What Should My Hormone Levels Be? | Empowering Midlife Wellness
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- Опубликовано: 26 сен 2024
- There are many opinions and a lot of controversy about the ideal levels for postmenopausal hormone replacement, so today I'm going to share what I've learned from the science, as well as my own personal experience as a patient and from thousands of patients in our own practice. I'll be talking about ideal levels for estradiol, progesterone, and testosterone, as well as discussing thyroid and cortisol levels. Enjoy!
Rebecca Glaser, MD - www.hormonebalance.org
Oura Ring - www.ouraring.com
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I’ve been researching hormone replacement pellets and this is by far the best channel for concise information. I’m 73 and just diagnosed with osteoporosis and have noticed a rapid decline in my skin and muscle tone. I’m looking forward to a healthier life and more energy. Maybe I’ll get back some nice skin and bone density. Thanks for your professional/research based information.
I'm 74 and just started for the same reasons. I have already broken my right ankle twice, my right tibia and right wrist. Later I broke my left wrist. All required plates and screws to repair.
Good health to you.
I had osteo. Did Prolia for awhile, Garden of life Bone system, Agical, now i'm in osteopenia making progress.
Dr. Barbie Taylor ( who I also follow and respect)said Hrt will not correct osteoporosis but prevent it. Can you confirm this please.
@@denisedecker7330 Oh my! I’m so sorry! I go for my annual bone scan and will know if all the things I’ve done over the past year have helped. Good luck to you!
@@brendafandangle I just bought this book, you might check it out. Preventing and Reversing Osteoporosis, by Alan R. Gaby M.D. - I will just say this, looking at it from a common sense perspective. If HRT can cause new bone growth (and it does), why couldn't that new growth fill in where bone had resorbed?
Purrrrrrfectly stated! I am tired of UTIs…having a temp yuk! Antibiotics. Yuk. Thankful for your UTI information ❤
Vaginal estrogen cream stopped my UTI's. Vaginal atrophy was my problem. I'm post menopausal.
Forget the levels! Treat your symptoms. I suffered from peri all of my forties and told my gyno every year and she always said “ your to young to be going through peri” your levels say your fine. Found a new gyno who specializes in menapause and now I’m educated and on HRT with no testosterone and living my best life. So treat symptoms and forget about the levels. No Dr. will ever make me fell like I’m crazy again. Advocate for yourself because your the only one that knows your body and what your feeling.
😊❤
As Dr Susan Hardwick had said that in PERI-menopause, estrogen fluctuates as progesterone declines, yet estrogen is also declining slowly (which has been termed estrogen dominance, although it's not the absolute high level of estrogen) and to get a blood level test at a certian time (she says when in the video) to determine your peri stage estrogen level during your monthly cycles. So if it's overall low at that time and fsh is high at that time, then it may benefit to do hrt. I agree Yes treat symptoms first, it's our bodies telling us what we need!
Yes. Key word is advocate.
Would you mind telling us what your symptoms were?
Thank you I needed to see this post cause I was about to get frustrated again.
I am so happy I came to see you this week. Love you and your clinic staff! I just want to thank you for doing this research and then explaining it to us in a way that makes so much sense. Thank you for being an advocate for us menopausal women 🥵🙂
@@paulohlsson27what are you contributing to this topic. I’d suggest you stop these random reply’s, it’s creepy.
I so appreciate your presence and how you are educating me in a way that no one else has!
I'm 47 and peri- menopausal my Testosterone levels are 430 and my Estradiol level is 281. I'm trying to fix my mojo and these results make me question if these levels have anything to do with it. I'm working off of my labs from a year ago, I am going to get my blood work done again next week. However my hair loss has decreased I am on really good vitamins however I do feel a whisker growing, only one for me that's one too many. My voice hasn't changed but my sex drive is non existent. It's like an old friend that I want back! My doctor was awful and specialized more in males then females. I'm so grateful to have found you.
If your Estradiol is too high, or too low, it will greatly lower your libido. It sounds like yours is way too high at that level. No need to have your Testosterone or Estradiol that high. Hopefully lowering it will help.
@@chaddavis6411 Wow so mine is too high? Thank you for your response. I'm going to see what I can do about that.
ive never seen someones test level so high to be honest.....
I am a practicing Biote physician and your presentation is excellent. So glad you quoted actual test numbers. I check labs with each pellet dose. Agree with the testosterone values. I tell patients that I will target 100 as a minimum value. I have found about 20% of post menopausal women do better with total testosterone closer to 200. It is really gratifying to have a new patient with testosterone less than 20 and then see them 3 months later over 100 and almost a new person. I too have had a few patients refusing a lower dose of testosterone.
Dr.Susan thank you soooo much for this. Am 69 and was put on HRT 8.5 years. A year ago asked my PCP for a level - she said it wasn’t necessary as I was on a typical dose (and I’d been taking just half the dose originally prescribed) but she agreed and estrogen was 557. She said it was high but would be since I’m supplementing. Got a second opinion from nurse practitioner and she was aghast, said should be no more than 100, preferably 60. I’ve listened to so many podcasts but no one mentioned actual numbers and I didn’t know who to believe. I had no menopausal symptoms and was only taking for osteoporosis, and after a broken femur I got a DEXA after 7 years and it was the same, so had to be the HRT as I get little exercise. I was reluctant to go off it, but have been for a year and have been getting nervous re the bones, good to know I can keep it at 60 and still get bone protection. I feel no different on or off the hormones even with such a wide range. (NP took level after I was off awhile and it was 100) Thanks again!
There are no established levels for these hormones. No one should be aghast.
@@Hibernia2324 I have thought that since mostly no one mentions levels than does it really matter? But then why would Dr. Susan agree with this NP? And seems if there are risks to estrogen than the more of it you have the greater the risk. Thanks for your input.
@@Candleflower42 Office visit + blood work.
Science-based docs go by symptoms, which also don't correlate with low levels for everyone.
What is your daily estrogen dosage now?
@@user-xs9835 I saw a doc and he agreed go back on, which I already had. I only take BIEST 1.25 progesterone 50 and testosterone 1mg. He retook labs and estrogen was up to 130, had gotten to 90 off it and suppose would have gotten lower. I’ll ask him to retake in 6 months, curious if it keeps climbing which I assume it will. Weird since that’s a low dose, but did keep my bones from getting worse over 7 years, , unless it was the strontium which I also take.
Dr. Smith,
Enjoy your information, thank you. I recently discovered you.
I think everyone should be treated individually. Different preferences and hormone responses to the pellets.
I have taken pellets for years.. And prefer my testosterone at 500. I cannot take estrogen or progesterone as I've had a breast cancer ER+ PR+
Testosterone .. Is a game changer for me. Love your info..
This was the most helpful video ever! I shared it. I'm peri and estrogen is 325 so high, breast tenderness. I tool 300mg of progesterone and tenderness is going away. I will get my t3 and testosterone checked
I never realised I should take progesterone in the night. I have been taking it first thing in the morning since I started two days ago. No wonder I dont feel better, I feel so sleepy! Ladies, learn the lesson from me. It is so important to educate yourselves. The pharmacist where I bought my estradiol patches and promethrium told me that I should take the latter in the morning on an empty stomach and she told me to apply the patch on the upper part of my body. I told her that shouldnt the patch be done on the lower body such as my butt or abdomen. Then she went away to check and came back telling me I was right. LOL.
Oh my goodness it is so crazy how people give you misinformation ...progesterone is only absorbed when you have food in your stomach and you definitely don't want to take it during the day because it makes you sleepy -so good for you for asking! and take it at bedtime after dinner, and that way it will absorb and you will feel sleepy at the right time!!
@@drsusan Yikes. The pharmacist told me I have to take the Prometrium on an empty stomach. I did that twice the last two days in the am but after watching your video, I did not take it this morning. I will take it tonight after dinner. Good to know I actually can take with food. She is a young pharmacist and looking back, she definitely did not know what she was instructing about. Thank you Dr Susan.
Oh no! My gynae has me taking the combined oral HRT in the morning with my levothyroxine first thing in the morning on an empty stomach. Does this mean the progestin part of the pill is less or not effective?
@@dabeezkneez8716 Hi, combined oral HRT meaning? Do you take oral estrogen? That is not ideal as oral estrogen passes through the liver and it can increase the chance of blood clots. I can't remember the exact details now but I know the best is patches. About progesterone, I now have another pharmacist tell me that it has to be taken on an empty stomach without chewing at least half hour before food. It is also stated on the label on the box. Also labelled that the progesterone may affect mental alertness and coordination! I am surprised to see that. I want to take it to feel better not get extra issues! So I have written to the company that makes it to get clarification, just waiting for reply. I also notice that the progesterone gives me dizzyness few hours after taking. I experienced that few times so far.Had to lie down for a little bit to recover. Read online that it can do that. Now I will take the progesterone only before bed and avoid taking during the day.
I take oral progesterone at night just before bed.After 4 weeks I now have dizziness from the time I wake up til about noon. I can’t take that form (prometrium). I wanted a lower dose but NP said Prometrium doesn’t come any lower so I’m waiting Cor some to be compounded at 150 mg. She has me on the lowest dos of estrogen. I also take testosterone (mine was in the tank). I can’t wait to see my labs are. I take DIM as well but I am VERY sensitive to estrogen. Other than the sensitivity, I have been feeling more like myself. I wonder how long before DIM starts to snow some promise?
My Wife’s (48) testosterone just tested at 17 total. Her Dr “that’s perfect”. She needs a new Dr.
My testosterone is 44 the Dr. says its too high. I may have to find another Dr.
omg she totally needs a new dr!! my level is 170 on BHRT and i feel amazing!!
@@jennysiepka9900My T is
Mine was 16 and doc said it was low!
@@bmcdonald7303I agree.
This was soooo clear and helpful! Thank you!
Oh my gosh. So much great information. I do HRT, estradiol and progesterone. It's been a life saver. I'm going to check in to testosterone with my Dr. I cannot gain hardly any muscle from working out and have almost zero libido. Thank you!
Look into dhea and ashwagandah as well.
@@ctdali Not sure I would take DHEA while simultaneously taking estradiol as DHEA converts to both Testosterone and estradiol.
Can you educate the doctors?
My hormone doctor always does periodic bloodwork on me to check my levels.
Im using testosterone cream and been feeling so much better ....its what works for the individual...also i got my blood drawn 24 hours after using my cream and testosterone at 212 free testosterone at 23 so its not true that it falls to zero an hour after using it. Also cream i feel is safer but again that's my personal preference
Im 53 and feel 25
No hair loss, no irritation or mood changes, very calm and even keel, no acne but high testosterone at 87. High insulin sensitivity. Not sure since I'm 1 year post menopause. Total testosterone and free testosterone all in the mid range. This part is consistent with your analysis. I take a DHEA supplement, though. You covered this 😮 Progesterone is low at .1 and Estradiol is less than 15. Hemoglobin A1C is 4.9 low mid-range. I fast 36 hours once per week and stopped my strength training though. Thyroid is optimal. Sleep is great. Trying to solve this.
Dhea increases your testosterone,also estrogen..❤
The pellet stacking makes so much sense , thank you.
Have you been checked for ovarian cysts?
@@amymasreliez8957 DHEA increases testosterone.
Fantastic video. Great info! Great, clear presentation! Thank you!!!🙏
FSH - pituitary - from brain, to stimulate estrogen production. Low 5 or lower when young fertile. When it gets higher, it will go up to try to make estrogen - when menopausal. Want it to drop by 50 percent if on estrogen. Want it to be between 40-80 if on treatment.
Estrodial 40-80, will feel good. When higher than 80 - breast tenderness, water retention. Below 40, will get hot flashes, might sweats, etc.
Thank you sooo much! So very thorough and informative. I now feel like I have a foundational knowledge and understanding with which to start my hrt journey 🥰💕
Cortisol - 6x in 24 hour period for cortisol curve. High in morn, low at night. Stress.
This is so incredibly educational! Thank you so much Dr. Susan 🙏🏻 My testosterone level is 16 including free testosterone and my GYN said it was fine in the “typical” range of 2-50. I don’t feel great and would like to explore pellets. She offered a cream which as you stated is very inconsistent. I would love to schedule an appt with you but I live in Miami, FL. Is there a an option for those of us who don’t live in Houston? 🙏🏻❤️
Hi there yes, that is a very low level of testosterone and you would feel great with it being a little bit higher. I am only licensed to practice in Texas so we'd love to see you if you want to come here or you could check out providers who offer hormone pellets on the biote.com website
Very good!I love your videos.
My T level was non-detectable before taking the gel. I'm now at 82. The levels my practitioner used showed normal ranging from 40-120
Thank you for the great video! I learned a lot.
Oh my gosh!!! I have learned so much after watching 2 of your videos. Please help me, my new Dr. Has told me that she will not right me a prescription for my 12.5 estrogen (yellow) with out explanation. About me, I'm 67, I had a complete hysterectomy at age 34. Now I've had one apointment with her she did blood work. I then got a phone call about the blood work from her personal saying Stop taking your Estrogen!!! My blood work showed I have some heart damage (high enzymes) asked the person how? I've tried this in the past, and it makes me crazy and all kinds of things hot flashed, vivid nightmares, And all the other stuff associated with with draws. She just coldly stated "your too old for
that !!" No I'm dealing with Anxiety Nightmares feeling like I'm gonna die With no help. I asked you how do I do this She had no answers just said you're too old to have symptoms. Please help me!!
Get a different doctor. Stop playing the victim and stand up for yourself!!!
Find a better doctor who listens to you, collaborates with you in the management of your health. It’s your body, your health and your doctor is a service provider to you. Get the right team around you. Move on from this doctor asap.
I don't know if you found someone good, but look for a chiropractor/functional medicine dr. THEY will help you!
What an amazing video. Subscribed!!!
The 100-150 pg/ml might be incorrect, because the ref range for women 18 year old and above is 0.1 - 0.9 ng/ml
Which in your case would be 100 - 900 pg/ml.
Men ref range is around 2.8 - 8.0 ng/ml.
Yes, I was just looking at those number for her Testosterone. 100-150 ng/dL is what I think she should have stated not 100-150 pg/mL. That's a big difference.
TSH - want 1-2. Can be normal but still have low thyroid function. T4 : T3 ratio 14:1. Low thyroid - low energy, cold extremities, hair loss, changes hair, skin, nails, weight gain. *Check FREE T3 - usable, not bound to a protein. Want T3 (2 you feel horrible) (4.5 is metabolism too high - causes heart disease, osteoporosis). WANT 3-3.5!!
I am 44 years old and found out that I was post menopausal at 41. Although shocking, in hindsight, it explained a lot. I am on 0.075 estradiol patches, 200 mg of Prometrium at night, and 2 mg of compounded testosterone three times per week. I feel fantastic and would actually like to raise my estradiol level if possible, but I do see that my latest blood work came back at 416 pg/ml for total estrogens- I am not experiencing any bleeding, nor any breast tenderness, so this is odd to me considering what was said about blood levels in this video. Estradiol itself is 136 pg/ml
Should I be going by total estrogens or by Estradiol? Thank you so much! I love your Content, and I wish that you were local
You're fine. You're younger. You're still use to higher estradiol. Go with how you feel. Look at your estradiol. 136 pg/mL is fine especially if you have no negative symptoms.
I’m 42 and also post menopausal levels, though I still get periods. And these levels have been for a few years- it definitely explains the struggle! I’m glad I switched doctors to someone more informed and look forward to not feeling an alien in my body anymore.
So informative. Thankyou. I’m on Femoston 1/10 HRT tablets here in Australia. So affordable. In perimenopause and I feel great in every way. Fixed libido too 😊
Hi. My girlfriend is in perimenopause and lost all her libido. How long did you have to be on the pellet before you saw results? She seems down as well and I’m guessing it’s because she doesn’t feel 100% like a woman because of it and feels bad she isn’t interested in me. Same as a man that needs a blue pill. I can only imagine what that feels like. Also, do you have any side affects at all? The pills are for testosterone only, right?
I wish that I had found your site years ago, Thank you for your effort on behalf of women.
Hi petrina, how's your day going with you?
Thank you for this video. It really went in depth and helped me to understand more of the changes I'm experiencing.
Thank you for the amazing detailed and clear information.
So much information!! Thank u
Pellets peak right after insertion, and are a risk if you don't have the right dose.
Sideeffects your stuck with, if thats the case, for 3 months because you cant pull them out.
Cream is a 100 time superior, imo, because you can adjust and finetune treatment on a daily basis.
Is that what you’re currently using? How long you been on it? I’m considering cream.
Labial cream (mucous membranes) seems to be better absorbed than cream applied to the skin.
@@LeighClark-zf8oi The main thing is, you need liposomal cream and find the most thin skin on your body and apply it.
@@LeighClark-zf8oi Just the normal compounded bio identical 2% or 4% testosterone cream is fine.
There are indeed more receptors around the labia. Don't use the cream internally, it will burn like crazy because of its high absorption base/ liposomal. For that you MUST use the vaginal cream 0.02% or 0.2mg/ml. Which has a totally different base.
Loved this video!! Thanks so much! ❤
That was sooo helpful! 🙏🙏🙏💖
Awesome explanation
Really appreciate your information. Never heard it before.
Biote is the worst method for testosterone replacement to many peaks and valleys. I do twice weekly injections
I feel best with my T around 400. No SE
Please explain how too much testosterone can cause hair growth AND hair loss? Thx
Too much testosterone cause both of those things in a male pattern- so you can lose hair in a male pattern and grow hair in a male pattern... that would mean facial hair on the top of the lip or chin , and then losing hair at the crown
Hair loss on head, hair growth on face and arms etc
I use test/ cipronate 1.5ml weekly. Estrogen patch , oral progesterone. I did not have a good experience with pellets. I find the injections to be more controlled.
Hi Lynne. I hope you don’t mind me asking about the testosterone shots? This is the first I’m hearing that those as an option. Do you give yourself the shots? I’ll have to ask my dr about them too. Is it working vs pellets? Thank you.
When you say Testosterone 100-150…is that free testosterone and what unit measurements?
I asked the same question and she never answered. I’m not sure why Free T is not mentioned. You can have a high total, but if you have a low free T I can’t see how it’s doing you any favors.
I use pellets also but my doctor had me on way too much testosterone and I got foliculitis really bad and crazy rash and hair loss took me 3 months to figure out I was on too much mine was over 300
Amazing video. Thank you!
The BEST video I have found on this topic. So happy I came across your channel. I subscribed ASAP. I do have a question. In my recent blood work from 02-15-2024 my testosterone (shbg) is 92.7 but my "free testosterone" is 0.86. I was prescribed a compounded cream to apply to either my inner thighs or inner wrists. I am a bit confused. If I start applying this cream how will it know to increase my free testosterone (not even sure what that is) and not my overall testosterone number?
Your skin looks great buy the way.
This was very helpful. I’ve been taking HRT for 7 years and never had my blood levels tested. I read that increasing Vitamin D can also increase testosterone levels - are higher levels of vitamin D necessary to make that happen? I also read ashwaganda supplements can increase testosterone .
I've never seen an association between vitamin D and testosterone, but I would be very important for you to check the levels of all of your hormones and your vitamins in my opinion
@@drsusanm
What about for someone with fibroids?
Great information! Thank you for empowering so many of us struggling ladies with knowledge, especially when so many doctors are staying in the dark ages of misinformation from the WHI study. I am currently on .05 Estradiol patch and would like to have my Estradiol tested. I was on low dose birth control but at 54 changed to .05 Estradiol patch twice a week and oral micronized Progesterone. It’s been over 4 months and I now have night sweats, dryness and increased joint pain. Luckily we have a local lab that allows self testing for Estradiol, but I'm not sure when to test. Does anyone have information on what day to test after applying patch? I change my patch every 84 hours at 8am on Wednesday and 8pm Saturday. Thank you in advance for any help or information!
I found this information very helpful. I'm just starting my journey on HRT and it is so difficult finding a provider that has any knowledge about women in menopause. I've discovered that some of my symptoms are from the level of estrogen I'm on is too high. The Dr. I've been seeing increased my progesterone to reduce the symptoms. I believe he should have reduced the estrogen. I've sent him a message with that request and I'll have to see what his response is.
Great information. I with you r my dr.
I’ve heard it’s way better to do 24 hour urine test for hormone levels instead of blood test because it fluctuates throughout the day. Also, for some of the hormones you’re not giving the units which makes a big difference if you’re talking about pico grams per millilitres or nanomoles per liter.. please advise
She has the units on the screen when she talks about it for testosterone.
All hormones test insurance will not pay for it. Very sad
My new gynecologist is telling me my testosterone level should be 36 or lower.
What is the unit used to calculate the 100-150 optimal range? Does it refer to Total or Free testosterone? I want to be able to compare it to my lab results.
Crazy that nobody answered this
The screen showed 100 - 150 pg/ml
Great info🎉
I feel better above 100.. But I do take iodine and that keeps breast tenderness almost Nile...
Dr. Susan Hardwick-Smith When you say T levels that you like being 100-150pg/ml are you taking about total T or Free T, or what? Please clarify. Thank you.
Dr. Susan, are the testosterone levels you recommend (100-150 ng/dL for most) from blood draws taken 4-6 weeks after inserting the pellets? The BioTE website implies that testosterone levels will go down after 4-6 weeks: "...End organ response to testosterone remains optimal...when testosterone levels at 4-6 weeks after pellet insertion are 150-250 ng/dL. Steady state is subsequently achieved at approximately half of these levels equaling 80-120 ng/dL, which is in the physiologic to slightly supra-physiologic range..." If the levels are 100-150 at 4-6 weeks, they will then decrease to 50-75 ng/dL later in the process, and maybe that's OK?
I am perimenopause and would lose my mind without HRT. Are u not prescribing it to women who are peri-menopausal? I did not finish video so maybe you clear that up later.
What about the difference in levels measured via saliva vs. blood when on HRT! The numbers of very different. Saliva is preferred by many MDs...when using cream...
Saliva is the preferred testing methods for topical creams. Blood results are not accurate on creams
I am not a fan of creams as I mentioned, and I also think salivary testing is not necessary in my opinion. Blood levels are just fine.
Thank-you
I follow many doctors who are very against pellets because you can’t control the dose
Thank you Dr Susan for a very informative video. I am a nurse practitioner working in primary care. One of my patients who is doing HRT pellets asked me a question- her testosterone level is 215 and she feels great however she has very slight clitoral enlargement. Is this side effect permanent or can be modified with a lower dose of testosterone pellet? Or it’s irreversible? She just started this treatment 2-3 months ago and overall feels much better then before. I would greatly appreciate your response and thanks again
I like the pellets. However, if you travel for any length of time, particularly overseas, it's not like you can drop in just anywhere for a pellet refill. Where does that put you? On oral Estrodiol pills and troches until returning to your home base. It would be useful if there was a global network of provider colleagues for such purposes.
Should you take combination pellets testosterone and estrogen or separate pellets. Are there areas of body that are more sensitive or receptive to the pellets.
Do thyroid hormones affect estrogen, testosterone levels and vice versa? I recently started taking thyroid meds and have been on HRT for 20 years.
Fantastic information!
Help! I’ve been overdosed Testosterone for 2 years. Was told 200-300 optimal - BioT provider.
Now have male pattern hair loss. Is this permanent? Not doing a next pellet until levels come to the 100-150 range. Very concerned.
Can you adress insulin resistance and higher testosterone?
My night sweats are horrible - the bed and I both are drenched plus NOW I have smelly pits - I could work out for an hour and sweat like a dog, but not have smelly pits! I just want to cry 😢
you sound like you need estradiol
I took just testosterone and started getting facial hair and the voice change and my doctor was like oh I get facial hair to just shave it. So I did and went to an ENT for my voice. So I just had to quit the testosterone.
So sorry - you got WAY too much :(
Isn't 80 ng/dl = 800 pg/ml and isn't that way too high?
I’m post menopausal and have been on an estradiol patch and an oral progesterone. I recently got my estradiol and progesterone back. Both were from a blood test.
My estradiol is 69 pg/ml. I’m not sure how that would be converted to the ng/ml measurement.
My progesterone is 2.2 ng/ml.
progesterone safe while breastfeeding? what bioidentical brand can I ask for?
By the way, I'm having almost constant aching in my ovaries and sometimes kidneys.
I’m curious how come you don’t mention free testosterone? Some doctors I have listened to say your total could be 200 but if you have a high SHBG it’s binding it all up or most of it and only what’s free and unbound is what’s getting into your tissues. Some women have a total of 200 testosterone with a free of 0.9..and they still have symptoms of low T.
Also what I find difficult with pellets and what I see other women say is like me I’m a super fast converter so my level can go from 20 to 347 with one 100 mg testosterone pellet so if lowered to a 50 testosterone pellet now it’s barely going to last me a month and no one can afford to pay 400 dollars multiple times a year or want to be cut that many times.. that’s why I see in my hormone groups on Facebook many women prefer injections they say it keeps them even and if they need a little more they can add a little 1 week or not so much the next they like being in control. I’m just wondering how pellets would work for someone like me who goes through them super fast.. I did them in 2018 and went from total T of around 20 to 347 by my 6 week labs and I was only given a 100 Mg testosterone pellet
Hi jennifer. What hormone groups are you on on FB? I am also a fast converter with pellets. Have you tried the injections yet?
So if you have ur ovaries but no uterus and you get ur blood work done how do you know where you are in ur cycle if you don’t bleed anymore? I can tell that my body still cycles even though I don’t bleed
Is there a risk for blood clots with Testosterone cream ? I have to do divigel to cut down on clot risks
Dr Taylor advises that lab lovers and pellet pushers shud be avoided. I am disappointed in dr Susan.
I agree with her on the pellet pu$her$. 💰
Thank you for the great information. Wondering how you feel about the troche’s and if they are tolerated well by the liver? I am on one a day estriol 2.4mg/estradiol 0.6mg/testosterone 2mg all in one troche. I’m not sure why dr split the estriol/estradiol ? I am post menopausal age 65. And also how do you feel about testosterone in a shot form?? First I’ve heard of it is in these comments. I’ve tried pellets but looking for a less expensive way to manage my hormones with good results. Losing muscle tone and low libido are my main concerns. And I work out a lot!
Change practitioners. Mine cost about 300 including visit every three -four months.
You are on Biest, which is a compounded combination of 2 bioidentical estrogens. The estriol is a weaker estrogen which is shown to be protective against breast cancer and estradiol is the more potent form of estrogen. I also take Biest along with progesterone and testosterone in a troche. If you are losing muscle tone and still have low libido, your testosterone dosage should be raised and if you still have your uterus, you should also be taking progesterone.
Are there ever exceptions to using creams vs pellets if you have gut issues or possible problems with absorption? Years ago I did progesterone cream at night and found it helpful but I took higher dose (maybe 2 pumps vs 1), and it would immediately help my sleep, but when I tried oral 100mg, I noticed no change. I assumed the systemic oral version just wasn’t absorbed, but sounds like my dose was just too low.. ? (AND, I think they told me to take it in the morning and I had always taken the cream before bed. Hmmm. Perhaps, mystery solved. Haha.). I had long history of progesterone deficiency, prior to menopause. Is there a upper limit? Do certain individuals ever need 300mg or more?
I am having the same problem right now. Pill 100mg didn't work so trying 150mg cream tomorrow. It's much more expensive though.
I take 200 progesterone. I was taking orally, but now as a suppository. Does help with sleep.
Creams can transfer to pets etc.
What is the brand of testosterone for woman?🙏
My hormones are
Fsh 6.61
Lh 12.24
PRL 29.31
Prog 4.58
E2 66.2
Tsh 2,39
I have problem with hormonal imbalance ,painful sex, and infection
Wat can be the treatment
I’ve been on HRT for about 7 years. I take 125 mg oral progesterone at night. At 200 mg dose, I felt severe sorrow and could not stop crying, and that was only change at that time, so I feel fairly certain that the increase to the 200 mg dose induced these feelings. Have you heard of this? Progesterone at 125mg doesn’t seem to help with my sleep. I don’t have a uterus. I’m thinking about stopping progesterone.
I came back to listen again and this time, I understood what you said about free T3. Mine has been high and most recently at 5.0 and I’ve had diarrhea for years. This makes sense, finally. I’m getting my levels checked again soon. I’m getting biote pelkets in 2 days, switching from compounded creams. Thank you!
I'm 60 and have severe osteoporosis. I finally got hrt last month. Would four pumps of estrogel get me to 50? I'm exhausted 24/7.
What are your thoughts on pregnenolone?
What is your opinion on testosterone injections?
Can having these low levels cause you to be depressed and very anxious and have
And have intrusive thoughts! I stopped drinking had well so idk if that’s contributing to the depression and the anxiety but my levels were 0 on testerone, almost no estrogen, and low proestrogen! I did get pellets about a week ago but I am feeling no relief
@user-vt4ss6lj4z, You should be feeling some improvement now, right?
Is a estrogen patch better than the cream
How do I get my free T3 treated my doctor endocrinologist seems to brush it off
I’m in Southern California, where can I go to get this excellent care?
Look for a functional med dr
Dr. Susan….What is the difference between pg and ng/dL? I started testosterone therapy over two months ago, and my level went from 25.4 to 26.8 ng/dL. Based on this measurement, what would a more optimal level be? I tried to talk to my healthcare provider about this today, and she told me I was abrasive and rude. It really hurt my feelings, because I have severe health anxiety, and I am just trying to advocate for myself and figure all of this out. Needless to say, I will not be going back to her.
@drsusan
I am doing Pellets since 2021, recently I was forced to live US, and moved to Romania, what I can take to replace Pellets treatment because this treatment is not available in Romania?
How do we convert pmol/L to ng/flight? I have never seen a unit such as 'flight' in my whole life before. I had to insist to my the first GP I saw in Jan that I wanted my hormones checked. She refused to give me a referral for it, can you believe that? Just because I no longer have my periods she said that was good enough to tell me I am post menopausal! When the blood test came back, my estradiol was
She was correct. Blood testing is very inaccurate and a waste of money. Levels can change from morning to night and day to day. Also, symptoms often do not correlate with low levels. This is well known and has been for years.
@@Hibernia2324 So are you expecting to see my blood estrogen to be less than 20 in the morning and than it will go to 500 at night? Duh. Even if blood test is not the most reliable it is still something! The reason why the first GP dismissed me testing for my female hormones was to save taxpayers' money! She never said it was not accurate. She allowed me to do all other investigations including thyroid and lipids etc. I persisted and then she relented and put the female hormones too. And take note my family pays lots of tax too! LOL. I will never go back to see her again!
Sounds like you are on a good path, but give it about two weeks and you will feel much better
@@drsusan Thank you so much Dr Susan! xx
I’ve been on these three hormones for 13 years and feel good and have no more symptoms but my levels have been 0
i was on est patch 1mg, my levels dropped, it didnt even go up at all, also doc only gave me 25mg prog, T 4mg cream level was very low, it didnt take either
other doc i went to had me on est 1mg pill, T injs biweekly 60mg (my voice does change, enlarge clit, hair loss, totoal T was 223. no prog, he said dont need causes cancer...omg so confused . ur thoughts?
one time tot T was 500, mayb i was tested soon after inj, i dont recall. when on T cream, it was like 19, completely nose dive
If you have a uterus, you need at least 100 mg of progesterone a day and definitely sounds like you're getting too much testosterone. I can't talk about your particular medical case without seeing you in person but I'd love to see you if you make it to Houston!
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what causes weight gain, not enough estradiol? mine less than 15. now takn 1mg est pill, prog 12.5 (is this too low dosage? Tot T 164, by injs?