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Natural Hormones… Are They Really Natural? |
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Page 6 of 8 Elizabeth Vliet, too, is a woman and a doctor, which gives her a better vantage point for BHRT than having a Y chromosome. She manages to color inside the lines when it comes to the Standard of Care set by synthetics, too. Her recommended dose of natural progesterone for daily use is 100 mg daily (oral) – less than that if non-oral. Her BHRT of choice is the government sanctioned bio-identical estrogen (E2- estradiol) that comes in very, very small amounts in pills and patches. She vacillates on Bi-est usage, but no Tri-est, more importantly, no saliva testing. Wiley concurs.She says in an interview on the Website PowerSurge.com, “I stopped using saliva tests about 5 years ago because they were so unreliable and didn't fit with what that women themselves were telling me. The "gold standard" in reproductive endocrinology and the international menopause research field to test hormone levels is the serum assay in blood. There are complicated reasons for this, but basically it has to do with the fact that more is involved in activating the hormone receptors than just the free fraction -- based on more recent research. If you really want to have a better picture of where you stand, you would do well to have the serum levels done. There are known minimum thresholds for the various target organ protective effects of E2, progesterone to prevent hyperplasia, testosterone for bone, libido effects etc. Cyclic progesterone or progestin does mean periods -- but also means less time on that part of an HRT regimen if you are having problems with it.” By less Dr. Vliet means - as opposed to taking progesterone every day for 28 days with some form of estrogen, ala the PremPro template that made women so sick in the WHI. Dr. Vliet seems well-versed in endocrinology and as a clinician, very facile at symptom identification. It’s surprising that the frequency of rhythms, their pulsitility and amplitude in human female BHRT, escaped her astute scholarship. Without a beat, it’s not music.
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