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Health Archives
June 2003

Bio-Identical Hormone Replacement -
Alternatives to Traditional Therapy

Sandra Justice, P.D.,FACA

Today millions of men and women concerned about aging and maintaining a quality of life are undergoing hormone replacement therapy (HRT). Hormone-related problems- such as mood swings, PMS, infertility, endometriosis, fibrocystic breasts, weight gain, low libido, vaginal dryness, frequent bladder infection, heart disease and osteoporosis - can be relieved by achieving a proper hormone balance. In considering the benefit risk ratio, it is important to take into account alternatives to traditional therapy.

Aternatives to traditional HRT include the use of natural plant-derived bio-identical hormones which have the same chemical makeup as those produced by the human body. Synthetic hormones and hormones from animal sources do not allow the body to produce the full range of other hormones which are needed to function at full potential, and therefore are more likely to produce side effects.

Many people, including doctors, haven't heard much about bio-identical hormone replacement. Because bio-identical hormones cannot be patented for the same reason natural air, water, or vitamins cannot be patented, there's little or no incentive for the pharmaceutical industry to spend millions of dollars to develop, test, submit to the FDA for approval, and market these hormones. It is important to note, bio-identical hormones were not included in the study released concerning the negative effects of traditional hormone therapy on the heart.

Bio-identical hormone replacement isn't just estrogens and progesterone. Bio-identical estrogens and progesterone are just part of a complex and closely interlinked hormonal system that includes many other hormones such as testosterone, DHEA, pregnenolone, and melatonin, to name just a few. Many of these hormones have been found to decline with age. Restoring them to normal levels with natural replacement versions can have a remarkably revitalizing effect on hearts and immune systems to moods, energy, and libido.

The best way to reap the benefits of HRT and bypass the side effects is to customize. HRT needs to be carefully initiated by a physician after a personal history, family history, and current medical situation are reviewed. Everyone is unique and will respond to therapy in their own way: therefore the selection of hormone(s), dose and dosage form should be specific to each patient. Close monitoring is important to ensure proper dosage adjustments and avoid unnecessary side effects.

Compounding pharmacists can make natural hormones in a variety of doses, regimens, and preparations designed to make you more comfortable with your therapy while gaining long-term benefits.

Information regarding bio-identical hormones and their role in the body, both female and male, can be found at www.noraapothecary.com under archives/natural hormone replacement.

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