Can Hormone Replacement Therapy Help with Weight Loss? Uncovering the Truth

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  • Опубликовано: 26 мар 2024
  • Every day I am asked several times if the HORMONE REPLACEMENT causes WEIGHT LOSS, and the answer is a little bit complex - but generally YES! The important thing to know is that it is not the hormone replacement itself that causes weight loss, but the different ways in which it increases your energy, improves with sleep, improves mental outlook, muscle mass, physical strength, and all of those things that we need in order to move more and stick to our healthy nutrition plan.
    Apart from ovarian hormones, it's also critical to optimize thyroid and cortisol, which are both hormones that dramatically affect our ability to lose weight.
    Overall, it's absolutely true that optimizing hormones can help with weight loss - by helping us to stick to our healthy nutrition, exercise, and sleep protocols ....which ultimately are the cause of weight optimization.
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Комментарии • 63

  • @reanndonaghy1433
    @reanndonaghy1433 4 месяца назад +21

    I started hormone replacement and I’m gaining weight. I have gained 20 pounds.

    • @empresslove2120
      @empresslove2120 4 месяца назад +7

      I started in January 2 years post menopause I’m 46 so younger than average Iv managed ok without HRT however the hot flashes and lack of sleep were the driving force to starting HRT Within days I felt bloated and within 6 weeks I’d gained 10 lbs which has been so disappointing because Iv maintained my weight for so long. I fast for 18 hours I walk 10,000+ steps daily and I workout at home for 30-60 minutes 3-4 times a week so Iv stopped taking the HRT for now and will try again in a year or two bit right now with summer round the corner in want my body to feel like mine and it didn’t when I took the hormones 🙁 I know it’s fabulous and life changing for so many women though.

    • @Aki-wq6xh
      @Aki-wq6xh 4 месяца назад +2

      I gained like 20 pounds too but I do TRUST it is mostly water and even some breasts / muscles

    • @Alykat736
      @Alykat736 4 месяца назад +2

      I did too!!
      And after a year of that I stopped them bc this isn’t right . I was 31 & put on them To help get my cycles back after a baby , I didn’t get my cycle back until well after i got off the bio-identical.
      It took my body a year to return to its normal size. I’m hesitant to ever try them again now that I’m 48 .
      My body just didn’t like bio-identical . I don’t think they are exactly like our own hormones based on my bodies experience with them . Which I could go into but this would get long.
      But hey for some ppl it helps there symptoms of aging or hormone imbalance . It just wasn’t for me & my body figured itself out as it should .

    • @bluenilegoogle
      @bluenilegoogle 4 месяца назад +2

      I gained 17 lbs
      Workout 7 days a week - lift, cardio etc.
      been lean all my life and gained 10 fast the first 3 months then 7 over a year.
      Got off them and working to get lbs off. Got no benefit fr it. Was doing Wiley protocol.

    • @drsusan
      @drsusan  4 месяца назад +5

      If hormone replacement is given correctly, we're simply putting back what was there before which will not cause weight gain however, sometimes hormones are given an excessive amount which can cause weight gain, and other times it coincides at a time and our life when our metabolism slows down, so women gain weight around the time of menopause, whether or not they take hormones. So there's a lot of confounding factors.

  • @waves_journey
    @waves_journey 4 месяца назад +2

    I was fortunate to sail through menopause without any issues, so I didn't consider HRT. Interestingly enough, I also went hardcore keto at the same time period, so that may have heled. I'm intrigued by some of the other potential benefits though for maintaining fitness, etc. Thanks for sharing this info!

  • @FrenchFifi65
    @FrenchFifi65 4 месяца назад +3

    Before I began pellets, I did Peloton spin classes 4 times a week and cut out meat, dairy and reduced my sugar intake with attempts to stay at a 1500 calorie intake. I was exhausted and hungry! I could not lose weight and slowly over the course of two years I put on almost 15 lbs for no reason I could find. Sometimes seeing the scale spike 3-4 lbs overnight! Once I watched a few HRT videos, I realized that I was not considering hormones as the culprit. I changed doctors and my new doctor suggested pellets. Almost within 3 months, I lost 10lbs without changing anything I did with a ton of added positive side effects like extra energy to feel active after 3 pm, better sleep, strength improvements, my light depression and anxiety was alleviated, and my family said I seemed happier. In the 3 yeras that I have been on pellets, I have never felt better! I am now down almost 20lbs and am happy with how I look and feel. Pellets were definately the key for me and I also recognize that pellets and HRT are not the answer for everyone. Good luck on your journeys!

  • @8181Shannon
    @8181Shannon 4 месяца назад +9

    I gained even more weight when I started Estrogen and Testosterone pellets! I felt so bloated on pellets. Once I switched to testosterone injections and estrogen cream bloating and weight started falling off. I know everyone is different so works for me may not work for everyone else.

    • @Aki-wq6xh
      @Aki-wq6xh 4 месяца назад

      I was recommended to use OC as HRt. But even Yaz gave me such bad bloating . Feel way better switching to estrogen cream and Crinone

  • @dr.michaelwohlschlaeger4771
    @dr.michaelwohlschlaeger4771 4 месяца назад +7

    In addition to checking TSH, T4,and T3 another very important hormone is reverse T3 - (R-T3) because it is a relatively inactive form of T3 that attaches to the T3 receptor sites and prevents the active form from doing its job hormonally.

    • @drsusan
      @drsusan  4 месяца назад

      Absolutely agree- I personally don't check reverse T3 unless there's some other thyroid abnormality because as you know, this is quite unusual to be abnormal, but it's very important test to do if thyroid functions are not optimal

  • @AngelaJones2433
    @AngelaJones2433 4 месяца назад +2

    I feel like I’ve gained weight and some days I feel skinny and some days I feel bloated.

  • @wendypanozzo9133
    @wendypanozzo9133 4 месяца назад +4

    I started Estrogen and Progesterone in December. Then added Testosterone in January.I have put on 5lb that won't budge.I feel good and won't go off but combined with my Hashimoto's weight loss is literally impossible.

    • @emiliegray6737
      @emiliegray6737 3 месяца назад +4

      Try intermittent fasting. I go 7pm to 11am the next day without eating. Herbal teas and black coffee are ok. Slowly push your breakfast by one hour every week you won't believe the difference. Also start your day with protein. I like goat whey shake. On the weekend skip it. 5 days a week is good. I have Hashimoto's as well. This has helped.

  • @barbaratankersley7117
    @barbaratankersley7117 4 месяца назад +2

    I do know the HRT will make you gain weight because i have gain more the 30 lbs
    But the hot flashes and night sweating was killing me

  • @daniT7087
    @daniT7087 2 месяца назад +1

    What are the different types of progesterone if we have an intolerance to it?

  • @christinemack2153
    @christinemack2153 4 месяца назад +2

    Interesting and makes good sense. Would you address the effects on the skin perhaps. And, what might be the window of time after last menstrual cycle for the therapy to be effective. for the skin/bones, heart/brain, etc. My skin is very dry and wondering if hormone replacement would help with hydration and firmness (increase collagen). Thank you so much.

    • @drsusan
      @drsusan  4 месяца назад

      Absolutely hormone replacement has been shown to its proved skin, moisture and elasticity

  • @mariapolanco9652
    @mariapolanco9652 3 месяца назад

    Hi, Is there some truth to the information that excess estrogen can lead to an enlarged thyroid, and HRT can trigger Hashimoto disease? After I started HRT my T3 and T4 levels are wrecked. I have had a hysterectomy so I am not taking progesterone. I am so confused and not sure if I should get off my estradiol patch

  • @cleanqueen75
    @cleanqueen75 19 дней назад

    I gained 20 pounds since HRT. My hormone doctor thought I was taking too much estradiol/testosterone cream. I also take 100mg pill of progesterone. I can’t seem to get my hormones balanced. I’ve been struggling with this since 2012 when I went on them. When the night sweats go away then I’m on too much estradiol and put on more weight. So they lower my dosage and then the night sweats are back. Back on 2022 I switched doctors and he had me on a lot of estradiol. My current doctor says she’s weening me off that. Wouldn’t that be out of my system in two years time? My husband thinks I should stop taking them. I’m 67. I exercise, eat healthy but can’t lose any weight.

  • @pauladavis4234
    @pauladavis4234 3 месяца назад

    I keep hearing about taking the progesterone in your videos but how much should you be taking at night? What’s the amount that’s normal. I’m 52 if that even matters thank you 😊

  • @brandnushooze
    @brandnushooze 3 месяца назад

    I gained weight. My appetite was out of control for the first few weeks after insertion. Plus I’d swell so much. I stopped but feel horrible. I will try again but with a new provider. I used BioTE and may try the EvexiPel next time.

  • @cassandrabriggs9133
    @cassandrabriggs9133 4 месяца назад +4

    What about water weight? I had testosterone pellets several years ago. Felt amazing. Had 20 pounds of water weight in less than two weeks. Switched to pills, then topicals. Didn’t feel the same benefit, still had significant bloating. Diuretics made me feel like trash.
    I’d love to go back on testosterone, but oh man, the bloating.

    • @drsusan
      @drsusan  4 месяца назад +3

      Excessive doses of hormones can cause water retention but remember we're simply trying to replace what we had before. I do not think it's a good idea to give excessive amounts of hormones!

  • @gallupingrhino
    @gallupingrhino 4 месяца назад +2

    People keep saying weight gain is water. I wonder about taking potassium to get the water weight off? There was some article and Idk where I saw it that said potassium helps with breast swelling during pms.(sttm) I have addisons so I was able to take potassium at one point but my current endo refuses to test and treat low aldosterone, which im fine with I guess. I was so much thinner on florinef and 60 meq potassium, didnt have bloat. This was also pre menopause. Just something to maybe experiment with . Fda got rid of otc potassium.

    • @gallupingrhino
      @gallupingrhino 4 месяца назад

      Aldosterone competes for the progesterone receptors. Aldosterone helps hold onto salt. If its low, you kick out salt, if its high or normal you hold salt. Think salt is high, potassium low. Idk, just thinking aloud.

  • @kphenry1
    @kphenry1 Месяц назад

    I’ve been on Testosterone, progesterone and np thyroid for years. Added Estrogen patch 2 months ago. I’ve gained 15 pounds! I hate it!

  • @marzenarongione4968
    @marzenarongione4968 4 месяца назад +2

    Yes weight gain happened to me as well.
    Especially oral progesterone was really affecting me negatively causing bloating weight gain and lack of energy.
    As a very health conscious person, I exercise and ate well most of my life.
    Organic home made foods, lots of protein, low carb to keep my autoimmune arthritis and psoriasis from flaring up.
    It’s very important to me to stay the same healthy weight which I maintained my whole life.
    HRT is a little disappointing as I feel I need to workout even harder while I am on the hormones. Loosing any weight is almost impossible no matter how hard I work out…
    I am on estrogen patch, progesterone cream and small dose of testosterone cream.
    I am on it for the other benefits but still trying to figure out which route and dose is right
    I think testing in more detail how the hormones are metabolized may be the key as it is different for everyone.
    Still struggling

    • @Aki-wq6xh
      @Aki-wq6xh 4 месяца назад

      Same here …

    • @Aki-wq6xh
      @Aki-wq6xh 4 месяца назад

      By the way is Progesterone cream enough to protect your uterus ? I don’t know it’s an option!

    • @ivalani
      @ivalani 4 месяца назад +1

      Me too. I feel like everyone now started talking how amazing HRT is and I felt horrible on it. I gave it 6 months and tried really hard to stay on it because of the purported long term benefits, but I was miserable, bloated, boobs swollen and tender and overall sluggish. I was only on estradiol and progesterone, maybe adding testosterone would have helped, but I am terrified of side effects. The women I see who are supplementing testosterone appear to have hair loss and voice deepening.

    • @drsusan
      @drsusan  4 месяца назад +1

      When hormones are given in the optimal dose, which is replacing what we had before we're not going to see weight gain, but unfortunately, sometimes the hormones are given in excessive doses- but if you think about the fact that you're simply putting back what you had before menopause, we are not going to see weight gain

  • @cynthiaporcaro9937
    @cynthiaporcaro9937 4 месяца назад

    I just keep gaining weight and I believe its the HRT i started last year. Very frustrating, i work out and eat healthy

    • @drsusan
      @drsusan  4 месяца назад +1

      If hormones are given in the correct dose, we won't experience weight gain, however menopausal women gain weight, whether or not they're on hormones due to changes in our metabolism. I promise you can use lose weight successfully. We would be delighted to see you in Houston and help you to do that.

  • @kathryncurry8728
    @kathryncurry8728 4 месяца назад +2

    I started HRT and gained weight (15lbs), just like when I was on birth control. I actually don’t care whatsoever though, because of ALL the other benefits of HRT.

    • @Aki-wq6xh
      @Aki-wq6xh 4 месяца назад

      Same here I gained like 20 pounds too but I do TRUST it is mostly water and even some breasts / muscles

  • @r-anne7375
    @r-anne7375 4 месяца назад +2

    I have gained weight taking estrogen & progesterone for 6 years. Bloating and moody too ! I eat well and don't eat after 5 or 6 pm. I'm not a snacker. I want to go off HRT but then remember hot flashes and not sleeping.

    • @user-zz2qt8kz7t
      @user-zz2qt8kz7t 4 месяца назад +4

      Hopefully this will be helpful. I noticed if I take the progesterone every night I sleep well, but I retain more water/weight, I feel tired and moody during the day. I feel much better when I take just the estrogen and the testosterone, way more energy, my mind is so much clearer! Vitamin E was the thing that took away my hot flashes. The progesterone helped some, but the vitamin E truly has been a game changer for the hot flashes and my body aches. Plus I can still have alcohol!

    • @r-anne7375
      @r-anne7375 4 месяца назад

      @@user-zz2qt8kz7t Thank you for your helpful response ! I would love to eliminate the progesterone, but my doctor said because I still have my uterus, I have to take it. You described me to a tee . Same thing for me me with sleep , bloating and moody & tired.

    • @breewithlove
      @breewithlove 4 месяца назад

      @@user-zz2qt8kz7t hmmm on the Vit E? So how much of it do you take daily?

    • @Contessa998
      @Contessa998 4 месяца назад +1

      Progesterone sucks

    • @r-anne7375
      @r-anne7375 4 месяца назад

      @@Contessa998 Hate it ! but its a necessary evil 😈 😈 LOL

  • @EvelynSchmechtigCochran
    @EvelynSchmechtigCochran 4 месяца назад +2

    I’ve been on HRT for years without any weight gain at all. However, I’ve always been lean and never struggled with weight. I probably could use a little more for my age.

  • @betheardley435
    @betheardley435 5 дней назад

    I can't reach the website is it crashed

  • @eunicehehir6374
    @eunicehehir6374 4 месяца назад

    ❤❤❤

  • @TXforever
    @TXforever 4 месяца назад

    Dr. Susan, I live in east Texas and want to see you.. my big fear is you would take me off of my Temazepam that I take for sleep….

    • @npkrn6764
      @npkrn6764 4 месяца назад

      If another physician prescribed Temazepam for you, then all Dr. Susan can do is make a suggestion one way or the other. She cannot negate another physician's orders. I'm betting she may prescribe her own regimen for you based upon the testing she orders, and tell you to continue the Temazepam for while at least. Then later after you've been on HRT for a while and feeling better - then she may say to taper back on the Temazepam. But again, if you have a prescription from another prescription, Dr. Susan cannot cancel it outright. She can only discuss it with you and make suggestions.

  • @katrinabennett2759
    @katrinabennett2759 4 месяца назад +2

    Dr. Susan, I am 52 and post-menopausal have had long term really serious stress for 3+ years. Bloodwork just showed my Cortisol is very low and so is my Testosterone-like none! I also have hypothyroidism just began Armour Thyroid after taking Synthroid T4 only for 27 years and wasn't converting well. I believe the low cortisol is making this switch soo difficult causing rapid heartbeat and jitters. I am such a wreck and scared. Any recommendations or thoughts on this situation?
    Thanks for a great video! ❤

    • @drsusan
      @drsusan  4 месяца назад +2

      If you're taking thyroid, and having jitters, your thyroid is too high, so I can't speak to your personal case without knowing your history, but would be delighted to see you in Houston!

  • @rebeccashockley189
    @rebeccashockley189 4 месяца назад +6

    Don’t believe any of this. I have gained at least 15 pounds since taking pellets. I’ve maintained a low carb, low sugar diet for years. Lost weight before pellets but as soon as I started pellets and thyroid medication wait came on. Sleep well.

    • @drsusan
      @drsusan  4 месяца назад +2

      My suspicion is that your levels are too high. if we're simply replacing what we had when we are younger, we do not see weight gain, and I have thousands of patience in my practice who have experienced what I am describing in this video, including myself, but excessive doses of hormones can certainly cause weight gain.

    • @Zinnie988
      @Zinnie988 Месяц назад

      Perhaps pellets don't work for you! Try and get either the dosage and/or the delivery system right. It takes figuring out

  • @saimazia8152
    @saimazia8152 4 месяца назад

    breast pain .and inlarge .what harmone show .

  • @eunicehehir6374
    @eunicehehir6374 4 месяца назад

    ALL the females in my extended blood-related family have low Thyroid