many diseases and conditions before 1964 and are still used Drugs that are approved for one use, or one condition, but not for other conditions that it is effective and safe for. Drugs made by compounding pharmacies for diseases that the FDA has not approved a drug for, but there is research backing the drug and years of safe use. First, before we discuss the non-FDA approved drugs, I will discuss the safety/risks of FDA approved drugs, and why FDA approval doesn't mean a drug will do no harm or even that it is effective for the use it is approved for. A little background will help you understand the problem and the reason an FDA approval does not necessarily mean a drug is safe.  Since 1964, a law was passed that established testing prior to a drug being approved by the FDA became mandatory.   Since that time several drugs that survive FDA approval and are released but are later removed or banned after their FDA release when the public finds side effects that the FDA didn't discover in their trials. One such drug is Fen-Phen, Fenfluramine/Phentermine. This drug was released during my time practicing medicine and was withdrawn after one study claimed it caused heart valve disease…In the end the “one post approval study” that claimed that heart valves were affected by this drug that caused its bann was found to be false. The withdrawal of the drug followed one study by a single cardiologist from Kansas City had reviewed all of the cardiac valve echo tests and falsified the results to make Fen-Phen appear dangerous to heart valves, when in reality it wasn't.  She lost her license, but the FDA never put Fen-Phen back on the market!  The FDA hates to be wrong twice, so they never allowed this drug back on the market after its removal. Other mistakes made by the FDA include not allowing women in the studies to approve a drug before 2014 which ignores or misses all of the side effects or lack of effectiveness for a drug when taken by women.  Despite all the expensive testing before the release of a drug by the FDA, many drugs not tested on women were later often found to have severe side effects only on women. A few examples follow: You might have heard of the FDA approved drug Ambien that causes many women to experience “night eating”, sleepwalking, and night terrors, while their male counterparts were not affected, so because they only tested men the drug was approved. In retrospect it should have been tested on women as well, and then either not passed through the FDA or should have had a black box warning for women. It takes years get action from the FDA, notifying doctors of these side effects. Women were not included in testing for any drugs except female hormones until 11 years ago, but no other drugs.   Before 2014 all (non-hormonal) drugs that passed the FDA were not tested on women so the effect on women was unknown until it was tested on the public. The FDA left women out of drug-trials because it viewed women as “mini men”, or they didn't consider us important enough to test new drugs on…OR worse, they believed we were too complicated to easily test us because of pregnancy, menopause and other hormonal swings that normal healthy women have.  In any case, we are now suffering their decisions, when a medication works one way for men and another way for women! Finally, we are tested when drugs are being evaluated for approval by the FDA. Professional women have achieved a level of authority in medicine and pharmacology (2025) and are weighing in on the inequity. Women in the medical profession and the public are pulling back the curtain on the side effects of FDA approved drugs that are experienced by women only! Slowly, study by study investigators are now publishing the side effects and problems for women with FDA approved drugs….yet these findings are not included in the warnings on most of these drugs, even now over 15 year after they became obvious to the doctors who treat women! Drugs that either don't work for women, or that have severe side effects include that were approved before 2014. All statin drugs for high cholesterol (Crestor, rosuvastatin, atorvastatin, etc.) cause women to have muscle breakdown and muscle pain. Synthroid (levothyroxine), doesn't cure the symptoms of hypothyroidism in 80% of women, but just makes the TSH lower, so it appears as if it is working! This leads doctors to tell women that their symptoms are all in their heads!! Wrong.  It is the wrong medicine. Women have enzymes that differ from men that make it difficult for them to convert the inactive form (T4) into the active form (T3), so we can't convert Synthroid (all T4) into the active form. Synthroid, the FDA approved drug for hypothyroidism, shouldn't be given to most women. Women should be given the non-FDA approved drug Armour Thyroid or NP thyroid that have both T3 and T4 in them! Ambien Prednisone and other oral steroids We have reviewed the lack of testing on women before 2014, now we will discuss safe drugs that have been used for decades even before 1964 when the FDA required testing for FDA approval? Older, yet effective and inexpensive drugs have been tested by the public, some for almost 100 years that have saved thousands of lives, yet they are not given the FDA stamp of approval!  In fact, the FDA tries to put these drugs out of circulation, replacing them with very expensive drugs that are new! Or they just shut them down, because they are not FDA approved.  Young doctors are told not to use them by their medical schoolteachers who rarely have experienced these medications in private practice…. These doctors in training don't know the history of older safer, cheaper drugs, or even why the FDA tells them avoid them. They comply not knowing why, so you are left with no drug that works for you, or you pay 3-10 times the amount for a newer FDA version of the older drug which may even have more side effects. Some of these older very effective and cheap drugs are Penicillin, Nitroglycerine for chest pain, Morphine (pain), Phenobarbital (seizures), Codeine, Armour Thyroid, hormone injections including estradiol injections and testosterone, Thorazine for psychiatric use, (Pitocin) oxytocin for labor, lactation support and Autism Colchicine:Used to treat and prevent gout. Progesterone in oil (IM) Estradiol in oil (IM) B12 for injection Testosterone Cypionate for injection Compounded Estradiol in any form Compounded Testosterone for women These drugs have been used for so long that any safety risks or side effects have been found through the use of these drugs in the population. Yet the FDA won't grandfather them in and approve them based on their history! What do doctors do when the drug the FDA has approved a drug that doesn't work for a group of their patients (gender, race, blood type, etc.)?  What happens when a doctor can't find a drug that is FDA approved needed to treat a condition she is faced with? Why do we as citizens, allow the government to have power over doctors who are already controlled by their state licensing boards as to what medications they?  Lastly Why do taxpayers allow a government agency that they fund with tax dollars control their health by banning, or not approving drugs, or banning one drug so an outrageously expensive drug is put in its place? Compounded Medications/ Compounding Pharmacies: These drugs are made by mixing ingredients to meet individual patient needs and are not subject to premarket review for safety, effectiveness, or quality. However, they ARE subject to the success or failure for which they were prescribed. If a doctor prescribes a compounded drug that doesn't work, she is apt to be confronted by her patient who is not getting the expected results.  Compounding pharmacies usually don't get paid by insurance, so patients are more invested in getting a drug that works and that is one of the big reasons that Compounded medicines are at least as good or better than big pharma or generic drugs. I absolutely could not successfully treat the thousands of women and men that I have without compounding pharmacies.  They compound hormones/drugs that are safe and effective, mostly hormones that can't be patented because they occur in nature and won't ever be made by big pharma. More than that, big producers of drugs can't produce in mass quantities many doses of a certain hormone like compounding pharmacies do.  Compounding pharmacies provide what people need and they continue to do so because patients prefer their dosing and quality.  FDA approved Generic Drugs can be legally 25 % lower dose than what they say they are.  That would be a big problem if my compounded pellets had that kind of variability. People might need pellets every 2months or every 5 months instead of every 4 months..it would be like guessing what you need ahead of time…..I believe dedicated compounding pharmacists are more accurate than any generic on the market. Compounding pharmacies: Unsung Heros Compounding pharmacies serve the public when big pharma fails and hasn't developed a safety net for production if they have a problem and the FDA shuts them down. That situation leaves patients who take their medications, without an alternative. Compounding pharmacies step into the breech when big pharma has a problem with a particular drug and stop making a drug (e.g. Lidocaine, B12 injectable, IV Fluids, to name a few shortages and no production that have occurred in the recent past). What if patients couldn't get the meds they need, and if there were no compounding pharmacies—Chaos and suffering and dying patients would closely follow! The FDA is Fickle and is not on your side! For years the FDA did not approve of Bioidentical estrogen and testosterone in any form, and just a few months ago all of a sudden, long after they scared women from taking the hormones they needed to improve their length of life and quality of life, they decided bioidentical hormones are better than the FDA approved hormones!!!  That is a little too late.  Some of us will never forget the stress lack of approval of compounded hormones caused for doctors and patients alike.  Other doctors criticized us and now most of them aren't even in practice anymore.  Maybe the FDA read my blog!!! Compounded hormones have been approved by the masses of women who have taken them under my signature! Compounded BI hormones are medications with a long track record and should not have to be tested with the bloated expense required of testing for the FDA. For Gynecological Disorders that don't have an FDA approved hormone drug because testosterone and estradiol have been used for so long that they don't need testing. If there was a significant problem with them their history of use of over 5-7 decades has proven the efficacy and safety of the female hormones for treatment and hormone replacement. For Psychiatric Disorders: Some patients need compounded ketamine products for conditions like severe depression, despite lacking FDA approval for these uses and potential risks, yet it has been used for this purpose for decades and was used for childbirth for almost a century, until epidurals and saddle blocks took their place. Testosterone for women still is not recognized as a female hormone even though women produce over twice as much Testosterone as Estradiol when they are in their fertile years.   Replacement of T with bioidentical T pellets offers a treatment for dozens of symptoms women face after age 40, and it prevents the diseases of aging: osteoporosis, heart disease, sarcopenia, frailty, diabetes and more that have not been addressed by mainstream medicine and the FDA. Over a decade ago, the FDA turned down the approval of testosterone patch after over 3 years of positive research studies, the FDA said they didn't approve T for women is because the side effect of T for women, facial hair, was dangerous for women.…I cry B—–S—-!  That is really men not wanting to share testosterone replacement with women. I say leave us alone and let women and their doctors determine what they need.  It is proven that only 5% of all professionals in any profession are not trustworthy, so give doctors their due and trust that we are looking for answers to our patients' problems that you don't even know about! The FDA is paid for by us…everyone in this country. I say hands off! Speed up the approval process or forget it for older drugs and BI hormones! ~

Karen tackles a common menopause question: oral vs. topical estradiol. She explains first-pass metabolism and why transdermal options can lower clot, gallstone, and side-effect risks for many, then compares real-world choices.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

If you've been told your AMH is “too low” for your age, or that it means your chances of conceiving are slim, this episode is for you. AMH is not the final word on your fertility, it's a marker that can give us valuable clues about your health. You'll learn: What AMH levels typically look like across different ages. Why low AMH deserves closer attention. Which additional labs give a fuller picture beyond AMH alone. How women in our Fab Fertile community have conceived with their own eggs even with AMH as low as 0.02 ng/mL. I'm Sarah Clark, founder of Fab Fertile. For over a decade, my team and I have helped hundreds of couples improve their chances of pregnancy success, whether naturally or through IVF. We specialize in supporting those with low AMH, high FSH, diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), and recurrent pregnancy loss through functional testing and personalized fertility strategies. This episode is especially for you if: You've been told your AMH is too low and donor eggs are your only option. You've had failed IVF cycles and want to understand if AMH is playing a role. You want to learn how to interpret AMH through a functional fertility lens, not just a conventional numbers-only approach. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS [00:00] AMH: What the Numbers Really Mean  [00:01:00] Who This Helps: Low AMH, High FSH, DOR, POI, Failed IVF [00:01:50] AMH Levels by Age: Cleveland Clinic Benchmarks Explained [00:02:40] Does AMH Predict Pregnancy? Egg Quantity vs. Egg Quality [00:03:20] Functional Fertility Lens: What Low AMH Is Signaling [00:04:20] Tests Beyond AMH: Day-3 FSH, Estradiol, and AFC Ultrasound [00:05:40] Thyroid & Fertility: Optimal TSH, Free T4/T3, Antibodies (+ Free Guide) [00:07:20] Hidden Inflammation: hsCRP, Homocysteine, MTHFR & Egg Quality [00:08:50] Vitamin D, Iron & Ferritin: Nutrient Deficits That Lower AMH [00:10:40] Gluten/Celiac & Autoimmunity (ANA) + When to Pause IVF & Heather's Success --- RESOURCES

Episode 334 of the You Are Not Broken podcast, Dr. Kelly Casperson discusses her upcoming book tour for 'The Menopause Moment' and dives into the relationship between menopause, hormones, and skin health. She emphasizes the importance of understanding how hormonal changes during menopause affect skin quality and overall health, advocating for the use of hormone replacement therapy (HRT) to mitigate these effects. The conversation highlights the need for better education on the benefits of hormones and challenges misconceptions surrounding their use. Takeaways The Menopause Moment book is available for pre-order. Estradiol and Estriol can be beneficial for skin health. Skin changes during menopause are significant and often distressing. Hormones play a crucial role in skin quality and health. There is a lack of awareness about the effects of low hormones on skin. HRT can improve skin elasticity and hydration. Many women are not informed about hormone therapy options. The decline in estrogen leads to decreased collagen and moisture in the skin. Preventative health measures should be supported, including hormone therapy. Skin Paper by Viscomi et al Want more honest, empowering conversations like this one?⁠⁠⁠⁠Preorder my Next Book⁠⁠⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠ Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com To learn more about GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this eye-opening episode, I sit down with Dr. Felice Gersh, one of the foremost voices in functional medicine and women's health, to tackle one of the most misunderstood phases of life—menopause. Together, we unpack the real physiological changes women face during this transition, and the often-overlooked health risks that come with it. This isn't just about “hot flashes”—we're talking sleep disruption, cardiovascular risk, insulin resistance, and the metabolic shifts that can alter a woman's long-term health trajectory. Dr. Gersh pulls back the curtain on estradiol, reframing it as a life hormone—not simply a “sex hormone.” We explore why its decline affects nearly every system in the body, and how lifestyle strategies, functional medicine insights, and targeted interventions can help women not just survive menopause, but thrive through it. Whether you're in the midst of this change or helping patients navigate it, this conversation delivers the clarity, science, and hope you need to take control of health during this critical stage of life.Key Takeaways: Hormonal Shift: Menopause leads to a decline in estradiol produced by ovaries, affecting every organ system and increasing health condition risks, including cardiovascular diseases and metabolic disorders. Holistic Understanding: Dr. Gersh advocates for a comprehensive understanding of hormones in menopause, emphasizing the necessity of a proactive rather than reactive treatment approach. Testing and Diagnosis: She outlines important blood tests and diagnostic markers, such as day 3 FSH, thyroid function, inflammatory markers, and lipid profiles to better navigate menopause management. Lifestyle Interventions: Key lifestyle changes, including diet rich in plants, exercise, and stress management, are essential in promoting well-being during and beyond menopause. Functional Medicine Approach: Understanding the interconnectedness of bodily systems and the foundational role of lifestyle and hormonal therapy in women's health is crucial. More About Dr. Felice Gersh: Felice Gersh, M.D. is a multi-award winning physician with dual board certifications in OB-GYN and Integrative Medicine. She is the founder and director of the Integrative Medical Group of Irvine, a practice that provides comprehensive health care for women by combining the best evidence-based therapies from conventional, naturopathic, and holistic medicine. For 12 years, she taught obstetrics and gynecology at Keck USC School of Medicine as an Assistant Clinical Professor, and she now serves as an Affiliate Faculty Member at the Fellowship in Integrative Medicine through the University of Arizona School of Medicine. Felice is a prolific writer and lecturer who speaks globally on women's health and regularly publishes in peer-reviewed medical journals. She is the bestselling author of the PCOS SOS series and her latest book, Menopause: 50 Things You Need to Know. Her research focuses on women's hormones, metabolism, aging, and menopause. Whether she's mentoring medical students, writing groundbreaking books and medical articles, or guiding her patients, Dr. Gersh's mission remains constant: Empower women to thrive in harmony with their bodies and their health. Website Instagram Facebook Connect with me! Website Instagram Facebook YouTube This episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! This episode is also made possible by Functional Medicine University. FMU is a fully online, self-paced training program in functional medicine, founded in 2006 by Dr. Ron Grisanti. With students in all 50 U.S. states and 68 countries globally, FMU has become a cornerstone in advanced clinical education for healthcare practitioners. The curriculum is led by Dr. Grisanti, alongside contributions from over 70 distinguished medical experts on FMU's advisory board. Graduates earn the prestigious Certified Functional Medicine Practitioner (CFMP®) credential upon completion. FMU is also a nationally approved provider of continuing education for a wide range of licensed professionals, including MDs, DCs, DOs, NDs, acupuncturists, PAs, NPs, nurses, dietitians, pharmacists, and dentists. Whether you're looking to expand your clinical knowledge or bring a functional approach to your practice, FMU offers the tools, guidance, and certification to help you thrive. Visit www.functionalmedicineuniversity.com to learn more!

Your hormones don't all “vanish” at the same time when you reach menopause — and in this video, I'm walking you through exactly what I see happen for most women, starting in their 30s or 40s. I'll explain:

Today, I am excited to welcome you to AMA #13. In this AMA episode, I cover a wide range of topics, including satellite stem cells and the importance of strength training as estrogen and testosterone levels decline. I also answer many questions about hormone replacement therapy, offering general explanations and resources rather than medical advice. Join me for another information-packed AMA session. IN THIS EPISODE, YOU WILL LEARN: Why strength training and sufficient protein intake are essential when your estrogen and testosterone levels drop Importance of HRT for women experiencing mood disorders What reverse dieting is, and how it is more challenging for middle-aged individuals than younger people Benefits of testosterone for muscle building and executive function How low estrogen levels impact the body When should you start taking estrogen? How reduced satellite cell activity during menopause can impair muscle repair and regeneration   The value of progesterone, beyond the uterus What are peptides, and why are they important? How GLP-1s can assist blood flow and immune regulation, and support tissue regeneration Connect with Cynthia Thurlow   Follow on X, Instagram LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Research Links: Estrogen Regulates the Satellite Cell Compartment in Females Sarcopenia and Menopause: The Role of Estradiol (2021)/Frontiers in Endocrinology Previous Episodes Mentioned: Ep. 470 Your Midlife Hormone Survival Guide with Dr. Amy Killen Ep. 198 Dispelling Myths about Hormone Replacement Therapy with Dr. Bluming and Carol Tavris Ep. 448 Hair Loss in Women: Causes, Fixes & Expert Tips with Dr. Omer Ibrahim Ep. 463 Midlife Body Masterclass: Strength, Bone, Metabolism with Dr. Vonda Wright, Dr. Stacy Sims, Dr. Shannon Ritchey, and Debra Atkinson Ep. 406 Protein, Creatine, and Training for Menopause and Beyond with Dr. Stacy Sims Ep. 386 Muscle Strength in Menopause: Key Tests & Lifestyle Measures with Dr. Vonda Wright Ep. 456 Why Muscle Matters: Metabolism, Myths & More with Dr. Shannon Ritchey Ep. 321 Muscle, Bone & Joint Health in Menopause with Debra Atkinson Recommended Books: Estrogen Matters by Dr. Avrum Bluming and Dr. Carol Tavris

In this episode, Dr. Shawn Tassone discusses the fundamentals of hormonal health, focusing on the roles of estrogen, progesterone, testosterone, DHEA, and thyroid hormones. He emphasizes the importance of understanding these hormones, their effects, and the misconceptions surrounding them. The conversation also touches on the significance of finding the right hormonal balance and the potential risks associated with various hormone therapies. Episode Highlights: The recent flooding in Texas serves as a reminder of community support Understanding the basics of hormones is crucial for health The three types of estrogen The most effective form of estrogen Why you should avoid using estriol face creams Fiber intake and estrogen elimination Estradiol for women with a history of breast cancer Progesterone's role for women Why testosterone should not be overlooked in women's health How DHEA can be beneficial for women Episode Resources: Dr. Shawn Tassone's Practice | www.drshawntassone.com Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormone Archetype Quiz Thank you to our sponsor, Purality Health! The question isn't which supplements to take—it's whether your body can absorb them. Most traditional supplements fall victim to stomach acid before delivering benefits. Purality Health's micelle liposomal technology creates a double-layer protective system that shields nutrients from stomach acid destruction while facilitating direct bloodstream absorption—making supplements up to 800% more effective. For perimenopausal and menopausal patients, I recommend their Vitamin D3 with K2 for bone density and mood regulation, and their exceptional magnesium formula for sleep and muscle tension. As a physician, I value their commitment to quality: cGMP-compliant facilities, purity testing, and organic, non-GMO ingredients without unnecessary fillers. Visit puralityhealth.com/drshawn and use code DRSHAWN for exclusive savings. Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.  

Watch Here : https://www.youtube.com/live/WSptXuzQVos Website: https://vigoroussteve.com/ Consultations: https://vigoroussteve.com/consultations/ eBooks: https://vigoroussteve.com/shop/ YouTube Channel: http://www.youtube.com/user/VigorousSteve/ Workout Clips Channel: https://www.youtube.com/channel/UCWi2zZJwmQ6Mqg92FW2JbiA Instagram: https://instagram.com/vigoroussteve/ TikTok: https://www.tiktok.com/@vigoroussteve Reddit: https://www.reddit.com/r/VigorousSteve/ PodBean: https://vigoroussteve.podbean.com/ Spotify: https://open.spotify.com/show/2wR0XWY00qLq9K7tlvJ000 Patreon: https://www.patreon.com/vigoroussteve

You've been told your labs are “normal,” but your period is MIA, ovulation's a no-show, and pregnancy is STILL not happening. In today's episode, we're busting the myth that normal labs = everything is fine. If your body is showing clear signs that something's off, you need more than a copy-paste lab report—you need real answers, and a plan that honors YOUR body's needs. We're breaking down the most important labs for period loss and fertility (like FSH, LH, Estradiol, AMH, and more), what they actually mean, and why “low-normal” isn't the green light it seems. If you're being gaslit with the phrase “everything looks fine,” this episode is exactly what you need to listen to. Mentioned in today's episode: Nourish Your Body for Fertility Series (Part 1, 2, 3 and 4) Today's episode is brought to you by our exclusive program, Premier Period Recovery for Fertility. Reach out to chat 1-1 with me to see if it's exactly what you need to get your period back and get pregnant in 2025, by applying here. Not ready yet for our premier program, but you are ready to take action to restore your fertility today? Purchase your fertility clarity package here. This period recovery method will change your life...and I've laid it all out for you in my NEW free course, Restore Your Fertility in 90 Days (or less). Download and watch it today! Please note that this podcast is not meant to be used for nutritional, medical or individualized advice and should be used for education only.

Du Liebe

Dr. Eric discusses the effects of Estradiol on fat loss>> Yes it does ;)

During this episode you'll learn about: All about Thorne's Menopause Test [0:50] How the sample collection process works [2:10] Tips for generating a saliva sample [4:26] What is menopause? What is perimenopause? [5:46] Why women of all ages may benefit a menopause hormone test [7:52] How the at-home test compares to blood-draw tests at a doctor's office [10:16] What does Thorne's Menopause Test measure? [12:12] How to take the Menopause Test if you're on birth control or hormone therapy [12:51] Interpreting Thorne's Menopause Test results: Estradiol, estrogen, progesterone [15:17] How the timing of your menstrual cycle influences hormone levels [19:28] What do women's testosterone levels mean? [24:30] DHEA as a measure of hormonal health [26:22] How to understand the cortisol rhythm and energy levels [28:53] Resources to topics mentioned in this episode: Watch Dr. Amanda Frick and Margaret Gandolfo go over the Menopause Test results on YouTube. Connect with Margaret Gandolfo on LinkedIn and Instagram Connect with Dr. Amanda Frick on LinkedIn Thorne's Medical Affairs Team: Turning Science Into Education 8 Questions About Menopause: Everything You Need to Know Am I in Menopause? Embracing A Positive Mindset During Menopause 6 Strategies to Control the Menopause Chaos How to Stay Healthy During and After Menopause Foods You May Want to Avoid During Menopause A New Life Stage: The Best Menopause Supplements to Support You A Lifetime of Balanced Nutrition Advice for Women Menopause and Brain Fog (And What You Can Do About It) 6 Women's Health Allies to Support You During Every Life Phase Lifestyle Tips for Managing PCOS 4 Benefits of Inositol for Women's Metabolic Health and Hormone Balance* Too High or Too Low? A Guide to Women's Testosterone Levels Estrogen Dominance: What it is, how to recognize it, and what you can do about it Ensure a Harmonious Cycle: What to do Before, During, and After Your Period From the podcast archives:Hormones and Your Health Thorne's At-Home Health Test Demonstration Series with Dr. Amanda Frick How the Stress Test Works: Results and Insights The Thyroid Test: What to Expect and How It Works What Do My Sleep Test Results Mean? How to Digest Your Gut Health Test Results We Took Thorne's Weight Management Test! Products mentioned in this episode: Menopause Test, Fertility Test, Women's Daily Probiotic, Biological Age Health Panel, Meta-Balance™, Women's Multi 50+, Advanced Bone Support, Advanced DHA Subscribe to More Content Subscribe to the show wherever you listen to podcasts so you never miss an episode. You can also learn more about the topics in the episode by checking out the latest news, videos, and stories on Thorne's Take 5 Daily blog.

I'm joined by board-certified general surgeon Dr. Lee Howard, who walked away from traditional medicine. Why he feels traditional medicine doesn't really help its patients plus we cover what supplements are good for everyone to take, how to navigate allergy season with kids, what the heck the MTHFR gene is, how we should be approaching our kids' health, why were gonna start to hear more and more about creatine, ways we can help the aging process, plus perimenopause and menopause- how to minimize symptoms and recognize when we start to enter that stage. And we cover once and for all what those silly eye twitches are from. Clip 3: Low Testosterone and Alzheimer's RiskMost people think of testosterone as a hormone that just affects sex drive or muscle mass. But the brain is actually one of its biggest targets. A massive 2023 study from the University of Sydney looked at older men and found something shocking: men with low testosterone had a 26% higher risk of developing Alzheimer's disease. And we're not talking about late-stage life—these patterns start decades earlier. Testosterone helps regulate inflammation in the brain, supports memory circuits, and even promotes the growth of new neural connections. When levels drop too low, especially without being noticed, the brain becomes more vulnerable to decline. Here's the kicker: most men never get their levels checked. And if they do, the 'normal range' is often outdated or way too broad. What's normal for a 75-year-old is not what you want at 45. I've had women come in concerned about their partner's mood, irritability, even motivation—and it turns out his testosterone was tanked. If you're in a long-term relationship and your partner is acting like a different person, you're not imagining it. And getting his hormones evaluated might be the missing link to helping him feel like himself again—and preventing cognitive decline down the line.Study source: University of Sydney & Neuroscience Research Australia (2023)https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.1252Clip 5: Gut Health and MoodThere's a direct, two-way communication line between your gut and your brain—and researchers now believe that the gut may play just as much of a role in mental health as the brain itself. A major review from 2024 showed that people with poor gut diversity were significantly more likely to suffer from depression and anxiety, even when diet and lifestyle were controlled. Why? Because 90% of your serotonin is actually made in your gut. If your microbiome is inflamed or out of balance, your body literally has fewer raw materials to make feel-good brain chemicals. On top of that, gut inflammation sends stress signals to your brain—keeping you in a low-level “fight or flight” state, even when nothing's wrong. And if you've ever felt brain fog, irritability, or sadness after a weekend of sugar and alcohol… this is why. What's exciting is how quickly you can make a shift. Just increasing your fiber, adding fermented foods, or taking the right probiotic can make a measurable difference in just a few weeks. This isn't woo. This is the future of psychiatry. And if you've done therapy, made lifestyle changes, but still don't feel right—check your gut. It might be where your healing needs to start.Study source: Review from the Polish Society of Gastroenterology (2024)https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811453Clip 8: Hormone Imbalances and MarriageYou'd be shocked how many couples come into my office thinking they have a communication problem—when what they really have is a hormone problem. He's irritable, unmotivated, maybe withdrawing. She's exhausted, anxious, snapping at small things. They think they've grown apart. They think the spark is gone. But when we test their hormones—testosterone, cortisol, DHEA, thyroid—what we find is that their biochemistry is off. And once we start restoring balance, everything shifts. The mood improves. The intimacy returns. The little things don't feel so overwhelming. We now have solid evidence that hormonal health directly impacts emotional regulation, sexual desire, and even empathy. And if both partners are dysregulated, it can feel like the marriage is falling apart—when really, it's just that their physiology is out of sync. This isn't a relationship failure. It's a hormone crisis. And once you name it, you can fix it. I've seen couples on the brink of divorce completely turn things around—because we stopped blaming each other and started healing their bodies.Study source: APA + American Journal of Men's Health (2023–24)https://journals.sagepub.com/doi/10.1177/15579883231166518Clip 11: Whole Milk in Schools Might Actually Be SmarterFor decades, schools have pushed low-fat or skim milk, based on outdated beliefs about fat and weight. But new evidence is flipping that script. A growing body of research now shows that children who drink whole milk are actually less likely to be overweight than those drinking low-fat milk. Why? Because fat makes food more satisfying. It helps with blood sugar regulation and keeps kids fuller longer—so they're less likely to snack on junk later. In 2025, there's increasing pushback from pediatricians and nutrition researchers against the one-size-fits-all low-fat approach. Some school districts are already considering bringing whole milk back, and they're seeing better nutrition outcomes. Whole milk also contains essential nutrients like vitamin D and calcium in more bioavailable forms, especially when paired with fat. It's time we stop fearing fat—especially when the data shows that cutting it hasn't actually reduced childhood obesity. In fact, we may have made things worse. So if your kid likes whole milk, don't feel guilty. It might just be the more nourishing option after all.Study source: Associated Press report (2025)https://apnews.com/article/e4868fdc2dc4e85aeb9375edcd27da49Clip 13: Hormone Fluctuations and Depression in WomenOne of the biggest blind spots in women's health is how powerful hormone fluctuations are—especially on mood. A 2025 study published in Biomedical Reports found that estrogen and progesterone shifts during puberty, pregnancy, postpartum, and perimenopause play a massive role in rates of depression. This isn't just anecdotal. These hormonal changes alter brain chemistry, sensitivity to stress, and even how the body processes trauma. In puberty, many girls who were previously confident begin to struggle with mood and self-esteem—but instead of checking hormones, we tell them to tough it out. In postpartum, we're finally starting to talk about depression more—but the hormonal crash that happens after birth still catches most women off guard. And in perimenopause, where mood swings and anxiety often resurface, women are still too often told it's “just part of aging.” It's not. It's biology. And the good news is, once you understand that hormones are a major player, you can treat the root cause instead of just masking symptoms. Whether it's bioidentical therapy, lifestyle shifts, or targeted nutrients, women deserve to know that their brains and their hormones are on the same team—and that relief is possible.Study source: Biomedical Reports (2025)https://pubmed.ncbi.nlm.nih.gov/40083602Clip 14: Social Media Changes Teen Brain WiringWe now have MRI data showing that the more often a teen checks social media, the more their brain becomes wired for external validation. In a study from UNC Chapel Hill, researchers found that teens who compulsively checked platforms like Instagram or Snapchat showed measurable changes in the brain's reward centers. These areas lit up more intensely over time, meaning their brains were becoming increasingly sensitive to likes, comments, and digital attention. This isn't just about being distracted. It's about a neurological shift in what they find rewarding—and that shift can impact everything from self-worth to emotional regulation. The researchers even found that this pattern predicts increased anxiety and depression, especially in girls. And it makes sense—when your self-esteem is tied to a number on a screen, even a small drop in engagement feels like social rejection. So what can parents do? First, understand that this isn't just 'teen stuff.' This is brain development. Second, set tech boundaries that prioritize boredom, creativity, and real-life interaction. Even a two-week break can reset the system. Social media isn't going away—but we have to teach kids how to use it without letting it rewire them.Study source: UNC-Chapel Hill (2023)https://www.unc.edu/posts/2023/01/03/study-shows-habitual-checking-of-social-media-may-impact-young-adolescents-brain-developmenClip 16: Screen Time and Toddlers' SleepSleep is how toddlers consolidate memory, regulate mood, and grow both physically and neurologically. But more and more research is showing that screen exposure—even if it's 'educational'—can seriously disrupt toddler sleep. A study published in JAMA Pediatrics found that children ages 2 to 5 who used screens within an hour of bedtime had shorter total sleep and more fragmented rest. Blue light delays melatonin production. Fast-paced content overstimulates the nervous system. And passive consumption before bed blunts their natural wind-down process. We think of it as relaxing—but their brains don't. What's worse is that these disruptions don't just affect nighttime. They carry over into the next day—affecting focus, mood, and even immune function. That's why experts now recommend at least 60 minutes of screen-free time before lights out—especially for young kids. Replace it with a bath, a book, a calm routine. These rituals help their circadian rhythm sync naturally. Sleep isn't just a health pillar—it's a developmental requirement. And screens may be the single biggest obstacle we're overlooking.Study source: JAMA Pediatrics (2024)https://jamanetwork.com/journals/jamapediatrics/fullarticle/282519Clip 18: Hormone-Disrupting Chemicals = Global Health RiskA sweeping review by the Endocrine Society in 2024 called endocrine-disrupting chemicals a 'global health threat.' These are substances—often found in plastics, pesticides, cosmetics, and even receipts—that can mimic, block, or interfere with your body's hormones. They've been linked to everything from infertility to obesity to neurological conditions and cancer. And they're everywhere. Prenatal exposure can affect fetal brain development. Chronic exposure is associated with thyroid dysfunction and metabolic syndrome. And it's not about one product—it's about cumulative load. What's scary is how underregulated many of these substances are in the U.S. compared to Europe. But what's hopeful is that you *can* reduce your exposure. Swap plastic for glass. Say no to fragrance. Wash produce well. Choose organic when you can. Each swap reduces total burden. This isn't alarmist. This is modern environmental medicine. And it affects every system in your body.Study source: Endocrine Society Global Consensus Statement (2024)https://www.endocrine.org/news-and-advocacy/news-room/2024/latest-science-shows-endocrine-disrupting-chemicals-in-pose-health-threats-globallyClip 19: Gut-Brain Axis and Mental HealthWe used to think the brain controlled everything. Now we know the gut plays just as big a role—especially in mental health. The gut-brain axis is a communication superhighway that links your microbiome to your nervous system. And studies show that disruptions in gut health are strongly linked to anxiety, depression, and even neurodevelopmental conditions like ADHD. Certain gut bacteria help produce neurotransmitters like serotonin and GABA. Others regulate inflammation, which directly impacts mood. A 2025 review of over 50 studies found that targeted probiotics improved symptoms of depression in many patients—sometimes as effectively as medication. What you eat, how you digest, and what lives in your gut may affect your mind more than your therapist knows. That doesn't mean meds aren't useful—but it means we have to zoom out. If your gut is inflamed, your brain is inflamed. And no amount of mindset work can override a body that's chemically out of balance. Heal the gut. Watch what changes.Study source: PubMed Meta-Review on Gut-Brain Axis (2025)https://pubmed.ncbi.nlm.nih.gov/3963000Perimenopause: Recognizing and Addressing Early SymptomsDid you know that up to 90% of women experience symptoms of perimenopause years before menopause actually begins? Despite that, most women are either dismissed by doctors or told they're too young to be entering that phase. Perimenopause can start as early as your mid-30s, and it's not just hot flashes—it's insomnia, anxiety, irritability, brain fog, and cycle irregularities. A study from Stanford's Center for Lifestyle Medicine in 2025 emphasized that when women are supported with hormone therapy earlier—during perimenopause, not just postmenopause—they report significantly better mental clarity, energy, and quality of life. But here's the problem: most conventional providers aren't trained to spot this transition, and women are left thinking it's just stress, parenting, or age catching up with them. When really, it's hormones shifting. Estradiol begins to fluctuate, progesterone declines, and the nervous system takes the hit. Women deserve to know what's happening inside their bodies—and what they can do about it. Simple steps like tracking symptoms, checking hormone levels through saliva or urine testing, and considering targeted bioidentical support can change everything. This isn't about vanity—it's about function, clarity, and reclaiming your life before things spiral. If you've ever thought, 'I just don't feel like myself anymore,' and your labs came back 'normal,' this is your sign to dig deeper. You're not crazy. You're not weak. You're likely perimenopausal. And you deserve care that actually sees you.Study source: Stanford Lifestyle Medicine (2025)https://longevity.stanford.edu/lifestyle/2025/03/06/menopause-hormone-therapy-is-making-a-comeback-is-it-safe-and-right-for-you/Menopause and Muscle Mass: The Critical Role of Resistance TrainingMuscle loss during and after menopause is one of the most overlooked drivers of weight gain, fatigue, and metabolic decline in women. In fact, women can lose up to 10% of their muscle mass in the first five years post-menopause. That's not just a cosmetic issue—it's a health crisis. Loss of muscle means decreased insulin sensitivity, weaker bones, and lower resting metabolic rate. But the good news? It's reversible. A landmark 2025 study from the University of Exeter showed that menopausal women who engaged in just 12 weeks of resistance training experienced a 21% improvement in lower body flexibility and significant increases in strength and mobility. What's even more promising is that these improvements came from just two to three sessions a week using basic strength exercises. Muscle is your metabolic engine. And during menopause, when estrogen drops, protecting that muscle becomes your superpower. This isn't about getting shredded or spending hours at the gym—it's about lifting enough weight to send your body the message that it's still needed. Because when your body doesn't get that message, it starts letting muscle go. This leads to increased fat gain, inflammation, and risk of chronic disease. If you're entering menopause or already postmenopausal and you're not lifting weights, you're missing one of the most effective, protective tools for your long-term health.Study source: University of Exeter (2025)https://news.exeter.ac.uk/faculty-of-health-and-life-sciences/first-of-its-kind-study-shows-resistance-training-can-improve-physical-function-during-menopause/The Importance of Sexual Activity as We AgeHere's something most people don't expect: research shows that sexual satisfaction actually improves with age. A 2025 study published in Social Psychology revealed that older adults reported higher levels of emotional intimacy, comfort, and fulfillment during sex—especially when partnered with someone long-term. It turns out that fewer distractions, better communication, and reduced self-consciousness all contribute to more satisfying experiences in later years. But biology still plays a role. Hormonal shifts—like lower estrogen or testosterone—can affect desire, arousal, and comfort. The good news? These challenges are highly treatable. We now have non-invasive, low-risk treatments like vaginal DHEA, testosterone therapy, or pelvic floor physical therapy that can radically improve function and satisfaction. And here's the key: sexual health isn't just about sex. It's about cardiovascular health, immune health, sleep, and mood. An active sex life improves oxytocin levels, reduces stress, and strengthens the emotional bond between partners. Unfortunately, a lot of providers still don't ask about it. And many people are too embarrassed to bring it up. But this is a health issue—and you deserve support. So if intimacy has changed, bring it into the conversation. Because aging doesn't have to mean disconnect—it can actually mean rediscovery.Study source: PsyPost (2025)https://www.psypost.org/sexual-satisfactions-link-to-marital-happiness-grows-stronger-with-age/Preventing Alzheimer's and Type 2 Diabetes: Blood Sugar and Brain HealthThere's a reason Alzheimer's is now being called 'Type 3 Diabetes.' A 2024 study published in JAMA Network Open found that people with Type 2 Diabetes who kept their A1C in the target range significantly lowered their risk of developing Alzheimer's disease. In fact, risk was reduced by up to 60%. Why? Because insulin resistance doesn't just affect your pancreas—it affects your brain. High insulin impairs memory centers like the hippocampus, increases inflammation, and accelerates plaque formation. That means your morning bagel and soda aren't just spiking your blood sugar—they may be spiking your dementia risk. The solution isn't extreme dieting. It's metabolic awareness. Simple tools like continuous glucose monitors, strength training, walking after meals, and eliminating ultra-processed carbs can dramatically stabilize blood sugar. Add in sleep and stress management, and you've got a recipe for brain protection. Most people wait until symptoms start. But prevention is where the power is. If you have a family history of Alzheimer's or Type 2 Diabetes, take this seriously. Your future brain is being built right now by the food on your plate.Study source: JAMA Network Open (2024)https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821878Testosterone and Aging: It's Not Just About Sex DriveMost people hear 'testosterone' and immediately think of sex drive. But this hormone does way more than that. Testosterone plays a critical role in muscle maintenance, bone density, energy, focus, and mood. A 2025 review from the HE Clinics found that testosterone levels in men start declining around age 30—and continue to drop about 1% per year. That might sound gradual, but by your late 40s or 50s, it's enough to cause noticeable issues: brain fog, irritability, fatigue, and loss of motivation. What's even more concerning is that low testosterone has now been linked to a 26% higher risk of developing Alzheimer's. The brain literally needs testosterone to function well. The challenge is, many men go undiagnosed because they don't get tested—or they get told their levels are 'normal for their age.' But 'normal' doesn't mean optimal. And restoring optimal levels, especially with bioidentical therapies under medical supervision, has been shown to improve mood, clarity, libido, and physical performance. This isn't about bodybuilder doses or quick fixes—it's about reversing a gradual decline that's robbing men of their edge. If you or your partner feels like something is off, it's worth investigating. Because aging doesn't have to mean decline. It can mean recalibration.Study source: HE Clinics (2025)https://heclinics.com/testosterone-therapy-in-older-men-recent-findings/Why Functional Medicine Is Gaining Ground Over Conventional CareIf you've ever felt dismissed in a 7-minute doctor's appointment, you're not alone. Traditional primary care is built for volume—not personalization. That's where functional medicine comes in. A 2019 study published in JAMA Network Open found that patients receiving care through a functional medicine model saw a 30% greater improvement in health-related quality of life than those in conventional care. Why? Because functional medicine is built around asking better questions, running more comprehensive labs, and looking for root causes—not just masking symptoms. Instead of saying 'your labs are normal,' we ask, 'are you thriving?' We look at hormones, nutrition, sleep, gut health, toxin exposure, and genetics as pieces of a bigger picture. This approach is proactive—not reactive. It focuses on reversing disease, not just managing it. More and more people are turning to this kind of care because they're tired of feeling unseen. If you've been told everything is fine but you still feel off, functional medicine might be the approach you need. You deserve care that listens longer, digs deeper, and treats the whole you.Study source: JAMA Network Open (2019)https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753520A word from my sponsors:Quince - Get cozy in Quince's high-quality wardrobe essentials. Go to Quince.com/honest for free shipping on your order and 365-day returns. LMNT - Get your free LMNT Sample Pack with any purchase at drinklmnt.com/HONEST. Ritual - Support a balanced gut microbiome with Ritual's Synbiotic+. Get 25% off your first month at Ritual.com/BEHONEST. Happy Squatting. Primal Kitchen - primalkitchen.com/honest to save 20% off your next order with code HONEST at checkout.Fatty15 - You can get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/HONEST and using code HONEST at checkout.Bilt Rewards - Start earning points on rent you're already paying by going to joinbilt.com/HONEST. For more Let's Be Honest, follow along at:@kristincavallari on Instagram@kristincavallari and @dearmedia on TikTokLet's Be Honest with Kristin Cavallari on YouTubeProduced by Dear Media.This episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct, or indirect financial interest in products, or services referred to in this episode.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this video, Dr. Doug Lucas discusses the complexities surrounding estrogen's role in maintaining and building bone density in women, particularly in the context of hormone replacement therapy (HRT). He critiques a recent study on low-dose estradiol, highlighting its limitations and the importance of individualized care based on various biomarkers rather than a one-size-fits-all approach. Dr. Doug emphasizes that while low doses of estradiol can be beneficial, not all women require the same treatment, and a thorough investigation into each patient's unique hormonal profile is essential for effective care.*STUDIES*https://jamanetwork.com/journals/jama/fullarticle/197177

Send us a textThis podcast originally ran on October 21, 2023.This week we get down to basics, and basics are exactly what we need in this confusing world right now. This is THE podcast to listen to if you are confused about all things to do with taking hormone therapy.Dr Vikram Sinai Talaulikar is a specialist in reproductive medicine at University College London Hospital's NHS Foundation Trust and an associate professor in Women's Health at the University College London. He graduated in medicine in India in 2003 and completed a postgraduate degree in obstetrics and gynecology in 2007. He is a certified menopause specialist by the British Menopause Society, a menopause trainer and he is constantly educating others on this transition as well, via online webinars, events and through social media. He is also part of the trio who established the Menopause Research Education Fund, alongside medical journalist Fiona Clarke and groundbreaking menopause campaigner Diane Danzebrink.Highlights of our discussion: Hormone therapy (HT) 101WHI: good, bad and what we can learn from it 20 years onEstrogen in the pill vs estrogen in HT All the kinds of estrogen and what they are used for strogen too ethinyl estradiolEstrone, Estriol, Estradiol, and Estetrol.17 beta estradiolGetting to the bottom of body simila, body identical and bioidentical – and why that varies from country to country Pharmaceutical company produced HT vs compounding pharmacy versionsthe big “Catch-22” with compounding pharmacies that keeps their bioidentical hormones out of official recommendationsthe pill, HRT and breast cancer riskwhy problems with the pill don't get flagged and HRT does Evidence over estrogen and breast cancer risk (and randomized trials versus observational data)What's what: progesterone, progestin and progestogens (how they work and which one carries a slight risk for breast cancer)how long you really need to take HRT to see if it's workingwhy HT works for some people and not othersDr Talaulikar's favourite non-hormonal treatmentsWhere to find Dr Talaulikar:X: @VikramSinai Web: Menopause Clinic LondonMenopause Research and Education FundThe Living in Clarity Podcast, with Fish & Coach Do you want to live an awesome life and to also inspire others? Fish is a world...Listen on: Apple Podcasts SpotifyJoin the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog Are you menopausal and have any of the following symptoms? Hot Flashes Night Sweats Dry Vagina Painful intercourse Dry skin Lack of sex drive Lack of motivation Fatigue Depression and or anxiety Change in body composition, with fat collection in the abdomen Loss of Muscle Mass and strength Irritability Inability to remember names and places Decreased ability to problem solve Insomnia Arthritis Body pain These are all symptoms we currently are aware of associated with menopause and low testosterone.  These symptoms can be treated and reversed with bioidentical estradiol and testosterone pellets. Menopause should be treated like an illness that is universal but more severe in some women compared with others.  If your symptoms affect your lifestyle, relationships and work then you should see a doctor who treats hormone deficiency and accept treatment! However, if you allow yourself to be manipulated by a male-dominated medical system that teaches all doctors to believe that menopause is normal as women age and don't seek out hormone replacement, then you just may be setting yourself up for years of symptoms that are treated with handfuls of medications, but never get you back to normal. Just think about this for a minute: Men develop erectile dysfunction and experience muscle loss as they age, but medicine doesn't consider ED or Sarcopenia a natural aging process for men, they advocate and endorse treatment with testosterone, ED medications, injections for ED and therapy for ED, and in most cases pay for it!  If the male mentality would include women we would all be treated with estrogen and testosterone when we got to age 50 (or menopause). It is not just about the symptoms that E-T replacement can cure, but the diseases that you can avoid by taking estrogen and testosterone after menopause.  These avoidable diseases of aging include: Osteoporosis leading to broken bones and spinal stenosis. Heart disease and stroke Diabetes Alzheimer's Dx and dementia Obesity Low muscle mass and inability to walk or move independently. Autoimmune diseases Loss of blood flow to Lower extremity, resulting in amputations and inhibiting walking and running Severe arthritis Gout Worsening depression and anxiety Frailty which is what causes most older people to be placed in a nursing home. Just think it is not fate that gives you these conditions.  It is genetics plus lifestyle plus whether you replace your sex hormones or not! This decision is in your control.  If you really want a life free of debilitating disease and symptoms that are require constant medical care, then you must buck the system (that was designed to keep us from maintaining our mind and body) and look for a doctor to replace your testosterone and estradiol in a non-oral delivery system and maintain it for life. By stopping ERT or Testosterone like the ACOG doctors tell you to, you will start the symptoms all over again.  My job is to offer you the right type of help to reverse the effects of menopause…both symptoms and diseases. Your job is to decide whether you want to get help and become healthy by taking non-oral estrogen and testosterone for the rest of your life. Think of menopause as a disease and you will be more prepared to fight for your right to be treated by the medical system.

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog In my Anti-Aging-Longevity practice, one of the complaints my new patients tell me about is the fact that their hair is thinning, falling out or changing to a brittle texture, as well as the fact that their hair is turning grey. Hair DOES get thinner, coarser, and greyer as we age!  That is a fact, and one I can't fully explain to you, except that it happens to everyone!  My philosophy is that each of us should work with what we have, and optimize it, as well as treat any condition that makes hair loss work instead of wishing and wishing we had the hair we did when we were 25! Accepting the fact that your hair gets thinner after 40 and working with the hair you have takes knowledge to determine what is normal and what is not. Some of the things that everyone should know before looking for the best path forward to healthy hair. Aging and Slower Hair Growth Low Growth Hormone Lack of Estradiol and T in women and lack of T in men Aging causes Growth Hormone (GH) to decrease, which slows the growth of hair, fingernails, bone.  Your hair falls out at the same rate as it did when you were young, but the growth slows which results in losing more hair than you replace which thins your hair! If you started your young life with fine, thin hair, then this difference between growth and loss of hair can make your hair very thin.  To get to the root of the problem (I apologize) increasing GH will make your hair grow a bit faster. Testosterone replacement and Estradiol replacement both increase the growth of GH. Both hormone replacements increase hair thickness. Testosterone has a second benefit.  Testosterone makes your scalp oiler, which in turn increases the longevity of your hair. At menopause the lack of these two hormones causes a big change in hair thickness. Loss of hair in specific areas—Balding Genetics Scarring alopecia Androgenic alopecia Extensions Dread-locks Balding and alopecia both cause a person to lose hair follicles, not just slow the rate of hair growth.  Balding usually is genetically determined, so look at the older members of your family to determine what is in your future.  This type of hair loss is very difficult to treat. 50% of men have some balding by age 50, and 1/3 of women experience it sometime in their lives.  Until recently there was nothing to stop this process or grow more hair in those areas, however both men and women can resurrect their hair follicles (if they haven't been gone too long) and make them grow with the TED hair restoration painless ultrasound treatment by Alma. Other options are Hans Weiman hair transplants or weaves, both of which are extremely expensive, don't necessarily look natural (President Biden and his son) and must be redone every couple of years. Women can just cover over the problem with a wig, but even that answer has drawbacks—they are hot and itchy until you get used to it. Women can also get extensions to make their hair look thicker, but it ruins the quality of the hair you have which in the long run causes even more hair loss from scarring of the scalp. Women of color have traditionally used tight braids, cornrowing or dreadlocks to control their hair.  This cultural process causes them to break their hair off at the scalp and damage the hair follicle from tension, which results in hair no longer growing in multiple areas of the scalp. Change in Hair Texture and Dryness At menopause for women and when men's testosterone gets very low, we notice a change in texture of our hair. The cuticle area that covers the hair shaft becomes fragile and stops protecting the hair shaft, so the texture becomes frizzy, and hair breaks causing a dull look similar to what my mother used to call a “birds nest”. Our scalps become dry, and the oil glands dry up with age and loss of sex hormones, so hair is dry and frizzy, making us look like we just stuck our fingers in a light switch.  You can read about many “natural remedies” but beyond taking collagen, Biotin and B vitamins most supplements don't work in a dramatic way that would be noticeable. The remedies for hair loss include all the following and you will have to do most of them to improve your aging hair! Hormone replacement of Estradiol and Testosterone Conditioners (which only work a little) Hair color which covers the shaft with pigment and strengthens hair Brazilian treatment that drives straightener into the hair shaft and seals it with heat. Take supplements of Collagen every morning Take methyl B12 and Biotin daily Stop bleaching your hair Eat a diet with healthy fats and protein Wash your hair every 2-3 days Take the fat soluble vitamins A.E.K,D If you are anemic take iron supplements Avoid statins if possible   Other medical causes of frizzy, broken hair can be found in low thyroid hormones which slows hair growth, decreases oil production, and results in brittle hair all over the head. Replacing your thyroid hormones and supplementing your iodine can overcome this obstacle. All medicine changes should be managed by your doctor. Many drugs cause hair loss, and you can't change some of them: Metoprolol or any Beta blocker Blood pressure medication Prednisone and all steroids Cancer treatments Anything that inhibits your B vitamins like some autoimmune diseases What can you do to fix what you can fix! Nutrition: Hair is protein; however hair requires oil (fat) to grow and be beautiful—a diet rich in protein, and healthy fats give you the building blocks to make healthy hair and skin. Add Vitamins of A/E/K/D, vitamin C, Multi Methyl B vitamins with methyl folate and Biotin because our diets aren't perfect!   Hair care: Get hair products without sulfides.  They break hair and make it weak!  Wash your hair as little as possible. Decrease the use of hot hair tools like flat irons.  Color your hair and or Brazilian it to make it stronger. Medications not to take are listed above. But the medications to take to help your hair are your sex hormones, Estradiol, Testosterone, and make sure your DHT doesn't get too high which can cause hair loss in the male pattern. You may need Finasteride or Minoxidil if you have male pattern hair loss. Sun damage is important to maintain your hair in sunny areas.  Wear a hat or scarf when outside and comb some conditioner through your hair at the pool to “cover your hair from sun damage”.   Summary: Now that you know the possible causes and treatments for hair loss, you can do everything possible up to seeking medical care, and then medical care may be necessary. Hair thinning is often familial and also due to our estradiol and testosterone hormones decreasing after 35-40 years of age. You may need a scalp biopsy from a Dermatologist if your hair loss is in patches or severe over a short period of time, which implies an autoimmune disease. When you see a doctor be prepared with a list of your hair products, your diet, a list of medicines and a timeline for your hair loss.  This preparation will get you the best treatment per doctor visit, and your doctor will appreciate not having to ask you all those questions!

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog During our interview I reviewed her path through recovering from years of no hormones and discussed how dramatic her recovery was.  Her symptoms included no libido and no orgasms, Painful intercourse from a dry vagina, fatigue, depression, troubles with memory, Insomnia, lack of motivation, dry wrinkled skin, alopecia, osteopenia, weight gain, loss of muscle mass and weakness, fibromyalgia, migraines, hot flashes, insomnia and poor of quality of life.  Her symptoms impaired her ability to have a quality life.  During the years after her hysterectomy, she developed hypertension and Rheumatoid Arthritis. After she was treated with Estradiol and Testosterone pellets, her recovery was dramatic and fast!  It amazed both of us, and she has continued to improve her health and now she is very healthy, without hypertension and she had almost a decade free of Rheumatoid Arthritis.   It turns out that the recovery of her energy, confidence and strength was well timed. She needed all the health and strength she could get to take care of her husband who finally succumbed to brain cancer in 2019.  The same year she had the strength to become VP of Paramount bank as her employment.  It seemed that the more life-disasters that she overcame, the stronger she got! As generally happens when people are overly stressed, even hormone replacement is overwhelmed.  In 2018 had a recurrence of rheumatoid arthritis, and she developed Hypothyroidism and Insulin resistance.  Grace, my NP at BioBalance Health, helped her treat her thyroid and weight gain and guide her to overcome these medical problems including losing the weight she gained with insulin resistance.   In 2022 she met, and married Mark Behlmann, who she served on the same charity boards with, but she had never met before.  She got her second chance with Mark at finding love and fulfillment in her partnership with him.  He encouraged her to compete in the. Ms. Missouri Senior, and she employed her energy, talent for singing, her own passion for success and service to become the 2024 Ms. Missouri Senior. In her role she encourages women to use their gifts to achieve everything that they can in life and to find a doctor to help them survive loss of hormones after menopause, so they can continue their service to family and society throughout their lives…she is the best example I can think of living your life to the fullest every day, no matter how old you are!

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog Last time we reviewed why interpreting your lab may lead you to the wrong diagnosis and treatment.  Today we continue our review of each lab panel and why the reference ranges on your lab results may not be the “Healthy Normal Range” that you should compare your results to. Lab reference ranges are established with a one-size-fits-all mentality, ignoring the numerous variables that influence blood results. Have you ever tried on a “one-size-fits-all “ANYTHING? Those clothes may fit 20% of the population but for the rest of us, the garment doesn't fit our width, weight or height! All one-size-fits-all lab reference ranges are much the same.  For example, the standardized “reference ranges” in the US serve as a one-size-fits-all “ideal range” applied to everyone, despite genetic differences, varying latitudes, and the diverse diets that characterize the American multiethnic population. This presents the first problem with using a single range for all people: variations among individuals based on differing genetic needs.  The second issue is that the ranges on the lab report indicate the minimum levels necessary for survival, not necessarily the healthiest blood levels for most individuals. Another example of one size doesn't fit all is the reference range for women's hormones. A range is displayed for cycling women, but there is no healthy range for menopausal women.  Does the range displayed refer to menopausal women with HRT, or menopausal women without HRT to treat their menopausal symptoms? Is the range based on what is healthy, or what is average? We aren't sure. Labs don't ask patients questions that could help interpret lab values. Therefore, they cannot provide a truly diagnostic reference range for any illness. They only consider gender and age, as reference ranges are solely adjusted for these two factors.  A doctor must interpret individual lab results alongside a patient's medical and surgical history, including established diseases, medications, supplements, hormonal treatments, and past lab values. For instance, laboratory companies should offer reference ranges based on whether a patient is menopausal, a woman is undergoing ERT, a man is receiving testosterone, a patient is on thyroid medication, a person is being treated for diabetes, or the diabetic tests are performed to diagnose diabetes.   Some Reference Ranges are Based on comparing results to Misleading formulas The best example of this issue is the Lipid Panel. Doctors use this panel to determine a person's risk for heart attacks caused by atherosclerosis. Most doctors don't know the formula for determining Total Cholesterol. This test doesn't predict heart disease in most patients, as the formula used to arrive at that number is not indicative of the disease. However, doctors have been advised that when   total cholesterol levels are high, a patient should start taking a statin, a drug that reduces blood cholesterol and sometimes lowers the rate of heart attacks in certain individuals, though it is rarely predictive in 50% of the population. The problem with the lipid panel is twofold: the LDL level indicates future atherosclerosis in only about 50% of the population and is not a specific test for future heart disease risk. Total cholesterol is even less predictive of heart disease because it stems from a flawed formula. Doctors interpret a high Total Cholesterol level as an indication that a patient may be at increased risk for heart disease in the future. When I test patients with elevated Total Cholesterol or high levels of LDL using a Cardiac Calcium Scan to measure plaque, only half of them actually produce plaque, and consequently, are not at risk for atherosclerotic heart disease. I believe that the Total Cholesterol number is derived from an inaccurate formula for determining a person's risk of future heart disease. The Total Cholesterol number is calculated using a flawed equation. The equation is as follows:         LDL + 1/5 Triglycerides+ HDL = Total Cholesterol Total Cholesterol = LDL (bad cholesterol) + 1/5 Triglycerides (high risk factor) + HDL (good cholesterol) Let's examine this formula simply like this:   Bad + Bad + Good does not equal Bad. Due to this incorrect formula, thousands, if not millions, of patients have been prescribed statin drugs for a lifetime without justification!  Statins carry risks. The list of side effects is extensive and includes muscle deterioration and statin-associated dementia. Unfortunately, most people who experience statin side effects are women. Women tend to have higher HDL levels than men. Additionally, they typically do not have atherosclerotic plaque until menopause and usually do not develop it after menopause if they undergo estrogen replacement therapy! This gender issue is just one of the problems with laboratory reference ranges that are not adjusted for sex. The total cholesterol values were developed solely from the blood levels of men, who typically have lower HDL levels. Women were excluded from the tests conducted to create this blood panel. For women, I dispel the myth that high total cholesterol predicts heart disease by recommending a Cardiac Calcium Scan to check for plaque. If a woman has no plaque by the age of 50 and is taking estrogen, she is unlikely to develop plaque in the future.  I still test them every 2-3 years to ensure that no metabolic changes have altered their risk, but I don't put much faith in the unreliable cholesterol blood panel. There is another blood test that has deceptive reference ranges: IGF-1 How about the GH-IGF-1 test, the test for Growth Hormone?  IGF-1 is a metabolite of GH that we can measure to determine how much the patient produces.  This hormone aids in healing and replenishing aging cells in patients after their growth is complete.  The healthy normal range with which I was trained, (150-350 MIU), has been changed to an age-adjusted normal that compares a person to others in her age category who had their blood drawn the previous year.  What is wrong with this? Growth hormone (GH) decreases with age and contributes to the declining health people experience as they grow older. Similarly, IGF-1 diminishes with age and illness, which means that the “reference range” essentially reflects that you are “average for the sick individuals who visit Quest to have their IGF-1 levels checked. ” IGF-1 levels can be enhanced through weight loss, testosterone replacement, and an increase in muscle mass. The current reference range does not indicate health or illness; it merely shows whether you fall within the average for your age group. This non-scientific method of determining “health” is widespread in contemporary medicine. By comparing aging individuals to others within the same age group, for hormones that decline with age, based on samples from sick patients who visit a specific lab in the past year, these labs label patients as “healthy” even when they are as ill as other individuals their age who go to that lab! This practice constitutes age discrimination! Regarding hormones, the levels we maintained during our fertile and youthful years correspond to the blood levels indicative of health in all individuals ages. For example: People who check their IGF-1 (Growth Hormone) levels and see a low “52 ng/ml” might feel satisfied that they are within the standard range (50-280 ng/ml). However, they may not realize that this range applies to older, unhealthy individuals, not to healthy young ones (150-350 ng/ml).  This is just one example of the issues that arise when non-medical individuals, who do not monitor these tests regularly, draw conclusions from the numbers.   Some illnesses require more than one blood test for diagnosis If you consider only one of the three tests for diabetes or prediabetes (Fasting Blood Sugar, HbA1c, and Insulin), you cannot self-diagnose as diabetic, prediabetic, insulin resistance or healthy.  Diabetes is a disease that has coincided with the rising number of obese individuals.  Both conditions affect nearly 50% of the American population. Blood tests cannot be interpreted accurately unless a patient has fasted for 12 hours; all three tests should be evaluated. When diagnosing diabetes and insulin resistance, we perform three tests to assess whether a patient has insulin resistance, prediabetes, or diabetes. These tests guide our diagnosis and inform the treatment we provide based on their results. Fasting insulin is a highly misleading test. Over 15 years ago, a significant study was conducted that was believed to change the reference ranges for fasting insulin.  The new range set for normal fasting insulin was less than 10 mIU/ml. By publishing the reference range less than 18 mIU/ml, they miss diagnosing many patients with insulin resistance HBA1C is a test that gives a value of average blood sugar over three months. The results are often used alone to determine prediabetes and diabetes; however, considering all three aspects makes the diagnosis and treatment plan more specific for the patient. FBS (fasting blood sugar) is the third diabetes test. It is generally used as a screening test that prompts the ordering of the other two blood tests; however, some patients exhibit symptoms of diabetes and insulin resistance without having elevated fasting insulin levels. Many medications can raise diabetic test values, causing a patient to seem diabetic when they are actually experiencing a side effect of the drug.  One such medication is Atorvastatin.  The solution is not treating diabetes but rather adjusting the medication.  Hormone tests are especially challenging to interpret, Especially when testing free Testosterone in women Here are the problems with the free Testosterone test itself: Women have extremely low levels of free testosterone and testosterone compared to men. I have been informed by Quest that women's free testosterone levels are not reliable with current methods because they are not always reproducible when a test is conducted twice on the same day. This leads me to believe that hormone levels do not always reflect the actual blood levels of free testosterone and estradiol. The levels of testosterone in women are based on menopausal levels of T. Women have long been thought to not produce testosterone, so the “normal” levels are quite low, and 0 used to be considered normal- until one day I managed to persuade a medical director at Quest to increase it to 0.2! Women's testosterone is influenced by their production of E2 and E1, which inactivate free T. Women vary in how their cells respond to testosterone and estradiol. Receptor sites and their genetic acceptance of hormones can mean that the same blood level of testosterone in both sexes does not produce the same effects in all patients. Some women (and men) are resistant to E2 and T, or to one of the two. This indicates that the hormone-free T level may be optimal for one woman while being ineffective in alleviating any low T symptoms for another. The latter individual is T resistant, and we currently have no means outside of research labs to determine which women are sensitive and which are resistant. This requires that doctors and NPs look beyond typical reference ranges to effectively manage E2 and T replacement for women. Lastly some labs use the total testosterone level through a formula determine the free T. This carries inherent risks of reporting the wrong active level of testosterone. Total and free testosterone blood levels for men, are derived from results of older men, rather than from the blood levels that indicate health and the levels at which men experience no symptoms. This leads men to believe they are normal, even though they are symptomatic, and they can't get treatment. There is no time to discuss the reference ranges for LH, FSH, Estradiol, and Estrone; these topics will be addressed in a future blog. I hope I have encouraged you to review your blood work with your doctor or Nurse Practitioner, and not to act as your own doctor by interpreting your blood tests.

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog Menopausal Symptoms I waited to announce the emerging research regarding the safety of post-menopausal hormone replacement therapy for breast cancer patients suffering from severe menopausal symptoms until the research finally supported my belief that women have the right to receive the treatment that they need if they accept the risks of that treatment. The past year of research (2024-2025) has produced a significant amount of research demonstrating the health risks associated from not taking hormone replacement therapy, as well as the safety of using testosterone after breast cancer and the limited risks of hormone replacement therapy following breast cancer. I have practiced women's medicine for over 40 years, and I believe that female patients should have the right to receive post-menopausal hormone therapy if they understand and accept the associated risks and benefits, as long as it is administered safely. Let me pause here to discuss how doctors ethically make decisions about treatment. First, the aim of medical treatment is to improve health and longevity while alleviating symptoms. It is a doctor's responsibility to evaluate, treat, and advise patients on the best course of therapy based on their medical training, practical experience, and the latest research. However, the third factor is often overlooked when advising patients about hormone replacement therapy after breast cancer. Doctors determine the best course of treatment by using this information and weighing the benefits of a treatment against its risks. We are trained to provide this information to patients to facilitate informed decision-making with the patient, not for the patient. This process requires time that doctors no longer have. Ah, and therein lies the problem. Doctors are trained to follow research related to the diseases and conditions they treat and to integrate that research into their practice. The basic decision-making process involves weighing the benefits of treatment (or no treatment) against the associated risks. When the benefits of a treatment outweigh its risks, it is recommended to the patient. “Recommended” means the doctor, based on current knowledge, believes it to be safer and more effective for the patient's health to pursue a specific treatment. However, this does not imply that the patient must follow the doctor's advice. A patient is autonomous and can assess the risks and benefits once informed, allowing them to refuse a treatment or request one that falls outside current medical guidelines. Doctors do not have to embark on a treatment they do not believe is beneficial or safe. Doctors have autonomy as well! Doctors in mainstream medicine adhere to “medical guidelines” established by our specialties, which represent the minimum level of care expected from a physician. However, these guidelines are often decades behind current research, meaning that the risks and benefits communicated to a patient may be outdated. A legal requirement known as informed consent mandates that a doctor inform the patient or include this information in a consent form that the patient reads and signs, detailing the procedure or treatment. If the treatment is newer than the guidelines, it is categorized as “off-label.” It is essential for the doctor to inform the patient that the treatment does not conform to current guidelines, and the patient must acknowledge the known risks associated with the treatment. At BioBalance Health®, we often find ourselves ahead of the guidelines, and my experience indicates it may take up to 20 years for the guidelines to catch up with us. Much of our treatment is considered off-label because it is current and ahead of the guidelines. It is superior to other treatments and remains safe, but risks are inherent in every treatment! Now, let's return to breast cancer and the roles of estradiol, testosterone, and progesterone replacement. Here are the facts about breast cancer: Most breast cancer patients are post-menopausal, and have symptoms of menopause Not all types of breast cancer are stimulated by estradiol or progesterone, and therefore for these cancers hormone replacement therapy is safe. Breast Cancer patients with negative nodes who have had a bilateral mastectomy are candidates for hormone replacement therapy after their treatment. The risks of estrogen replacement for ER+ breast cancer patients may promote the growth of cancer cells, while testosterone replacement lowers the risk of recurrence and alleviates certain menopausal symptoms. When testosterone is combined with estradiol, the risk of developing breast cancer in all women is reduced. Testosterone enhances the quantity and activity of cancer-fighting T-killer and T-helper white blood cells. All breast cancer patients can manage menopause symptoms using testosterone pellet therapy and vaginal estrogen without an increased risk of recurrence. Do you remember when I mentioned that the risks of treatment should be balanced with the benefits of that same treatment? Recently, numerous research articles have outlined the benefits of estradiol treatment, which I included in my 2017 book, “The Secret Female Hormone: How Testosterone Replacement Can Change Your Life.” In early 2025, the safety of taking estradiol for menopausal women confirmed the less publicized research that had come before. The Journal of Endocrinology and Metabolism reported that women who underwent estradiol replacement after the age of 60 live 20% longer than those who do not take hormone replacement therapy. This challenges the guideline that advises OB-GYNs to discontinue hormone replacement therapy before the age of 60. The Benefits of Estrogen replacement after menopause, based on multiple research studies over the last 20 years is as follows: ERT alleviates symptoms such as dry vagina, painful intercourse, insomnia, hot flashes, and night sweats. Estrogen replacement prevents and treats osteoporosis in women. Testosterone replacement in women with osteoporosis can reverse the process of bone loss, bringing bone back to normal strength and decreasing fracture risk. Non-oral Testosterone and Estradiol can prevent arteriosclerotic heart disease. ERT and HRT decreases the risk of diabetes with aging. Estradiol replacement during the first decade after menopause can delay the onset of Alzheimer's disease and dementia by ten years. If you are genetically predisposed to developing Alzheimer's or dementia by age 80, E2 replacement may postpone this onset until you turn 90. Testosterone replacement in the first 10 years after menopause postpones the onset of Alzheimer's disease and dementia for an additional ten years. Testosterone boosts immune function in both sexes and diminishes the onset and severity of infectious diseases. Aging causes cognitive decline, marked by challenges in memory and thinking, and menopause speeds up this process. Testosterone and estradiol replacement therapies may aid in reversing this decline. Muscle mass decreases after menopause due to a decline in testosterone but replacing testosterone with bio-identical pellets restores muscle mass to premenopausal levels.   The latest medical article that inspired me to create this podcast was published in the journal Menopause, which discussed the challenges many women face after breast cancer treatment without hormone replacement for their severe menopausal symptoms. Here are the quotes I think you should hear: (MHT = Menopause Hormone Therapy) “Among 226 breast cancer survivors.. the menopause symptom burden was high and women's experience of menopause-related breast cancer after-care was poor. Few women felt actively involved in menopause treatment decisions.  The NICE breast cancer guideline (NG101) states that women with a history of breast cancer can be offered MHT in “exceptional” circumstances if other treatments have failed (off-label use). However, NICE does not define what “exceptional” circumstances are or who gets to decide. Up to 50% of breast cancer survivors, especially those with debilitating menopausal symptoms, may choose to accept a small increase in risk in exchange for an improved quality of life and/or to mitigate future health risks associated with chronic estrogen deficiency.  “Allowing”. women to have MHT only in “exceptional” circumstance undermines patient autonomy and limits a clinician's ability to integrate clinical knowledge and judgment with the best currently available evidence (which is decades behind clinical guidelines). Clinicians have a legal and ethical responsibility to patients to make informed treatment choices. If you have had breast cancer and are experiencing symptoms you no longer want to endure, my advice is to find a doctor with whom you can make an informed decision based on the latest research. It's important to understand and accept the risks and to sign a High-Risk Consent for HRT.  If you aren't that brave, then seek a physician who will prescribe testosterone pellets along with vaginal estradiol to alleviate some of your post-menopausal symptoms. Life is too short to follow guidelines that are 20 years out of date when you are suffering.

If you're trying to conceive or just want to get your hormones in balance—this episode could change everything.After supporting over 1,000 women on their natural conception journey, I've uncovered the subtle yet powerful clues the body gives us long before an infertility diagnosis ever happens. These 10 fertility red flags often get brushed off as "normal" or “just stress”—but they're actually your body's way of waving a big red flag saying: something's off.

Hypertension is known as the ‘silent killer,' but what if I told you it's NOT just about cholesterol or genetics? Today, we're diving deep into hypertension, heart disease, and how a functional medicine approach can transform cardiovascular health. My guest, Dr. Abid Husain, MD, FACC, ABAARM, FSSRP, is a board-certified cardiologist who integrates cellular medicine, hormone optimization, and cutting-edge therapies to address the real root causes of cardiovascular disease.In this episode, we break down:✅ The true causes of high blood pressure (hint: it's more than just salt and stress!)✅ The best exercise strategies proven to lower blood pressure✅ How hormones, peptides, and GLP-1 receptor agonists play a major role in cardiovascular health✅ Supplements that help – and some that you might want to avoid✅ Why inflammation and oxidative stress are the real threats to your heart

Dr. Gillett, James O'Hara and Jim Lavalle scientifically dismantle biohacking, longevity, & peptides. Jim Lavalle: James LaValle is an internationally recognized clinical pharmacist, author, board-certified clinical nutritionist, and expert and educator in integrative and precision health. James is best known for his expertise in personalized integrative therapies uncovering the underlying metabolic issues that keep people from feeling healthy and vital. A thought leader in drug/nutrient depletion issues he has published 4 books and 3 databases in this area alone. He has over 35 years of experience integrating natural and integrative therapies into various medical and business models. His latest research is in drug-induced microbiome disruption.Follow Jim:► https://www.instagram.com/therealjimlavalle/► https://www.instagram.com/metabolic_elite/More about Jim:► https://www.jimlavalle.com/► http://www.metaboliccode.com/► www.metabolicelite.co00:00 Intro01:47

Tara sits down with one of her mentors, Dr. Daved Rosensweet, to have an important conversation about hormone replacement therapy (HRT) and why so many women are left in the dark when it comes to their options. Dr. Rosensweet has been at the forefront of bioidentical hormone therapy for years, and in this episode, he shares his deep expertise on how to approach HRT safely and effectively. They break down the fears and misconceptions that have prevented countless women from getting the support they need and discuss why personalized hormone therapy should be the standard—not the exception. Whether you're currently using HRT, considering it, or just want a better understanding of your options, this episode is a must-listen.   Key Talking Points Why hormones matter—they're not just about reproductive health, but essential for brain function, bone strength, and overall vitality. The shocking truth about declining hormone levels—they start dropping in your 20s and never stop. How misinformation about hormone therapy has kept women suffering needlessly. The Women's Health Initiative study—how it wrongly created fear around hormones and what the real science says. Bioidentical vs. synthetic hormones—why the form of hormones you use makes a massive difference. When to start hormone therapy—(hint: the earlier, the better). The importance of individualized dosing—why one-size-fits-all approaches don't work. How to find a knowledgeable provider who truly understands hormone therapy.   Dr. Rosensweet:  Daved Rosensweet, MD is the Founder of The Institute of BioIdentical Medicine and The Menopause Method, as well as the author of three books on the subject including his latest "Happy Healthy Hormones".  Early in his career, Dr. Rosensweet trained the first nurse practitioners in the United States and was in charge of health promotion for the State of New Mexico. With over 30 years of experience specializing in Andropause and Menopause treatment, he is a nationally known lecturer and presenter at The American Academy of Anti-Aging Medicine (A4M), The American College for Advancement in Medicine (ACAM), The Age Management Medicine Group (AMMG), and more. In 2019, he was called to Washington to speak in front of The National Academies of Science Engineering and Medicine (NASEM) on "The Safety and Efficacy of Bioidentical Hormones." Through The Menopause Method and The Institute of BioIdentical Medicine, Dr. Rosensweet is training medical professionals to master cBHRT using the most advanced and modern tools. His protocol has been used to treat more than 12,000 women. CUSTOMIZE TREATMENT PROGRAMS: The Menopause Method DOWNLOAD DR ROSENSWEET'S BOOK FOR FREE:  Happy Healthy Hormones     Mentioned in this episode: HRT Made Simple™ - Learn how to confidently speak to your doctor about the benefits of hormone replacement therapy so you can set yourself up for symptom-free, unmedicated years to come without feeling confused, dismissed, or leaving the medical office minus your HRT script. Hair Loss Solutions Made Simple™ – This course will teach you the best natural, highly effective, and safe solutions for your hair loss so you can stop it, reverse it, and regrow healthy hair without turning to medications. The Hormone Balance Solution™ – My signature 6-month comprehensive hormonal health program for women in midlife who want to get solid answers to their hormonal health issues once and for all so they can kick the weight gain, moodiness, gut problems, skin issues, period problems, fatigue, overwhelm, insomnia, hair/eyebrow loss, and other symptoms in order to get back to the woman they once were. [FREE] The Ultimate Midlife Perimenopause Handbook - Grab my free guide and RECLAIM your confidence, your mood, your waistline and energy without turning to medications or restrictive diets (or spending a fortune on testing you don't need!). BOOK A 30-MINUTE SESSION WITH TARA HERE   You might also like these episodes:   EPISODE 55: All about HRT including rhythmic dosing, Estradiol vs. Bi-Est & more with Dr. Felice Gersh PART 1 EPISODE 79: Do you need HRT if you don't have symptoms? What if you don't have hot flashes & you're still cycling regularly?  

We have a mashup episode today, exploring heart health during menopause and the benefits of hormone replacement therapy.  In this episode, Dr. Felice Gersh dives into the role of estrogen in immune function, inflammation, and heart health. Dr. Deb Matthew highlights the importance of assessing cardiovascular risks and hormone balance in perimenopausal and menopausal women to optimize heart health and minimize reliance on statins. Join us as Dr. Matthew and Dr. Gersh share their insights on heart health, hormones, and menopause. Ep. 356: Menopause, Heart Health, and HRT with Dr. Felice Gersh [00:01:53] Dr. Gersh guides listeners in understanding and appreciating the impact of estrogen on immune function, inflammation, and the healing processes within the body. [49:33] Estradiol is vital for heart health, and its decline after menopause can lead to issues like stiffening of the heart, heart failure, and arrhythmias in women. Ep. 325 Menopausal Toolkit: Heart, Brain and Hormonal Health with Dr. Deb Matthew [00:01:30] Most women fear breast cancer more than heart disease, even though cardiovascular disease is the leading cause of death in women. Yet, clinicians fail to talk enough about the effectiveness of hormone replacement therapy in mitigating the risk of heart disease during perimenopause and menopause.  [00:04:04] While estrogen can benefit the cardiovascular health of women, the risks associated with oral estrogen and synthetic forms, including blood clots and artery plaque instability, have led to hesitancy in using hormone replacement therapy despite its potential long-term benefits when administered correctly. [00:11:26] The balance of hormones like testosterone, DHEA, and cortisol plays a crucial role in cardiovascular health. Imbalances, such as flat cortisol patterns due to stress, potentially increase the risk of heart disease. Dr. Matthew uses tests like coronary artery scans and coronary intima-media thickness to assess cardiovascular risk in patients before considering hormone replacement therapy. [00:20:22] Dr. Matthew emphasizes the importance of advanced lipid testing, addressing the nuances of cholesterol particle size and inflammation, balancing hormones, and optimizing thyroid and blood sugar levels to manage cardiovascular risk instead of immediately resorting to statins. Bio: Dr. Deb Matthew Dr. Deb Matthew MD, The Happy Hormones Doctor, is a best-selling author, international speaker, educator, wife, and mom of four boys. After suffering for years from fatigue and irritability due to hormone imbalances, her quest to resolve her personal health led her to change everything about her practice of medicine. She has been featured on national podcasts, radio, and broadcast shows, including NBC, ABC, CBS, and FOX. Her books, This Is NOT Normal! and Why Can't I Keep Up Anymore? address hormone health in women and men. Bio: Dr. Felice Gersh Dr. Felice Gersh is a multi-award-winning physician with dual board certification in OB-GYN and Integrative Medicine. She is also a recognized expert on PCOS. Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Felice Gersh On her website: Integrative Medical Group of Irvine Instagram Connect with Dr. Deb Matthew On her website Facebook Instagram

In this video, Dr. Doug Lucas discusses the critical role of hormones in bone health, emphasizing the importance of estradiol, testosterone, and FSH. He explains how these hormones interact and their impact on bone density, particularly in women. The discussion also covers the significance of various biomarkers for hormone optimization and practical guidelines for hormone levels. Dr. Doug highlights the challenges in accessing hormone replacement therapy and introduces PEMA BioIdentical, a telehealth platform, designed to help individuals seeking hormone optimization.*STUDIES*https://pubmed.ncbi.nlm.nih.gov/36692543/

The questions answered in this podcast are listed below.They were compiled by GPs and health professionals around Australia. What are the risks posed by cardiovascular disease when you’re considering menopausal management? What do you consider high risk cardiovascular disease? For example, if a woman has a strong family history of heart disease but a zero-calcium score. Does the use of menopausal hormone therapy reduce the risk of cardiovascular disease and death? Can you diagnose menopause in a woman with amenorrhea, or very irregular periods by doing a progesterone challenge test. Any tips on how to diagnose? Is a persistent high temperature, greater than 39 degrees a vasomotor symptom, because they're suggesting that thermoregulation might be affected? Are you aware of any evidence on cannabidiol oil in treating menopausal symptoms? Can androgen deficiency cause hot flashes, fatigue or their mood? Could you provide more information on where patients can find evidence supporting the use of cognitive behavioural therapy for managing vasomotor symptoms? Additionally, it would be helpful to know if there are online services available that patients can access for this treatment How can you best treat brain fog? Is it reasonable to use different pharmacological agents that target specific symptoms, such as urinary urgency or hot flashes, before considering hormonal treatments? Is this an appropriate approach to managing symptoms? What indicators would there be for treating a woman with Vulvovaginal syndrome of menopause with something like Intrarosa dehydroepiandrosterone (DHEA) instead of Avastin or Estradiol tablets? Would you recommend or suggest starting local oestrogen creams for a patient above 60-years-old for atrophic, vaginitis or dryness? Is there any upper limit? How long can you safely use these vaginal preparations? Can you cut hormone patches when you're weaning someone off menopausal hormone therapy or when the patient just can't obtain the right dose. Is it okay to cut the patches (i.e in half, or thirds)? Why should paroxetine be avoided for the treatment of hot flushes in tamoxifen users and is there anything else we should be avoiding in these patients? Are there any effective treatments for a woman who presents between late 60-70 years old for management of hot flushes that have come back after settling and, should we be using menopause hormone therapy or starting them on non-hormonal therapy? Patient case: I've got a patient classed as BI-RADS D who's currently on menopausal hormone therapy. How should we monitor her? Patient Case: I have a few patients who are starting ashwagandha based on information from social media and blogs. Are there any research studies on its effectiveness? What exactly is ashwagandha, and is it beneficial for managing menopause symptoms? Additionally, are there any potential risks associated with its use? Is there any feedback, data or experiences supporting the efficacy of happy mammoth supplement? Selective serotonin reuptake inhibitors (SSRIs) can sometimes cause sweating as a side effect and is this ever an issue when you're trying to use it for hot flushes? Does Mirtazapine have a role in the management of vasomotor symptoms? Could you please discuss the use of Prometrium per vaginally and the recommended doses when you give it by that route? If you're on a standard or higher dose of something like Estraderm, is there a need to increase the Prometrium dosing on the higher dose? Do you need to give double the dose or give it more often? Can you please clarify the role of Tibolone in menopause, including its relative benefits and risks? I'm having trouble with resistance of some of my patients to start menopause or hormone therapy due to being told by their breast physician, surgeon, and friends that no woman with even a moderately increased risk of breast cancer should ever be on menopause hormone. How would you recommend that we advise these patients? Patient Case: I've got a 40-years-old who's perimenopausal and presents with hot flushes, mood swings, night sweats and brain fog. She has a history of Churg-Strauss syndrome. What is the best option for her treatment? Patient Case: I see lots of perimenopausal patients who have already started menopause hormone therapy and have irregular periods. However, on menopausal hormone therapy they get regular periods and they feel better, do they need contraception advice? Do you need to use contraception if you're on menopausal hormone therapy? Host: Dr Terri Foran | Total Time: 38 mins Expert: Dr Rod Baber, Obstetrician and Gynaecologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

When it comes to hormone optimization, there's a lot of conflicting information out there, making it hard to know who to trust. That's why I sat down with Dr. Shawn Tassone, a board-certified OBGYN and hormone expert who works directly with patients. We dive into perimenopause, menopause, and the biggest misconceptions about hormone replacement therapy. We also discuss why so many women feel dismissed by doctors and how to advocate for better care.  If you're unsure about HRT, we cover natural alternatives like adaptogens and herbal supplements that can support hormone balance. Dr. Tassone also shares insights on how diet, lifestyle, and stress impact hormones, plus practical steps to optimize your health.Topics Discussed: Misconceptions about hormone replacement therapy  Why women are often dismissed when discussing hormones  Natural alternatives like adaptogens and herbals  The role of diet, lifestyle, and stress in hormone health  How to advocate for yourself in the healthcare system  Signs and symptoms of hormone imbalances  Practical steps to optimize hormones at any ageSponsored By: Viva RaysGo to⁠ vivarays.com⁠ & use code: YOGI to save 15%Black Lotus ShilajitVisit:⁠ www.blacklotusshilajit.com⁠ and Use Code: SARAHK for 15% the entire site!Timestamps: 00:00:00 - Introduction 00:04:06 - Dr. Tassone's Background & Journey into Integrative Medicine00:10:28 - Treating perimenopause 00:14:30 - Birth control 00:15:42 - Reading labs and symptoms 00:21:20 - DUTCH testing 00:23:10 - Hormone Replacement Therapy (HRT)00:27:29 - HRT dosing and side effects 00:31:31 - Medical gaslighting 00:33:50 - Quantum medicine 00:38:52 - Hormone imbalances in women 00:41:47 - Chronic stress and hormones 00:45:09 - Supplementing with maca root 00:49:16 - Black cohosh and estrogen 00:50:32 - Overdosing supplements and hormones 00:52:26 - Estrogen and weight gain 00:55:19 - 01:00:41 - Estradiol face creams Check Out Shawn: WebsiteBookInstagramYoutubeThis video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!________________________________________Get all my free guides and product recommendations to get started on your journey!https://www.sarahkleinerwellness.com/all-free-resourcesCheck out all my courses to understand how to improve your mitochondrial health & experience long lasting health! (Use code PODCAST to save 10%) - https://www.sarahkleinerwellness.com/coursesSign up for my newsletter to get special offers in the future! -https://www.sarahkleinerwellness.com/contactFree Guide to Building your perfect quantum day (start here) -https://www.sarahkleinerwellness.com/opt-in-9d5f6918-77a8-40d7-bedf-93ca2ec8387fMy free product guide with all product recommendations and discount codes:https://www.sarahkleinerwellness.com/resource_redirect/downloads/file-uploads/sites/2147573344/themes/2150788813/downloads/84c82fa-f201-42eb-5466-0524b41f6b18_2024_SKW_Affiliate_Guide_1_.pdfMy Circadian App - AppleMy Circadian App - AndroidMy Circadian App - Youtube

Dr. Eric explains how many of the benefits of TRT come from the conversion of testosterone to DHT and Estradiol! DON'T block this!

Confession #116: "The logic behind prescribing hormones is absurd." In this episode, Dr. Shawn Tassone discusses the complexities and controversies surrounding hormone replacement therapy (HRT). He delves into the historical context of HRT, the impact of the Women's Health Initiative study, and the ongoing myths about HRT and breast cancer. Dr. Tassone emphasizes the importance of understanding the benefits of HRT for women's health, including its role in preventing osteoporosis and cardiovascular diseases. He also critiques the current business practices in hormone therapy and calls for a more informed and compassionate approach to women's health. Episode Highlights: Why hormones are often misunderstood and controversial How The Women's Health Initiative study significantly impacted HRT usage The truth about how estrogen may have protective effects against certain cancers How HRT can help prevent osteoporosis and improve quality of life How/why the medical community has historically underrepresented women's health issues Why Dr. T thinks there's a need for more education on the benefits of HRT How the narrative around HRT has been shaped by fear and misinformation Why women deserve better representation and care in healthcare Resources Dr. Shawn Tassone's Practice | Tassone Advanced Gynecology Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormonal Archetype Quiz Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions

Today on The Hormone Genius Podcast we have the executive director of FACTS About Fertility, Dr. Marguerite Duane. She is no stranger to our podcast, and today she is speaking on a medical issue very close to her heart, and ours, and that is miscarriage. Miscarriage effects so many women, 1 in 4 are the stats, and the vast majority of women just want to know the 'why' behind their loss, and how they can prevent miscarriage from devastating their lives again. Dr. Duane will go into the proper evaluation of miscarriage, and how you can advocate for yourself to get the proper diagnosis and treatment of the underlying causes of miscarriage. Miscarriage is complex and often has more than one reason behind its cause, and it takes a good healthcare professional to look into the many reasons why the body is not prepared to carry a baby to a safe delivery. Do not forget to check out FACTS, especially those of you in the medical profession out there. If you are passionate about women's health, restorative reproductive medicine, and everything related to improving the state of women's health care, then it would behoove you to take a look at the education programs that FACTS About Fertility offers, factsaboutfertility.org. Most importantly, we want you to have direct links to the conferences that you can attend through FACTS: Links: FACTS Pre-Conference in Orlando, FL - open to everyone! FACTS Annual Conference in Pittsburgh, PA - open to everyone! FACTS Medical School - Student Elective - open to medical, nursing and other health professional students FACTS Online CME Course - open to everyone! FACTS Sample our CME - open to everyone! FACTS Membership - open to everyone! Research Articles FABMs for Women's Health and Family Planning - PLEASE SHARE with medical professionals Benefits of DHEA & Estradiol to Prevent Miscarriage - with link to the original research IMPORTANT: Jamie & Teresa are speaking at The Fearless Future Conference coming up soon Feb. 28th-March 1st. Come join us! https://info.guidingstarproject.com/fearlessfutureconference Opinions, statements, and beliefs of our interviewees are not necessarily a reflection of the HG podcast's beliefs and opinions as a whole. Medical disclaimer: The information presented in The Hormone Genius Podcast is for informational purposes only and is not intended to be a substitute for actual medical or mental health advice from a doctor, psychologist, or any other medical or mental health professional.

How Optimal Estradiol helps to improve cardiovascula r health for men and women - heart disease is the #1 killer and we can reduce this risk with proper hormone optimization!

A new year and a new beginning. Special guest co-host Pedro Mendes joins Dr. Chris Labos to answer a viewer question about menopause. Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE Email us your questions at thebodyofevidence@gmail.com. Assistant researcher: Aigul Zaripova, MD Editor: Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause- cancer Obviously, I'm not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: Geographic variability of menopausal symptoms 1) Nappi RE et al. Global cross-sectional survey of women with vasomotor symptoms associated with menopause: prevalence and quality of life burden. Menopause. 2021 May 24;28(8):875-882. doi: 10.1097/GME.0000000000001793. 2) Nappi RE, et al. Prevalence and quality-of-life burden of vasomotor symptoms associated with menopause: A European cross-sectional survey. Maturitas. 2023 Jan;167:66-74. doi: 10.1016/j.maturitas.2022.09.006. What's the normal duration of symptoms 3) Avis NE, et al. Study of Women's Health Across the Nation. Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med. 2015 Apr;175(4):531-9. doi: 10.1001/jamainternmed.2014.8063. The Women's Health Initiative (WHI) studies Rossouw JE et al. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. JAMA. 2002 Jul 17;288(3):321-33. doi: 10.1001/jama.288.3.321. Anderson GL et al. Effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women's Health Initiative randomized controlled trial. JAMA. 2004 Apr 14;291(14):1701-12. doi: 10.1001/jama.291.14.1701. Decline in HRT after WHI studies Sprague BL, Trentham-Dietz A, Cronin KA. A sustained decline in postmenopausal hormone use: results from the National Health and Nutrition Examination Survey, 1999-2010. Obstet Gynecol. 2012 Sep;120(3):595-603. doi: 10.1097/AOG.0b013e318265df42. Danish Osteoporosis Prevention Study Schierbeck LL metal. Effect of hormone replacement therapy on cardiovascular events in recently postmenopausal women: randomised trial. BMJ. 2012 Oct 9;345:e6409. doi: 10.1136/bmj.e6409. Kronos Early Estrogen Prevention Study (KEEPS) Harman SM, et al. Arterial imaging outcomes and cardiovascular risk factors in recently menopausal women: a randomized trial. Ann Intern Med. 2014 Aug 19;161(4):249-60. doi: 10.7326/M14-0353. Kronos Early Estrogen Prevention Study (KEEPS) Hodis HN et al. Vascular Effects of Early versus Late Postmenopausal Treatment with Estradiol. N Engl J Med. 2016 Mar 31;374(13):1221-31. doi: 10.1056/NEJMoa1505241. Stopping hormonal therapy Berman RS et al. Risk factors associated with women's compliance with estrogen replacement therapy. J Womens Health. 1997 Apr;6(2):219-26. doi: 10.1089/jwh.1997.6.219. Grady D, Sawaya GF. Discontinuation of postmenopausal hormone therapy. Am J Med. 2005 Dec 19;118 Suppl 12B:163-5. doi: 10.1016/j.amjmed.2005.09.051. Tapering vs. abrupt stop or hormonal therapy Haimov-Kochman R et al. Gradual discontinuation of hormone therapy does not prevent the reappearance of climacteric symptoms: a randomized prospective study. Menopause. 2006 May-Jun;13(3):370-6. doi: 10.1097/01.gme.0000186663.36211.c0. PMID: 16735933.

Testosterone plays a critical role in women's health and shouldn't be overlooked! In this episode, Amy Stuttle is joined by Kristi Hales, R.Ph. to discuss the trans-formative role of hormone education in women's health. They discuss the key stages of perimenopause and menopause, highlighting how hormones like testosterone, progesterone, and estradiol impact everything from cognitive function and mood to bone density and cardiovascular health. Kristi educates on the benefits of compounded hormones, the role of hormone therapy in addressing migraines and UTIs, and the importance of personalized treatments for long-term well-being. This episode also touches on the overlooked role of hormones in postpartum depression, the efficacy of oral versus patch estradiol, and why hormone-informed care is essential for improving women's quality of life. Takeaways: WorldLink Medical provides evidence-based hormone education for healthcare providers. Perimenopause symptoms can begin as early as the 30s. Common menopause symptoms include hot flashes, brain fog, and sleep disturbances. Estradiol is essential for cognitive health and memory. Testosterone plays a critical role in women's health and shouldn't be overlooked. Progesterone has calming effects, improves sleep, and reduces anxiety by stimulating GABA receptors. Hormonal imbalances can contribute to postpartum depression. Hormonal therapy can help prevent recurrent UTIs, migraines, and bone density loss. Compounded hormones offer personalized dosing for optimal results. Cardiovascular protection may be better with oral estradiol versus transdermal patches. Statins may not lower cardiovascular risk effectively in women compared to hormone therapy. IUDs can be a preferable birth control option to maintain hormonal function during therapy. Quality of life is a crucial aspect of longevity. WorldLink Medical Click Here Victory Men's Health Click Here Victory Men's Health YouTube For questions email podcast@amystuttle.com Disclaimer: The Women Want Strong Men Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

As a follow-up on last week's episode on skincare for certain age groups, this week, let's dive into estrogen-based skincare, in particular creams with estradiol or estriol. This prescription skincare realm aimed to treat peri and post-menopausal skin issues like irritation, redness, and dryness. So! Do they work? Are there other benefits beyond skin barrier care?

Watch Here : https://www.youtube.com/watch?v=aNDItlPwCr8 Website: https://vigoroussteve.com/ Consultations: https://vigoroussteve.com/consultations/ eBooks: https://vigoroussteve.com/shop/ YouTube Channel: http://www.youtube.com/user/VigorousSteve/ Workout Clips Channel: https://www.youtube.com/channel/UCWi2zZJwmQ6Mqg92FW2JbiA Instagram: https://instagram.com/vigoroussteve/ TikTok: https://www.tiktok.com/@vigoroussteve Reddit: https://www.reddit.com/r/VigorousSteve/ PodBean: https://vigoroussteve.podbean.com/ Spotify: https://open.spotify.com/show/2wR0XWY00qLq9K7tlvJ000 Patreon: https://www.patreon.com/vigoroussteve

Are you tired of being told that your age is the ultimate fertility dealbreaker? Let's filter out the noise and dive into the real science behind fertility and age.In this episode, Dr. Aumatma Simmons shares a powerful story of resilience from one of her clients who refused to let an outdated narrative define her journey to motherhood. Discover why your biological age matters more than your chronological age and how you can uncover your true fertility potential.We'll explore:✅ The difference between chronological and biological age✅ How phenotypic and ovarian age impact fertility✅ Tests you should ask for AMH, FSH, LH, Estradiol, and more✅ How reversing your biological age can optimize fertility✅ The science vs. myths around age and egg qualityDon't let misinformation hold you back! Get actionable steps to take control of your fertility journey and the confidence to question outdated advice.

In this episode, Dr. Shawn Tassone discusses a recent study published in the Journal of the North American Menopause Society that challenges the previous negative views on hormone replacement therapy (HRT) for women over the age of 65. The study found that HRT, specifically estrogen therapy, beyond the age of 65 is associated with significant risk reductions in mortality, breast cancer, lung cancer, colorectal cancer, congestive heart failure, venous thromboembolism, atrial fibrillation, heart attacks, and dementia. The study also highlighted the importance of individualized hormone therapy, lower doses, and non-oral routes of administration for optimal health outcomes. Episode Highlights Hormone replacement therapy (HRT) beyond the age of 65 Results of a new study published by NAMS How they're associating HRT with significant risk reductions in mortality, breast cancer, lung cancer, colorectal cancer, congestive heart failure, venous thromboembolism, atrial fibrillation, heart attacks, and dementia Individualized hormone therapy, lower doses, and non-oral routes of administration are recommended for optimal health outcomes. Estrogen-only therapy, specifically transdermal estrogen with progesterone, is beneficial and prolongs life. The study challenges the previous negative views on HRT for women over the age of 65 and provides evidence for the benefits of hormone therapy in improving women's health. Why women should discuss hormone therapy options with their healthcare providers and consider the potential benefits and risks based on their individual needs and health conditions. Resources Dr. Shawn Tassone's Practice | Tassone Advanced Gynecology Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormonal Archtype Quiz Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.

Are you irritable, moody, feeling defeated, gaining weight or not sleeping well? If you're a female close to or over 30, you're experiencing perimenopause and Dr. Deb is here to walk you through your options for managing stress, improving your mood, improving your sleep, and actionable items to get back to feeling like yourself. Hyperlinked show notes at: www.ashleydeeley.com/drdeb Episode brought to you by: ⁠⁠⁠⁠⁠⁠Forefront Health Bioidentical Progesterone⁠ (Code: DEELEY10) Episode brought to you by: ⁠⁠⁠⁠Methylene Blue⁠⁠⁠⁠ (Code: ASHLEY15) Episode brought to you by: ⁠⁠⁠⁠⁠Thyroid Fixxr⁠⁠⁠⁠⁠ (Code: WELCOMEWELLNESS) 4:26: Birth control pills 6:23: Ready to get off birth control? 8:45: Birth control shuts off ovulation 9:25: Periods are a vital sign 10:26: What is perimenopause? 11:59: Progesterone starts to decline14:06: Symptoms of Perimenopause 16:15: Anxiety for no good reason 16:53: More symptoms 17:55: Symptom relief from perimenopause 18:54: First rule: must manage stress 21:12: Ovaries on a trajectory downwards 21:30: How to use Progesterone to manage symptoms  22:31: Only use Progesterone on days 14-28 of cycle 24:43: Progesterone in the form of soy and yams; can be used topically and orally 26:03: Not sleeping well? Try capsule form of Progesterone (must get prescription) 27:20: Some women don't do well on Progesterone 28:08: The Naked Truth About Bioidentical Hormones book by Suzanne Somers 28:55:  My top hormone recommendations here  32:56: Estrogen helps our heart, brain, bones, and it's anti-inflammatory; avoid dry eyes, dry skin, dry hair, & dry vagina. Avoid high blood pressure, bladder leaks & UTIs 34:28: Estrogen can help ease joint pain and frozen shoulder 39:41: Breast cancer and estrogen (fear not!) 42:23: Estrogen Matters book by Avrum Bluming 43:40: Herbs to take the edge off 44:26: Why swallowing oral estrogen is not ideal 46:44: Estradiol vs estriol 46:57: Estriol is weaker form of estrogen 48:26: What estrogen Dr Deb recommends (she does NOT recommend estrogen pills) 49:14: Estriol is helpful to keep vagina thriving 50:08: Leans more towards Estradiol over Estriol 50:45: Will estrogen be transferred to partner during sex? 52:19: Estrogen should be used daily (and forever once you're on BHRT!) 53:10: Is BHRT safe if you haven't had a period for over ten years? 53:56: At bare minimum, begin BHRT within first ten years of final period 55:29: Why are hormones important as we age?  56:56: BIG MYTH: You do NOT have to stop hormones just because you turn a certain age 59:37: Estrogen is extremely protective after menopause 1:01:40: Dr. Devaki Lindsey Berkson on Welcome to Wellness 1:02:06: Hormones keep your voice box from aging (you can sound youthful into old age like Dr. Berkson!) 1:03:37: Testosteron keeps our bones and muscles strong 1:04:02: Full of aches and pain or autoimmune conditions? Might be time to try Testosterone 1:05:51: When and how to take Testosterone 1:07:55: Can try DHEA before Testosterone 1:08:12: Must get Testosterone prescribed by a doctor 1:09:27: Optimal level for Testosterone for women: ABOVE 20 AT LEAST 1:09:59: How to measure hormones1:12:10: Specific day of cycle to test hormones (if you still have a period): DAYS 19-21 1:13:16: Estrogen gives us our waist 1:14:41: The solution to lose weight after 40 (HINT: you'll want to take BHRT with a clinician's supervision)  1:17:40: Real life story of a woman who was told all her labs looked 'normal' even though she knew there was something wrong 1:18:51: If you're on Estrogen, you NEED Progesterone as well 1:19:43: How quickly do hormones start working? 1:20:18: If you begin taking hormones, you will WANT to take them forever 1:21:12: Can't find a doctor who will prescribe hormones? Find a new doctor (My secret tip: call your local compounding pharmacies and ask them to recommend doctors prescribing hormones) 1:22:30: Dr Deb's book (free on Kindle) This is Not Normal or buy the paperback version

Watch Here : https://www.youtube.com/watch?v=ZNxPmJeXp-s Website: https://vigoroussteve.com/ Consultations: https://vigoroussteve.com/consultations/ eBooks: https://vigoroussteve.com/shop/ YouTube Channel: http://www.youtube.com/user/VigorousSteve/ Workout Clips Channel: https://www.youtube.com/channel/UCWi2zZJwmQ6Mqg92FW2JbiA Instagram: https://instagram.com/vigoroussteve/ TikTok: https://www.tiktok.com/@vigoroussteve Reddit: https://www.reddit.com/r/VigorousSteve/ PodBean: https://vigoroussteve.podbean.com/ Spotify: https://open.spotify.com/show/2wR0XWY00qLq9K7tlvJ000 Patreon: https://www.patreon.com/vigoroussteve

Send me a text! I'd LOVE to hear your feedback on this episode!Important Links:If you're a woman wanting to build wealth join me and numerous experts FOR FREE "Breaking the Ceiling:  15 Secrets to Creating Extraordinary Wealth" FREE Online Summit join here:https://www.breakingtheceiling.co/optin-sandykruse-pageJoin my Substack here:https://sandykruse.substack.com/Quicksilver Scientific use my code SANDYK15 for 15% off:https://www.quicksilverscientific.com/sandykThis is one of the most unique conversations you'll hear about hormones and nothing like all those hormone conversations you hear everywhere else.  You'll hear about hormones as we age and how they can significantly impact our health and wellness. Discover my personal journey with bioidentical hormones and Quicksilver Scientific's innovative facial serum that employs cutting-edge nano-formulation technology for superior skin health. We'll uncover the unique benefits of different types of estrogen and the importance of detoxification, illustrated through my recent experience with a pre-tox protocol post-root canal extraction.Curious about how liposomal hormone delivery systems can revolutionize your hormone therapy? In this episode, we dive into the science behind liposomal testosterone and DHEA, discussing their enhanced absorption and minimized side effects. Learn why midlife women should pay particular attention to hormone balance and explore the cosmetic advantages of Estriol for improving skin texture. We also differentiate between Estriol and Estradiol, providing insights into their distinct effects and their potential application in advanced skincare products.Our conversation doesn't stop at hormones; we explore the intricate relationship between detoxification, cholesterol, and hormone production. Through personal anecdotes and scientific insights, we highlight the critical role of detoxification in maintaining hormonal health and discuss the controversial use of statins. Gain a holistic understanding of modern anti-aging strategies, from supplements to advanced treatments, and learn how to achieve vibrant health and longevity. Join us for a comprehensive journey into the world of hormones, wellness, and anti-aging.Support the Show.Subscribe wherever you listen, share this episode with a friend, and follow me below. This truly gives back & helps me keep bringing amazing guests & topics every week.Instagram: https://www.instagram.com/sandyknutrition/Facebook Page: https://www.facebook.com/sandyknutritionTikTok: https://www.tiktok.com/@sandyknutritionYouTube: https://www.youtube.com/channel/UCIh48ov-SgbSUXsVeLL2qAgRumble: https://rumble.com/c/c-5461001Linkedin: https://www.linkedin.com/in/sandyknutrition/Substack: https://sandykruse.substack.com/Podcast Website: https://sandykruse.ca

Neuroscientist Lisa Moscone discusses the evolutionary reasons behind menopausal brain transformations, emphasizing resilience and complexity. This episode covers brain function shifts, the grandmother hypothesis, and the impact of hormone therapy on brain pruning. Along with Dr. Mindy, Lisa stresses the importance of research on menopause's mental health implications and advocates for personalized menopausal toolkits. They also highlight the benefits of a plant-forward diet, fibre for hormonal balance, and the influence of estrogen on brain health. To view full show notes, more information on our guests, resources mentioned in the episode, discount codes, transcripts, and more, visit https://drmindypelz.com/ep234 Dr. Mosconi holds a PhD degree in Neuroscience and Nuclear Medicine from the University of Florence, Italy. A world-renowned neuroscientist, she ranks in the top 1% of scientists of the past 20 years by official metrics. Recognized by The Times as one of the 17 most influential living female scientists and honored in ELLE 100: Women That Are Changing The World, Dr. Mosconi has been acclaimed as “the Mona Lisa of Neuroscience” by ELLE International.  Check out our fasting membership at resetacademy.drmindypelz.com. Please note our medical disclaimer.