6. Bio-Identical Hormone Replacement Therapy
Testosterone
Estrogen
Progesterone
Pregnenolone
DHEA
Cortisol
Human Growth
Hormone
Thyroid
Oxytocin
Melatonin
Hormones that decline with age:
7. Bio-Identical Hormone Replacement Therapy
Goal
To replace and restore our natural
hormones that decrease as we age to
the optimum levels of a 30 year old
Improve one's well being and quality of life
Promotes a longer and healthier life span
8. Bio-Identical Hormone Replacement Therapy
Prescribe only natural hormones that are
made by our human body for our body
Molecular structure is biologically identical
to the hormones found in the human body
Hormones are derived from soy and yam oils
9. Bio-Identical Hormone Replacement Therapy
We do NOT use synthetic hormones!!
The medical literature conclusively
documents that synthetic hormones are
associated with major complications
including cancer, heart attacks, and stroke
11. PATIENTS CAN SENSE,
“THINGS ARE JUST
NOT RIGHT”
MOST FREQUENT COMPLAINTS
Tiredness
Less Energy
↓ Sex Drive
Hot Flashes
Night Sweats
Vaginal Dryness
Dry Skin
Anxiety
Mood Swings
Headaches
Weight Gain
Depression
Memory Loss
Palpitations
Poor Sleep
Osteoporosis
Hair Loss
Food Cravings
Irritability
Painful Joints
Loss of Pubic Hair
Painful Intercourse
Irregular Menstruation
Overly Emotional
Lack of Self Esteem
Restless Leg Syndrome
Chronic Fatigue
Syndrome
Poor Sexual Performance
Erectile Dysfunction
Urinary Frequency
Symptoms of Hormone Loss
12. Bio-Identical Hormone Replacement Therapy
Protects Against:
Heart Disease
Stroke
Breast Cancer
Colon Cancer
Endometrial Cancer
Alzheimer’s Disease
Dementia
13. Bio-Identical Hormone Replacement Therapy
Protects Against:
Diabetes
Osteoporosis
Macular Degeneration and Blindness
Tooth Loss
Degenerative Arthritis
Sexual Dysfunction
Immune System Decline
Sleep Disturbances
14. WAYS TO ADMINISTER HORMONES
Pills
Titrates
Patches
Creams
Injections
Pellets
16. Bio-Identical Hormone Replacement Therapy
Indications:
Any man or woman that wishes to improve
their quality of life, decrease morbidity or
mortality, and increase longevity as
convincingly documented in the medical
literature
http://denverhormonehealth.com
Notes de l'éditeur
1997: A Federal clinical trial, known as the Women’s Health Initiative (WHI), begins to evaluate the
effectiveness of Premarin® and Prempro® (FDA-approved drugs manufactured by Wyeth). These were – and still are – the most commonly prescribed treatment for menopausal symptoms such as hot flashes and vaginal dryness, having been on the market since the early 1940s.
JUL 2002: Federal officials abruptly halt a phase of the WHI study after finding increased rates of breast
cancer, heart attack, and stroke in the women taking Prempro.
FEB 2004: Federal officials halt another phase of the WHI study after finding increased rates of stroke and
dementia in the women taking Premarin.
2002-present: Wyeth’s sales of Premarin plummet (from more than $2 billion in 2001 to $880 million in 2004) as women and their practitioners evaluate alternative treatments for menopausal symptoms, with many switching to custom compounded BHRT prescriptions.
OCT 2005: Wyeth files a “citizen petition” requesting that the FDA essentially ban all bioidentical hormones that compete with their products.
AUG 2006: A Texas District Court rules that pharmaceutical compounding upon the order of a licensed
prescriber is not considered a “new drug” and therefore not subject to FDA scrutiny. The FDA appeals the case, and Wyeth continues to advocate banning all BHRT compounding on behalf of the FDA.
JAN 2008: The FDA issues a warning letter to seven compounding pharmacies (2 more letters were issued
thereafter), threatening to ban BHRT, specifically any compound containing estriol, which is an ingredient in about 80% of BHRT. The letter also bans any false claims of safety or efficacy, including banning the use of the term “bioidentical,” even though it is commonly used in marketing some FDA-approved drugs. The letter indicates that the FDA may broaden the threat to all compounding pharmacies that provide BHRT.
MAR 2008: The FDA issues a warning letter to suppliers of compounding pharmacies regarding their
distribution of bulk estriol.
APR 2008: The FDA issues an “Import Alert” cutting off the supply of estriol and other ingredients of custom compounded BHRT.
APR 2008: A huge public response to the FDA’s actions regarding BHRT prompts Senator Tom Coburn,
MD, to request “documentation of specific adverse events and demonstrated safety issues related to the use of estriol” and other details on the research or studies that support the FDA’s decision. To date, the FDA has not responded to this request.
MAY 2008: More than a dozen professional medical associations, all substantially funded or supported
by Wyeth, submit a joint letter to members of congress in support of the FDA’s actions, without
disclosing their ties to Wyeth.
MAY 2008: US House Representatives Mike Ross (D-Ark.) and Jo Ann Emerson (R-Mo.) introduce
resolution H.Con.Res.342 to counter the efforts of the FDA and Wyeth against compounded BHRT. The resolution states that the “FDA has acknowledged that it is unaware of any adverse events” associated with the use of estriol, and raises serious concern over the FDA’s move to ban the use of it. The resolution asks for a reversal of the FDA’s action, deeming it “not in the public interest.”
JUN 2008: The International Academy of Compounding Pharmacists (IACP) visit Capitol Hill, and Senator
John Cornyn (R-Tex.) introduces a concurrent resolution, S.Con.Res.88, also asking for a
reversal of the FDA’s action because it does not serve the public interest.
Vitality Medical Clinix
Vitality Medical Clinix
Vitality Medical Clinix
Vitality Medical Clinix
Vitality Medical Clinix
Vitality Medical Clinix
The beneficial effects mentioned in the previous slide are not seen with the commonly used synthetic form of progesterone, known as Provera. This slide illustrates the difference in the molecular structure of progesterone as produced in the body and the man made chemical Provera. You can see the extra chains added in the Provera molecule. The alterations of the basic progesterone structure in Provera changes the way the receptor will bind the compound and changes the response of the receptor. This illustration of how progesterone has been altered is applicable to how many different natural items have been changed to become patenable products. This change in the structure resulting in a change in receptor binding is why adverse effects are more common with synthetic items as compared to natural agents. A study by Hargrove found that when Natural Progesterone was compared to Provera in HRT, natural progesterone had better results with symptoms, lipid profiles and side effects as compared to Provera. The citation for this study is in my book. In fact, Provera has been shown in numerous studies to reverse many of the benefits prescribed to estrogens including the cardiovascular benefits.
Fatigue or feeling tired is the number one complaint you will hear from patients. Patient’s will be napping in the middle of the day before receiving the pellets.
Less energy: patients are always taking breaks, but after pellets, they will say, “boy I can achieve so much in a day now”
Poor Sleep: I’m finally sleeping all through the night
Libido: Drastically increased in both men and women and women especially think about sex everyday whereas, before pellet therapy interest was zero
Hot flashes: Usually eliminated in three days time
Painful intercourse from vaginal dryness: you will have patients who will say, “This saved my marriage”, Before pellets, intercourse was so painful and now I enjoy being with my husband again, we were close to a divorce, the change usually happens within five days time
Dry skin: Oils return to the skin
Anxiety: Level of stress is reduced
Migraine/Menstrual headaches: Usually cause by Menstrual cycle and alleviated with pellet therapy
Weight gain: Pellets hormone therapy give the patient the energy and in most cases patient feels like exercising and will lose weight on a diet whereas, before pellets patients were yo-yo dieters and would gain weight after being on a diet for 2 weeks.
Depression: Almost 99.9% of patient on SSRI’s will come off their medication as a result of BHRT. Men and women who take SSRI’s have sexual dysfunction or find it very difficult to have an orgasm.
Memory Loss: Drastically improved with pellet therpy
Fibromyalgia: Symptoms are somewhat mitigated.
Palpitations: Patien usually sees relief within 1 to 2 days
Osteoporosis, Fosomix, Bonevia chemically harsh and causes esophageal erosion. You need both testosterone and estradiol to increase bone density
Hair Loss: Patients will notice hair thickness returning
Food Cravings: Major cause weight gain seems to diminish
Irritability: the percentages of divorce after age 50 is staggering! Husbands say, “I’m out of here! I can’t take her mood swings anymore.
Painful Joints: Aches seem to diminish
Muscle Loss: Testosterone helps rebuild muscle
Irregular Menstruation: Patient’s Menstrual Cycle has more of a rhythm
Overly Emotional: Patient tend to be happier therefore do not seem to become over emotional in stressful situations
Lack of Self Esteem: Patients feel better and look better which leads to feeling good about themselves.
Restless Leg Syndrome: Becomes a problem of the past because patients fall asleep quickly and sleep for a full eight hours
Chronic Fatigue Syndrome: Symptoms are alleviated.
Variability of hormone concentrations from one hour to next (half life too short)
Concentration elevates quickly and in short time is so low and essentially ineffective
Almost impossible to elevate the concentrations high enough to be of practical benefit to relieve symptoms
Non-Compliance because patient often forgets to take as directed
Pellet hormone therapy is a remarkably simple, hassle free method of natural hormone replacement that can return you to the balance and well being of healthy hormone levels. With balanced hormones, you can once again look your best and feel healthy, sexual and alive!