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dr. phuli's blog

How to Ask Your Doctor For Bioidentical Hormones

Sunday, April 17th, 2011

Your doctor can prescribe Natural Bioidentical Estrogen as Estradiol. This is available from any pharmacy as a skin patch or cream. It can also be compounded as a (more concentrated) skin lotion. The more concentrated the cream or lotion the easier and less messy it is to apply.

Bioidentical Progesterone, is available in capsules, known as Prometrium. Oral progesterone should be taken at bedtime because it causes drowsiness. The upside is that it improves sleep and anxiety. Prometrium is made from peanut oil, so don’t use it if you are allergic to peanuts.

Compounding pharmacists can make Bioidentical Progesterone in peanut-free capsules and skin creams. Skin creams will not cause drowsiness and can be used any time of day. Some women need skin creams in the daytime and capsules at bedtime.

Always balance Estradiol with Progesterone, at any age, even if you had a hysterectomy.

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Latest JAMA Article Supports Estrogen, Finally!

Tuesday, April 12th, 2011

Estrogen has been deemed safe once again by a new study published in the April Journal of the American Medical Association (JAMA).

In the the original 2002 WHI study there was a group of women taking Estrogen alone, without synthetic Progesterone. This Estrogen only group had NO increase in breast cancer in 2002 and now, over 10 years later there is still less breast cancer compared with women not taking any Estrogen. Women in this group who started Estrogen at menopause had less heart attacks and less bone loss in 2002 and this protection has lasted. Women using Estrogen also had lower death rates, 10 years later.

Sadly millions women were advised to stop all forms of hormone support based on a single study in 2002. Studies have since shown that women not using hormones during menopause have an increase in bone loss, heart disease, depression, insomnia, and less sexual satisfaction.

(JAMA, April 6,2011;305:1354-1355)

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