Women's Hormone Replacement Therapy

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Other options for people who may not be a candidate for HRT

How are hormone levels tested?

How old is too old for HRT?

Estradiol levels associated with cardiovascular risk

Bone turnover markers change quickly with hormone treatment; imaging takes longer

Not every woman needs to cycle progesterone

Progesterone forms, preferences, and usage concerns

Hormone doses vary; individual optimization is necessary

Testing hormone levels is essential for effective management

Dr. Doug discusses estradiol levels when cycling progesterone

Cycling progesterone and how it impacts bone turnover

Dr. Doug explains what is happening to hormones as women enter and progress through perimenopause and menopause

Determining when hormone dosage needs changed

Risks of starting HRT later post-menopause

Physiologic restoration (PR) hormone dosing

Lab frequency for hormone static dosing

Discussing Bi-Est

Ideal reference range for testosterone in women

Thoughts on coming off of HRT

Desired hormone levels for bone health

Application tips for topical hormones

The relationship between Progesterone and T3

The relationship between thyroid and sex hormones

Testosterone can cause unwanted side effects like facial hair if it breaks down to DHT

Body fat level impacts topical hormone absorption

Symptom management prioritized over testing for progesterone balance

HRT dosing: rhythmic vs static

Testosterone may compete with estradiol absorption

Hormones may protect against cancer

HRT and cancer risk is a contentious topic

No blood clotting concerns with topical estradiol

No contraindications for BHRT with surgical hysterectomy

CAC should not be done more frequently than every 3-5 years

There shouldn't be breakthrough bleeding on HRT

Going on HRT is a personal choice

Stopping HRT briefly will result in bone loss but speed of bone loss is unknown

Is there any limit to how long someone can stay on HRT?

Using CAC to determine risks for estrogen therapy

Dr. Doug discusses cardiovascular risks of HRT

Dr. Doug's qualifications for developing hormone protocols

Are there any considerations with HRT for people who have had a full or partial hysterectomy?

What is rhythmic hormone dosing?

What is Pema Bioidentical?

Types of hormones used for bone health

Would a family history of cancer be a contraindication for HRT?

Are there any cancers that would be a contraindication for HRT or the use of estrogen?

Dr. Doug discusses the Women's Health Initiative study

Why hormone replacement therapy is recommended for bone health

Hormone Replacement Therapy (HRT) basics

Testosterone helps bones but may not be needed by all women

MTHFR gene can affect the absorption of HRT

HRT has higher stroke risk than bisphosphonates, but different purposes. Bioidentical hormones have similar risks to commercial ones

Questions about HRT options and concerns about long-term effects

Cyclic progesterone and estrogen are better for bone health due to their counteracting effects.

HRT hormone levels, cycles, and estrogen dosages discussed

Aromatase inhibitors can be used with testosterone for women's health

Estrogen drop increases histamine intolerance, according to Stacy Sims' book

Testosterone levels and symptoms are both considered in HRT treatment

Normal testosterone levels vary and depend on factors like SHBG

Normal testosterone levels vary and depend on individual factors

Relationship between SHBG and Estradiol

Adverse Effects of DHEA

DHEA and Bone Density

Testosterone in women doesn't drop at menopause and contributes to stress

Compounded testosterone is preferred over pellets due to estrogen levels

How far out from menopause is it safe for HRT

Testosterone's benefits for women are often overlooked due to societal taboos

Misinterpretation of a study led to misconceptions about hormone replacement

HRT in women without testosterone mainly treats menopause symptoms

Women's symptoms of aging may be related to testosterone deficiency

Why you should consider HRT!

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