New HRT Guidelines from the British Menopause Society

| August 10, 2013

The British Menopause Society (BMS) and Women’s Health Concern has issued updated guidelines on hormone replacement therapy (HRT) to clarify its use, benefits and risks.  The new recommendations were published online May 24 and in the June print issue of Menopause International. Lead author Nick Panay, BMS chair states  “Our aim is to provide helpful […]

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Perimenopause in a patient told ‘had hyst and both ovaries removed’

| September 28, 2012

N. O. is a 36 yo female who had a hysterectomy at age 29, then both ovaries removed 10months apart at age 33.  Pt was placed on non-bioidentical hormone and never felt it was helping.  Pt seen in this office for 2nd opinion consultation with multiple moderate menopausal symptoms.  Pt was trialed on bio-identical hormone replacement […]

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| September 28, 2012

K.O. is a 46yo male who arrived with Rheumatoid Arthritis, fatigue out of proportion and low Testosterone levels.  His prior MD was having difficulty maintaining a therapeutic level and pt arrived for a 2nd opinion.  Pt was trialed on bio-identical Testosterone suspension with significant improvement in his fatigue and pain.  ‘Doc, I’m off of my […]

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Hashimoto’s autoimmune thyroid dz and thyroid cancer

| May 23, 2012

This spring there were 2 patients in my office, both with known thyroid dz that were struggling with fatigue, heart palpitations and various other symptoms that were not adequately being addressed.  Both patients had repeat thyroid panels including antibody levels for Hashimoto’s drawn and both had thyroid Ultrasounds performed.  Both patients had an irregular border on […]

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Fatigue helped by bio-identical Testosterone; no more naps

| May 23, 2012

A 66yo male initially comes into the office with complaints of inability to stay awake more than 4-5hrs at a time without needing a nap.  Pt has been frustrated that he cannot do activities around the house or a 9hole of golf with his friends without needing a nap; feeling this may be something he […]

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What are Bioidentical Hormones?

| December 14, 2011

There are many ‘explanations’ of bioidentical hormones; it sounds like a simple answer.  However, there are a few pitfalls out there.   There are hormone formulations that are called ‘natural’ vs bioidentical; they may have an animal based formulation but may not have a human based chemical formula similar to what the human female ovary would make.  The […]

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