Who is a Candidate for BHRT? | PYHP 025

Who is a Candidate for BHRT? | PYHP 025

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Progress Your Health Podcast
Who is a Candidate for BHRT? | PYHP 025

Traditionally when one thinks of Bioidentical Hormone Replacement Therapy (BHRT), they immediately think of menopause. That hormone therapy is used to treat menopausal symptoms such as hot flashes and night sweats. But in the last 10-15 years, hormone replacement has become more than a fix for hot flashes. But did you know that you can use BHRT for memory, energy and even libido? Did you know that men and women of all ages use BHRT? There are many other conditions that BHRT can treat. Below are a few conditions that BHRT can address that you may not know about.


When people think of hypothyroid medication, you may think of Synthroid or the porcine thyroid (Armour/Nature Throid). However, Compounded Thyroid, which is a combination of Levothyroxine and Liothyronine, is an excellent option to treat hypothyroid.


Using bioidentical progesterone helps to alleviate some of the symptoms related to PMS. You can use progesterone in many different dosage forms depending on the situation. From creams to capsules, to troches to vaginal suppositories. You can use bioidentical progesterone all month long or just part of the month or even a few days of a woman’s cycle for PMS symptoms.


The conventional approach to PCOS is to prescribe birth control pills. However, this is such a limited treatment approach, and there are some potential side effects associated with birth control. But with BHRT you can individualize the doses of BHRT to the patient. This can help with PCOS symptoms but also help with the long-term effects of PCOS on the body such as the androgenic effects and fertility.


My patients in perimenopause describe it as feeling like they have PMS symptoms all month long. Plus, it is not healthy to use birth control pills in a perimenopausal female. Bioidentical hormones can be used effectively and safely to help women with perimenopausal symptoms. The symptoms range from irritability to trouble sleeping. From low libido to hair loss and acne. Bioidentical hormones can even help with perimenopausal weight gain.

Low Testosterone aka Low T :

Men can use Bioidentical Testosterone to address Low T. Conventionally low testosterone is treated with injections and gels, which can be expensive and cause some unwanted side effects. Besides, conventional testosterone cannot be tailored to the patient. Whether it is personal symptoms or family health history, hormone replacement therapy needs to meet the needs of the patient. Conventional this can be difficult to do. But with BHRT you can design the testosterone to the patient.

Adrenal Dysfunctions/Adrenal Fatigue/ Adrenal Insufficiency:

There is more to Bioidentical Hormone options besides just the reproductive hormones. You can use BHRT to treat Adrenal Fatigue. BHRT for adrenal fatigue can include pregnenolone, DHEA, and hydrocortisone. These hormones can also come in creams, sublingual, capsules, and tablets.


This is what everyone thinks of when they hear Bioidentical Hormone Replacement Therapy (BHRT). The great aspect of BHRT is you can make any dose you want depending on the particular patient’s symptoms. For women in menopause, there are many different symptoms and goals for each person.

For some women, their goals are to reduce hot flashes and night sweats. Other goals for women in menopause are low libido, vaginal dryness, and pain with intercourse. Others, it’s dry skin and tonicity. Other women help with preserving bone density. With BHRT you can custom design the doses for the goals of the person.

As you can see Bioidentical Hormones Replacement Therapy can be helpful for more than just menopause. BHRT can be prescribed for men and women of all ages. There are exceptions to who is and is not a candidate for BHRT, but that is another episode in itself.

Developing a specific and personalized hormone treatment plan for each patient’s takes the right knowledge and experience. It is essential for the physician to take the personal and family health history to determine if one is a good candidate for BHRT.
If you are considering BHRT make sure you see an experienced physician that specializes in bioidentical hormone replacement therapy, which is just as much of an art as it is a science.

If you have concerns/questions, feel free to leave a message in the comment box or contact us at  [email protected].

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Does Estrogen Cause Weight Gain? | PYHP 123

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Tracy’s Question: 
Episode 052 – What Biest Ratio is Best for Menopause? 
This is such helpful information. I have often wondered who 80:20 is good for and who 50:50 is good for.
One thing I'm still confused by is the estrogen weight gain component. You said that estrogen (as well as menopause in general) could be the cause of her weight gain. I can relate. I was very thin my whole life, now 53 and about 30 lbs overweight. But you also said she might benefit from getting her estrogen balanced, and she was not using enough. 
If too low a dose made her gain weight, won't an increased dose cause more weight gain? I have heard other podcasts and read articles that in menopause, we gain weight because our estrogen falls. Estrogen seems to be blamed for weight gain, whether it's high or low. Can you help clarify? There's something I'm not understanding. Thank you! Tracy 
Short Answer: 
Often estrogen has been the scapegoat for weight gain. I'm sure you have heard too much causes weight gain. Too little can pack on the pounds. It can be pretty confusing. So which is it? Is too much estrogen causing my pants to become uncomfortably tight? Or is it too little estrogen that has given me the gut I never had?
Well, it’s not that simple. Estrogen levels do have a hand in weight gain and weight loss. But it is not the only variable. It really is the combination of the balance of estrogen with other hormones in your body. To name a few main players, progesterone, insulin, and cortisol, as well as enzymes, lipoprotein lipase (LPL), and hormone-sensitive lipase (HSL). Okay, I know that sounds vague and doesn't answer the question. Let's back up a bit and look at what women are saying about estrogen. 
As soon as menopause hits, women complain that they are instantly 15-30 lbs heavier. Not because of diet or lifestyle. It's like menopause adds an unwanted 15-30 lbs overnight. Then some women are on hormone replacement therapy, taking estrogen, and are horrified because the HRT caused them to gain 10 lbs in a month. So what is it? Did the lack of estrogen in menopause cause that 20 lb weight gain? Or did that hormone replacement estrogen create rolls that were never there? Well, actually, both are true. Before you throw out your jeans in favor of high-waisted yoga pants, let’s learn about the other players in weight gain. 
Progesterone will buffer estrogen. Estrogen does like to grow things'. That is why in puberty, you grow breasts and hips. Progesterone helps to balance some of the growth' that estrogen can cause. That is why in perimenopause, when the progesterone drops and the estrogen is running the show, the weight gain begins. That is also why when a woman starts estrogen therapy for menopause but not enough progesterone, there is weight gain.

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