What are bioidentical hormones and are they really safe?
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- เผยแพร่เมื่อ 26 มิ.ย. 2024
- What are bioidentical hormones and are they really safe?// Interested in learning about bioidentical hormone replacement therapy for women in midlife and in menopause? Have you wondered if bioidentical hormone therapy is really safe? In this video, I am going to break down when bioidentical hormone therapy is safe, and when bioidentical hormone therapy can be dangerous. I will also let you know what kinds of bioidentical hormones I use in my clinic for women in midlife and at menopause.
#Hormonetherapy #bioidentical #HeatherHirschMD
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• What are bioidentical ...
Were you confused about what bioidentical hormone therapy was? After watching the video, what other questions do you have about bioidentical hormone therapy?
Dr. Hirsch
FDA approval means 2 things.
1- whether or not an active ingredient can be used for what is indicated for,
2- the process by which a medication is mass- produced is in compliance with GMP.
Any medication that is furnished by the pharmacy must be FDA approved, whether it has been mass produced or compounded.
In a compounded medication, pharmacist uses a FDA-approved active ingredient (ie Estradiol), compounds a medication based on a prescription for a specific patient.
A compounded pharmacist is well trained professional in his field of work. He/she compounds a medication under guidelines and regulations dictated by the US Pharmacopeia and the State laws where the pharmacy is located.
Also, all hormones used in compounds made by the pharmacy are exactly as what the pharmacy claims it to be. If a pharmacy says the the compounded medicine is organic, you better believe that the compound is organic. A pharmacy is not a flower shop so can advertise a false claim. Or it loses its license.
FDA is not involved in the compounds made at a pharmacy since the compounds are made in very small scale for a specific patient.
The statements you make in this video are innately inaccurate.
Not sure either your knowledge of the profession of pharmacy is limited, or you are too eager to promote products mainly made by the pharmaceutical companies
Is there FDA approved testosterone for women? I have surgical menopause. I am 42. My GYN is through the VA. They're refusing to do any HRT, so I have no choice! I don't have any of my reproductive organs anymore, and I am cisgender, and wanted children. I need something to improve my quality of life! They only have me on vaginal estradiol. It does nothing for my other symptoms! BHRT seems to be my only way to get relief from my other issues.
What cream do you recommend?
I’m terrified of anything FDA and “safe and effective”
I’m taking bioindentical hormones and have never felt as well . There is always risks taking anything regulated and non regulated I think people should make their own decisions in what the find suitable for them . At the end of the day it’s a matter of choice to the individual .
The question is can we really trust the FDA?? 🤷🏻♀️ Doesn’t the pharmaceutical industry finance about 70% of the FDA’s drug division? It seems like one big business.
Great question😉
Exactly!!!
Bio-identical does not mean estradiol. It means the hormone is recognized by the human body as no different than it’s own generated hormone and is received by receptors as such. Your knowledge is incredibly biased and limited on this topic. How much do you earn annually from the pharma companies with FDA approved hormone products you’re limiting your practice and influence to for prescriptions I wonder.
This was a fantastic video they gave me additional insight. th-cam.com/video/8vhoYNLyOP8/w-d-xo.html
She's from Harvard, what do you expect.
Exactly it's frightening how little she actually knows about this.
Thank God...someone who understands Chemistry!
I wonder if she passed her exams...
I respectfully disagree with you
My Dr. is surgeon and Bio identical hormone specialist
He worked with the top hormone specialist who worked with Suzanne Somers
He is top 3 Hormone specialist in US. Bio identical hormone replacement pellets is the way to go…..then take progesterone orally at night. Best thing I have ever done for myself
People need to see a specialist
My doctor inserted pellet with estrogen and testosterone and then I take progesterone at night. My hormones were so low, 0-12 post menopausal and I suffered from depression and anxiety and brain fog and fatigue and insomnia and low sex drive, etc. doctors for years wanted to put me on antidepressants, and Ambien and Adderall…….all awful side effects. After getting the bio, identical hormone pellets, and started and taking the progesterone orally at night, I feel like a new woman, feel great and sleep good
I respectfully disagree with you! I have researched for years. read many books then actually tried bioidentical hormones! I'm now on BioTe pellets and am doing great!
Have you tried FDA approved hormonal therapy?
I too started the BIO-TE pellets as recommended by a friend. And i have found them very helpful - aside from the cost 😳
My large Gynecologist office (consisting of probably 10 Dr's total) has included BIO-TE for their patients needing HRT.
Why... why would our trusted Drs recommend something that is dangerous?
I have to admit I've wondered why it wasn't FDA approved. 🤔
So much conflicting information out there.
It's time for me to get my next dose of pellets but now I'm scared.
My hormones are all out of whack....not sleeping at all. So I don't have time to waste.
I need to find answers Pronto
They recommend it probably because it’s making them a lot of money and also because they weren’t educated on treating Menopause in general. Check out my other video on how to find a good menopause doctor.
@@heatherhirschMD They recommend it bc it works better than any hormones I've ever tried! My Dr doesn't charge me a dime! It's called professional curtesy!
@@kellyjones4300 really? You get these expensive pellets free? 🤣
I think it’s important to say, not every woman’s needs are the same. It’s not a one size fits all.
THANK YOU. This was exactly what I needed. 🙏✨
Wonderful video! I started last year 2021 on Boidentical creams that were compounded estradiol and testosterone and prog. pills. They did help but I wasn’t completely satisfied and developed strange rashes on my arms. So I felt it was my body saying no. I did research and my gynecologist recommended Bijuvia! Happy to say after 1 month feeling well and happy to see your video about this! 👍🏼
Thank you for all you have shared ❤️
Thank god for you and your channel. Thank you for such solid, clear information.
Thank you for this info. I think these were the same sentiments in Dr. Gunter’s book Menopause Manifesto.
In europe there are specialized certified doctors practicing hormonal modulation. They study each patient and prescribe an individualized compounded BHRT. It's wonderful and has helped both men and women
Where do I find these doctors??
So glad to have found your TH-cam channel. I wish you were my doctor.
Thank you for this information, the best yet! I'm on forth round of Biote pellets, had breakthrough bleeding during pap, still spotting two weeks later. Obgyn put in new round of pellets even after noticing the bleeding during pap. Getting ultrasound today to rule out thickening. Can pellets be taken out and do you believe she issued right protocol?
Watch menopause Barbie Taylor DR she’s a educator not just a doctor !
what do you think about estrace cream vs. imvexxy? I'm about to start one of these.
I had a total hysterectomy and noticed changes in hair, skin, mood, and other areas. I'm considering going back on my estradiol birth control pills. Would this be a similar or a good alternative treatment?
i would be interested in hearing more about progesterone. you said that estradial was the bioidentical version of estrogen. my hrt patch has estradial with a synthetic form of progesterone. is there a bioidentical version of progesterone? if so, is that better than the synthetic version?
(51 yrs old, post menopausal) Really wish I had this information when my gyn suggested I was "the perfect candidate" for BioTE pellets. Been on them for nearly 2 yrs. Super expensive, invasive delivery system, & have yet to achieve optimal dosing--i.e. massively tender breasts, breakthrough bleeding and cramping...I am SO mad at myself for blindly agreeing to messing up my body. All along I thought it was the only special/safe option and other forms of HT were dangerous. Women do not know the facts & it is very sad
I’m so sorry, but I absolutely understand how you got there! You wanted HELP! This is NOT on you! Check menopause.org or happy to see you to help transition you! You got this!
Hi Dr. I have a question about the progesterone I have heard from doctors and other videos that bio identical compounded progesterone shows more dilation of the blood vessels versus the synthetic kind what do you think about that
Thank you for this information. Do you know if Duavee is available again? If so, would you be willing to do a video on Duavee?
Not sure when (or even if) Duavee will be back on the market, will make a video if it comes back, but not sure just yet.
The manufacture of Premarin depends on prolonged painful torture of female horses. Please choose a cruelty-free option.
this part should be mentioned!
It’s horrific what Pfizer is doing in the production of Premarin! Thanks for making the comment.
Hello I may have a dumb question but I am 43 years old with low amh and I heard testosterone pellets hormone replacement therapy would help in infertility is that true? And I on compound progesterone 200mg every night and that was suppose to help with sleep but at first it had helped with sleep not it doesn't so I stopped taking them progesterone pills recently and my testosterone is 11 and my progesterone levels was 2.1 very low
Why are you with use something that is not identical to what is in the body when you have the option to take something identical is beyond me. The FDA approves all kinds of terrible crap. The pharmaceutical industry is a huge business obviously. I think there are only two countries in the world that allow pharmaceuticals to be marketed in commercials and we see them everywhere. it’s always best to be your own health advocate and do your own research especially since doctors can’t get kickbacks from promoting pharmaceuticals. I I have had a best friend and a family member or killed by doctors subscribing pain meds.
Im 52, menopause symptoms and no libido. Still haven't gone a full year without a cycle so Im not post-m yet. I do have some fibroids...OBGYN prescribed 1 mg estradiol and 200 mg progesterone capsule. Scared to take the leap and take the 200mg of progesterone cause a progesterone cream in the past gave me irritability and anxiety. Do you think this is a good combination to try? (1 mg estradiol daily plus 200mg progesterone daily?) would like to have my libido back along with my husband lol
Are Biote pellets with FDA approved? I just got my first pellet with Estrogen and Testosterone and now I am really worried.
And also the thing with biote is that I don’t see myself starting pellets at 50-52 and then at 80 years old getting my hip cut every 4 months to insert the pellets and paying all of that money 🤦🏻♀️
It’s a lot of money. $375/pellets then pay about $@175.00 for supplements. You knock back pills daily and nightly.
Thank you Dr Hirsch. What do you think about taking 25mg DHEA supplements along with the 0.1mg estradiol vaginal route? Thank you. Anne
Oh also you are just Stunning !!! Beautiful hair and Skin !!
Great video as always. Question, if one is using low dose birth control to manage peri menopause symptoms, late 40’s, does this mean it will mask when menopause happens? It seems the pill will keep a bleed coming or some skip the placebo pack. And doing labs while taking the pill will not be accurate, is this assessment correct? Another topic, is it common that ladies cannot tolerate micronized progesterone and also sensitive to the iud? These things bring on extreme mood changes for these ladies.
Great questions. Check out my video on transitioning from birth control to post menopausal hormone therapy and I also have a video on IUDs- usually women tolerate much better compared to the systemic progesterone.
I am wondering how you feel about Bijuva? I took that then my doctor put me on bio but I am not feeling good. What do you suggest? Thank you
Just started taking it and can not find much information on Bijuva
I’m 50 years old post menopausal on Estrodiol
So what do you recommend for someone who is 37 and all hormones are low and FSH in menopausal ranges and dealing with symptoms that don't go away regardless of good diet, don't drink or smoke?
I had same symptoms you have and same age but this wild yam complex helped me
Your bloopers were cute here 😄
Info on the subject starts at 4:01
Thanks Sammy and I’m going to start adding time stamps
What you are saying is that I should discontinued my non fda Bhrt estrogen and progesterone?
I have to use compounded estrodial because it is cheaper than fda-approved because my insurance does not cover any prescriptions. I was concerned about the exact dose i am getting (i started not sleeping well again) and the pharmacist said there are no guarantees with compounded medications. That is an example of what @heatherhirschmd is talking about....
Why did they use Premarin for the WHI? Why not use Estradiol? Seems logical enough to replace exactly what women are missing. Is it because Premarin could be patented (translation-you can make money on it!) and you can't patent something naturally occurring like Estradiol? It gets me so angry as it seems to be all about money. Also, companies can't patent the Estradiol in patches, only like the adhesive the patches are made with. So disheartening if this is true.
The information presented here is false.
FDA approves the process by which a medicine is made/manufacture at a large scale. Also, FDA approves whether or not an active ingredient should be used to treat a specific illness. For instance, FDA approves that NSAID’s are to be used for pain (headache, etc)
A compounded medication uses an FDA approved medication for the indication approved by the FDA. I don’t see the reason why this lady claims that a compounded pharmacy is in the business of furnishing a non-FDA approved drug.
Any medication produced at a pharmacy in the US is FDA approved. The process by which this medicine is compounded is regulated by the US Pharmacopoeia and the State laws where the pharmacy is located. A compounded pharmacist is well trained to compound any medicine with an official order from a physician.
The information presented here is mostly inaccurate.
Yes thank you! It's scary how wrong she is!
Excellent video as always!
One idea for a future video: how long to wait between estrogen dose (using FDA approved estrogen) increases and why is that necessary? Many women are anxious to feel better as soon as possible and I’ve been advised to wait at least 3 months for my body to adjust. Thank you for your dedication to us menopausal women! 👏🏻👏🏻
I’ve wondered about this too! I have stayed with my dosage since I started taking it.
about 8 - 10 weeks is when I have my patients return and we can adjust then. Every now and then we adjust even earlier at 4 - 6 weeks.
Thanks Lara for your consistent support and I love all your content ideas! Thank you and keep them comming!
@@heatherhirschMD If you are feeling good with the dosage you are on I’m assuming you would stick with it and not change anything? Thanks!
But do we trust the government? The FDA is just that.
Wow, I didn’t know testosterone is not FDA approved. Is there an FDA approved medication that people should be taking that will treat whatever they’re on testosterone for? Your channel is invaluable, thank you for what you’re doing!
Yes, see my video on low libido! there are two FDA approved medications for low libido, which is what women use testosterone for.
WOW, considering the FDA is completely corrupt & wants to stop any holistic or natural approaches, are you really shocked? Are you always so vapid & gullible? 🤡
DHEA
That gave me that it raised my testosterone. And a whisker on my chin. 😢😊
Take less, like 5-10 mg
You confused me even more! So are taking FDA approved bioidentical hormones better? Thanks
NO. Compounded pharmacies are still pharmacies that use the SAME drugs customized to YOU vs the FDA giving you a blanket drug with little care to your individual needs.
Great information! Thank you. I am currently taking non-FDA approved compounded hormones. Should I just stop them immediately or talk to my gynecologist about replacing with FDA approved ones instead?
I am biased, so I recommend finding a menopause expert, like on menopause.org to find FDA approved HT!
All compounded pharmacies use FDA approved products. Your compounded hormones are made under different guidelines. FDA approval is used for the process of manufacturing for big pharma. A compounded pharmacy operates under a different guidelines (USP and State laws), as stringent as FDA guidelines. With all do respect, this physician is misinforming her audiences. She is bismirching the profession of Pharmacy and that is legally persuable. Pharmacy is the most trustworthy profession, and must only furnish medications that are FDA approved. A pharmacist never provides a medication that is illegal. She does not know what she is talking about. Maybe we'll compensated by the big pharma to promote their products. Compounding has been the foundation of what profession of Pharmacy is, and pharmacist are well trained for it.
Hi Dr Hirsch
Writing from Canada. Apparently in Canada we have approximately 180 NAMS certified practitioners available. This makes access to treatment almost impossible for women to obtain . With that said I do not have a lot of confidence in NAMS due to Their conservative guidelines. This is reflected
Out of my own personal experience. my GP does not recommend and will not prescribe HRT as guided by NAMS.
As far as the NAMS recommendations I find them disappointing.
For example
Effexor and Gabapentin to manage vasomotor symptoms, absolutely inappropriate!
Lowest dose for the shortest time, out dated. Treatment only Under the age of 60 myth! I could go on.
In defence of compounded bio identical HRT, it is the only option available to me at this time and it works! My NP practitioner bases her treatments on current evidenced based data. My compounding pharmacy meets all dispensing requirements under Canadian licences.
I have run out of time and patients while bureaucracy debates my fate. My body my way.
Conventional practice has been most disheartening.
Respectfully
J
I am on bio identical hormone. For 2 years. Should I stop?
What blood level of estradiol should we aim ?
To be healthy and fee good.
I will do a video on this in the future since I get this question a lot.
I was RX Estradial 1 mg and terrified to take it, my labs also showed testosteone levels as being insufficient why did my dr. not RX that as well, I was originally RX combi patch but the insurance would not approve it, so instead my dr. rx the estriadial 1 mg is this ok to go ahead and take instead I also have a appointment again with my dr. next week
I was given Estrogel 10 weeks after my TAH BSO last year. It's working well for me with the exception of insomnia. That is caused by other health issues
WHI study had an average age of 63, most had problems, weight and health, which makes the study not one you want to rely on their data. You want a study of women 40's up who are healthy
Im 50 and have a mirena in place (it’s my 3rd), I began using Premarin in the summer ‘20), I would like to start HRT now. Would I only need Estrogel?
Estradiaol patches are available. Ask ur physician
Why are you using Premarin,? It's from horse urine. I found that male Drs didn't know about bioidentical , they told me it was the same as Premarin or Prempro.....but it's not. I learned so much from reading Suzanne So omers books.
What type of FDA approved progesterone do you prescribe? That is what confuses me.
I am 63 year old. And being taking pallets of bio T. So I am thinking of stopping it. I have been taking it for 2 years.
My mother was prescribed Premarin and as a result of that she caught breast cancer.
So I’m terribly sorry your mom got BA CA, but there is not way to know if she would have developed it regardless.
What do you suggest for a vaginal cream for vaginal atrophy? Confused again the estradiol cream from my dr was well over hundred dollars. The compounded cream was 60 dollars. The estradiol from a doctor has stuff in it I wouldn’t want to use. Parabens
Okay, but what do the *scientific studies* on bio identical hormones say?
Are Advanced Bioidentical Hormone Replacement Therapy injections ok for men?
My doctor prescribed a product from Source Natural which is called Natural Progesterone Cream and the ingredients are 500mg per ounce and it is derived from soy. I have no idea if it is FDA approved or not. I did tell him that I wanted FDA approved bio-identical hormones. So, that is your next video. How do you know when something is FDA approved, not approved, compounded but approved? What's approved her as oppose what's approved in other countries. In this country we still approve things such as genetically modified wheat, still give antibiotics to animals. So, I think that if we put a label and say FDA (Federal Drug Administration) then we need to dive deeper into what exactly are they doing and why.
I suspect this is not FDA approved.
@@heatherhirschMD I don't know. That's the problem how do you know. For example, you could get retin A at a pharmacy, but then again people seem to get it not going to a pharmacy just order through the doctor. I'm confused.
@@honeybunch1143, you can go online and find the list of FDA approved bioidenticals. I’ve used the one you’re using, and it’s not FDA approved which is why I am seeing a doctor through NAMS tomorrow. I feel more comfortable on something that is regulated.
She's wearing pink and she's from Harvard, therefore you should definitely trust her credibility.
im soo confused have been on biest, prog, test creams. my doc.was now goingnto.put me on dhea comp pill instead. does.that help ? 🙄
These are not FDA approved medications. DHEA is likely not going to help much.
@@heatherhirschMD dhea - pubmed.ncbi.nlm.nih.gov/11106916/
This study seems to show dhea can help and I have read some other studies that dhea can have some beneficial effects ...
I’ve read that postmenopausal estrogen dose should be .1mg per day for bone and heart benefits . What is your thought on that ? Lower doses may alleviate symptoms but not necessarily give you these important benefits .
What brands are considered bio-identical and fda approved? There are so many!
I started seeing a naturopath who prescribed biest/progesterone in troche. Is this fda approved? I’ve noticed since switching from prempro to this new hrt I have tingling in my hands/feet (googled this and it said this could be caused by hormonal imbalance although my naturopath hadn’t heard of this). Also experiencing headaches and acne so my naturopath added a DIM supplement which made the headaches worse at first. I switched from Prempro (3.5/1.5) because I thought maybe it was making me irritable (I also suffer from depression and was having lots of anxiety) but it was helping with hot flashes and night sweats so I’m not sure if I should go back to Prempro or stay on this HRT. Any advice would be so greatly appreciated.
this is NOT FDA approved, and yes I would stop and look for a menopause expert and get on FDA approved HT.
@@heatherhirschMD thank you for sharing your wealth of knowledge!!!!
I hope that when you get hot flashes, the only hormones that your doctor will give you are oral estrogen and progesterone.
I wonder why every one on social media talk about menopause peri menopause and so little or none about postmenopausal women... is it because menopause and post menopause are the same? There are many of us that went into menopause way before due to endo, ovarian cyst etc....🤷😔
34 years old, perimenopausal. Why would my doctor suggest compound and not FDA approved ?
I have no clue... poor training or bias probably.
Just got results my testosterone is 11? I’m 42. I want to feel better and the easiest solution is pellets.
Or just using androgel which is about $12 a month!
Is that Biote pellets ? It cost 400.00 every four months to get these pellets ! And a lot of doctor offices offers them ! Why is that ?
EB, I have heard that the pellets are a “cash cow” for many doctors.
Is there FDA approved testosterone for women? I have surgical menopause. I am 42. My GYN is through the VA. They're refusing to do any HRT, so I have no choice! I don't have any of my reproductive organs anymore, and I am cisgender, and wanted children. I need something to improve my quality of life! They only have me on vaginal estradiol. It does nothing for my other symptoms!
I’ve known numerous women who got the pellets placed in the buttocks every few months and all of them acted and said the pellets gave them such energy, sexual desire, and elevated mood. They acted like drug addicts to me----practically freaking out when “the effects were wearing off”. What the heck
Yes - very dangerous. Here is my video on why NOT to use them: th-cam.com/video/D14Qku4sllM/w-d-xo.html
Such great information!
We sure can have it rough ! Everyone is so different!
Probably cause they felt like Hell and we’re finally like I feel so much better !!! Lol it can be debilitating! I had 2 stays in the phyciatric ward in 3 years due to Menepause insomnia etc ! Horrible
How come gynecologist don’t prescribe the approved medication for lower price? That is the problem in America, medicine is a total business.
It’s all confusing because Drs say different things
I thought Bioidentical meant plant based hormone and not synthetic
Robin, they are plant based, but they aren’t regulated like the FDA bioidenticals.
Bioidentical means it is chemically identical to your own hormones. It can be derived naturally or synthetically.
Pharmaceutical companies cannot patent it, so not lots of money to be made! Check out some other sites...this woman is confused and miseducated.
I am confused on this video??? Are you saying bio is no good? The doctors are all prescribing estradiol. I thought that was chemical???? I thought bio was better?????? Totally confused
Both sources are bio identical-the FDA approved estradiol is also bio identical. That simply means the molecules in the hormone are chemically identical to the estradiol the female body makes. But the FDA approved ones go through rigorous testing and have the exact contents and dosage it says it has. (Regulated).
I have been educated that there are 34 hormones in horse urine that are not compatible with humans. This is confusing information. I don't do well with prescription drugs at all. Ugh!
I do not believe you. You are promoting official medicine that solves the symptoms, but does not break. Does anyone want to take approved pills? Have you decided to advertise for them? Oh yes, a good way to omit what is better in quality but not approved. The problem is not estrogen, but progestin, which is different from bioidentical progesterone, and the problem is that it does not work well with our body and brings problems. Progestin. And you need progesterone, without the change that is in progestin for the sake of its commercial use and registration. Again, people should have a choice, always the decision of the patients. It's unfortunate that you're posting this kind of information.
Compounded pharmacies are CUSTOM medication to the person instead of blanket levels of medication with regular standard care. These are normal pharmacies with the same drugs custom managed. Anecdotal evidence of women using compounded pharmacies you have seen doesn't mean they would not have gotten it otherwise. Most of us are very away doctors get kickbacks from FDA pharma drugs they push. I think people should not be frightened into not using pahramcies becuase they are CUSTOM medications Vs. the general drug shelf variety. I clicked on here to learn more about this and it seems you are using scare tactics to women looking for answers. Sad.
You say you can get these RX to us for a few dollars a month but you charge $900 for a one hour visit?! How is this not YOU being financially abusive and taking advantage of women when at their weakest just as you claimed here in this video? SMH.
Shame? One should feel very bad about choosing to use a product that causes animals pain and suffering.
This wat irritating to the point of insanity. I hear a lot but its all over the place. The entire point of women wanting to take Bio-Identical hormones because the DON NOT WANT TOE TAKE Synthetic Estrogen and Progesterone. I think I'll subscribe to a better informed an less screech.
Bio hormones are not a prescription. Supplement.
So many words but so little useful information.
You are so cute😊