Why Am I Picking on Dr. Oz?

It not just Dr. Oz, but other respected doctors in the media are

offering their opinion on Hormone Replacement Therapy who have

no formal training, formal education, or clinical experience with

the hormone replacement therapy they’re discussing. This gets

confusing for women who are on the hunt for answers.

An HRT Lesson

Before we begin, I need to set straight the differences in

Hormone Replacement Therapy (HRT).

Not all HRT is the same. Be careful who you listen to for advice.

Doctors are lead to believe all estrogens are

alike no matter what the dosage, route of

administration, if it’s from another species such

as horse estrogen, or if the estrogen is plant

based.

Not a One-Size-Fits-All

No two women are the same. HRT uneducated doctors read the

hormone sample insert in the box on how to dose the hormone,

slap a patch on the patient, give her a years prescription, and call

it HRT. Proper hormone restoration involves dosing the patient

based on her body size, body type, her symptoms, level of

deficiency, and how long she’s been deficient. These are very

critical elements in dosing.

• Types of HRT

• Forms of HRT

• Delivery methods of

HRT

• Kinds of HRT

• Dosing methods of HRT

Not All HRT Is The Same

Two Types of HRT

1. Synthetic: manufactured with chemicals

in a pharmaceutical plant.

2. Bioidentical hormones: plant base, similar

molecular structure as our own body.

1. Static: same dose every day

2. Semi-static: on one week, off the next

concept

3. Cyclic or Rhythmic: dosed to mimic the

natural cycle of the human body

Three Dosing Types of HRT

Four Generations of HRT

Not all Hormone Replacement Therapy is the

same. There’s been an evolution and an

advancement of HRT over the years. Most

women taking HRT think they’re on the correct

HRT.

First Generation HRT

• Synthetic

• Low dose

• Static dose

• Oral

Used in the Women’s Health Initiative Study

Second Generation HRT

• Bioidentical

• Low dose

• Static dose

• Transdermal

Third Generation HRT

• Bioidentical

• Optimal Dose

• Cyclic dose

• Transdermal

• Clinical Flaws

Fourth Generation HRT

• Bioidentical

• Optimal Dose

• Cyclic/Rhythmic dose

• Transdermal

• Clinical Flaws Fixed

How Estrogen Cycles

Women’s bodies cycle with the phases of the moon……..

Estrogen Tide 28 Day Ocean Tide 24 Hours

When Estrogen Gets Too Low

When estrogen gets too low, a woman will develop problems with vaginal

dryness, painful intercourse, or dyspareunia. Other symptoms of low

estrogen include endometriosis and interstitial cystitis. She can also

develop vulvodynia, which is a painful vagina with or without stimulation.

Why Isn’t My Ob-Gyn Talking About This?

Doctors, including Ob-Gyn’s and Endocrinologists,

are taught in medical school to treat the

symptoms of diseases instead of treating the root

cause of the disease, or preventing it in the first

place.

The Conventional Medicine Approach

Keep the patient with the disease but treat the

symptoms of the disease with surgeries and

pharmaceutical drugs.

Physician Education

The problem with physician education about hormone replacement

therapy is that they aren’t given the right training. Their training is

minimal at best. They're lucky to get a half hour lecture on hormone

replacement therapy and treatment of Menopause in med school. So for

the most part all of physician training on hormone replacement therapy

is from the same place that everybody else gets their training which is

the news media.

Physician Education (cont.)

Obviously the news media is sponsored by the pharmaceutical industry

and they tend to present a very distorted agenda. They report

sensationalism. Almost all of the information on hormone replacement

therapy whether it's testosterone or whether it's estrogen is

misinformation designed to instill fear in the hearts of men and women

and physicians alike so they’ll avoid the very thing that is the saving

grace of women and men at every stage of their reproductive life.

PoliticsThe FDA doesn't help by forcing the drug companies to publish in their

package inserts and the PDR all the black box warnings which suggest

that somehow hormones are a health hazard to women. Essentially the

cards are all stacked against hormones because of economic and

political reasons. This includes testosterone, estrogen, human growth

hormone. If these hormones are prescribed in the optimal levels and

maintained there throughout the life of an individual it will essentially

prevent all the degenerative diseases of aging which would make the

entire health care system and pharmaceutical and pharmacy system

obsolete overnight.

Politics (Cont.)

And we know that the political forces arrayed against optimal hormone

restoration will do everything in their power, fighting tooth and nail to

prevent a loss of their business.

Also the knowledge that we have about hormones and their health benefits

and their protocols are evolving so rapidly that anything you learned five

years ago is already mostly obsolete and not up-to-date.

By the time a medication gets through the FDA which is about a 15 year

process the knowledge, effectiveness and therapeutic implications and

applications are already out of date. This is why the FDA approval system is

completely obsolete needs to be abandoned because it's stifles innovation.

Schools of Thought

One thing that I’ve discovered about physicians, is that there are different

schools of thought depending on which issue you're talking about. For

example if you are a priest, Pastor, or Rabbi, you're all licensed by the

state to conduct religious indoctrination and services. However, your

interpretation of the Scriptures will be entirely different depending on

your denomination. A Baptist will have a totally different viewpoint than

a Mormon, a Jehovah's Witness will have a totally different perspective

than a Seventh-day Adventist. And yet these are all pastors licensed by

the state. So the training and school of thought a physician has about

hormone replacement therapy dictates how they prescribe it.

Schools of Thought (cont.)

Every doctor believes that their form of therapy is the best. Every doctor

believes that they are right and can cite scientific research to support their

viewpoint. That's why there are people who practice the old paradigm or

old school of thought. And there are individuals who are practicing a new

paradigm and a new school of thought. There will be conflict and

controversy generated between the different schools of thought. I just feel

sorry for those who espouse an old and dead paradigm. They don't realize

they're trying to convince people the world is still flat when in reality it's

round. However, if the majority of physicians still believe the earth is flat

they will try to eliminate the physicians who believe that the world is

round.

Doctors not properly educated in HRT are using

the Woman’s Health Initiative (WHI) study

findings for the “standard of care” treatment for

hormone replacement therapy based on using

Premarin and Prempro, which has absolutely

nothing to do with bioidentical hormones.

Christiane Northrup, MD

“Even if you are someone who needs (or wants to try) hormone therapy,

rest assured hormone therapy isn’t a life sentence. Menopause is not a

medical condition that requires medication, especially not for life.

Starting hormone therapy doesn’t mean you’re stuck with it forever.

And what you start with may or may not be the right thing for you in the

future. It’s fine to adjust your dosage along the way. Many women

reevaluate their HT annually, and taper off if they no longer need it.”

http://www.doctoroz.com/blog/christiane-northrup-md/should-you-take-hormones

Christiane Northrup, MD (cont.)

http://www.doctoroz.com/blog/christiane-northrup-md/should-you-take-hormones

Many bioidentical options are available by prescription – and have

been prescribed for years. Although these are excellent options, you

don’t need to go to someone who specializes in bioidentical hormones

or have a custom formulary compound created for you. Your

traditional doctor can prescribe bioidentical hormones, which are

available at most local pharmacies. Often, these drugs are paid for by

insurance. “

Dr. Prudence Hall

Practices Second Generation HRT

E2=250 most of cycle

P4=10-15

FSH=6-19 perimenopause normal

http://www.oprah.com/health/Dr-Oz-Talks-with-Dr-Prudence-Hall-About-Bioidenticals

If you need help finding a 4th generation HRT specialist, email me for

a referral at info@menopausetalkradio.com

Fourth Generation HRT

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