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    Ep. 86: Hormone Replacement Options

    enDecember 09, 2023
    What are bioidentical hormone replacements?
    How does Instacart help prioritize health?
    What risks are associated with oral hormones?
    Why should one consult a healthcare professional for hormone therapy?
    What are the differences between oral and injectable hormones?

    Podcast Summary

    • Making time for joy and prioritizing healthIncorporating Instacart for convenience, considering hormone therapy for hormonal imbalances, and utilizing affordable resources like BetterHelp and the Institute of Natural Health can significantly improve overall well-being.

      Making time for what brings you joy and prioritizing your health, including hormonal balance, can significantly improve your overall well-being. Instacart helps make grocery shopping more convenient, allowing you to save time for activities that matter. Hormone therapy, specifically bioidentical hormone replacement, can be a game-changer for those struggling with hormonal imbalances. Our special guest, Nurse Practitioner Nick Bodie, is an expert in this area and will discuss the differences between bioidentical and synthetic hormones, as well as various methods of administration. Remember, taking care of yourself is essential, and resources like BetterHelp and the Institute of Natural Health offer affordable solutions to help you make time for what makes you happy and prioritize your health.

    • Understanding Bioidentical vs. Synthetic HormonesConsult with a hormone specialist for personalized approach to hormone therapy, considering bioidentical hormones' benefits and potential limitations

      When it comes to hormone therapy, the mode of administration and the choice between bioidentical and synthetic hormones matter significantly. Bioidentical hormones, which have the same chemical structure as the hormones naturally produced by the body, tend to have fewer side effects and produce the same effects as endogenous hormones. However, synthetic hormones, which have a different molecular structure, may not be recognized by the body and can have more side effects. While bioidentical hormones are generally considered superior, there are certain circumstances where someone may not be a candidate for them. It's essential to consult with a healthcare professional who specializes in hormone therapy to determine the best approach for individual needs. Hormones act as the body's communication system, and when they're out of balance, it can affect various aspects of health. The goal is to optimize hormones for each person to feel their best. Conflicting information about hormones can make it challenging to navigate, but seeking guidance from experts can help clarify any questions or concerns.

    • Understanding Bioidentical vs Synthetic HormonesBioidentical hormones are naturally occurring and identical to the body's own hormones, while synthetic hormones are lab-made and may not behave exactly the same way. Discuss hormone replacement with your healthcare provider to avoid misdiagnosis and potential health issues.

      It's essential to understand the difference between bioidentical and synthetic hormones. Bioidentical hormones are naturally occurring and identical to the body's own hormones, while synthetic hormones are lab-made and may not behave exactly the same way in the body. For instance, Vivelle dot patch is a popular bioidentical estrogen patch, while Primerin, also known as conjugated equine estrogen, is a synthetic estrogen. The same applies to testosterone, where testosterone itself is a bioidentical form, but synthetic versions like testosterone cypionate are commonly used. It's crucial to discuss hormone replacement with your healthcare provider, as many doctors may avoid the topic due to feeling ill-equipped to handle the complexity of hormonal optimization. Misdiagnosing hormonal imbalances can lead to incorrect treatments and potential health issues.

    • Exploring Shopify for Business Growth and Hormone Therapy ConsiderationsShopify offers comprehensive commerce solutions for businesses, while understanding the difference between bioidentical and synthetic hormones is crucial for effective hormone therapy.

      Shopify is a comprehensive global commerce platform that helps businesses of all sizes and stages grow, no matter what they sell or where they sell it. From online shops to physical stores and everywhere in between, Shopify provides an all-in-one solution with easy-to-convert checkout, AI-powered assistance, and 24-7 support. On the other hand, when it comes to hormone replacement therapy, it's essential to know whether you're using bioidentical or synthetic hormones. Most people are on synthetic hormones, and it's crucial to find out if you're unsure. Regarding the delivery methods for hormone medication, the first one to discuss is oral. Anything taken by mouth goes through the liver via first-pass metabolism, which can affect the medication's effectiveness. Understanding these aspects is vital for making informed decisions about your business and your health. Try Shopify for a $1 trial and BetterHelp for affordable online therapy to prioritize what matters most.

    • First-pass metabolism in the liver reduces the effectiveness of oral medicationsThe liver's metabolization of oral medications can result in side effects and loss of potency. Transdermal application bypasses this process, reducing the need for large doses and potential side effects.

      When you take hormones or medications orally, they undergo metabolization in the liver, which can result in unwanted side effects and loss of potency. This process, known as first-pass metabolism, requires the substance to survive the stomach and liver before reaching the rest of the body. As a result, only a fraction of the initial dose may be effectively utilized. Oral progesterone serves as an example, where transdermal application requires significantly less dosage to achieve the same effect. This process can lead to gastrointestinal upset and nausea, and the liver takes a beating due to the increased workload. Furthermore, oral hormones, particularly estrogens, increase the risk of blood clots. These risks are why many healthcare professionals aim to avoid prescription oral medications whenever possible.

    • Oral and injectable HRT have drawbacksBoth oral estrogen and injectable hormones have side effects. Oral estrogen may harm the gallbladder, while injectable hormones can cause fluctuating levels, allergic reactions, and increased clot risk.

      Both oral and injectable hormone replacement therapies have their drawbacks. Oral estrogen can negatively impact the gallbladder, leading to issues and even removal in some cases. On the other hand, injectable hormones cause levels to fluctuate like a roller coaster, leading to feeling good for only a few days followed by feeling terrible. Additionally, injectable hormones can cause allergic reactions to the oil suspension and increase the risk of clots due to platelet stickiness. It's important to consider these potential side effects when choosing a hormone replacement therapy and to consult with a healthcare professional for guidance.

    • Transdermal hormone therapy: Skin irritation and absorption concernsTransdermal hormone therapy involves applying hormones through the skin, but it can lead to skin irritation and inconsistent absorption. Daily application is necessary, and over-saturation is a risk. Hormone levels can become unbalanced, and there's a risk of transferring hormones to others.

      Transdermal hormone therapy, which involves applying hormones through the skin via patches or creams, can come with irritation and absorption issues. Some people experience skin irritation, and up to 45% may not absorb the hormones at all. Over-saturation can also occur, leading to hormone levels becoming unbalanced. It's important to note that daily application is necessary for most transdermal methods, and there's a risk of transferring the hormones to others. This can be particularly problematic for men using testosterone cream, as their partners or children may be exposed. Transdermal methods include patches, creams, and even the Nuva ring. Pellets, another form of hormone therapy, offer more consistent blood levels but involve insertion under the skin. Overall, while transdermal methods have their advantages, it's crucial to be aware of potential issues and discuss options with a healthcare provider.

    • Effective and cost-efficient hormone replacement therapy with pelletsPellets are a convenient, effective, and cost-efficient option for hormone replacement therapy, administered every 3-6 months. Avoid strenuous activity and long periods of sitting for 5-7 days post-insertion to minimize risk of pellet extrusion.

      Pellets are an effective and cost-efficient hormone replacement therapy option for both men and women, administered every three to six months depending on activity level. However, there is a downtime of five to seven days after insertion, and it's important to avoid strenuous activity and long periods of sitting during this time to minimize the risk of pellet extrusion. Pellets are more convenient than daily or weekly methods, and they are often more cost-effective in the long run. It's important to note that pellets are not suitable for those with a low activity level as they will burn through the pellets faster, requiring more frequent visits to the healthcare provider. Overall, pellets offer a convenient, effective, and cost-efficient solution for hormone replacement therapy.

    • Delivery system and hormone type matter in HRTConsider delivery system and hormone type for effective HRT, as non-oral estrogen does not impact triglycerides, bioidentical progesterone reduces breast cancer risk, and consistent dosing ensures benefits for bone, brain, breast, and heart.

      The delivery system and type of hormones used matter significantly when it comes to hormone replacement therapy. For instance, non-oral forms of estrogen like pellets do not affect triglyceride levels, unlike oral estrogen which increases the risk. Bioidentical progesterone, unlike synthetic versions, does not increase breast cancer risk and has fewer side effects on blood pressure, gallbladder, and clot risk. When optimizing hormones, it's essential to consider the delivery system and ensure the pellets are sterile, tested for potency, and consistently deliver the intended dose to effectively reduce the risk of cardiovascular disease and benefit the bone, brain, breast, and heart tissues.

    • Working with a knowledgeable healthcare professional is crucial for successful hormone replacement therapyFind a functional medicine expert for personalized hormone assessment and treatment, ensuring quality products and individualized care.

      When it comes to hormone replacement therapy, it's not just about finding someone who offers pellets or IV nutrition, but also ensuring that the person administering the treatment is trained and using high-quality products. Pellets, for instance, come with variability, and the same goes for prescription medications. Therefore, it's crucial to work with a healthcare professional knowledgeable in functional medicine who can assess your unique needs and address all underlying issues, not just focusing on one hormone or form of administration. Additionally, be wary of practitioners making broad claims about hormone optimization without considering the individual's overall health and needs.

    • Addressing underlying issues before hormone therapyConsider finding a functional medicine practitioner, address root causes, and prioritize joy to enhance overall wellness.

      When considering hormone replacement therapy, it's crucial to address potential underlying issues first. Hormone therapy might not be necessary or may require adjustments based on the resolution of other health concerns. Rushing into hormone replacement could lead to unnecessary complications. Therefore, it's essential to find a functional medicine practitioner who utilizes various hormone replacement methods and considers the whole picture before recommending treatment. Remember, addressing the root cause of health issues is key to long-term wellness. If you're unsure of your priorities, consider seeking therapy to help identify what matters most to you. Make time for what brings you joy, and visit BetterHelp.com/grow today for affordable online therapy.

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