A similar scenario played out more recently with testosterone after seriously flawed studies broadcasted links with cardiovascular disease.
Today, HRT is making a comeback as current research confirms the safety and efficacy of bioidentical hormones, and conventional physicians and pharmaceutical companies are finally coming around. At Whitaker Wellnesswe prescribe individualized doses of bioidentical hormones to treat specific conditions, such as estrogen for menopausal symptomsprogesterone for autoimmune diseases, and testosterone for heart failure.
However, we also prescribe hormone replacement therapy for men and women who are dealing with the normal challenges of growing older.
The goal is not to turn back the clock but to improve healthspan and quality of life by restoring levels of key hormones that decline with age. Testosterone Benefits Older Men For menmany of the unpleasant aspects of aging, including reductions in muscle mass, sexual desire and function, energy, and sense of well-being, are directly related to drops in testosterone.
It also reduces risk of osteoporosis, sarcopenia, anemia, and heart disease—yes, heart disease. In a recent study, researchers divided 83, men with initially low testosterone into three groups: Compared to the untreated men, those who maintained optimal testosterone levels with hormone replacement therapy had dramatic reductions in risk of death 56 percentheart attack 24 percentand stroke 36 percent.
This study underscores not only the safety of testosterone replacement but also the importance of follow-up and testing to make sure hormone levels are in the optimal range.
Fears of prostate cancer have also given testosterone replacement a bad rap, but this too has been disproven. Hormone replacement therapy significantly enhances quality of life during this time, and short-term use of low-dose estrogen and progesterone is a common recommendation.
This strategy, however, ignores longer-lasting consequences of age-related hormone declines, like bone loss, vaginal dryness, skin aging, and sarcopenia.
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Granted, the studies on female hormone replacement therapy show some risks, especially when started later in life. The female hormone replacement therapy protocols at Whitaker Wellness consist of transdermal bioidentical estradiol the dominant form of estrogen and oral natural progesterone.
Topical estrogen has a much better safety profile than oral. Bypassing the gastrointestinal track significantly minimizes the risk of blood clots, adverse effects on lipids and blood pressure —and thus cardiovascular concerns.
In fact, transdermal estradiol appears to improve endothelial function in older women with heart disease. Regarding breast cancer, the culprit is not estrogen but progestin Provera.
Study participants who took estrogen alone had no increased risk of cancer. Progestin has a long list of negative effects, while natural progesterone has demonstrated benefits for sleepbone health, and blood pressure and does not increase risk of blood clots or breast cancer.
Testosterone is also an important hormone in women, and small doses of topical testosterone are often added to enhance mood, energy, and libido.
Supplemental DHEA has been shown to improve strength, muscle mass, bone density, moodsense of well-being, and sexual function—and it has an excellent safety profile. Although there are theoretical concerns regarding hormone-dependent cancers, the only established adverse effects are mild acne and facial hair in women, which can be reversed with lower dosing.
Adverse effects include carpal tunnel syndrome, gynecomastia, fluid retention, and insulin resistance. Thyroid hormones also decline with age, and I recommend that everyone have their levels checked periodically and supplement with natural thyroid, if indicated.MASTER THESIS IN EUROPEAN STUDIES The Canary in the Coal Mine Governance and Security Discourses in the EU’s Arctic Policy Author: Elisabet Farner Supervisor: Urban Strandberg 2 Abstract The Arctic Ocean is experiencing an un-preceded melting caused by climate change, affecting.
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Granted, the studies on female hormone replacement therapy show some risks, especially when started later in life.
But the risks of stroke, blood clots, heart disease, and breast cancer in the Women’s Health Initiative were associated with Premarin and Provera, which unlike bioidentical estrogen and progesterone are foreign to the human body.
There are several good studies on the safety and efficacy of bio-identical hormones, including one large-scale study of 54, postmenopausal women that compared the risks associated with synthetic and bio-identical hormones.
Learn about bioidentical hormone replacement therapy (BHRT) in a quick and easy book. Learn about the history of hormone replacement (HRT) and discover why all HRT is feared, even bioidentical hormones.