Here’s an idea somebody should’ve thought of. There are thousands of us out there who continued to take hormone replacement therapy,. I was much more afraid of osteoporosis, which is prevalent in my family Than I was breast cancer which is not. So that was in 1998; it is now 2024 and I am osteopenia not osteoporosis and do not have breast cancer. So why doesn’t somebody start a survey of all of those who have been taken hormone replacement-for 20 or 30 years and see if they have gotten breast cancer. I have not. It would not cost anything. I am much more afraid of these new bone drugs than I am Estradiol which is what I’m taking now.
Thank you for sharing your experience. I am on hrt for the same reasons, afraid of osteoporosis, which I have but more of the bone drugs than hrt. Two years, so far, so good have slowed none loss but not reversed. Started pilates, and here drops. Keeping fingers crossed. Studies the these would help such a large population!
Yes, God forbid anyone do any new real studies on women's health! I've had to fight with doctors about continuing to take HRT because they still think it causes breast cancer, which has been debunked. I'm more worried about osteoporosis and heart disease than I am about breast cancer.
I've been on hormone replacement for over a decade, except for one short period when I tried alendronate (Fosomax), which was pure disaster: 3 years of pain from taking two (just two!) doses. I worry about cancer, but my estradiol dose is low, and I only take 12 days of micronized progesterone once every 4 months.
So eternally grateful. Hrt is definitely for me but I just want to tweak dosages of Estradiol, Progesterone and Testosterone to suit my labs. And heading to a Masterclass on hormones. The positive impact you have made oin my life where there is basically no other medical support here for osteoporosis 😊🙏🙏
The women that participated in the study had underlying health conditions, had been menopausal for more than 10 years, were smokers or former smokers, had high blood pressure, were obese, etc. if I recall correctly the average age was 65 😮
Thanks for doing the deep dive into the studies! I am 64 with ER+ PR+ Her2 low metastatic breast cancer. I have had serum and stool testing for hormones and hormone metabolism. I literally have no measurable estrogen. This testing was done during a time I was off of any hormone blockers for at least two years. The idea of hormone blockers for postmenopausal women who have very little estrogen to start with always bothers me. It just does not make sense. Why did I not get this when I had more circulating estrogen? ( premenopausal) 0:59 Taking the hormone blockers further starves my body of estrogen which will cause bone loss and the answer is prolia. I just don’t like the idea of taking a drug to manage the side effects of another drug. Especially a drug with that side effect profile. It just does not make sense. Maybe the natural estrogen was holding it back in some way who knows 0:59 Thanks for presenting things so clearly
Thank you so much for sharing this. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Great analysis! Thank you. This topic is essential for women to understand. I’ve studied it for a few years and my takeaway is the same. For most women, topical estradiol and micronized progesterone is the way to go. No one wants breast cancer but we also don’t want brittle bones, depressed or anxious mood, brain fog or dementia, slow metabolism, no sex drive and the list goes on. I plan on being in HRT till I die.
There are many different types of breast cancer. With the second study, it might also depend on the type of breast cancer that it was protective against. Too much estrogen increases tumor proliferation if it is ER/PR positive. But HER2 would likely not be affected negatively by Estrogen/progestins. I am glad you explained to people how data sets can be manipulated. Some people may benefit from taking Estrogen, but if you have cancer cells that are ER/PR+, and did not know they had these tumors yet, because they had not been detected, it (the Estrogen supplement) can increase the growth of that tumor or cells if they have this type of cancer.
Me too!!! Lost 18.8% bone loss in 2 yrs bc of being ripped off of HRT- which my provider couldn’t figure out why and had me go through many other labs to fine NOTHING wrong! I had to figure it out on my own!!! Maddening!!
If it's any comfort, unless you plan to stay on HRT for life (probably not a good idea), when you discontinue there will typically be a large drop in bone density in the first few years, and then the rate of bone loss will slow. So staying on HTR through menopause will only delay, not prevent bone loss.
@@kathleensutherland6593, this idea of stopping estrogen at a certain age has been debunked. Unless there is some contraindication, there is no reason to age out of HRT.
Thank you so much for these incredibly beneficial videos and all the work you do to help us. I have so much to learn . You have helped me tremendously.
I know someone who was in estrogens, and later on she got breast cancer. She is doing fine after treatment. But I personally prefer not to take chances.
I was taking estrogen for my bones and also got breast cancer. I'm also doing fine but am challenged about my bone health as I don't want to take the meds. I have osteoporosis -3.3 in my spine.
Sadly, I know several family members who experienced taking estrogen and developed breast cancer.Also some who took osteoporosis medicine only to find out 20 years later they needed to take more because they had osteoporosis again.
Will you be doing a video on aromatase inhibitors and bone density? I really don't know what I should be doing to counteract the bone thinning impact of AIs.
Hi Dr Doug : you might be interested in a paper published dec 2023 , lead auther Dr. Avrum Bluming ( oncologist /hematologist) disputing the statical analysis of the CEE /MPA arm of the WHI. He said that the supposed elevation was in breast cancer risk in this group is an illusion caused by the control group having a collective lower risk of breast cancer. Unfortunately some of the control group had been on estrogen for n the past which would lower their risk of breast cancer. If these women were removed from the control group there was no real increased risk of breast cancer.
I took a combination birth control pill for 15 years and got breast cancer. My grandmother was given estrogen replacement to help her with menopausal symptoms and she got ovarian cancer. Excess estrogen causes female cancers and no one can tell me differently. We are supposed to go through “the change” of life. Yes, it sucks. Hot flashes, insomnia, weight gain, mood swings, etc. However, it is something we go through. These symptoms do dissipate with time. We reach a “new normal”. Trust me..chemo, radiation, mastectomy, hysterectomy, reconstructive surgeries, endocrine therapy, targeted therapy…it’s all a hell of a lot worse than dealing with menopausal symptoms! All these doctors now saying hormone replacement therapy is safe..just wait. Same as they’re now saying old studies were wrong, 20 years from now, they’ll be saying we were wrong again. As for our bones, calcium, vitamin D, and lift weights! Go walking, do jumping jacks, lunges. Those exercises are best thing to prevent bone loss and help with menopause weight gain too!
Overwhelmed. The estrogen door was always closed to me. May call to see how much a consult is I'm currently discouraged with options and may decide to do nothing.
We would be more than happy to speak with you further about this, we completely understand that this may be overwhelming. It is important to find the right support! Here is a link to schedule a discovery call --> www.optimalbonehealth.com/membership
Thank you for all this. At age 61, I've been on low-dose transdermal estriodal and micronized progesterone for over a decade, and I'm glad to know it's relatively safe. But I may switch to raloxifene, which seems even safer. And thank you for saying you wouldn't wish breast cancer on anyone, rather than "on my worst enemy." When people say the latter, I wonder, "Just how many enemies do you have?" And what WOULD you wish on your worst enemy? It just doesn't seem a healthy mentality.
I have been taking various forms of Estradiol and Progesterone tablets (never Progestin or horse hormones-always natural) for about 17 years. Primary care physicians have typically cautioned me with doom and gloom for continuing to take these meds. Gynecologists have typically been fine with my continuing to Rx these meds. No cancer, test yearly, BP is low normal. Over the years it has been so difficult to see how friends and acquaintances suffer with menopausal symptoms and post menopause symptoms because they could benefit from hormone therapy.
Thank you for sharing this! We discuss topics like this in our Healthspan nation community, feel free to check it out if you have not yet. Sometimes it is nice to have the support, you can find more information here--> www.drdouglucas.com/healthspan
I wish my gyno had been up on of this during my years of being compliant to all of the Pap smears and mammograms. My hormones were never checked, but I sure as s*** had those routine exams done! So frustrating. I now have osteoporosis at 58.
Thank you so much for sharing all of this. It sounds like you could benefit from the next free Bone Foundations Masterclass we have coming up if you have not attended one before. You can find more information here --> www.optimalbonehealth.com/build-bone
This 2023 report from Harvard is alarming, although it does not mention estradiol. It says estrogen is both a generator and catalyst of breast cancer news.harvard.edu/gazette/story/2023/05/estrogen-a-more-powerful-breast-cancer-culprit-than-we-realized/
Most breast cancer cases are not hereditary anyway. Cancer is a very personal disease, and there is so much to take into account- weight, diet, lifestyle choices, chemical exposure, exercise, detox pathways, occupation, how many kids a woman has and when, stress level, water filtration, etc. Sorry about your aunt!
I never took HRT. I have lifted weights since my mid 20’s. I am now 65, still lift weights. In 2012 I was diagnosed with Estrogen positive breast cancer. I was 51 at the time, no osteoporosis. I took Anastrozol for 5 years. My bone density went down a little. I continued to lift weights. I’ve been off Anastrozol for almost 7 years and my bone density has increased and have never had osteoporosis. I was barely osteopenia in one area of hip during treatment. No longer a problem. I believe for myself- estrogen would have been dangerous had I taken it earlier on. Everyone is different with different risks. I truly wish I could take HRT for its benefits, but have had to come to peace with my own situation and make other healthy choices that can benifit me.
If you are cancer free now, you may still be able to take some HRT. As gilliandowney said, estrogen does not cause breast cancer, and HRT can reduce your risk of heart disease and dementia. It would be worthwhile for you to at least search out a qualified professional to help you explore what options may be appropriate for you, while taking into consideration your medical history.
Dr.Doug I would like to ask you 2 questions. I have severe osteoporosis induced by corticosteroids and all my vertebraes have compression fractures. Prolia doesn't help, fractures are still happening. Can I start with hormone replacement treatment in my 57 years? I already had hysterectomy. Combination of osteoporosis medications plus HRT would be more effective?
Thank you for sharing this, unfortunately I cannot provide specific recommendations through this platform, I would need to know a little bit more about you as well. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. You can find more information here --> www.drdouglucas.com/healthspan
Hello, just want to give an additional train of thought. I get what Dr. Doug is saying and am also steeped in the hormone breast cancer studies.. I am also positive ER and progesterone and have had breast cancer a couple of times. I learned that if I understood my actual personal hormone levels, if the system monitored them, my hormone levels, I would have known that I was on a steep precipice cliff, that taking any more was going to push me over, in my particular case. We are are all unique and indivulized ..Its like, I don't want to eat antibiotics or pestisides in meat, produce, and grains or eat charred meat, or drink contaminated water, etc. There are some of us who do not cycle out excess levels systematically. There are things we can do if we are one of them. I built up a huge hormone reserve that started the process. OH MY I love how estrogen makes me feel. I am finding safe alternatives for me, now sure my bones might be stronger if I was still on it..? But my risk of yet another metastatic occurrence or stroke would be heightened. This taking responsibility for our own bodies and health outcomes is more than a full-time job, has helped me stay alive another 10 years after recurrence. I want to live long enough to enjoy 90 like my Mom did, who died in her sleep last month. Intuition is our highest healing treatment.
This comment makes so much sense. We are all so different and treatment needs to be specific and individual. I wish there were experts we could all trust or at least a great place to learn ourselves. May I ask what estrogen alternatives you have found that work for you? And I’m so sorry to hear about your mom
What a god send you are sir! I've been worried about my wife who has recently been diagnosed with Osteoporosis quite early at the age of 45 and following an early menopause at the age of 40. She stayed away from HRT initially but I'm wondering if that was a mistake. We go to see our GP next week following the diagnosis and we will be more knowledgable with the information you have shared in this video. We both exercise regularly and eat the right food so I am hoping in combination with medication we can reverse this illness. Thanks again from the UK.
Hello, just wanted to share my thoughts. I am 62, I have severe osteoporosis. I had endometriosis treated in the Uk by norethesvterone and in France by Lutheran and Lutenyl (which are progesterone), I ended up with 2 breast cancers which from what I understand where mostly caused by being put on primolut nor (norethisterone). When they treat your hormone dependant cancer, they give you either tamoxifen or anti aromataze, which are both designed redirect (if I understand well) the oestrogen towards other parts of your body in order to protect your breasts; If ostregeon doesn't increase breast cancer why the need to such drugs to be taken for years? thank you for answers. All the best
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Estrogen does not cause breast cancer, but if you currently have an estrogen receptive breast cancer, taking estrogen will stimulate the cancer cells to grow faster. You just need to understand that there is a difference in the two concepts. Causation with respect to cancer is not the same thing as stimulation of an already existing cancer.
What are your thoughts about women who have already had estrogen sensitive breast cancer? I had a lumpectomy for this 7 years ago and was given a 98% chance of it not recurring. I am 75 and have osteoporosis.
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
I had estrogen based breast cancer, early stage. Mastectomy. Now taking Anasrozole and have to take Prolia. I have osteoporosis now. Dint know about these drugs..
Thank you so much for sharing all of this. It sounds like you could benefit from the next free Bone Foundations Masterclass we have coming up if you have not attended one before. You can find more information here -->www.optimalhumanhealth.com/build-bone
I have been told over and over that I cannot ever take estrogen because I had breast cancer 20 years ago. I have osteoporosis now. I am considering taking a SARMS called Osterine, start OsteoStrong and change my diet. Do you know anything about SARMS and Osterine? Btw, the last blood test years ago showed no testosterone or estrogen in my body. Thank you
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Why is this man talking so fast - especially to an older audience? So many podcasts have fast speakers - frustrating! At least, he’s not saying uh or um every 3rd word.
Hi! Thank you for your feedback. I get many many comments saying I talk to slow and the explanations are too long so I am trying my best to meet in the middle for everyone :)
Ok, that's weird. i have known about the pr9jesterone thing for longer than the 200ths. ....never heard of this study nor of people being ripped from hrt unless they actually had breast cancer..
Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Hi Dr Doug, just want to know if there is a minimum dosage of estrogen required in hrt to increase bone density? Or to slow down boss loss? Of course, also recognise diet, supplements and exercises play an important parts as well. Thank you.
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
There is theory out about the type of estrogen that are causing and feeding fhe breast cancer the estroegn from viseral fat and from ovaries.. any studies on that?
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
One can easily manipulate the outcome of a study by changing the hypothesis language. Not saying they did. I'm curious if the researchers have conflict of interests-- who funded their study?
I cannot thank you enough for providing us with this analysis of the literature!!! I have one question for you….When I started on an estradiol patch I already had in place a mirena IUD, which releases small amounts of progestin in a localized fashion. Therefore I am not taking any progesterone. What is your take on this approach…estradiol patch and mirena IUD? Since the IUD releases progestin, which as you discuss, is most convincingly associated w breast cancer risk, would it better to remove the IUD and start taking the micronized progesterone? I was thinking the localized release of progestin into the uterus is much safer than taking it orally and the progestin would not even reach the breast tissue, negating the breast cancer risk. I have not heard much discussion of this option and would love to know your thoughts.
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Patches don't cause stroke, which is nice. And not having it doesnt stop you getting breast cancer. My aunt got her mono at 35 and sisnt take hrt she got osteo at 40 and is now 84 ...shes in bits and agony and a hunchback. She should definitely have been given estrogen ...or why her periods stopped at 35. We also had lead pipes groiwng up. Anyway she didn't take estrogen and still got cancer but uts gone now. Cancer is pretty easy these days to treat and you can also take estrogen blockers that block estrogen uptake in the breast ...
Interesting, confusing, but helps a lot. I will continue with my bio identical hrt , including testosterone, it seems to be helping so i will ignore the so called medics !! Muchas gracias de España xx
No family history of BC, Very thin and fit, daily exercise, non smoker, non drinker, organic, pasture raised, grass fed food, no jab, etc. Only bioidentical HRT for 9 years. Then BC!!! Er and Pr positive and Her2 low. So stop telling yourself that it is women who MUST have had some other risk factor who get BC.
Very LOW RISK. Same here, thin 5’2” 112# had my children young and nursed them, ate clean like you did, no jab. Surgical menopause at 47. Bio-identicals for several years, never synthetic type. I do feel possibly my taking the BHRT kept my BC from being aggressive and it was tiny 4mm ILC in left breast and 2 tiny DCIS in rt breast, atypical lobular hyperplasia in both. The DCIS/hyperplasia was found via a breast reduction/lift and then I chose a bil mastectomy which discovered the tiny 4mm ILC, node neg, etc. Was ER+, PR+ HER2-. My mammogram was clear prior to my breast reduction surgery!! I am not taking the AI meds,(med onc is not happy with me). I am 64, 1 yr out from my dbl mast. I already have penia. I was off my estriol/prog creams about 9 mos and was just awful, no quality of life. Back on them. I have not taken estradiol in years, I have read estriol is a safer and milder estrogen and there are studies it too can help with bone health, protective of breasts. I am also able to be sexually active thanks to compounded vag estriol 3x a wk. Thank you for this video.
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Over weight women and men have excess estrogen and that can lead to breast cancer in both sexes. If for some reason you choose to take HRT then keep your body fat low
I started HRT for early menopause and continued to take it for 18 years during which I was diagnosed with osteoporosis I still had a hip fracture after taking fosamax for 8 years I ended up with non genetic ovarian cancer which is an oestrogen fed cancer Neither the HRT or fosamax prevented the hip fracture and I'm' of the opinion HRT caused the ovarian cancer
Thank you for this overview. I am a 2x survivor of estrogen + breast cancer, one before and one 25 years later. The question: can there be any inferences from these studies or others that show BC risk vs osteoporosis risk with taking these HRTs? I guess I’m asking, if no HRT what is the risk of osteoporosis/Penia as compared to the risk of taking HRT and BC? Not sure if this is a viable analysis question, never took statistics. But I guess weighing the two risks someone could make a decision. Too late for me and HRT, I’m not even supposed to eat phytoestrogen foods.😢
Great question. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
God you can get beast cancer treated if it happens. It's so hard to fix bones. I mean pepple are on the contraceptive pill for years and years and years and then they pull estrogen for osteo? Thats wack.
That is such a great test. There's nothing else that tells you about detox pathway, methylation, amount of actual hormone metabolites you have, etc. My 16 OH went up from 2 years ago and we're trying to figure out why. Every woman should have the DUTCH!
Here’s an idea somebody should’ve thought of. There are thousands of us out there who continued to take hormone replacement therapy,. I was much more afraid of osteoporosis, which is prevalent in my family Than I was breast cancer which is not. So that was in 1998; it is now 2024 and I am osteopenia not osteoporosis and do not have breast cancer. So why doesn’t somebody start a survey of all of those who have been taken hormone replacement-for 20 or 30 years and see if they have gotten breast cancer. I have not. It would not cost anything. I am much more afraid of these new bone drugs than I am Estradiol which is what I’m taking now.
Thank you for sharing your experience. I am on hrt for the same reasons, afraid of osteoporosis, which I have but more of the bone drugs than hrt. Two years, so far, so good have slowed none loss but not reversed. Started pilates, and here drops. Keeping fingers crossed. Studies the these would help such a large population!
Yes, God forbid anyone do any new real studies on women's health! I've had to fight with doctors about continuing to take HRT because they still think it causes breast cancer, which has been debunked. I'm more worried about osteoporosis and heart disease than I am about breast cancer.
Thank you for sharing this!
I've been on hormone replacement for over a decade, except for one short period when I tried alendronate (Fosomax), which was pure disaster: 3 years of pain from taking two (just two!) doses. I worry about cancer, but my estradiol dose is low, and I only take 12 days of micronized progesterone once every 4 months.
My aunt took estrogen for ostioperosis and died of breast cancer in the 80s
So eternally grateful. Hrt is definitely for me but I just want to tweak dosages of Estradiol, Progesterone and Testosterone to suit my labs. And heading to a Masterclass on hormones. The positive impact you have made oin my life where there is basically no other medical support here for osteoporosis 😊🙏🙏
Thank you for watching! I am glad this was helpful!
The women that participated in the study had underlying health conditions, had been menopausal for more than 10 years, were smokers or former smokers, had high blood pressure, were obese, etc. if I recall correctly the average age was 65 😮
Checkout the other studies in the description as well. There are a few different links I shared.
Thanks for doing the deep dive into the studies! I am 64 with ER+ PR+ Her2 low metastatic breast cancer. I have had serum and stool testing for hormones and hormone metabolism. I literally have no measurable estrogen. This testing was done during a time I was off of any hormone blockers for at least two years. The idea of hormone blockers for postmenopausal women who have very little estrogen to start with always bothers me. It just does not make sense. Why did I not get this when I had more circulating estrogen? ( premenopausal) 0:59
Taking the hormone blockers further starves my body of estrogen which will cause bone loss and the answer is prolia. I just don’t like the idea of taking a drug to manage the side effects of another drug. Especially a drug with that side effect profile.
It just does not make sense. Maybe the natural estrogen was holding it back in some way who knows 0:59
Thanks for presenting things so clearly
Thank you so much for sharing this.
Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Did you ever take HRT or use birth control pills?
Great analysis! Thank you. This topic is essential for women to understand. I’ve studied it for a few years and my takeaway is the same. For most women, topical estradiol and micronized progesterone is the way to go. No one wants breast cancer but we also don’t want brittle bones, depressed or anxious mood, brain fog or dementia, slow metabolism, no sex drive and the list goes on. I plan on being in HRT till I die.
Thank you for sharing this!
There are many different types of breast cancer. With the second study, it might also depend on the type of breast cancer that it was protective against. Too much estrogen increases tumor proliferation if it is ER/PR positive. But HER2 would likely not be affected negatively by Estrogen/progestins. I am glad you explained to people how data sets can be manipulated. Some people may benefit from taking Estrogen, but if you have cancer cells that are ER/PR+, and did not know they had these tumors yet, because they had not been detected, it (the Estrogen supplement) can increase the growth of that tumor or cells if they have this type of cancer.
Thank you for sharing this information!
I was one of the millions of women who were “ripped off hormone replacement.” If I had stayed on BHRT, I probably wouldn’t have osteoporosis! 💔
Me too!!! Lost 18.8% bone loss in 2 yrs bc of being ripped off of HRT- which my provider couldn’t figure out why and had me go through many other labs to fine NOTHING wrong! I had to figure it out on my own!!! Maddening!!
Thank you for sharing this!
@@sandyherbert7103 You’re breaking my heart. 💔
If it's any comfort, unless you plan to stay on HRT for life (probably not a good idea), when you discontinue there will typically be a large drop in bone density in the first few years, and then the rate of bone loss will slow. So staying on HTR through menopause will only delay, not prevent bone loss.
@@kathleensutherland6593, this idea of stopping estrogen at a certain age has been debunked. Unless there is some contraindication, there is no reason to age out of HRT.
Thank you so much for these incredibly beneficial videos and all the work you do to help us. I have so much to learn . You have helped me tremendously.
I am so glad to hear that! Thank you for being apart of this wonderful community where we can share knowledge and support each other!
I know someone who was in estrogens, and later on she got breast cancer. She is doing fine after treatment. But I personally prefer not to take chances.
Thank you for sharing this!
I was taking estrogen for my bones and also got breast cancer. I'm also doing fine but am challenged about my bone health as I don't want to take the meds. I have osteoporosis -3.3 in my spine.
@@karendonald647What treatments did you need for the breast cancer, and were you able to taper off the E2 without further bone loss?
Sadly, I know several family members who experienced taking estrogen and developed breast cancer.Also some who took osteoporosis medicine only to find out 20 years later they needed to take more because they had osteoporosis again.
@@karendonald647 I don’t want to take those meds either. Unfortunately some doctors get very pushy with those bone drugs, and that bothers me a lot.
Will you be doing a video on aromatase inhibitors and bone density? I really don't know what I should be doing to counteract the bone thinning impact of AIs.
I can add that to my list!
@@Dr_DougLucasplease! It is so hard to put that(anestrole) pill in my mouth knowing that it is causing lower bone density.
Hi Dr Doug : you might be interested in a paper published dec 2023 , lead auther Dr. Avrum Bluming ( oncologist /hematologist) disputing the statical analysis of the CEE /MPA arm of the WHI. He said that the supposed elevation was in breast cancer risk in this group is an illusion caused by the control group having a collective lower risk of breast cancer. Unfortunately some of the control group had been on estrogen for n the past which would lower their risk of breast cancer. If these women were removed from the control group there was no real increased risk of breast cancer.
Hi Linda. I’ve read that paper!
I took a combination birth control pill for 15 years and got breast cancer. My grandmother was given estrogen replacement to help her with menopausal symptoms and she got ovarian cancer. Excess estrogen causes female cancers and no one can tell me differently. We are supposed to go through “the change” of life. Yes, it sucks. Hot flashes, insomnia, weight gain, mood swings, etc. However, it is something we go through. These symptoms do dissipate with time. We reach a “new normal”. Trust me..chemo, radiation, mastectomy, hysterectomy, reconstructive surgeries, endocrine therapy, targeted therapy…it’s all a hell of a lot worse than dealing with menopausal symptoms! All these doctors now saying hormone replacement therapy is safe..just wait. Same as they’re now saying old studies were wrong, 20 years from now, they’ll be saying we were wrong again. As for our bones, calcium, vitamin D, and lift weights! Go walking, do jumping jacks, lunges. Those exercises are best thing to prevent bone loss and help with menopause weight gain too!
Thank you for sharing your experience with this
Overwhelmed. The estrogen door was always closed to me. May call to see how much a consult is I'm currently discouraged with options and may decide to do nothing.
We would be more than happy to speak with you further about this, we completely understand that this may be overwhelming. It is important to find the right support! Here is a link to schedule a discovery call --> www.optimalbonehealth.com/membership
Thank you for all this. At age 61, I've been on low-dose transdermal estriodal and micronized progesterone for over a decade, and I'm glad to know it's relatively safe. But I may switch to raloxifene, which seems even safer. And thank you for saying you wouldn't wish breast cancer on anyone, rather than "on my worst enemy." When people say the latter, I wonder, "Just how many enemies do you have?" And what WOULD you wish on your worst enemy? It just doesn't seem a healthy mentality.
Good insight, yes I 100% agree. Thank you for sharing this, glad you enjoyed this video!
I have been taking various forms of Estradiol and Progesterone tablets (never Progestin or horse hormones-always natural) for about 17 years. Primary care physicians have typically cautioned me with doom and gloom for continuing to take these meds. Gynecologists have typically been fine with my continuing to Rx these meds. No cancer, test yearly, BP is low normal. Over the years it has been so difficult to see how friends and acquaintances suffer with menopausal symptoms and post menopause symptoms because they could benefit from hormone therapy.
Thank you for sharing this! We discuss topics like this in our Healthspan nation community, feel free to check it out if you have not yet. Sometimes it is nice to have the support, you can find more information here--> www.drdouglucas.com/healthspan
I wish my gyno had been up on of this during my years of being compliant to all of the Pap smears and mammograms. My hormones were never checked, but I sure as s*** had those routine exams done! So frustrating. I now have osteoporosis at 58.
Thank you so much for sharing all of this. It sounds like you could benefit from the next free Bone Foundations Masterclass we have coming up if you have not attended one before. You can find more information here --> www.optimalbonehealth.com/build-bone
This 2023 report from Harvard is alarming, although it does not mention estradiol. It says estrogen is both a generator and catalyst of breast cancer news.harvard.edu/gazette/story/2023/05/estrogen-a-more-powerful-breast-cancer-culprit-than-we-realized/
Thank you for sharing this!
My aunt in Norway in the 80s took very high doses of estrogen and died of breast cancer. So far she is only woman in family to have breast cancer.
I am very sorry to hear that. Thank you for sharing this!
Most breast cancer cases are not hereditary anyway. Cancer is a very personal disease, and there is so much to take into account- weight, diet, lifestyle choices, chemical exposure, exercise, detox pathways, occupation, how many kids a woman has and when, stress level, water filtration, etc. Sorry about your aunt!
Family history isn't important can't put it down to estrogen she was 80s
I think that testosterone cream makes more estrogen. Testosterone can make watrogen
Thank you for sharing
I never took HRT. I have lifted weights since my mid 20’s. I am now 65, still lift weights. In 2012 I was diagnosed with Estrogen positive breast cancer. I was 51 at the time, no osteoporosis. I took Anastrozol for 5 years. My bone density went down a little. I continued to lift weights. I’ve been off Anastrozol for almost 7 years and my bone density has increased and have never had osteoporosis. I was barely osteopenia in one area of hip during treatment. No longer a problem. I believe for myself- estrogen would have been dangerous had I taken it earlier on. Everyone is different with different risks. I truly wish I could take HRT for its benefits, but have had to come to peace with my own situation and make other healthy choices that can benifit me.
Thank you for sharing this!
Estrogen doesn't cause cancer. Are you not worried about your heart health or your brain ?
If you are cancer free now, you may still be able to take some HRT. As gilliandowney said, estrogen does not cause breast cancer, and HRT can reduce your risk of heart disease and dementia. It would be worthwhile for you to at least search out a qualified professional to help you explore what options may be appropriate for you, while taking into consideration your medical history.
Dr.Doug I would like to ask you 2 questions. I have severe osteoporosis induced by corticosteroids and all my vertebraes have compression fractures. Prolia doesn't help, fractures are still happening. Can I start with hormone replacement treatment in my 57 years? I already had hysterectomy. Combination of osteoporosis medications plus HRT would be more effective?
Thank you for sharing this, unfortunately I cannot provide specific recommendations through this platform, I would need to know a little bit more about you as well. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. You can find more information here --> www.drdouglucas.com/healthspan
I just started HRT through my menopause doctor…at age 64 yo. Started low and now we just doubled the amount so that I reach pre-menopause levels.
Because back in medical school, you are a little baby.You are so young
Thank you for sharing this!
Hello, just want to give an additional train of thought. I get what Dr. Doug is saying and am also steeped in the hormone breast cancer studies.. I am also positive ER and progesterone and have had breast cancer a couple of times. I learned that if I understood my actual personal hormone levels, if the system monitored them, my hormone levels, I would have known that I was on a steep precipice cliff, that taking any more was going to push me over, in my particular case. We are are all unique and indivulized ..Its like, I don't want to eat antibiotics or pestisides in meat, produce, and grains or eat charred meat, or drink contaminated water, etc. There are some of us who do not cycle out excess levels systematically. There are things we can do if we are one of them. I built up a huge hormone reserve that started the process. OH MY I love how estrogen makes me feel. I am finding safe alternatives for me, now sure my bones might be stronger if I was still on it..? But my risk of yet another metastatic occurrence or stroke would be heightened. This taking responsibility for our own bodies and health outcomes is more than a full-time job, has helped me stay alive another 10 years after recurrence. I want to live long enough to enjoy 90 like my Mom did, who died in her sleep last month. Intuition is our highest healing treatment.
Bless you
This comment makes so much sense. We are all so different and treatment needs to be specific and individual. I wish there were experts we could all trust or at least a great place to learn ourselves. May I ask what estrogen alternatives you have found that work for you? And I’m so sorry to hear about your mom
Thank you so much for sharing this with the community. I am very sorry about your Mother!
Thank you for talking about this. Great video!
Glad you liked it! Thanks for watching
What a god send you are sir! I've been worried about my wife who has recently been diagnosed with Osteoporosis quite early at the age of 45 and following an early menopause at the age of 40. She stayed away from HRT initially but I'm wondering if that was a mistake. We go to see our GP next week following the diagnosis and we will be more knowledgable with the information you have shared in this video. We both exercise regularly and eat the right food so I am hoping in combination with medication we can reverse this illness. Thanks again from the UK.
Thank you so much for sharing this! I am glad you are here, thank you for your support!
Hello, just wanted to share my thoughts. I am 62, I have severe osteoporosis. I had endometriosis treated in the Uk by norethesvterone and in France by Lutheran and Lutenyl (which are progesterone), I ended up with 2 breast cancers which from what I understand where mostly caused by being put on primolut nor (norethisterone). When they treat your hormone dependant cancer, they give you either tamoxifen or anti aromataze, which are both designed redirect (if I understand well) the oestrogen towards other parts of your body in order to protect your breasts; If ostregeon doesn't increase breast cancer why the need to such drugs to be taken for years? thank you for answers. All the best
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Estrogen does not cause breast cancer, but if you currently have an estrogen receptive breast cancer, taking estrogen will stimulate the cancer cells to grow faster. You just need to understand that there is a difference in the two concepts. Causation with respect to cancer is not the same thing as stimulation of an already existing cancer.
What are your thoughts about women who have already had estrogen sensitive breast cancer? I had a lumpectomy for this 7 years ago and was given a 98% chance of it not recurring. I am 75 and have osteoporosis.
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
I had estrogen based breast cancer, early stage. Mastectomy. Now taking Anasrozole and have to take Prolia. I have osteoporosis now. Dint know about these drugs..
Thank you so much for sharing all of this. It sounds like you could benefit from the next free Bone Foundations Masterclass we have coming up if you have not attended one before. You can find more information here -->www.optimalhumanhealth.com/build-bone
I have been told over and over that I cannot ever take estrogen because I had breast cancer 20 years ago. I have osteoporosis now. I am considering taking a SARMS called Osterine, start OsteoStrong and change my diet. Do you know anything about SARMS and Osterine? Btw, the last blood test years ago showed no testosterone or estrogen in my body. Thank you
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Why is this man talking so fast - especially to an older audience? So many podcasts have fast speakers - frustrating! At least, he’s not saying uh or um every 3rd word.
Hi! Thank you for your feedback. I get many many comments saying I talk to slow and the explanations are too long so I am trying my best to meet in the middle for everyone :)
Ok, that's weird. i have known about the pr9jesterone thing for longer than the 200ths. ....never heard of this study nor of people being ripped from hrt unless they actually had breast cancer..
Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
@Dr_DougLucas please stop telling me to do this I have already signed up. These responses are getting annoying.
Hi Dr Doug, just want to know if there is a minimum dosage of estrogen required in hrt to increase bone density? Or to slow down boss loss? Of course, also recognise diet, supplements and exercises play an important parts as well. Thank you.
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
There is theory out about the type of estrogen that are causing and feeding fhe breast cancer the estroegn from viseral fat and from ovaries.. any studies on that?
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
One can easily manipulate the outcome of a study by changing the hypothesis language. Not saying they did.
I'm curious if the researchers have conflict of interests-- who funded their study?
Hi! All studies are in the description of the video if you would like to see further details on them.
I failed to say I had a hysterectomy. I bought a marodyne lib plate form and will post my results in Nov after my next DEXA.
Thank you for sharing this!
Because birth control my daughter got breast cancer sadly!
I am very sorry to hear that!
I cannot thank you enough for providing us with this analysis of the literature!!! I have one question for you….When I started on an estradiol patch I already had in place a mirena IUD, which releases small amounts of progestin in a localized fashion. Therefore I am not taking any progesterone.
What is your take on this approach…estradiol patch and mirena IUD? Since the IUD releases progestin, which as you discuss, is most convincingly associated w breast cancer risk, would it better to remove the IUD and start taking the micronized progesterone?
I was thinking the localized release of progestin into the uterus is much safer than taking it orally and the progestin would not even reach the breast tissue, negating the breast cancer risk. I have not heard much discussion of this option and would love to know your thoughts.
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Patches don't cause stroke, which is nice. And not having it doesnt stop you getting breast cancer. My aunt got her mono at 35 and sisnt take hrt she got osteo at 40 and is now 84 ...shes in bits and agony and a hunchback. She should definitely have been given estrogen ...or why her periods stopped at 35. We also had lead pipes groiwng up. Anyway she didn't take estrogen and still got cancer but uts gone now. Cancer is pretty easy these days to treat and you can also take estrogen blockers that block estrogen uptake in the breast ...
Thank you for sharing this!
Interesting, confusing, but helps a lot. I will continue with my bio identical hrt , including testosterone, it seems to be helping so i will ignore the so called medics !! Muchas gracias de España xx
Thank you for watching!
I was told. I was fat which increased estrogen which caused estrogen. Which caused cancer. I was 59.
I am sorry to hear that. Thank you for sharing this.
No family history of BC, Very thin and fit, daily exercise, non smoker, non drinker, organic, pasture raised, grass fed food, no jab, etc. Only bioidentical HRT for 9 years. Then BC!!! Er and Pr positive and Her2 low. So stop telling yourself that it is women who MUST have had some other risk factor who get BC.
Same here. I hadn't even had a cold or flu in over 25 years. Crazy...
Thank you for sharing this
Very LOW RISK. Same here, thin 5’2” 112# had my children young and nursed them, ate clean like you did, no jab. Surgical menopause at 47. Bio-identicals for several years, never synthetic type. I do feel possibly my taking the BHRT kept my BC from being aggressive and it was tiny 4mm ILC in left breast and 2 tiny DCIS in rt breast, atypical lobular hyperplasia in both. The DCIS/hyperplasia was found via a breast reduction/lift and then I chose a bil mastectomy which discovered the tiny 4mm ILC, node neg, etc. Was ER+, PR+ HER2-. My mammogram was clear prior to my breast reduction surgery!! I am not taking the AI meds,(med onc is not happy with me). I am 64, 1 yr out from my dbl mast. I already have penia. I was off my estriol/prog creams about 9 mos and was just awful, no quality of life. Back on them. I have not taken estradiol in years, I have read estriol is a safer and milder estrogen and there are studies it too can help with bone health, protective of breasts. I am also able to be sexually active thanks to compounded vag estriol 3x a wk. Thank you for this video.
Dr. Doug, what are the other benefits of micronized progesterone that you alluded to?
Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
I can’t see the like button 😢
Why Is that?
Weird, we will look into that!
Over weight women and men have excess estrogen and that can lead to breast cancer in both sexes. If for some reason you choose to take HRT then keep your body fat low
Is it the estrogen or inflammation that increases cancer in obesity? You’re jumping to conclusions.
@@Dr_DougLucas you sell HRT . I'm not the one trying to sell people on hormones to make a profit.
I started HRT for early menopause and continued to take it for 18 years during which I was diagnosed with osteoporosis I still had a hip fracture after taking fosamax for 8 years I ended up with non genetic ovarian cancer which is an oestrogen fed cancer Neither the HRT or fosamax prevented the hip fracture and I'm' of the opinion HRT caused the ovarian cancer
I am very sorry to hear that, thank you for sharing your experience with this.
What type of HRT did you use, if you don’t mind my asking?
@@MaryBethMcCoy Hi I took Kliovance continuous combined oestrogen and progesterone
Thank you for this overview. I am a 2x survivor of estrogen + breast cancer, one before and one 25 years later. The question: can there be any inferences from these studies or others that show BC risk vs osteoporosis risk with taking these HRTs? I guess I’m asking, if no HRT what is the risk of osteoporosis/Penia as compared to the risk of taking HRT and BC? Not sure if this is a viable analysis question, never took statistics. But I guess weighing the two risks someone could make a decision. Too late for me and HRT, I’m not even supposed to eat phytoestrogen foods.😢
Great question. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Don’t need estrogen - need bioidentical progesterone.
Thanks for sharing this!
Ah here we are!
God you can get beast cancer treated if it happens. It's so hard to fix bones. I mean pepple are on the contraceptive pill for years and years and years and then they pull estrogen for osteo? Thats wack.
Thank you for watching!
Before going on hormones, I believe you need a dutch test
In most cases, yes
That is such a great test. There's nothing else that tells you about detox pathway, methylation, amount of actual hormone metabolites you have, etc. My 16 OH went up from 2 years ago and we're trying to figure out why. Every woman should have the DUTCH!