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Hormone Replacement Therapy

Promoting Health and Vitality

What is Hormone Replacement Therapy?

Imbalance in Women 

Due to an age-related decline in estrogen, progesterone, and testosterone, women experience symptoms of hormone deficiency, such as hot flashes, insomnia, low libido, difficulty with memory and concentration, vaginal dryness, and discomfort during sex. Some women experience mild symptoms, while on the other side of the spectrum, some women experience severe symptoms, causing a poor quality of life.  Overall, about 85% of women report symptoms of varying types.

For example, you could be sitting in a room with others, and everyone else feels comfortable, but you are sweating and feeling miserable. Suddenly, your cheeks feel hot, and you sweat as if you’re in a humid sonna. Your clothes feel wet and uncomfortable. Ironically, 10 minutes later, you feel like you’re cold and experience chills. Women in menopause feel like their body’s thermoregulation is disrupted and inaccurate. Some wake up in the middle of the night drenched in sweat and change their clothes several times before falling back asleep. 

 

We had a 51-year-old female who complained that her cheeks felt on fire out of nowhere. She would turn beet red, which showed through her makeup. She couldn’t fall asleep quickly, woke up several times nightly to urinate, and couldn’t get deep sleep. She was successfully treated with small doses of bio-identical estrogen cream and progesterone capsules. The minimal effective dose is all you need to regulate this problem. 

 

I know what you are thinking: what about the risk of breast cancer? The link between HRT and breast cancer remains controversial, but for many patients,  the benefits, such as quality of life and bone protection, can outweigh the risks.

Breast cancer is the most common cancer diagnosis among women in the United States. At IOPBM, we carefully monitor our patients with screening modalities such as yearly mammograms, ultrasounds, and MRIs. Early detection, with or without hormone therapy, is critical to achieving successful outcomes. 

Imbalance in men 

Men start struggling with an age-related decline of libido, increased body fat, loss of muscle mass, fatigue, and depression because a man’s ability to produce testosterone declines at the age of 40 and continues to drop yearly after that. Testosterone replacement therapy (TRT) restores testosterone levels to a more youthful level and helps men feel more youthful. 

 

We had a 45-year-old businessman who had always been in shape through healthy eating and regular weight lifting at the GYM. He started experiencing a lower libido, a change in his body composition (less muscle and more fat), and a more protuberant belly, and his labs showed evidence of fatty liver disease. His testosterone levels were 240, so he decided to intervene. He achieved incredible results in less than six months through a well-designed hormone program, fitness program,  and a healthy diet. He dropped his body fat percentage, gained muscle, and reversed insulin resistance. His liver numbers normalized, and his energy was beyond his imagination.
 

An intelligently designed testosterone replacement therapy can improve health where men feel rejuvenated. Still, excess use leads to high levels in the blood and many side effects, including gynecomastia (excess breast tissue), hair loss, flushing and redness in the face, mood change, prostate enlargement, increasing blood cells, thickening of the blood, and blood clots. Most men seen at our office who started testosterone replacement therapy elsewhere were overdosed and felt much healthier once their levels were adjusted, 

 

In conclusion, one should consider hormone replacement therapy, in particular bio-identical hormone replacement therapy, to help improve health, for age management, and to help feel rejuvenated. There are side effects to using hormones, but a well-designed, individualized program by our physicians can improve your quality of life and help mitigate the risk.

Tips for Hormone Optimization

We simply cannot have optimal health without having healthy hormones.

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