Thank you so much for your intelligent explanation of hormones balance. I am from the UK & although our NHS gives me estrodial gel they refuse me give me testosterone after total hysterectomy at 56yrs & hair falling out. So have managed to find a great private clinic run by Doc Newman who specialises & I am on a survey & feel fantastic 😊
I’m 70 and was put on BIEST 10 years ago. Bleeding so started taking half prescribed dose so took 1.25 estrogen and no one ever took a level. (Wasn’t taking for symptoms just bones.). Asked for a level a couple years ago after watching TH-cam’s and it was 557. PCP (not the prescriber) said high but I’m supplementing so ok, another doc also said not to worry an NP said it can vary according to when taken so she wasn’t concerned but another NP said get off right away. Never had any symptoms of it being so high and I am quite sure it’s protecting my bones because I have chronic fatigue and don’t get much exercise. Broke femur 4 years ago hadn’t had a DEXA in 7years - was no decrease in bone density, it remained - 1.9 in the two spots of three and 2.5 spine. Switching now to an estradiol patch .05 as read taking orally when older have a very small increased stroke risk. A TH-cam hormone expert Susan Hardwick Smith said no one needs a 500 level estrogen - so different opinions on it. I just wonder why it is high as that’s not a large dose. I did recently have a week of vaginal bleeding so got an ultrasound doc said lining is thin ( 1.2 I think) so no need to get biopsy he thinks was tiny blood vessels of lining breaking off.
Thanks for addressing this subject. I'm going to purchase your book today and study it before setting up an appointment. Random hormone related questions : is it true that you feel warm not only when your estrogen is dropping, but also as your levels go up? Do you believe it is safer for us to use the hormone creams below the breast area (or below the waist area) to prevent them going into the breasts? Does estrogen protect against inflammation? If so, would optimizing hormones help reverse problems that we tend to see in women around menopause (plantar fasciitis, frozen shoulder, fibromyalgia etc). Could you address any of these questions in future videos? I love your channel, thanks so much!
Got treated like a Woman who needs to be institutionalized today by a NAMS doctor! She wouldn’t even LOOK at my labs! She said until I addressed, with a statin, for high cholesterol, AND anti depressant, slept TWO hours last night so yes I was weepy becaise im exhausted!! After a total Breakdown, I came home and called your office….
i am so sorry you had to endure this. i have been there, they tried to say i was having panic attacks, was stress out, should do less, that i maybe had bipolar, or depression, was tested and it was negative, they still gave me meds to calm me down, i never took it and when i asked to check my hormones, they said my insurance will not cover that 😮 i finally found another doc who checked and my testosterone came back low, i was given vitamin d over two years and now i have gained over 30 pounds, sleep 0-4 hours per night. i am trying to increase my levels naturally but found a over the counter progesterone birth control pill and i sleep a bit better with it. i also lost over 10 pounds since i have been taking the pill… trying to get testosterone and still no luck…
They told me because I have Lupus that HRT would kill me. Funny my hormones didn't kill me before menopause. I didn't sleep at all last night. I would think that lack of sleep with Lupus might just kill me (exaggerating, maybe)
@@Duchess-of-Camelot There are 50 of hormones, which are the body's chemical messengers and they are made by 12 different Endocrine glands. Hormones are chemical messengers that are secreted into the bloodstream by endocrine glands and travel to target cells to cause a specific effect. They work slowly over time and control and coordinate many bodily functions, including: Metabolism: How the body gets energy from food Energy levels Growth and development Reproduction Sexual function Homeostasis: Constant internal balance, such as blood sugar and blood pressure regulation, fluid and electrolyte balance, and body temperature Response to injury, stress, and environmental factors Sleep-wake cycle Mood etc www.hormones-australia.org.au/wp-content/uploads/2019/02/Endocrine-System-e1552256941122.jpg how they cant think about starting from there when something is off, is beyond me…
@@PJ-mp7sv I recently had my doc put me on an estrogen patch she gave me.05 and after 10 weeks estrogen 47 so I’m going to ask for larger dose. Was on BIEST and level 557 for years so thinking I’d like it to be at least 100. I think you’ll just have to try various doses for a couple months until you find what gets you to needed level I suppose everyone is different.
I’M AT 300 PROGESTERONE at night. It does not make me sleepy or tired. My doctor was surprised. AT 400 PROGESTERONE FOR 7-10 DAYS I FELT SLUGGISH DURING THE DAYTIME. AGE 65. Could something be wrong with my sleepy brain signals? THANK YOU SO MUCH!
What causes the dramatic 10-12lb weight gain whenever hormones are started? Happened to me when I was on BC long time ago and now as I have gone on and off hormone replacement to get rid of the weight gain. I have decided that I will continue to fight the weight but why??????????? It is so frustrating. The weight gain is on the upper hips and inside thighs, again, not my normal weight gain area. I just need to understand why......please.
It's because you have no estradiol not because you're starting hormone replacement therapy some people gain weight because they're appetite goes up it has nothing to do with the hormones themselves making you gain weight if anything user dial is supposed to help you to lose weight you have to be on a cycle of progesterone hormones progesterone is only to be Taken 2 weeks out of the month in the middle that's it it's on a cycle the same with estrogen it goes up and down like a normal cycle would
BC pills can cause weight gain as can some forms of HRT. Are you using bioidentical or synthetic? Also, have your thyroid levels checked if you haven’t done so, because if you are hypothyroid, that could be part of the problem. I have been on bioidentical hormones for 16 years, and I haven’t gained weight. I also am hypothyroid and take thyroid medication for that. The key is making sure all your hormones are balanced.
Thank you for your information I have your book is great. I’m in Pasco Wa. No menopause specialist here. I heard you are licensed in Wa. I will give your office a call Thank you
My Free Testosterone, Calc 3.65 Range is 0.77-9.30 pg/mL Is this considered normal? I feel good, but I do take T3 (cytomel) for hypothyroidism. Thank you for all of this information! My TSH was 7.75 and my FT3 was 2.9 and I felt horrible.. no hair loss though, just weight gain. Went carnivore and took cytomel, lost the weight immediately, but it’s very tricky to dose.
I already had a ton of labs done by a clinic trying to sel me pellets. If i come see you can we use those labs? my insurance didnt fully pay. LIterally just two weeks ago
Just started on BHRT 3 months ago. I’m feeling so much better but the weight gain is killing me! Dr is going slow because I’ve been in menopause for 10 yrs. I am 57. What type of hormone changes can be made to help me shed these pounds??
Have you had your hormone levels tested? If they are balanced correctly, you should not gain weight using bioidentical hormones. Your dosage probably just needs to be adjusted.
I have severe osteoporosis. I finally got hrt I'm 60. I'm on estrogel 0.06 two pumps and progesterone 100mg. I'm exhausted day and night. Would 4 pumps of estrogel get me to 60?
You have to test. .06 seems like a small amount. You start low and raise the amount as you go and then test to see if it's made a difference. Also monitor your symptoms and how you feel. Keep raising til you get where you feel good. I started estrogel in packets at .25 which is the lowest I could get.
Can oral testosterone (liquid from a compounding pharmacy) cause hair loss in a menopausal woman? I never lost much hair over the years. Within 2 weeks of taking oral testosterone, my hair was falling out in bunches.
@@MaryBethMcCoy ... thank you, I don't think my compounding pharmacy does patches, and I think when I increase my progesterone I feel like I'm speeding at 100 miles an hour in my head. Just so complicated
@@revealanation7778 You can try using a troche, which is like a lozenge. Or, you can search on line for a compounding pharmacy which will ship to you. I have done that before also. It is strange what you said about Progesterone, since it is known to have a calming effect and helps with sleep. And, part of the problem could be that your dosages aren’t balanced properly. You need to find a doctor who specializes in bioidentical HRT since many doctors simply are not well versed and aren’t up to speed on the current research.
@@ShawnTassoneMDPhD my total Testosterone is only 56 but my free is only 0.9..I lost my hair when I was on injections and my level went to around 500.. DHT 129.. now I’m on troches barely any because I’m trying to get my hair back..
Ask a hundred people a question about hormones and I'll get a hundred different answers! I'm taking troches twice a day with Triest, Progesterone, DHEA and Testosterone. I've been told by my provider to go for my blood test 12 hours after my last troche, before taking the next one. Other people told me that's wrong, I should draw blood at the 6 hour mark. Which is correct?
Your levels will drop based on how many hours have passed since the last dose. That’s why you need to take the troches twice a day, every 12 hours. If you go for testing 12 hours after your last dose, your levels will be at their lowest. Testing 6 hours after the dose would give you your levels midway through the dosing schedule, which would show higher levels, and give you a better idea about how well your body is absorbing the hormones. I take the same hormones as you, troches twice a day, except I take Biest instead of Triest, and I used to consistently do the testing just before my next dose, but doing it that way never gave me any idea of how high the levels ever got, so I started testing sooner so I could compare where my levels were at various times during the twelve hour period. Just be aware that If you test any sooner than 6 hours, you probably would get very high levels. I did that once and tested only a couple hours after taking a dose and my levels skyrocketed and that freaked my doctor out until I explained what I did.
My husband is 76 yrs old, he walks 5 days/week & does 2 (5K’s a month). He has ED all the time, sometimes not in morning……he has a pot belly & loves honey, bread & sweets. He is working part time still & drives & sits a lot. Is his testosterone shots turning into estrogen???
Your husband may have too much cortisol in his body due to exercise. Too much cortisol causes a decrease in testosterone. Weight training builds muscle, which raises testosterone
Thank you so much for your intelligent explanation of hormones balance. I am from the UK & although our NHS gives me estrodial gel they refuse me give me testosterone after total hysterectomy at 56yrs & hair falling out. So have managed to find a great private clinic run by Doc Newman who specialises & I am on a survey & feel fantastic 😊
I’m 70 and was put on BIEST 10 years ago. Bleeding so started taking half prescribed dose so took 1.25 estrogen and no one ever took a level. (Wasn’t taking for symptoms just bones.). Asked for a level a couple years ago after watching TH-cam’s and it was 557. PCP (not the prescriber) said high but I’m supplementing so ok, another doc also said not to worry an NP said it can vary according to when taken so she wasn’t concerned but another NP said get off right away. Never had any symptoms of it being so high and I am quite sure it’s protecting my bones because I have chronic fatigue and don’t get much exercise. Broke femur 4 years ago hadn’t had a DEXA in 7years - was no decrease in bone density, it remained - 1.9 in the two spots of three and 2.5 spine. Switching now to an estradiol patch .05 as read taking orally when older have a very small increased stroke risk. A TH-cam hormone expert Susan Hardwick Smith said no one needs a 500 level estrogen - so different opinions on it. I just wonder why it is high as that’s not a large dose. I did recently have a week of vaginal bleeding so got an ultrasound doc said lining is thin ( 1.2 I think) so no need to get biopsy he thinks was tiny blood vessels of lining breaking off.
I'm becoming a fan girl with you Dr Shawn~!! Such excellent information~!!!
Thanks for addressing this subject. I'm going to purchase your book today and study it before setting up an appointment.
Random hormone related questions : is it true that you feel warm not only when your estrogen is dropping, but also as your levels go up?
Do you believe it is safer for us to use the hormone creams below the breast area (or below the waist area) to prevent them going into the breasts?
Does estrogen protect against inflammation? If so, would optimizing hormones help reverse problems that we tend to see in women around menopause (plantar fasciitis, frozen shoulder, fibromyalgia etc). Could you address any of these questions in future videos?
I love your channel, thanks so much!
Following!
I am also interested in hormones and their relationship with inflammation and mitochondria.
Got treated like a
Woman who needs to be institutionalized today by a NAMS doctor! She wouldn’t even LOOK at my labs! She said until I addressed, with a statin, for high cholesterol, AND anti depressant, slept TWO hours last night so yes I was weepy becaise im exhausted!!
After a total
Breakdown, I came home and called your office….
I’m so sorry this happened to you… I’ve been treated this way too..❤️🙏🙏
i am so sorry you had to endure this. i have been there, they tried to say i was having panic attacks, was stress out, should do less, that i maybe had bipolar, or depression, was tested and it was negative, they still gave me meds to calm me down, i never took it and when i asked to check my hormones, they said my insurance will not cover that 😮 i finally found another doc who checked and my testosterone came back low, i was given vitamin d over two years and now i have gained over 30 pounds, sleep 0-4 hours per night.
i am trying to increase my levels naturally but found a over the counter progesterone birth control pill and i sleep a bit better with it.
i also lost over 10 pounds since i have been taking the pill… trying to get testosterone and still no luck…
They told me because I have Lupus that HRT would kill me. Funny my hormones didn't kill me before menopause. I didn't sleep at all last night. I would think that lack of sleep with Lupus might just kill me (exaggerating, maybe)
Our medical establishment is conspiring in malpractice for menopausal women.
@@Duchess-of-Camelot There are 50 of hormones, which are the body's chemical messengers and they are made by 12 different Endocrine glands.
Hormones are chemical messengers that are secreted into the bloodstream by endocrine glands and travel to target cells to cause a specific effect.
They work slowly over time and control and coordinate many bodily functions, including:
Metabolism: How the body gets energy from food
Energy levels
Growth and development
Reproduction
Sexual function
Homeostasis: Constant internal balance, such as blood sugar and blood pressure regulation, fluid and electrolyte balance, and body temperature
Response to injury, stress, and environmental factors
Sleep-wake cycle
Mood
etc
www.hormones-australia.org.au/wp-content/uploads/2019/02/Endocrine-System-e1552256941122.jpg
how they cant think about starting from there when something is off, is beyond me…
Please stay near the mic when you’re reading questions.🙂
Well I would if I could see the question
To get your estrodial up to 60, how much estradiol does that require in mg per day?
Yes, please answer this question.
HE
CAN NOT AMSWER THIS QUESTION PEOPLE!!!🤦♀️🤦♀️🤦♀️
Day12 for estradiol should be between 100 and 150 if it's lower than that you're not getting enough estradiol
At least .1mg patch
@@PJ-mp7sv I recently had my doc put me on an estrogen patch she gave me.05 and after 10 weeks estrogen 47 so I’m going to ask for larger dose. Was on BIEST and level 557 for years so thinking I’d like it to be at least 100. I think you’ll just have to try various doses for a couple months until you find what gets you to needed level I suppose everyone is different.
Thank you, Dr. Tassone! Great info!!! 💕👍 (Enjoy those burgers with your kids! 😉)
I’M AT 300 PROGESTERONE at night. It does not make me sleepy or tired. My doctor was surprised. AT 400 PROGESTERONE FOR 7-10 DAYS I FELT SLUGGISH DURING THE DAYTIME. AGE 65. Could something be wrong with my sleepy brain signals? THANK YOU SO MUCH!
What causes the dramatic 10-12lb weight gain whenever hormones are started? Happened to me when I was on BC long time ago and now as I have gone on and off hormone replacement to get rid of the weight gain. I have decided that I will continue to fight the weight but why??????????? It is so frustrating. The weight gain is on the upper hips and inside thighs, again, not my normal weight gain area. I just need to understand why......please.
It throws off your thyroid.
I haven’t had that result of being on post menopausal HRT. I lost weight.I’m also hypothyroid and have been on meds for over 30 years.
I never gain weight. Before menopause, after menopause without hrt, on hrt. The answer will be personal consistent with your physiology and habits.
It's because you have no estradiol not because you're starting hormone replacement therapy some people gain weight because they're appetite goes up it has nothing to do with the hormones themselves making you gain weight if anything user dial is supposed to help you to lose weight you have to be on a cycle of progesterone hormones progesterone is only to be Taken 2 weeks out of the month in the middle that's it it's on a cycle the same with estrogen it goes up and down like a normal cycle would
BC pills can cause weight gain as can some forms of HRT. Are you using bioidentical or synthetic? Also, have your thyroid levels checked if you haven’t done so, because if you are hypothyroid, that could be part of the problem. I have been on bioidentical hormones for 16 years, and I haven’t gained weight. I also am hypothyroid and take thyroid medication for that. The key is making sure all your hormones are balanced.
Until menopause my TSH was actually 1.65.. And I had a lot of energy..
Will you include the units for the values? I believe mine are in different units
true and important, depending of where you are in the world, different units!
Thank you for your information I have your book is great. I’m in Pasco Wa. No menopause specialist here.
I heard you are licensed in Wa.
I will give your office a call
Thank you
I’m in tri cities too. I was referred to Lisa Garcia thru Kadlec. Not NAMS but I am told she is phenomenal with menopause care
What do you think of pregnenalone?
My Free Testosterone, Calc 3.65 Range is 0.77-9.30 pg/mL
Is this considered normal? I feel good, but I do take T3 (cytomel) for hypothyroidism. Thank you for all of this information! My TSH was 7.75 and my FT3 was 2.9 and I felt horrible.. no hair loss though, just weight gain. Went carnivore and took cytomel, lost the weight immediately, but it’s very tricky to dose.
I already had a ton of labs done by a clinic trying to sel me pellets. If i come see you can we use those labs? my insurance didnt fully pay. LIterally just two weeks ago
I don’t mind using the labs but really anything over three or four months old is fairly worthless
Just started on BHRT 3 months ago. I’m feeling so much better but the weight gain is killing me! Dr is going slow because I’ve been in menopause for 10 yrs. I am 57. What type of hormone changes can be made to help me shed these pounds??
Have you had your hormone levels tested? If they are balanced correctly, you should not gain weight using bioidentical hormones. Your dosage probably just needs to be adjusted.
Do you go up in progesterone if someone is having anxiety
I have severe osteoporosis. I finally got hrt I'm 60. I'm on estrogel 0.06 two pumps and progesterone 100mg. I'm exhausted day and night. Would 4 pumps of estrogel get me to 60?
You have to test. .06 seems like a small amount. You start low and raise the amount as you go and then test to see if it's made a difference. Also monitor your symptoms and how you feel. Keep raising til you get where you feel good. I started estrogel in packets at .25 which is the lowest I could get.
@againsteveryoneswill1923 Sorry it was 0.625. Now the patch at 0.75. I asked the gynecologist to increase, and he said to ask my Dr.
Can oral testosterone (liquid from a compounding pharmacy) cause hair loss in a menopausal woman? I never lost much hair over the years. Within 2 weeks of taking oral testosterone, my hair was falling out in bunches.
if its too high yes
how can i get an appointment with you please
512-956-0296
I've tried everything, I'm starting to think I don't absorb the cream, I've tried for 9 years now, I'm just worn out at 59 I want to give up
What about patch
You need to try a different formulation, either some type of patch or troche. Not all women absorb the creams well, myself being one of them.
@@MaryBethMcCoy ... thank you, I don't think my compounding pharmacy does patches, and I think when I increase my progesterone I feel like I'm speeding at 100 miles an hour in my head. Just so complicated
@@revealanation7778 You can try using a troche, which is like a lozenge. Or, you can search on line for a compounding pharmacy which will ship to you. I have done that before also. It is strange what you said about Progesterone, since it is known to have a calming effect and helps with sleep. And, part of the problem could be that your dosages aren’t balanced properly. You need to find a doctor who specializes in bioidentical HRT since many doctors simply are not well versed and aren’t up to speed on the current research.
Have you checked adrenals and thyroid?
Seems like it takes so much total to raise the free.. then you get hair loss.. what’s your thoughts on finastride?
That’s not true and if you need finasteride you’re on too much testosterone
@@ShawnTassoneMDPhD my total Testosterone is only 56 but my free is only 0.9..I lost my hair when I was on injections and my level went to around 500.. DHT 129.. now I’m on troches barely any because I’m trying to get my hair back..
I had dna consult and I am +/+ for esr 1 would estrogen be safe to take
Ask a hundred people a question about hormones and I'll get a hundred different answers! I'm taking troches twice a day with Triest, Progesterone, DHEA and Testosterone. I've been told by my provider to go for my blood test 12 hours after my last troche, before taking the next one. Other people told me that's wrong, I should draw blood at the 6 hour mark. Which is correct?
Your levels will drop based on how many hours have passed since the last dose. That’s why you need to take the troches twice a day, every 12 hours. If you go for testing 12 hours after your last dose, your levels will be at their lowest. Testing 6 hours after the dose would give you your levels midway through the dosing schedule, which would show higher levels, and give you a better idea about how well your body is absorbing the hormones. I take the same hormones as you, troches twice a day, except I take Biest instead of Triest, and I used to consistently do the testing just before my next dose, but doing it that way never gave me any idea of how high the levels ever got, so I started testing sooner so I could compare where my levels were at various times during the twelve hour period. Just be aware that If you test any sooner than 6 hours, you probably would get very high levels. I did that once and tested only a couple hours after taking a dose and my levels skyrocketed and that freaked my doctor out until I explained what I did.
He ordered me 1 mg of estrogen!! I am 70 😮
My husband is 76 yrs old, he walks 5 days/week & does 2 (5K’s a month). He has ED all the time, sometimes not in morning……he has a pot belly & loves honey, bread & sweets. He is working part time still & drives & sits a lot. Is his testosterone shots turning into estrogen???
Your husband may have too much cortisol in his body due to exercise. Too much cortisol causes a decrease in testosterone. Weight training builds muscle, which raises testosterone
Are you licensed in Ohio?