So many women are seeking what to do when they are looking for help with hormones and yet no one tells them or trie to help by telling them what to avoid when they are seeking help
You deserve more than a million subscribers with your generous information and every woman deserves to hear this information. Very empowering. Thank you. Glad to know you do these around 6-630 CT each day.
I'm so with you about not giving up but for many of us it's that we've run out of workable options, not that we want to give up. But being out of viable options will, after many years, cause one to give up. And by then we have stress related issues. I see someone like you and think finally! But then as a retired person, I have to pay my Medicare premium which leaves no money to pay a non-insurance doctor. And I totally understand why you're not part of the Medicare system, by the way. I really appreciate your encouragement however.
Safety first always. And yes, we much be aware of the pharmaceutical money machine. However, it is very important to clarify the difference between total testosterone and free testosterone. And as for the typical male population, most males ideally have a total testosterone more in the realm of 800. 300 would be considered low for most typical males and would lead to negative symptoms. I am a female who is currently on pellets. Although this may not be ideal… it’s the best option for me ( and many) as creams and patches do not work well. Yes, they may be easier to control than a pellet, but not ideal. The absorption rate and levels are nowhere near consistent. Although it is slowly improving, testosterone replacement for women is not taken seriously and there isn’t enough research going on. Testosterone is an important hormone for all humans. Furthermore, it’s comical that a male who has low T is almost (not always) but almost always put on injections, not creams… why? They don’t work well!! Unless a woman goes to the black market, this is never an option. So I have to go with my best option which is pellets for now. I go to a very experienced practitioner who goes by my blood work, and not the recommended Biote dosage. My levels hover between 50 and 100 and I feel great and have no negative side effects. Just wanted to share my experience.
My GP wouldn’t prescribe me Testosterone and I had to wait 6 months to see an OB/GYN. I signed up with Evolve, a telemedicine doctor and couldn’t be happier. They’re great! I highly recommend them.
Doc, You are 100 percent right. I hope women will listen. I've had hormone issues my entire life. I have Addison's disease and a partial thyroidectomy. No amount of supplements or neurotransmitters will make up for hormone deficiency. Find a Dr. that is willing to work with you. I agree with the "vote with your feet". If a Dr. gaslights, move on. DHEA can also be monitored and replaced as needed.
I can't imagine not having this option of hormone replacement & am happy that you offer something other than Pellets bc i plan on sailing the world, so getting to a dtr office for Pellets every 3 months would be pretty hard.
Oh, my goodness! You are just down the road (620!!) from me. If I ever begin to have problems with my insurance doctor regarding hormones, I’ll be giving you a call. God bless! p.s. I just put your book in my Amazon cart.
Thank you so much for the information you have provided and I did order your book I certainly would rather challenge my menopause in a holistic way versus hormone replacement therapy my question to you and I’m sure hoping that you can answer this am I a good candidate for someone whoHas been diagnosed with cardio myopathy, mitral regurgitation, and paroxysmal supraventricular tachycardia. ? I have been taking lisinopril and carvedilol and digoxin for quite a few many years Any information you can provide would be awesome I recently asked my gynecologist if I could start hormone replacement therapy and she said she would need a greenlight from my heart doctor which I have to wait a whole another month to have an appointment with him thank you so much and have a good day
Wow, I am only 5 minutes into this video and you have already spoken wisdom I can verify from personal experience. Pellets ~ easy but, you can't change a pellet dose. I tried them, once. Expensive and I had to add extra oral estradiol because there wasn't enough in the pellet. You are right about not supplementing your way out of menopause. I am an acupuncturist, so herbs, supplements, etc, 'natural' is my thing whenever possible. When I hit the menopause wall (it was like a switch just flipped on) I tried everything under the sun. Nothing worked like estradiol. I spent a lot of money on herbs, both Chinese and other supps with some improvement but never stopped the all night long hot flashes. I think at one time I was taking about forty pills a day. Been taking estradiol for about 14 yrs now. I would love to consult with you about the issue I have with not being able to take progesterone. This has caused major issues over these years and I've yet to figure it out.
Great video. Any thoughts on fat tissue disorders- lipedema? There are different schools of thought. Some are that it’s heavily impacted by hormonal factors at puberty/ pregnancy/ menopause. Would be lovely to hear your opinion. Thank you.
I'm so grateful for my sexual health MD who takes my Health Partners insurance. Previously, I had paid to see an anti aging functional Dr for hormone balancing needs during C but he wasn't right for me. He'd prescribed to much T in my hormonal cream. Nobody needs extra facial hair even if mask wearing was being mandated! Right?😢
Always discuss with the compounding pharmacist making your customized hormonal cream what's the safe testosterone dose, cuz I learned the hard way that once a female gets higher T dose, it never actually leaves her body.
This is incorrect if you are using a cream it will be gone within 24-48 hours and the pharmacists really don’t have your medical information or labs to make those decisions
@@ShawnTassoneMDPhD Thank you for reassuring me of that, Shawn. When I'd asked the compounding pharmacist if a 4 mg dose was unusually high for a menopausal woman, she said yes. I had begun growing extra facial hair and my voice lowered after the initial cream was used. That just confirmed my suspicions in connecting the dots.
My total T is 3 and my free T level is essentially zero. Should I be feeling bad? Serious question. I hear about how necessary it is, but what are the benefits? I’m 52, peri, on E patch and P vaginally (cyclically) for the last six months. No sexual problems, I run four times a week and lift heavy weights. I feel like the T proponents are trying to get me to feel “better” when I feel pretty good now 😁
I’m fortunate at my Va clinic for Women, I was able to get climara patch and progesterone. I was on 100mg but told doc that 200mg was my sweet spot so she gave it to me. She actually listened to me, but She also knew i went to a private before and worked as a nurse with a doctor who started getting into hormone therapy but out of pocket was expensive. I do also use malloy for the mist because i lime to boost my eatrogen a week before period and another female hornone doctor was saying aometimes we need that estrogen boost. I founs my sweet spot and use the patch daily .06 and a mist 1 spray 2 weeks then 2 sprays 2 weeks and 3-4 days before period 3 sprays.i feel amazing and in perimeno at 47, but ni real syomtoms but i heal faster after ky heavy weightlift sessions . I’m an athlete and still do gymnastics and felxible and all muscle, so tryna bank my muscle Before I menopause and stave off osteoporosis. I do dexa every 4 months.
@@denisemaples6519 yes 8 years air force. i know not All VA’s are the same and the bigger gospital here is teerible, but I go to a smaller nice clinic with an awesome provider and also get acupuncture. Now ky best friend she’s in Hawaii and the Va clinic she goes too gave her a hard time so she had to say she had all the symptoms even though she doesnt, but she wanted to start now at 46yrs old because of osteoporosis. Only issues i have ever had was aleep , but i have always been like that. I can say though progesterone 200mg does help a-lot and that is the only difference. I am a bit tad hotter lately so I sleep at 65 and a cooling bad, but the most effects of hrt is that I heal faster like when i was younger after training and my lower back doesnt ache before period or after 80lb deadlift and I’m tiny at 105lbs, 5’2 & 16% Bodyfat. I’m tryning to get my gymnast muscular body i had when I competed and hated all the muscles when i was young 🤦🏻♀️😂🤣 Now I want All that big muscle because i’m sure i’ll menopause in my 50’s and then it’s like a weak salmon swimming up stream. 🤣 i’ve banked collagen since highschool before it was a fad and mainstream, didn’t realize muscle should also be banked. I know my primary car peocoder said being small i will be probe to osteoporosis so she was all for me getting on HRT. I did climaro pro which was a mix of estadiol/progesterone but it was low and you want atleast .05 to prevt diseases. I’m on .06 but also use evamist inourchase seperate which has lasted me ai long since i do t max out spray. I tried using 2 patches, but wasnt sure if i was absorbing fully. I put it on buttocks for better absorbtion but i feel the boost on weak luteal days with the spray. Good luck and best of wishes that yr VA provider is a good one and listens to you 🤙🏻👍😉
In Ontario Canada, I see a nurse practitioner who has specialized training in bioidentical hormone replacement therapy. Within 2 weeks of going on estradiol gel and progesterone pills I had no more hot flashes! I used to have 20 to 30 at night. I'm a huge fan of BHRT.
My mother had estrogen and progesterone fed breast cancer last year. I am really having a challenging time (estradiol 7, progesterone .12, Total Testosterone 26) and speaking to a new doctor about possible ways to help. My mother says I should not consider hormones, quit trying to avoid menopause, suck it up and get over it. I told her I am not trying to avoid menopause, I am just trying to make it a little more manageable. It ended in a huge fight. How do I get her to understand?
I love my doctor and she’s all for HRT, which I’ve been on for almost 3 years. I had official menopause in March of this year. I asked to be hormone tested to see where I’m at, and my doctor ordered testosterone and liver tests (all were good) but said testing estrogen and progesterone would provide no useful information. I feel great and everything is fine, I’m just curious to see what’s happening. May I have your opinion on whether testing for estrogens and progesterone post menopause with no issues is worthwhile? Thank you!
Seriously? Your doctor is absolutely nuts if they won’t test your estrogen and progesterone levels. These hormones are critical to your wellbeing as you age. Having adequate levels of estrogen, balanced with progesterone (assuming you have not had a hysterectomy), is crucial if you want to lower your risk of the three major diseases that can affect women after menopause: heart disease, osteoporosis and dementia. Just because you aren’t having symptoms does not mean your hormone levels are adequate. You need testing to determine that.
@@lpeacelovefaith9566 it’s so weird, isn’t it? I have a call scheduled with my doc cos she doesn’t “understand my goals.” My goal is to find out if I’m actually uptaking the HRT! Some people take tons of Vitamin D but still have low levels. I don’t know why this seems complicated to her.
Do you prescribe estradiol and testosterone to be taken morning dose or splitting dose up morning and night? I know you prescribe progesterone at night because it helps with sleep
You need to do your research and listen to hundreds of reviews on the Prolia injection. Look at the side effects and know that if you can not stop it without relaying with another drug because of possible vetebral fractures.
@@susiefloosie8885 I’m not a professional by any means…… I could read hundreds of reviews & still I would be faced with the same question ; is taking Prolia for my osteoporosis worth the risk ….
I think he mentioned he’s in the state of Washington and if he’s licensed in another state, you can do a telehealth, but I haven’t been able to find what state he’s licensed in besides Washington if you find out, could you let me know I appreciate it
My Dr put me on .05 MG Estradiol and 100 MG Progesterone which got bumped up to 200 MG because I was bleeding (like my regular menstrual cycle but more often). I bet everyone differs.
This question is on behalf of all women veterans that have to go to the VA clinic, are you able to find out what brands they offer and which one you recommend us to ask for? Thank you so much.🇺🇸
I go to the VA in Manchester NH. I was 61 and on Loestrin birth control and the doctors were harassing me to get off the birth control. The birth control pill gave me my life back. The number on reason for me to stay on was no more back spasms. I told the VA that I would get off the pill if I could transition to a hormone patch. I had educated myself I what I wanted thanks to videos like this one. I knew what I wanted for hormone replacement and I check the VA's formulary list before I went to my exam. I saw that the Combipatch was on the list, so that is what I was going to ask for. So I go to the appointment and told them what I wanted. Next thing I know they mail me an RX of Premarin. I was very angry. I called and they told me that the VA pharmacy doesn't have the Combipatch. I sent her the VA formulary list that had it on it. I was ready to go to battle, but fortunately they called the main pharmacy and learned that the Combipatch is on the list, but that they had never had anyone write an RX for it so it was not in stock anywhere. I got what I wanted. It is the Combipatch 50/250 estradiol/norethindrone. It is very easy to use, I change my patch Wednesday evening and Sunday morning. They stay on, so sports and swimming are good. I am 65 and play tennis everyday and have a ton of energy. Good luck, you really need to know what you want when you get to this stage of your life with reagrd to menopause medical care.
@@user-en1rw3qg6m thank you for taking the time to explain your situation and helpful information about the list of medications that they do offer. I did not know about that and for letting me know about the Combi patch. Much love to you! 🫶
I was on Loestrin from 34 to age 54 when I was in perimenopause then my OBGYN (that I had since 18) retired. The referred doctor refused to keep me on loestrin and not having all this current information I went off it cold Turkey. OMG what a nightmare I went through. Now I have aged physically beyond what I think is normal, zero energy, spasms, achy joints, the blahs and much more. I asked my current obgyn to test my hormones and she said we obviously know that your post menopausal so we don’t need to and she said she’s so tired of women asking because of all these internet gurus. I told her I wanted to start estrogen and she gave me the patch and progesterone. I spoke to my GP first before taking them and she said she didn’t want me to take them until we did blood work. Great but she didn’t order hormone blood work and said they don’t deal with hormones. Now I’m on the hunt for a new obgyn and GP who will listen and those are a rarity. Now I’m 63 and haven’t been on hormones for almost 10 years and I’m nervous to start taking them but feel so miserable.
I had a friend who was on the testosterone pallets, and she got as mean as a snake, and not only that she started looking masculine with the square jaw.
That's odd. I've been on HRT pellets (estradiol and testosterone) since 2007 and feel like myself, better than before when I only had estrogen patches after total hysterectomy.
Is it ok to take estrogen with Valium? I’m 47 and my periods are half day every two months for past half year. I lost my mind and was admitted in psychiatric ward for a month. They did nothing. In Canada is horrible the medical system. I tried progesterone and went into a big depression within one day and stoped it after few days.
I’m 73 and have never been on hormones, had an uneventful menopause and have no health issues. Would you still recommend hormones at my age if testing shows an imbalance in my levels?
I would rather not.. you might have formed arterosclerosis in those years and start using E now.. might make you arteries more flexible again. Then the plaques might come loose and might cause vascular incidents .. If you don't have issues and feel good and healthy.. I wouldn't take a risk there. If you ever get UG issues you still can use local E vaginally. That doesn't come into the bloodstream and is very safe.
I had my blood tested, lol, probably have zero in estrogen, progesterone,and had my testosterone checked. I’m waiting for results. I wanted Dhea in my hormones, BIo identical pills that dissolve in your mouth. I did take all that about 4 years ago, long time. I stopped because of a gene. So wow, have I aged !! Of course I am 69 young, ha, but felt so much better when I was taking. 😊
I take the same hormones, and have for many years. What gene do you have that precludes you from taking HRT? Have you looked at the current research, or are you just afraid of a gene which may never cause a problem? I don’t know about you, but I would not want to live life feeling miserable, or put myself at high risk for osteoporosis, heart disease or dementia due to lack of hormones simply because I have a gene, but that is just me.
Hi ! I am starting back on some, kind of an old school clinic. I have a PALB2 gene. 🥲 But I have been on a mission. I agree with what you said!! 😊 Thank you. How about you?
You deserve more than a million subscribers with your generous information and every woman deserves to hear this information. Very empowering. Thank you. Glad to know you do these around 6-630 CT each day.
Thank you
I'm so with you about not giving up but for many of us it's that we've run out of workable options, not that we want to give up. But being out of viable options will, after many years, cause one to give up. And by then we have stress related issues.
I see someone like you and think finally! But then as a retired person, I have to pay my Medicare premium which leaves no money to pay a non-insurance doctor. And I totally understand why you're not part of the Medicare system, by the way. I really appreciate your encouragement however.
Safety first always. And yes, we much be aware of the pharmaceutical money machine. However, it is very important to clarify the difference between total testosterone and free testosterone. And as for the typical male population, most males ideally have a total testosterone more in the realm of 800. 300 would be considered low for most typical males and would lead to negative symptoms. I am a female who is currently on pellets. Although this may not be ideal… it’s the best option for me ( and many) as creams and patches do not work well. Yes, they may be easier to control than a pellet, but not ideal. The absorption rate and levels are nowhere near consistent. Although it is slowly improving, testosterone replacement for women is not taken seriously and there isn’t enough research going on. Testosterone is an important hormone for all humans. Furthermore, it’s comical that a male who has low T is almost (not always) but almost always put on injections, not creams… why? They don’t work well!! Unless a woman goes to the black market, this is never an option. So I have to go with my best option which is pellets for now. I go to a very experienced practitioner who goes by my blood work, and not the recommended Biote dosage. My levels hover between 50 and 100 and I feel great and have no negative side effects. Just wanted to share my experience.
My GP wouldn’t prescribe me Testosterone and I had to wait 6 months to see an OB/GYN. I signed up with Evolve, a telemedicine doctor and couldn’t be happier. They’re great! I highly recommend them.
Doc, You are 100 percent right. I hope women will listen. I've had hormone issues my entire life. I have
Addison's disease and a partial thyroidectomy. No amount of supplements or neurotransmitters will make up for hormone deficiency. Find a Dr. that is willing to work with you. I agree with the "vote with your feet". If a Dr. gaslights, move on. DHEA can also be monitored and replaced as needed.
thank you Shawn
Thank you Shawn, I’m in Texas. ❤
Helpful and knowledgeable! Gracias! 😊
Thanks!
Just bought your book! Thank you for all that you teach! You really help empower us to do the best for our hormone health ❤
I can't imagine not having this option of hormone replacement & am happy that you offer something other than Pellets bc i plan on sailing the world, so getting to a dtr office for Pellets every 3 months would be pretty hard.
Oh, my goodness! You are just down the road (620!!) from me. If I ever begin to have problems with my insurance doctor regarding hormones, I’ll be giving you a call.
God bless!
p.s. I just put your book in my Amazon cart.
I have the book and i listen on Audible
Bought the book!
What do you think about testing for Reverse T3, along with the other thyroid tests?
Thank you so much for the information you have provided and I did order your book I certainly would rather challenge my menopause in a holistic way versus hormone replacement therapy my question to you and I’m sure hoping that you can answer this am I a good candidate for someone whoHas been diagnosed with cardio myopathy, mitral regurgitation, and paroxysmal supraventricular tachycardia. ?
I have been taking lisinopril and carvedilol and digoxin for quite a few many years
Any information you can provide would be awesome I recently asked my gynecologist if I could start hormone replacement therapy and she said she would need a greenlight from my heart doctor which I have to wait a whole another month to have an appointment with him thank you so much and have a good day
South Carolina soon?
Wow, I am only 5 minutes into this video and you have already spoken wisdom I can verify from personal experience.
Pellets ~ easy but,
you can't change a pellet dose. I tried them, once. Expensive and I had to add extra oral estradiol because there wasn't enough in the pellet.
You are right about not supplementing your way out of menopause. I am an acupuncturist, so herbs, supplements, etc, 'natural' is my thing whenever possible.
When I hit the menopause wall (it was like a switch just flipped on) I tried everything under the sun. Nothing
worked like estradiol.
I spent a lot of money on herbs, both Chinese and other supps with some improvement but never stopped the all night long hot flashes.
I think at one time I was taking about forty pills a day. Been taking estradiol for about 14 yrs now.
I would love to consult with you about the issue I have with not being able to take progesterone. This has caused major issues over these years and I've yet to figure it out.
Are you licensed in North Carolina?
Great video. Any thoughts on fat tissue disorders- lipedema?
There are different schools of thought. Some are that it’s heavily impacted by hormonal factors at puberty/ pregnancy/ menopause. Would be lovely to hear your opinion. Thank you.
I'm so grateful for my sexual health MD who takes my Health Partners insurance. Previously, I had paid to see an anti aging functional Dr for hormone balancing needs during C but he wasn't right for me. He'd prescribed to much T in my hormonal cream. Nobody needs extra facial hair even if mask wearing was being mandated! Right?😢
Are you licensed in Montana??
Are you already practicing in NY?
Always discuss with the compounding pharmacist making your customized hormonal cream what's the safe testosterone dose, cuz I learned the hard way that once a female gets higher T dose, it never actually leaves her body.
This is incorrect if you are using a cream it will be gone within 24-48 hours and the pharmacists really don’t have your medical information or labs to make those decisions
@@ShawnTassoneMDPhD Thank you for reassuring me of that, Shawn. When I'd asked the compounding pharmacist if a 4 mg dose was unusually high for a menopausal woman, she said yes. I had begun growing extra facial hair and my voice lowered after the initial cream was used. That just confirmed my suspicions in connecting the dots.
totally agree on the pellets. It's used for revenue, not well being.
My total T is 3 and my free T level is essentially zero. Should I be feeling bad? Serious question. I hear about how necessary it is, but what are the benefits? I’m 52, peri, on E patch and P vaginally (cyclically) for the last six months. No sexual problems, I run four times a week and lift heavy weights. I feel like the T proponents are trying to get me to feel “better” when I feel pretty good now 😁
I’m fortunate at my Va clinic for
Women, I was able to get climara patch and progesterone. I was on 100mg but told doc that 200mg was my sweet spot so she gave it to me. She actually listened to me, but She also knew i went to a private before and worked as a nurse with a doctor who started getting into hormone therapy but out of pocket was expensive. I do also use malloy for the mist because i lime to boost my eatrogen a week before period and another female hornone doctor was saying aometimes we need that estrogen boost. I founs my sweet spot and use the patch daily .06 and a mist 1 spray 2 weeks then 2 sprays 2 weeks and 3-4 days before period 3 sprays.i feel amazing and in perimeno at 47, but ni real syomtoms but i heal faster after ky heavy weightlift sessions . I’m an athlete and still do gymnastics and felxible and all muscle, so tryna bank my muscle
Before I menopause and stave off osteoporosis. I do dexa every 4 months.
Are you veteran so am I , just getting ready to ask for bio- identical estrogen and progesterone
@@denisemaples6519 yes 8 years air force. i know not All VA’s are the same and the bigger gospital here is teerible, but I go to a smaller nice clinic with an awesome provider and also get acupuncture. Now ky best friend she’s in Hawaii and the Va clinic she goes too gave her a hard time so she had to say she had all the symptoms even though she doesnt, but she wanted to start now at 46yrs old because of osteoporosis. Only issues i have ever had was aleep , but i have always been like that. I can say though progesterone 200mg does help a-lot and that is the only difference. I am a bit tad hotter lately so I sleep at 65 and a cooling bad, but the most effects of hrt is that I heal faster like when i was younger after training and my lower back doesnt ache before period or after 80lb deadlift and I’m tiny at 105lbs, 5’2 & 16% Bodyfat. I’m tryning to get my gymnast muscular body i had when I competed and hated all the muscles when i was young 🤦🏻♀️😂🤣 Now I want All that big muscle because i’m sure i’ll menopause in my 50’s and then it’s like a weak salmon swimming up stream. 🤣 i’ve banked collagen since highschool before it was a fad and mainstream, didn’t realize muscle should also be banked. I know my primary car peocoder said being small i will be probe to osteoporosis so she was all for me getting on HRT. I did climaro pro which was a mix of estadiol/progesterone but it was low and you want atleast .05 to prevt diseases. I’m on .06 but also use evamist inourchase seperate which has lasted me ai long since i do t max out spray. I tried using 2 patches, but wasnt sure if i was absorbing fully. I put it on buttocks for better absorbtion but i feel the boost on weak luteal days with the spray. Good luck and best of wishes that yr VA provider is a good one and listens to you 🤙🏻👍😉
Does your book discuss availability of care in Canada? Thank you for all you do! 🙏🏻😊
In Ontario Canada, I see a nurse practitioner who has specialized training in bioidentical hormone replacement therapy. Within 2 weeks of going on estradiol gel and progesterone pills I had no more hot flashes! I used to have 20 to 30 at night. I'm a huge fan of BHRT.
Prosper Menopause virtual, they are prescribing all over Canada.
Ty @anotino however they do not serve any of the western provinces (I’m in b.c)
@anatonia
@@kimlougheed8474 I thought they do through all Canada.
My mother had estrogen and progesterone fed breast cancer last year. I am really having a challenging time (estradiol 7, progesterone .12, Total Testosterone 26) and speaking to a new doctor about possible ways to help. My mother says I should not consider hormones, quit trying to avoid menopause, suck it up and get over it. I told her I am not trying to avoid menopause, I am just trying to make it a little more manageable. It ended in a huge fight. How do I get her to understand?
It’s not your job to make her understand it’s up to you to live your life
I love my doctor and she’s all for HRT, which I’ve been on for almost 3 years. I had official menopause in March of this year. I asked to be hormone tested to see where I’m at, and my doctor ordered testosterone and liver tests (all were good) but said testing estrogen and progesterone would provide no useful information. I feel great and everything is fine, I’m just curious to see what’s happening. May I have your opinion on whether testing for estrogens and progesterone post menopause with no issues is worthwhile? Thank you!
Seriously? Your doctor is absolutely nuts if they won’t test your estrogen and progesterone levels. These hormones are critical to your wellbeing as you age. Having adequate levels of estrogen, balanced with progesterone (assuming you have not had a hysterectomy), is crucial if you want to lower your risk of the three major diseases that can affect women after menopause: heart disease, osteoporosis and dementia. Just because you aren’t having symptoms does not mean your hormone levels are adequate. You need testing to determine that.
@@MaryBethMcCoy that’s what it seems to me…thanks for sharing! I just emailed my doctor about what you mention.
My doc said the same thing
@@lpeacelovefaith9566 it’s so weird, isn’t it? I have a call scheduled with my doc cos she doesn’t “understand my goals.” My goal is to find out if I’m actually uptaking the HRT! Some people take tons of Vitamin D but still have low levels. I don’t know why this seems complicated to her.
Do you prescribe estradiol and testosterone to be taken morning dose or splitting dose up morning and night? I know you prescribe progesterone at night because it helps with sleep
IDK but I read to take the T in the AM & an hour later apply lotion onto it?
Dr Shawn, may I ask your professional opinion on Prolia …. Thank you
You need to do your research and listen to hundreds of reviews on the Prolia injection. Look at the side effects and know that if you can not stop it without relaying with another drug because of possible vetebral fractures.
@@susiefloosie8885 I’m not a professional by any means…… I could read hundreds of reviews & still I would be faced with the same question ; is taking Prolia for my osteoporosis worth the risk ….
I think he mentioned he’s in the state of Washington and if he’s licensed in another state, you can do a telehealth, but I haven’t been able to find what state he’s licensed in besides Washington if you find out, could you let me know I appreciate it
I say this all the time if you go to my Instagram page, the second pinned post shows all the states I’m licensed in
@@ShawnTassoneMDPhDBut what about those of us who are not on Instagram because they don’t want to be.
He has said he is licensed in 27 states
Many, many of us do NOT partake in social media other than YT. @@ShawnTassoneMDPhD
Estrogen Patch and Progesterone- what dosages are standard to start?
My Dr put me on .05 MG Estradiol and 100 MG Progesterone which got bumped up to 200 MG because I was bleeding (like my regular menstrual cycle but more often). I bet everyone differs.
I use .05 Estrogen patch and 100 of progesterone but I'm continuing to have bleeding so will bump that up to 200
exactly the same for me
I wish I could get your book but Amazon does not ship to South Africa🙄
Try getting the audible version.
My ins co won’t pay for my progesterone! I just started HRT at 71. Must have the progesterone to balance the Estrodial patch.
I’m also on compounded testosterone.
This question is on behalf of all women veterans that have to go to the VA clinic, are you able to find out what brands they offer and which one you recommend us to ask for? Thank you so much.🇺🇸
I go to the VA in Manchester NH. I was 61 and on Loestrin birth control and the doctors were harassing me to get off the birth control. The birth control pill gave me my life back. The number on reason for me to stay on was no more back spasms. I told the VA that I would get off the pill if I could transition to a hormone patch. I had educated myself I what I wanted thanks to videos like this one. I knew what I wanted for hormone replacement and I check the VA's formulary list before I went to my exam. I saw that the Combipatch was on the list, so that is what I was going to ask for. So I go to the appointment and told them what I wanted. Next thing I know they mail me an RX of Premarin. I was very angry. I called and they told me that the VA pharmacy doesn't have the Combipatch. I sent her the VA formulary list that had it on it. I was ready to go to battle, but fortunately they called the main pharmacy and learned that the Combipatch is on the list, but that they had never had anyone write an RX for it so it was not in stock anywhere. I got what I wanted. It is the Combipatch 50/250 estradiol/norethindrone. It is very easy to use, I change my patch Wednesday evening and Sunday morning. They stay on, so sports and swimming are good. I am 65 and play tennis everyday and have a ton of energy. Good luck, you really need to know what you want when you get to this stage of your life with reagrd to menopause medical care.
@@user-en1rw3qg6m thank you for taking the time to explain your situation and helpful information about the list of medications that they do offer. I did not know about that and for letting me know about the Combi patch. Much love to you! 🫶
I was on Loestrin from 34 to age 54 when I was in perimenopause then my OBGYN (that I had since 18) retired. The referred doctor refused to keep me on loestrin and not having all this current information I went off it cold Turkey. OMG what a nightmare I went through. Now I have aged physically beyond what I think is normal, zero energy, spasms, achy joints, the blahs and much more. I asked my current obgyn to test my hormones and she said we obviously know that your post menopausal so we don’t need to and she said she’s so tired of women asking because of all these internet gurus. I told her I wanted to start estrogen and she gave me the patch and progesterone. I spoke to my GP first before taking them and she said she didn’t want me to take them until we did blood work. Great but she didn’t order hormone blood work and said they don’t deal with hormones. Now I’m on the hunt for a new obgyn and GP who will listen and those are a rarity. Now I’m 63 and haven’t been on hormones for almost 10 years and I’m nervous to start taking them but feel so miserable.
@@user-en1rw3qg6m thank you for your thoughtful reply and help, I too will now request this
I had a friend who was on the testosterone pallets, and she got as mean as a snake, and not only that she started looking masculine with the square jaw.
That's odd. I've been on HRT pellets (estradiol and testosterone) since 2007 and feel like myself, better than before when I only had estrogen patches after total hysterectomy.
Where do you find a provider who knows about hormone balance? The only thing offered to me is pellets. I feel helplessly frustrated.
I know he said he's not a fan of MIDI but before my D's would agree to it they got me on track.
DOCTOR that isn't selling merch.
Is it ok to take estrogen with Valium?
I’m 47 and my periods are half day every two months for past half year.
I lost my mind and was admitted in psychiatric ward for a month. They did nothing. In Canada is horrible the medical system.
I tried progesterone and went into a big depression within one day and stoped it after few days.
Progesterone had the same effect on me. I switched to a different progestin. Because I do great with estradiol.
@@sunnysal3889 do you take any benzodiazepines as well?
I’m 73 and have never been on hormones, had an uneventful menopause and have no health issues. Would you still recommend hormones at my age if testing shows an imbalance in my levels?
I would rather not.. you might have formed arterosclerosis in those years and start using E now.. might make you arteries more flexible again. Then the plaques might come loose and might cause vascular incidents .. If you don't have issues and feel good and healthy.. I wouldn't take a risk there. If you ever get UG issues you still can use local E vaginally. That doesn't come into the bloodstream and is very safe.
Do I still need progesterone along with the estrogen after a full hysterectomy? Estrogen yes but is progesterone necessary??
no if you don't have a uterus is my understanding
Where in Calif do you practice?
I think he is in Texas
I’m licensed in California, but my practice is in Texas so I can do telemedicine
@@ShawnTassoneMDPhD can I have your office number Doctor I was not able to catch it on the video. Thank you
I had my blood tested, lol, probably have zero in estrogen, progesterone,and had my testosterone checked. I’m waiting for results. I wanted Dhea in my hormones, BIo identical pills that dissolve in your mouth. I did take all that about 4 years ago, long time. I stopped because of a gene. So wow, have I aged !! Of course I am 69 young, ha, but felt so much better when I was taking. 😊
I take the same hormones, and have for many years. What gene do you have that precludes you from taking HRT? Have you looked at the current research, or are you just afraid of a gene which may never cause a problem? I don’t know about you, but I would not want to live life feeling miserable, or put myself at high risk for osteoporosis, heart disease or dementia due to lack of hormones simply because I have a gene, but that is just me.
Hi ! I am starting back on some, kind of an old school clinic. I have a PALB2 gene. 🥲 But I have been on a mission. I agree with what you said!! 😊 Thank you. How about you?
If you are 58 and struggle with urinary infections, is it a need for hormones?
vaginal estrogen cream
Licensed in Hawaii?
No
am i too old at 61
Absolutely not. I'm 59 and started 2 months ago. I didn't have many symptoms (that I knew of) but gave it a go and OMG, my sleep is so much better.
I'm 65 and just started hrt & glad I have!
Just 63 and had pellets placed in April. Sleeping so much better.
Are you licensed in Oregon?