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Q.) What is the advantage of having a doctor treat me?

A.) The advantage of having Dr. Sinclair evaluate and treat you personally is his knowledge and training. Dr. Sinclair not only treats his patients, but he teaches other doctors how to treat patients all over the United States. He will evaluate your skin, discuss your goals, help you develop a treatment plan and ensure that the procedure is carried out both effectively and safely.

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Bioidentical Hormones

If you are suffering from the effects of hormonal changes, you may benefit from hormone replacement therapy. Not all patients have the same symptoms or have the same hormonal needs. Hormonal changes can cause symptoms including hot flashes, sweats, vaginal dryness, pain with intercourse, low libido, aging facial skin, fatigue, unexplained weight gain, increased facial hair growth and irregular menstrual cycles to name just a few. To treat these symptoms, we review your specific symptoms, measure your hormone levels and then create a custom made replacement regimen. We then recheck your hormone levels and adjust your treatment accordingly. By carefully adjusting your treatment we can safely improve your symptoms.

Suzanne Somers has brought bioidentical hormones onto center stage. In her books, Ageless and The Sexy Years, and in media appearances to promote them, she describes how bioidentical hormones relieved her menopause symptoms. She also makes it clear that she intends to stay on them for the rest of her life.

As a result, we're now deluged with calls about bioidentical hormones. The basic question women ask is, "Are they for me?" Let's explore what we've learned about bioidentical hormone replacement therapy (BHRT) in over 15 years of use in our clinical practice, and help you answer that basic question for yourself.

Just what are "bioidentical hormones"?

Bioidentical hormones are manufactured to have the same molecular structure as the hormones made by your own body. By contrast, synthetic hormones are intentionally different. Drug companies can't patent a bioidentical structure, so they invent synthetic hormones that are patentable (Premarin, Prempro and Provera being the most widely used examples).

Though bioidentical hormones have been around for years, most practitioners are unfamiliar with them. There are several branded versions now available for use in the kind of hormone replacement therapy ("HRT") typical of synthetic hormones. This is generally a one-size-fits-all dosage regime.

In our practice, we have had the greatest success with an individualized approach. We begin with laboratory tests of hormone levels (a so-called "hormone panel"). We then prescribe a precise dosage of bioidentical estrogen, testosterone or progesterone that is made up at a compounding pharmacy. Each patient is then monitored carefully through regular follow-up hormone panels to ensure we get symptom relief at the lowest possible dosage. In the initial stages, we will do a hormone panel every three months. Once balance is restored, we'll do one panel a year at the time of the annual exam.


Are bioidentical hormones better than synthetic hormones?

We long ago concluded that the answer to this question is yes. But that doesn't mean bioidentical hormones are perfect.

The great appeal of bioidentical hormones is that they are natural, and our bodies can metabolize them as it was designed to do, minimizing side effects. Synthetic hormones are quite strong and often produce intolerable side effects. Moreover, the compounded bioidentical hormones can be matched individually to each woman's needs -- something that's just impossible with mass-produced products.


Are bioidentical hormones safer than synthetics?

European medical studies suggest that yes, bioidentical hormones are safer than synthetic versions. This makes perfect sense. But we must be cautious here, because they have not been well-studied, especially for long-term use. And in any case, we never recommend that a woman think of a drug as completely safe.

(Let us note here that the WHI studies on the effectiveness and health risks of HRT were based on synthetic/equine-based hormones.)

What does Epilution Meds Spa recommend?

The great majority of women can rebalance their hormones without the use of drugs. We have found that about 85% can find relief through an approach that combines medical-grade nutritional supplements, gentle endocrine support, and dietary and lifestyle changes. We recommend that every woman start with this combination approach as a foundation of health.

(Our dietary guidelines are based on Dr. Diana Schwarzbein's work -- the same endocrinologist who introduced Suzanne Somers to bioidentical hormones.)

Even with this foundation, a minority of women will need to add prescription-strength hormone supplements to get complete relief, at least through a transition period. We recommend they use bioidentical hormones, preferably in a compounded form personalized to their needs by an experienced practitioner. It's important that the hormones be used in addition to the combination approach outlined above.

(Note that Suzanne Somers is among this minority -- she began with a healthy diet and lifestyle that supported her endocrine system, but still experienced intractable symptoms.)

We don't recommend that any hormones be used long-term unless essential for symptom relief, and then only with a complete risk assessment. We also don't support the idea that bioidentical hormone therapy should be used indefinitely as some kind of fountain of youth.

What about bioidentical hormones for breast cancer patients?

The pendulum has swung so far that today, very few doctors will prescribe any type of HRT -- synthetic or bioidentical -- for women who have had breast cancer or even a family history of breast cancer. In fact, many such women are given anti-estrogen drugs.

Case study

Mary was a 51-year-old woman who came to us with severe menopausal symptoms. We changed her diet to increase her protein and vegetables and reduce carbohydrates, added a pharmaceutical-grade nutritional supplement, and did a complete blood hormone panel.

At her first follow-up visit six weeks later, Mary definitely felt better, but she still suffered too many hot flashes and sleepless nights. Our next step would have been to increase her soy intake, but Mary wanted immediate relief and chose to try bioidentical hormone replacement therapy.

After reviewing her hormone panel we placed Mary on a combination of bioidentical estratriol (one of the three forms of estrogen), testosterone, DHEA and progesterone, all in cream form. Six weeks later Mary came back for another follow-up. "I feel fabulous," she said, explaining she hadn't felt this good since her early 30's.

Mary still feels great. She's carefully compliant with her diet and exercise regime, and takes her bioidentical hormones faithfully. Her latest hormone panel shows she's still in balance and there is no need to adjust her dosages.

Not every patient is as easy to help as Mary. Sometimes we have to adjust the formulas three to five times to get it right. But it's a very effective solution.

So -- are bioidentical hormones for you?

At Epilution Med Spa, our goal is to help inform women about their choices, if necessary improve their choices, and then support you in any way we can. The good news is that women can feel incredibly well right through menopause.

Bioidentical Hormones Wellington West Palm Beach

 

Bioidentical Hormones Targets

  • Hot Flashes
  • Vaginal Dryness
  • Mood Swings
  • Weight Gain
  • Aging Skin
  • Insomnia
  • Fatigue
  • Loss of Sex Drive
  • Dry Skin

Bioidentical Hormones Benefits

  • Sleep Well!
  • Improved Sex Drive!
  • Enhanced Sexual Pleasure!
  • More Energy!
  • Lose Weight!
  • More Youthful Skin!

 

 

FAQ's...

Q.) What is the advantage of having a doctor treat me?

A.) The advantage of having Dr. Sinclair evaluate and treat you personally is his knowledge and training. Dr. Sinclair not only treats his patients, but he teaches other doctors how to treat patients all over the United States. He will evaluate your skin, discuss your goals, help you develop a treatment plan and ensure that the procedure is carried out both effectively and safely.

View All FAQ's ›