Practice Takeaway: I always try to taper the estrogen dose down over a period of 2-6 months depending on the individual’s difficulty with withdrawal symptoms. Once I have the patient on a lower dose (Premarin 0.3 mg or Estrace 0.25 mg every other day at the most), I will switch over to a bi-est consisting of 50% estradiol and 50% estriol. The reason for this is, if you stop the estrogen abruptly or…

Tags: Dosing, BHRT, Bioidential Hormones


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How to Convert Patients to BHRT from Conventional Therapies

Testosterone replacement therapy has the potential to drastically improve quality of life of those who need it. However, many men who begin topical testosterone are given too much of the hormone. Explanations for this erroneous tendency are rooted in incorrect dosing principles that have been established on false assumptions, misconceptions, invalid conclusions and aggressive marketing instead of…

Tags: Testosterone, Dosing, BHRT, Andropause


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Testosterone Replacement Therapy: Ensuring an Accurate Dose!

When a patient says that she wants “natural” hormone therapy, does the term mean the same thing to you as it does to her? Let’s explore that question further by dissecting the terminology most commonly used by patients (and even some experts) when discussing hormone restoration therapy: “natural,” “synthetic” and “bio-identical.”NaturalThe term “natural” cannot be used to describe hormones or…

Tags: Hormone Balance, Menopause, BHRT, Patient Education, Dosing, Bioidential Hormones


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Confused About Hormone Therapy Terminology?

A Practitioners Guide to Physiologic Bioidentical Hormone Balance is that much needed hands-on guidebook you’ve been needing. In every chapter of this long overdue guide, you're reaping decades of experience from a compounding pharmacist and educator known to many as a ‘walking encyclopedia’ of best practices in the clinical use of BHRT. Watch the Webinar: A Practitioner's Guide to Physiologic…

Tags: Hormone Balance, Menopause, BHRT, Dosing


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Book Review: A Practitioner’s Guide to Physiologic Bioidentical Hormone Balance

Over 25 million women a year worldwide will enter menopause and make a decision about hormone replacement therapy. For healthcare practitioners, what dosage and what formulation these hormones take is open to debate. After many years of teaching and talking to practitioners, I’ve learned that: there are many strategies for approaching dosages, everyone thinks that theirs is the best, most of them…

Tags: Hormone Balance, BHRT, Bioidential Hormones, Dosing


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Navigating the Challenges of Hormone Replacement Therapy Dosing

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