I was put on HRT age 40 after a hysterectomy, then taken off because of the controversy round breast cancer. Fast forward to now age 64 and after a consultation for my osteoporosis I’ve been put back on it. I feel very betrayed by flawed data. I was told it’s the best protection to give for my bones and heart health. That you’re never too old to take HRT. Shame all practitioners aren’t up to date !
I unfortunately had to make the identical experience. After having had a fracture in the spine I am (age 64) now back on HRT and hopefully will never stop.
I am more concerned about the risks of not being on HRT and I would appreciate content on starting HRT after 65. Those of us who are “casualties “ of the WHI could really use your help!
I’m in the same boat at 67. Was told to get off of birth control pills at 50 due to cancer fear. Now I have osteoporosis and increased cholesterol among other things, and they just want to prescribe meds. I can’t get a doctor at Kaiser to even discuss HRT. They say I’m too old and risk factors (of HRT) are too high.
I'm sorry but this video confused me. Sounded negative toward HRT but the very end did not. How could the new study discussed be so flawed as you say but not discussed by doctors speaking about how safe HRT is and how the old study was flawed? if these hormones helped our health when we produced our own, why are they bad to replace? other meds replace other issues like insulin or thyroid meds.
Excellent presentation with clear and understandable information for a lay person. I'm a lay person and I can get confused on how to interpret studies. Dr Doug has a very kind and calm manner which helps take the fear out of taking HRT and he clearly seems to just want women to have the information to make an informed choice. Thank you!
My question exactly. The WHI tossed that option for me years ago. So now with osteoporosis in my right hip, can this be an option for me for my bone health
The belgian Doctor Thierry Hertoghe (kind of a hormone-pope here in Europe) active in HRT since long years seems to have the same approach. It is not dangerous to take humano-bioidentical hormones if in the right dose. His books are partially in English and he has classes for professionals. He doesn't stop hormon therapy if a person is elder. However, it seems that many people still do not make the difference between progestin and progesterone (which is humano-bioidentical). Unfortunately the biggest danger in my opinion are the different tests (serum or saliva), as some doctors have different opinions what is the right way. Of course symptoms are important, but not all our health problems show symptoms immediately. Thank you very much for your great videos
Thank you for providing so much information to equip us as we talk with our care providers. It’s so hard to find doctors who will give prescription for HRT for someone over 70.
@@classes9484where do you get it or how do you go about it? I’m considering because my quality of life really sucks. Im 68 years old and from what I read it’s to late already. I also have osteoporosis.Thank you
@@phoenixgirl11 Hello, I finally got help by seeing a OB/GYN dr. She listened to all my issues and put me on a low dose of Estrogen and low dose of Progesterone. I'm excited to see how I'm feeling in the future. I've had issues with NOT sleeping well, Bone issues too. It's not too late for you. I had to go through 2 dr's until one of them finally listened to me. 🙂
I got mine through a functional medicine doctor...most gynos won't give you any...also there are places like Elevate, Defy that provide hormones, but they are pricey. Google their name and call them.@@phoenixgirl11
I am 80 years old. At age 40 I had a hysterectomy and started HRT. At first it was only oral estrogen. In the late 1990's testosterone was added. About 15 years ago I started bioidentical HRT that included estrogen, progesterone and testosterone. About 5 years ago my family doctor talked me into going off all hormones. Because I still had hot flashes I started on estrogen again and am still taking .5 milligrams 5 times a week.
I am more fearful of the dementia risk starting more than ten years post menopause. No one talks about that. Hoping Dr Mosconi new data on estrogen receptors and age will help shed some ligur
Age 74, had ovarian cancer at age 42, God brought me through that, so no fear My Dr. Has me on all compound HRT Testerone, progesterone, estriol vag creme which Insurance does NOT cover. She's 1st Dr I found who recommended them I feel much better since started these( better sleep, engery more alert mentally)and Dr checks labs every 6 months. Grateful for Dr Doug and his research
This is very helpful thank you. I am in UK and lucky enough to find a doctor who would prescribe combined hrt to help with osteopenia even though I am already 65 and not been on it before. It’s not indicated at all in uk for bone health (in the sense that you can’t put that down as the main reason for prescribing - despite the obvious benefits) and she explained that she has to identify some other benefit to be allowed to do it.
@@ruthh2123 I’m in UK and didn’t have this problem. My Consultant tec indeed it and GP Prescribed. There’s so much inequality of care within different health authorities. I had already decided if GP wouldn’t prescribe I would get it Privately through Superdrug. It’s surprisingly not expensive. I’m just on a low does Oestrogen Gel.
Breast cancer survivor who was diagnosed in 2000 at age 52 after 3 years of HRT and post menopause by age 47. Engaged in clinical studies with Stanford University, surgical and 5 year drug treatment. Do not have osteoporosis, but both hip replacement due to osteoarthritis.
I didn’t start HRT till 65 after being diagnosed with Osteoporosis. I’m now 70 and decided to wean myself off the hormones because I’m not sure it helped. My two dexa’s since my diagnosis have shown a decline in bone mineral density making me feel like it’s been a waste. I should have started years earlier. Wish I knew then what I know now.
Well, this actually made me nervous about HRT. I just started a couple weeks ago and was absolutely delighted that the progesterone makes me sleep through the night. After years of insomnia, this has been amazing. But, progesterone is linked to a 33% increased risk of endometrial cancer? Yikes! I don't know what to do now.
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 was confused by the journal article findings, partly because of their use of abbreviations for the different hormone forms. When I searched for endometrial cancer in the article just now, I found this: “Only with E+ progestin use, endometrial cancer risk declined significantly by 45%, whereas E+ progesterone exhibited a significant 33% increase in such risk.” HRT also helps with my sleep issues, including restless legs syndrome which worsened to agonizing levels at menopause. Poor sleep quality also has serious health risks, so that also must be taken into account when considering HRT.
Hi! We would be more than happy to discuss this further with you and provide details about our program. You may schedule a free discovery call at the following link if you are interested --> www.optimalhumanhealth.com/membership
I would like to begin HRT at the age of 61. My concern is from what I have read that dementia and heart disease are more of a risk when starting at a later age.
Great question! Checkout The OsteoCollective 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.optimalhumanhealth.com/osteocollective
Thank you so much for these educational videos. All my doctors are instructing me to stop my bioidentical HRT patches after a max of 3 years due to my Factor V Leiden diagnosis so risk of blood clots and fibrocystic/dense breasts despite my having osteoporosis. I am 48. In my country bisphosphonates are the only solution.
If it has been ten years since menopause I have been told that I need to have my heart checked as there can be risks for my heart before starting to take them.
It's been 14 years since menopause for me and I just got approved to start a low dose estradiol patch and a low dose progesterone pill. The reason I am trying this is to halt any further bone loss (in addition to resistance training and other bone building efforts).
I understand that there can be benefits if you start HRT in perimenopause/menopause. What are the risk when you start HRT in later postmenopause? I am 63, and trying to find info on starting HRT now. Have never been on it because my doctor advised against it. But I am considering starting now if it will give health benefits. Is it too late?
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Glad to see this being discussed. Agree, this is merely an echo of the same observational data dating back to the '80s and '90s showing that estrogen prevented every ailment under the sun for older postmenopausal women, which were unreliable owing to the healthy user bias. The only definitive benefit of estrogen is prevention of menopausal bone loss and reduction in fractures. But even with bioidenticals, no one knows what the risks will be for women who start them right at menopause and take them for 20+ years. And you're very right, I doubt any large scale RCT will be undertaken to try to prove this.
Oral estrogen used in the WHI study was Premarin (pregnant mare's urine) . Today's estrogen, transdermal via patch, Estradiol, usually is less risky. Oral route was deemed riskier. Also the progesterone (progestin) used in the WHI study was not body identical. It was Medroxy Progesterone Acetate. Also not widely used now. They are using Prometrium (progesterone.) The vaginal estradiol is said to be local and not systemic. So, if it's local to the vagina, cannot cause harm in the breast. This is my takeaway from the extensive research done by Dr. Avrum Bluming, an oncologist. I highly recommend researching him and his findings in your journey to make a decision.
My biggest concern with HRT is it giving me cancer. But I have osteopenia and am considering it. Problem is I can’t find a doctor who will prescribe it to me because of my age.
Thank you for sharing this! We would be more than happy to discuss this further with you if you would like. You may schedule a discovery call at the following link -->www.optimalhumanhealth.com/membership
I am a woman, almost 68 years old. I have never taken HRT. My internal medicine doctor advises against it. The only hormone therapy available to me in my area is hormone pellets. My greatest fear is cancer. I would rather have osteoporosis than cancer.
Does progesterone dosage change estrogen effects and or risks? Do you cycle oral progesterone or not? Does higher dosage of progesterone, taking every day, block estrogen receptors, reducing benefits?
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My concern with HRT is possible increased cancer risk. Also, is it wise to replace hormones that by design are meant to naturally fade away with age? Could there be a reason we haven’t discovered yet as to why it’s not good for us to continue to have the hormones or youth forever?
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
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
It's not for everyone - but how to decide? My mom died of breast cancer about 25 years ago and she had been on HRT (I don't know the type or dosage) for years, yet my aunt (her older sister) has never taken HRT and is doing fine now at the age of 95. I'm not now taking it and I'm not sure I want to start. Perhaps at a very low dosage?
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I wish you’d address numbers. I was put on sublingual BIEST about age 60 only for bones, had no menopausal symptoms. Doc just kept renewing for 7 years. RUclips women always getting levels due to symptoms. I asked PCP (not prescribing doc) for level and she said no need it was a usual dose. I persisted and estrogen came back 557. She and another doc thought high, but ok. NP said get off immediately which I did for 6 months but got worried about bones. No RUclips videos ever mentioned a level until one who might have seen my comment as she said no one needs a 500 level. She thought 40-90. I read that oral estrogen has a slight more risk of stroke in older folks so asked PCP to change to patch she put me on .05. Just had level after 2 months on patch - it’s only 47. I wonder if that’s high enough to protect bone. I did have vaginal bleeding for a week 6 months ago but uterus was very thin, doc thinks it was just small blood vessels bursting. That doc didn’t want me on any hormones but I will continue. Just wish I knew what level to shoot for. I know the 550 protected my bones as after broke femur had DEXA after 7 years and no change and I get little exercise. If you see this doc, I’m due for another DEXA and am thinking of joining your program. Is there anything I should ask for other than what they typically do? Thanks.
Great question and thank you for the feedback! 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
Would it be unheard of to start HRT at the age of 60? I have osteoporosis and my mom and aunt developed Alzheimer's in the last couple of years. I know HRT can't reverse osteoporosis, but I wonder if it could keep it from progressing and also provide some brain protection. I had a hysterectomy in my 40's, but never had any menopausal symptoms.
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
Great question! Checkout The OsteoCollective 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.optimalhumanhealth.com/osteocollective
Thank you for sharing this. You are not alone. 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
My concern is starting Hrt at 65. My mum had Altzheimers and according to the Diary of a CEO there is evidence that it has benefits re dementia. Also, I’m in the UK and have osteopenia. I do all that you say but in the Uk I can’t access individual assessment for my hormone needs. I don’t know whether I should try to go on Hrt- our doctors don’t have enough up to date info to advise.
Hi! 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
My takeaway is no one still really can come to a consensus on what should be used, when, or how much. It is SO frustrating. I have to become educated and an advocate for my health. Fine. But am expert on progesterone vs progestin etc etc etc. it’s too much. I just watched two videos. One that said progesterones impact has been overall u derrated and should be taken by women who dont have a uterus. Another study that says progesterone actually decreased the potential for breast cancer and now Im hearing the opposite. It is so beyond frustrating. Does anyone really know or understand. Clearly NOT
I completely understand your frustration, and you're not alone in feeling this way. The conflicting information can be overwhelming, especially when it comes to something as important as hormone health. 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.optimalhumanhealth.com/hsn
I am currently on Dr. Doug‘s program and on testosterone and progesterone and waiting for a CAC score on whether I could be on estrogen or not. I am 69 and have been post menopausal for 15 years and started HRT probably about six months ago. I do have concerns about receptors and whether the pathway is still there at my age, and do I have to be on HRT for the rest of my life
This is my concern too. At 67, I recently had estrogen/progesterone postive breast cancer. Never had hormonne therapy, bones just at the edge of osteoporosis and medical oncologist wants to put me on aromatase inhibitors which will completely eliminate estrogen. I am so confused since the messages from different speciailties are in complete opposition.
I'd hope for a study on what happens when people go off the regimen later in life. My question would be whether there'sa drop off in bone health (often, sometimes, occasionally) , similar to the big one at menopause.
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I am 63 with osteoporosis. When I asked my doc about estrogen for my bones he hesitated to prescribe any hrt for bones because of a contraindication: pulmonary embolism. I had a low fibula break close to ankle last fall (anyone would have) due to slipping backwards onto my leg on a rock outcrop on a rainy hike, and because of being in a boot - immobile - a blood clot developed in my leg which travelled to my lungs. I was only on blood thinners for 3 mos, and the hematologist was not concerned in my case. My question is: because of the pulmonary embolism brought on by being immobile from a fracture, can I SAFELY take a higher dose estrogen, which I obviously need for my bones?
Thank you for sharing all of this. 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
Age 62 and in menopause since 2016. My obgyn , a rated " top doc" in NH still says no way on hormones for me with increases in uterine and breast cancer.
Turning 69 this year. Never took hormones due to 2002 study which misreported the risks. My genetics expose me to osteoporosis, which I already have; heart disease, and dementia/Alzheimer's. Never had great cancer in my family. I have appt this month to see if I am a good candidate for HRT. I have many symptoms of post menopause and think it is a logical option if managed with caution.
It is my understanding that after menopause our estrogen receptors die off in the body. If you have been taking HRT you still have those estrogen receptors so it is safe to continue hormone replacement and the danger is with starting to take hormone replacement after you lose those receptors.
My biggest concerns are my heart and my bones. I had been treated with HRT during menopause but data came out that it created much higher rate of heart disease. I am now 6 and have developed diastolic heart failure. I',m also well into osteoporosis. So, at this point, would HRT help either? I won't live that much longer so would HRT help some?
Hi! Thank you for sharing this, we would be more than happy to discuss this further with you. You may schedule a discovery call to learn more at this link --> www.optimalbonehealth.com/membership
I belong to the "Bad Luck Generation" because of the WHI. My menopause started at age 40. I am going to be 60 soon. It had being 19 years. Never being in HRT. I learned to live with myself in this "duller" body😂. I don't have a partner and I hadn't needed it. My concern is going back to be the "wild" me 😅. After reading and listening to all the doctors like Dr. Doug I am 100% into trying and take the risk. Men, be aware! 😂 I wouldn't have heard anything about HRT and all the new approach if it is not because of a osteoporosis diagnose a month ago. Thank you, Dr. Doug, I had heard at least 20 of your videos already. Big fan.
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
That is a very low dose. I use the 0.1mg patch and my estradiol levels get around 55... still too low to protect bones. So I supplement with an estradiol cream to labia to raise my E levels to about 110.
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
The ongoing availability of the hormone replacement product concerns me. What if global supply chains collapse, or I can no longer afford the product? If I become dependent on something I can no longer access, how will that help my family…?
Thank you 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 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
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 was put on HRT age 40 after a hysterectomy, then taken off because of the controversy round breast cancer. Fast forward to now age 64 and after a consultation for my osteoporosis I’ve been put back on it. I feel very betrayed by flawed data. I was told it’s the best protection to give for my bones and heart health. That you’re never too old to take HRT. Shame all practitioners aren’t up to date !
Thank you so much for sharing your experience with this
I unfortunately had to make the identical experience. After having had a fracture in the spine I am (age 64) now back on HRT and hopefully will never stop.
@@DrKlio I don’t intend to stop taking it. I’ve had two spine fractures so feel your pain. I wish you well.
What dose are you on for your bones?
Very useful information in your comment. Thank you. 🩷
I am more concerned about the risks of not being on HRT and I would appreciate content on starting HRT after 65. Those of us who are “casualties “ of the WHI could really use your help!
Great question. I’m interested also very much
Yes, thank you for this recommendation. We will have much more content on HRT in general coming soon!
I’m in the same boat at 67. Was told to get off of birth control pills at 50 due to cancer fear. Now I have osteoporosis and increased cholesterol among other things, and they just want to prescribe meds. I can’t get a doctor at Kaiser to even discuss HRT. They say I’m too old and risk factors (of HRT) are too high.
@@gayleneb57 they want you on meds because they want to collect the perks (Money) from the big pharmaceutical companies.
I'm sorry but this video confused me. Sounded negative toward HRT but the very end did not. How could the new study discussed be so flawed as you say but not discussed by doctors speaking about how safe HRT is and how the old study was flawed? if these hormones helped our health when we produced our own, why are they bad to replace? other meds replace other issues like insulin or thyroid meds.
Excellent presentation with clear and understandable information for a lay person. I'm a lay person and I can get confused on how to interpret studies. Dr Doug has a very kind and calm manner which helps take the fear out of taking HRT and he clearly seems to just want women to have the information to make an informed choice. Thank you!
Thank you so much, I greatly appreciate your feedback. I am glad you enjoyed this video!
My mother is 92 and has been on HRT since she was 52. She is in excellent health. I have no intention of going off hrt.
Thank you for sharing this!
What about women who are over 65 and never been on HRT? Is it too late for benefits? What are the risks? What forms, dose, etc are safe and effective?
Hi! We have more content coming out on this soon. Stay tuned!
My question exactly. The WHI tossed that option for me years ago. So now with osteoporosis in my right hip, can this be an option for me for my bone health
The belgian Doctor Thierry Hertoghe (kind of a hormone-pope here in Europe) active in HRT since long years seems to have the same approach. It is not dangerous to take humano-bioidentical hormones if in the right dose. His books are partially in English and he has classes for professionals. He doesn't stop hormon therapy if a person is elder. However, it seems that many people still do not make the difference between progestin and progesterone (which is humano-bioidentical). Unfortunately the biggest danger in my opinion are the different tests (serum or saliva), as some doctors have different opinions what is the right way. Of course symptoms are important, but not all our health problems show symptoms immediately. Thank you very much for your great videos
Thank you so much for sharing your thoughts. I am glad you enjoyed this video!
Thank you for providing so much information to equip us as we talk with our care providers. It’s so hard to find doctors who will give prescription for HRT for someone over 70.
Thank you for sharing this. I am glad you enjoyed this video!
Nah, I’ll pass. Made it to 67 without medical assistance and so far so good.
@@janedough6575 you are one of the lucky ones
Thank you for sharing!
Concerned about cancer. I’m 73 and started HRT at 72 for bone issues
I’m using compounded 1 mg estrogen, progesterone and cream testosterone
@@classes9484where do you get it or how do you go about it? I’m considering because my quality of life really sucks. Im 68 years old and from what I read it’s to late already. I also have osteoporosis.Thank you
Thank you for sharing this
@@phoenixgirl11 Hello, I finally got help by seeing a OB/GYN dr. She listened to all my issues and put me on a low dose of Estrogen and low dose of Progesterone. I'm excited to see how I'm feeling in the future. I've had issues with NOT sleeping well, Bone issues too. It's not too late for you. I had to go through 2 dr's until one of them finally listened to me. 🙂
I got mine through a functional medicine doctor...most gynos won't give you any...also there are places like Elevate, Defy that provide hormones, but they are pricey. Google their name and call them.@@phoenixgirl11
I am 80 years old. At age 40 I had a hysterectomy and started HRT. At first it was only oral estrogen. In the late 1990's testosterone was added. About 15 years ago I started bioidentical HRT that included estrogen, progesterone and testosterone. About 5 years ago my family doctor talked me into going off all hormones. Because I still had hot flashes I started on estrogen again and am still taking .5 milligrams 5 times a week.
Thank you for sharing your experience!
I am more fearful of the dementia risk starting more than ten years post menopause. No one talks about that. Hoping Dr Mosconi new data on estrogen receptors and age will help shed some ligur
Thank you for sharing
Thanks Dr Doug!
This is a good video to show my GYN at my upcoming app.
Glad you enjoyed it!
Age 74, had ovarian cancer at age 42, God brought me through that, so no fear
My Dr. Has me on all compound HRT
Testerone, progesterone, estriol vag creme which Insurance does NOT cover. She's 1st Dr I found who recommended them
I feel much better since started these( better sleep, engery more alert mentally)and Dr checks labs every 6 months. Grateful for Dr Doug and his research
Thank you for sharing this. I am glad you enjoyed this video!
This is very helpful thank you. I am in UK and lucky enough to find a doctor who would prescribe combined hrt to help with osteopenia even though I am already 65 and not been on it before. It’s not indicated at all in uk for bone health (in the sense that you can’t put that down as the main reason for prescribing - despite the obvious benefits) and she explained that she has to identify some other benefit to be allowed to do it.
Thank you for sharing this. I am glad you enjoyed this video!
@@ruthh2123 I’m in UK and didn’t have this problem. My Consultant tec indeed it and GP Prescribed. There’s so much inequality of care within different health authorities. I had already decided if GP wouldn’t prescribe I would get it Privately through Superdrug. It’s surprisingly not expensive. I’m just on a low does Oestrogen Gel.
Breast cancer survivor who was diagnosed in 2000 at age 52 after 3 years of HRT and post menopause by age 47. Engaged in clinical studies with Stanford University, surgical and 5 year drug treatment. Do not have osteoporosis, but both hip replacement due to osteoarthritis.
Thank you for sharing this!
I didn’t start HRT till 65 after being diagnosed with Osteoporosis. I’m now 70 and decided to wean myself off the hormones because I’m not sure it helped. My two dexa’s since my diagnosis have shown a decline in bone mineral density making me feel like it’s been a waste. I should have started years earlier. Wish I knew then what I know now.
Thank you for sharing this!
Well, this actually made me nervous about HRT. I just started a couple weeks ago and was absolutely delighted that the progesterone makes me sleep through the night. After years of insomnia, this has been amazing. But, progesterone is linked to a 33% increased risk of endometrial cancer? Yikes! I don't know what to do now.
I am also taking bioidentical progesterone (only), and also enjoying better sleep. I wonder if the increased cancer risk is only with progestins?
@@Nancy-sj7yg That's what I had thought, but in going back through the video, it sounded like he said progesterone. Maybe he will clarify.
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 was confused by the journal article findings, partly because of their use of abbreviations for the different hormone forms. When I searched for endometrial cancer in the article just now, I found this: “Only with E+ progestin use, endometrial cancer risk declined significantly by 45%, whereas E+ progesterone exhibited a significant 33% increase in such risk.”
HRT also helps with my sleep issues, including restless legs syndrome which worsened to agonizing levels at menopause. Poor sleep quality also has serious health risks, so that also must be taken into account when considering HRT.
No fear…just can’t find a doctor to prescribe for bone health.
Most doctors won't prescribe this after age sixty five. I've been told that will not help in any way.
Same here
Search for a functional medicine practitioner. Some even work with you online. Insurance doesn't cover it though.
Hi! We would be more than happy to discuss this further with you and provide details about our program. You may schedule a free discovery call at the following link if you are interested --> www.optimalhumanhealth.com/membership
@@ancientpathway7160 I have found several but they do not know one thing about bones or hormones
I would like to begin HRT at the age of 61. My concern is from what I have read that dementia and heart disease are more of a risk when starting at a later age.
Great question! Checkout The OsteoCollective 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.optimalhumanhealth.com/osteocollective
Thank you so much for these educational videos. All my doctors are instructing me to stop my bioidentical HRT patches after a max of 3 years due to my Factor V Leiden diagnosis so risk of blood clots and fibrocystic/dense breasts despite my having osteoporosis. I am 48. In my country bisphosphonates are the only solution.
Thank you for sharing, very glad you enjoyed this video!
If it has been ten years since menopause I have been told that I need to have my heart checked as there can be risks for my heart before starting to take them.
It's been 14 years since menopause for me and I just got approved to start a low dose estradiol patch and a low dose progesterone pill. The reason I am trying this is to halt any further bone loss (in addition to resistance training and other bone building efforts).
Thank you for sharing
I understand that there can be benefits if you start HRT in perimenopause/menopause. What are the risk when you start HRT in later postmenopause? I am 63, and trying to find info on starting HRT now. Have never been on it because my doctor advised against it. But I am considering starting now if it will give health benefits. Is it too late?
I have the same question. I’m 68 so I wonder if it is to late. I’m considering bio-identical hormones
I started on compound bioidentical age 72, feel so much better also using a Marodyne LIV for bones this year
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@leneskov5184 I definitely would check out Dr Dougs health span program I think you would get all your questions
Answered and more
Glad to see this being discussed. Agree, this is merely an echo of the same observational data dating back to the '80s and '90s showing that estrogen prevented every ailment under the sun for older postmenopausal women, which were unreliable owing to the healthy user bias.
The only definitive benefit of estrogen is prevention of menopausal bone loss and reduction in fractures. But even with bioidenticals, no one knows what the risks will be for women who start them right at menopause and take them for 20+ years. And you're very right, I doubt any large scale RCT will be undertaken to try to prove this.
Glad you enjoyed this video. Thank you for sharing!
Oral estrogen used in the WHI study was Premarin (pregnant mare's urine) . Today's estrogen, transdermal via patch, Estradiol, usually is less risky. Oral route was deemed riskier. Also the progesterone (progestin) used in the WHI study was not body identical. It was Medroxy Progesterone Acetate. Also not widely used now. They are using Prometrium (progesterone.) The vaginal estradiol is said to be local and not systemic. So, if it's local to the vagina, cannot cause harm in the breast. This is my takeaway from the extensive research done by Dr. Avrum Bluming, an oncologist. I highly recommend researching him and his findings in your journey to make a decision.
Thank you for sharing this!
If oral is so risky why are milions of young wen taming it to it to prevent prrgnancy.
@@PiggyLovesOllieyeah, it’s much stronger. Also, they give much larger doses to men transitioning.
My biggest concern with HRT is it giving me cancer. But I have osteopenia and am considering it. Problem is I can’t find a doctor who will prescribe it to me because of my age.
Functional medicine practitioners will prescribe it.
Thank you for sharing this! We would be more than happy to discuss this further with you if you would like. You may schedule a discovery call at the following link -->www.optimalhumanhealth.com/membership
I am a woman, almost 68 years old. I have never taken HRT. My internal medicine doctor advises against it. The only hormone therapy available to me in my area is hormone pellets. My greatest fear is cancer. I would rather have osteoporosis than cancer.
@@ivyclara9782 we’re all make our own choices. But four fractures and constant pain is difficult to live with. There’s no cure
Thank you for sharing this!
From what I here, most doctors are down on what they’re not up on.
Does progesterone dosage change estrogen effects and or risks? Do you cycle oral progesterone or not? Does higher dosage of progesterone, taking every day, block estrogen receptors, reducing benefits?
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My concern with HRT is possible increased cancer risk.
Also, is it wise to replace hormones that by design are meant to naturally fade away with age?
Could there be a reason we haven’t discovered yet as to why it’s not good for us to continue to have the hormones or youth forever?
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What about starting HRT after 60 if you haven't been on it? And if you have a uterus do you absolutely need progesterone as well?
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It's not for everyone - but how to decide? My mom died of breast cancer about 25 years ago and she had been on HRT (I don't know the type or dosage) for years, yet my aunt (her older sister) has never taken HRT and is doing fine now at the age of 95. I'm not now taking it and I'm not sure I want to start. Perhaps at a very low dosage?
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 wish you’d address numbers. I was put on sublingual BIEST about age 60 only for bones, had no menopausal symptoms. Doc just kept renewing for 7 years. RUclips women always getting levels due to symptoms. I asked PCP (not prescribing doc) for level and she said no need it was a usual dose. I persisted and estrogen came back 557. She and another doc thought high, but ok. NP said get off immediately which I did for 6 months but got worried about bones. No RUclips videos ever mentioned a level until one who might have seen my comment as she said no one needs a 500 level. She thought 40-90. I read that oral estrogen has a slight more risk of stroke in older folks so asked PCP to change to patch she put me on .05. Just had level after 2 months on patch - it’s only 47. I wonder if that’s high enough to protect bone. I did have vaginal bleeding for a week 6 months ago but uterus was very thin, doc thinks it was just small blood vessels bursting. That doc didn’t want me on any hormones but I will continue. Just wish I knew what level to shoot for. I know the 550 protected my bones as after broke femur had DEXA after 7 years and no change and I get little exercise. If you see this doc, I’m due for another DEXA and am thinking of joining your program. Is there anything I should ask for other than what they typically do? Thanks.
Great question and thank you for the feedback! 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
Would it be unheard of to start HRT at the age of 60? I have osteoporosis and my mom and aunt developed Alzheimer's in the last couple of years. I know HRT can't reverse osteoporosis, but I wonder if it could keep it from progressing and also provide some brain protection. I had a hysterectomy in my 40's, but never had any menopausal symptoms.
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When i was 27 I had 6 blood clots in my lungs. I am 46 and haven’t had a cycle in about 5 and 1/2 years. Can I do HRT?
Great question! Checkout The OsteoCollective 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.optimalhumanhealth.com/osteocollective
I’m on a combination HRT, (with synthetic progesteron) for over 5 years. I’m 63. Now I’m confused and afraid!
Thank you for sharing this. You are not alone. 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
My concern is starting Hrt at 65. My mum had Altzheimers and according to the Diary of a CEO there is evidence that it has benefits re dementia. Also, I’m in the UK and have osteopenia. I do all that you say but in the Uk I can’t access individual assessment for my hormone needs. I don’t know whether I should try to go on Hrt- our doctors don’t have enough up to date info to advise.
Hi! 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
My takeaway is no one still really can come to a consensus on what should be used, when, or how much. It is SO frustrating. I have to become educated and an advocate for my health. Fine. But am expert on progesterone vs progestin etc etc etc. it’s too much. I just watched two videos. One that said progesterones impact has been overall u derrated and should be taken by women who dont have a uterus. Another study that says progesterone actually decreased the potential for breast cancer and now Im hearing the opposite. It is so beyond frustrating. Does anyone really know or understand. Clearly NOT
I completely understand your frustration, and you're not alone in feeling this way. The conflicting information can be overwhelming, especially when it comes to something as important as hormone health.
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.optimalhumanhealth.com/hsn
I am currently on Dr. Doug‘s program and on testosterone and progesterone and waiting for a CAC score on whether I could be on estrogen or not. I am 69 and have been post menopausal for 15 years and started HRT probably about six months ago. I do have concerns about receptors and whether the pathway is still there at my age, and do I have to be on HRT for the rest of my life
Thank you for sharing this!
But what about estrogen receptive breast cancer?
This is my concern too. At 67, I recently had estrogen/progesterone postive breast cancer. Never had hormonne therapy, bones just at the edge of osteoporosis and medical oncologist wants to put me on aromatase inhibitors which will completely eliminate estrogen. I am so confused since the messages from different speciailties are in complete opposition.
Hi! Checkout the video on my channel called "Does Estrogen Cause Breast Cancer or Build Bone?? What the research got WRONG!"
I'd hope for a study on what happens when people go off the regimen later in life. My question would be whether there'sa drop off in bone health (often, sometimes, occasionally) , similar to the big one at menopause.
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
My mom took Premarin for twenty years and her bones were great. After coming off them with the big scare twenty years ago, they have declined.
I am 63 with osteoporosis. When I asked my doc about estrogen for my bones he hesitated to prescribe any hrt for bones because of a contraindication: pulmonary embolism. I had a low fibula break close to ankle last fall (anyone would have) due to slipping backwards onto my leg on a rock outcrop on a rainy hike, and because of being in a boot - immobile - a blood clot developed in my leg which travelled to my lungs. I was only on blood thinners for 3 mos, and the hematologist was not concerned in my case. My question is: because of the pulmonary embolism brought on by being immobile from a fracture, can I SAFELY take a higher dose estrogen, which I obviously need for my bones?
Thank you for sharing all of this. 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
Age 62 and in menopause since 2016. My obgyn , a rated " top doc" in NH still says no way on hormones for me with increases in uterine and breast cancer.
Thank you for sharing this
Turning 69 this year. Never took hormones due to 2002 study which misreported the risks. My genetics expose me to osteoporosis, which I already have; heart disease, and dementia/Alzheimer's. Never had great cancer in my family. I have appt this month to see if I am a good candidate for HRT. I have many symptoms of post menopause and think it is a logical option if managed with caution.
Thank you for sharing this!
It is my understanding that after menopause our estrogen receptors die off in the body. If you have been taking HRT you still have those estrogen receptors so it is safe to continue hormone replacement and the danger is with starting to take hormone replacement after you lose those receptors.
ruclips.net/video/PiUBSSvZot8/видео.htmlsi=Nspps1aVGUO9UMrj
Thank you for sharing this
@@Dr_DougLucasI’d like to know more about receptor die off. I’ve wondered if I started too late. I’m about 10 years post menopause.
@@spiritthrowmeabonelive5065 ruclips.net/video/PiUBSSvZot8/видео.htmlsi=4GfN7IA5vzwmOstL
My biggest concerns are my heart and my bones. I had been treated with HRT during menopause but data came out that it created much higher rate of heart disease. I am now 6 and have developed diastolic heart failure. I',m also well into osteoporosis. So, at this point, would HRT help either? I won't live that much longer so would HRT help some?
Hi! Thank you for sharing this, we would be more than happy to discuss this further with you. You may schedule a discovery call to learn more at this link --> www.optimalbonehealth.com/membership
I belong to the "Bad Luck Generation" because of the WHI. My menopause started at age 40. I am going to be 60 soon. It had being 19 years. Never being in HRT. I learned to live with myself in this "duller" body😂. I don't have a partner and I hadn't needed it. My concern is going back to be the "wild" me 😅. After reading and listening to all the doctors like Dr. Doug I am 100% into trying and take the risk. Men, be aware! 😂 I wouldn't have heard anything about HRT and all the new approach if it is not because of a osteoporosis diagnose a month ago. Thank you, Dr. Doug, I had heard at least 20 of your videos already. Big fan.
H! Thank you so much for sharing this. I am glad you have enjoyed these videos. I greatly appreciate your support!
I am on HRT at 66. Now confused. Is there a higher risk of endometrial cancer?
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What dose of Estradiol patch is effective? I’m on 25mcg but wonder if this is enough. Does anyone know?
That is a very low dose. I use the 0.1mg patch and my estradiol levels get around 55... still too low to protect bones. So I supplement with an estradiol cream to labia to raise my E levels to about 110.
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
The ongoing availability of the hormone replacement product concerns me. What if global supply chains collapse, or I can no longer afford the product? If I become dependent on something I can no longer access, how will that help my family…?
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It is so confusing. So what is one to do?
Hi! We have more content coming out on this soon. Stay tuned!
I have had breast cancer 15 years ago.
Thank you for sharing this
Weight gain is my biggest concern with taking HRT
Thank you for shairng
I am concerned because I feel that HRT might suppress my own body’s natural ability to make these hormones and I’ll have to do it for my lifetime
You will have to do it a lifetime. Your ovaries simply stop producing hormones. That's a fact!
Thank you for sharing this!
If someone has uterine fibroids would HRT after 65 stimulate the growth of them.
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
Is it ok to start HRT at 65
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
am 63 for bone problem
Thank you for sharing this
Breast cancer
Thank you for sharing
Risk of cancet
Thank you for sharing
blood clots
Thank you for sharing
Mostly cancer
Thank you for sharing