Hormone Replacement for Osteopenia or Osteoporosis After Menopause
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- Опубліковано 5 жов 2021
- Are hormones effective at preventing osteopenia and osteoporosis? This video is about the Women's Health Initiative, which looked at estrogens and progestin to see if they would reduce broken bones in menopause.
Should you take HRT for menopause and to protect your bones? If that question feels impossible to answer, I'm here to help. My digital course, The Menopause Solution, guides you through Searches, Stories, and Studies to help you make your HRT decision.
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Links:
Women's Health Initiative Osteoporosis Arm
jamanetwork.com/journals/jama...
Women's Health Initiative Study Report
jamanetwork.com/journals/jama...
Women's Health Initiative Calcium plus Vitamin D Supplementation and the Risk of Fractures
www.nejm.org/doi/full/10.1056...
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Thank you for helping to spread the word 🙏 I love HRT. I only wish I had started earlier.
Super interesting, thank you.
Thank you for this very informative video, best regards.. Zoey
4:12 after a full hysterectomy how much estrodiol should we be taking . And also I believe utrogestane should also continue for breast tissue protection and sleep aid ! Sorry to ask but in some countries we are left on our own to find out help .
My 85 year old mother had hip and knee replacement and now walk using a walker. Thanks for info you are sharing, I will start HRT. Their generation does not know of HRT.
Hey thanks for watching. I would say the vast majority of women have absolutely no clue about the serious risk of osteoporosis and how the loss of estradiol has an impact on weakening bones. If you want to stay strong and solid for the long-term, estradiol is the single most effective way to get there. Weight bearing exercise and Vitamins D and K are also important.
1:54
Are you a Doctor?
It’s on the screen. He is a pharmacist and if you have ever asked your pharmacist about a med, etc, you will find that you much better, factual information than you do from your doctor. Evaluate this gentleman based on the studies he cites.
Thank you for putting out the knowledgeabel information in this video. I like the way you interpret about each hormone, very focus, very clear and no confusion. I have some questions regarding the use of bioidentical hormones, in particular about estradiol. I hope you can shed some wisdom and light for my understanding.
I had a laprascopic hysterectomy surgery without removing my ovaries 4 months ago due to fibroid bleeding. I have been on bioidentical hormones (Armour throid, Testosterone veni cream, Progesterone capsule, and Estradiol patch.) about 9 years before the surgery. I am 60 years old. After the surgery, my doctor continued had me use the same dose of Estradiol patch, 0.05mg/2x/wk. My body seemed less tolerated the Estradiol after the manopause kicked in, now after the surgery. I didn not feel well with 0.05mg, so I went down to 0.0375mg/2x/wk. I experienced some hotflashes. Then, a month ago, I suddenly experienced extreme lower back pain. I checked in with orthopedist, and had MRI. Found out I had more spinal inflammation, infection, muscle, tissus inflammation, and a few more disc degenerated mildly. Some of my GYN commented my Estradiol was too low which can not provide me with the ample support on daily activities. I am prone to injury. My questions:
-- Is the low dose Estradiol associated with the spinal injury?
-- I will prefer to use the sufficient dose of Estradiol, due to my surgery and lost my hormones. If I can not tolerate the higher dose patch, can I change to bioidentical estrogen cream, will be OK, since the patches are too strong? I have osteopenia, lost some hip bone. I think the Estradiol is criticcally important for me.
-- Do patients who had hysterectomy surgery, should go for higher dose Estradiol than before the surgery?
Thank you for your time for answering my questions.
B.F. - Thanks for watching and for your questions. Unfortunately, this probably isn't the best place to try and dig into what sounds like a complicated health and hormone situation. I agree, in general, about your assessment that estradiol is important. Beyond that, I would strongly recommend you talk to a hormone optimization specialist who can help you dial in the right dose and dosage form of estradiol, along with any other hormones that need to be addressed.
The best way to find a hormone specialist, somebody who really knows how to manage all your hormone issues and get you to optimal levels, is to visit this page on my website and fill out my Patient Referral Request Form here simplehormones.com/referral If you leave a referral request on UA-cam or email it to me, it's extremely likely I'll drop the ball or it will fall through the cracks. Once you fill out the form, be sure to check your email for a message that says "Confirm your email address." Thanks!
Thank you so much for answering my questions, and specified the spinal sickness is more of a health issue. Whether it is hormone related, the counsels which I have received from the hormone specialists whom I have spoken to have some conflicting opinions. I will seek out health care doctor to treat it and at the same time, optimize my hormones level as much as possible. In any case, I have watched your other video about estradiol “Estradiol Levels: Low Estradiol Symptoms; High Estradiol Side Effects.” It gives great information about the importance of estradiol. I will bring along your education to share with my hormone doctor. I have another question for your wisdom:
-Can I still use hormone therapy as I usually do, since I have the spinal sickness? It seems I become more sensitive to hormones and had a lower tolerance after the spinal sickness happened. I want to make sure the hormones will not produce the adverse effect.
Thank you so much for answering my question.
Thank you for bringing out such a vital information in your video instructions and spread the quality education which has been long overdue, misinformed and even being ignored. Thank you for all that you do.
Hi, Steve,
I have spoken to one of your referral, Dr. Lai. Dr. Lai is specialized for hormone practice and knee PRP. However, I need a hormone specialist who is skilled with the the knowledge of “spinal issues.” I will appreciate if you can search for such a specialist in Southern Cal for me. If nothing comes up, I will give Dr. Lai a try.
Thank you so much for your kind assistance.
Thank you for this. At about 4:20, you say that if estradiol is “not too high, and not too low, but just right”, it can keep our bones strong and reduce our risk of osteopenia and osteoporosis. I have tried to find out what the right level is, asking the gynecologist who prescribes the estradiol, plus two separate endocrinologists I was referred to for low bone mass. None of them knows! The two endos also contradicted each other, one saying estradiol can only help preserve the bone mass I have left, essentially saying that estradiol doesn’t build (back) bone, and the other endocrinologist said I can expect to gain some bone back …
After watching your video, I now have the additional question of what happens to my bone mass if my estradiol is too high? I’ve been increasing my dose over time, but didn’t realize I could do more harm than good for my bones?! Is this what you’re saying? I’d appreciate if you could shed a bit more light on this or direct me to a text that explains this. I’m not looking for an additional hormone specialist at this time, since I already have too many conflicting data and wouldn’t know whom/ what to believe.
You seem very knowledgeable, however, and that’s why I thought you might be willing to clarify. Thank you!
Hey thanks for watching! That's a really good question. Here's another video about estradiol levels that goes into more detail about the specific level to shoot for. That estradiol target is based on levels you had before you started losing estradiol. As I mention in this other video, it's not always easy to get to that estradiol level. ua-cam.com/video/lxyYEuGLPPE/v-deo.html
I'm pretty sure you're unlikely to have problems with bone density at higher estradiol levels. More likely is breast tenderness, bloating, and other symptoms of "estrogen dominance," depending on the level of progesterone you have. It's good to keep in mind that chart I show in the second video - estradiol levels get VERY high throughout a woman's lifetime and that's usually fine . . . unless she doesn't have enough progesterone.
@@SimpleHormones Thank you very much for your replies! Yes, I’ve watched your other video on estradiol levels as well, and what you’re saying here about high(er) estradiol levels not likely being a problem for bone mass makes sense to me now!
I really value your to-the-point, information packed videos! 😊
The hormones you want for strong bones is Bioidentical
PROGESTERONE, TESTOSTERONE, NANDROLONE in some cases and DHEA.
you also need adrquate vitamine D3 and K2....and good diet
ESTRADIOL with or without MPA or Levonogestrel. DOES NOT BUILD BONES. It only slows bone loss to some extent
Check out this randomized controlled trial jamanetwork.com/journals/jama/fullarticle/197177
@@SimpleHormonesThank you. I searched and searched online for information on an effective very low dose but could not find. This link was helpful, although they still cite the WHI which I believe has been reported as having many faults. I have not seen all of your videos yet as I’m newly researching but I will keep watching. Thank you.