Acupuncture News and Research
Curious to know the latest oriental medicine trends and findings? Keep up to date with my blog postings focused on relevant acupuncture news and research.
What Should I Do If I Experience Concerning Symptoms While on BHRT?
While Bioidentical Hormone Replacement Therapy (BHRT) is generally well-tolerated, some symptoms may indicate a serious medical condition that requires immediate attention. If you experience any of the following, seek emergency care first, and notify our clinic afterward if relevant. We are not an emergency clinic and cannot assess or manage Read more ...
Supplemental Fees
A flat fee for processing and sending prescriptions to a pharmacy of your choice outside of our preferred pharmacy network. We prefer to work with knowledgeable pharmacies experienced in preparing our prescriptions. If you elect to use a different pharmacy and they require our clinician's support to Read more ...
My practitioner has advised supplements in addition to my BHRT prescriptions. Why are these necessary?
Supplements can optimize your body’s response to BHRT and address additional health needs: Support for Adrenal Health Supplements such as Ashwagandha, Rhodiola, Cortico-Calm, B-Complex, Adrenal-Matrix, or Liposomal Vitamin C may be recommended to support adrenal function. Particularly beneficial for those with cortisol dysregulation or a history of chronic stress. Enhanced Read more ...
What if I want to explore non-hormonal options?
Non-hormonal options may include: Consulting a Naturopathic Doctor for integrative care. SSRIs/SNRIs for hot flashes and mood. Vaginal moisturizers or hyaluronic acid inserts for dryness. Supplements: Black cohosh, ashwagandha, or magnesium. Always discuss alternatives with your provider before making changes to your plan.
What are some special considerations when applying gels or creams?
For Per Vulva (PV) Creams: Urinate before application to avoid wiping away the cream. Wash Hands Thoroughly: Ensure no transference of medication to others. Timing for Intimacy: Apply creams or gels after intimacy to avoid transference to your partner.
What’s the best time of day to take my hormone therapy?
Oral Estradiol: Morning with food for best absorption. Oral Micronized Progesterone: Bedtime for optimal sleep support. Testosterone Cream/Gel: Morning or early afternoon to support energy and avoid sleep disturbances. DHEA: Morning, with or without food. Desiccated Thyroid: First thing in the morning on an empty stomach, at least 30 minutes Read more ...
What should I expect with DHEA supplementation?
DHEA is a precursor hormone that converts to testosterone or estrogen. Common effects include: Energy and Mood Boost: Often noticeable within a few weeks. Libido Improvement: Particularly in women with low androgen levels. Potential Side Effects: Acne, hair changes, or increased estrogenic symptoms if the dose is too high. Start Read more ...
Can I take other supplements or medications with hormone therapy?
Yes, but some supplements or medications can interact with hormone therapy: Calcium or Iron: Avoid taking within 4 hours of desiccated thyroid to prevent absorption issues. St. John’s Wort: May reduce estrogen levels by speeding up liver metabolism. Certain Antidepressants (SSRIs/SNRIs): Can reduce testosterone levels or affect libido. Always discuss Read more ...
Why do I need to monitor my hormone levels regularly?
Monitoring your hormone levels ensures safe and effective treatment. Regular testing helps: Optimize your dose: Ensuring adequate symptom relief without excess. Identify imbalances: For example, high estrone levels from oral estradiol can cause side effects. Assess long-term safety: Prevent complications like endometrial hyperplasia, liver function changes, or high testosterone conversion.
I’m experiencing breast tenderness and water retention. Is this normal?
Breast tenderness and water retention are common in the first 4-6 weeks of starting or adjusting estrogen therapy. These symptoms usually subside as your body adjusts. However: If symptoms persist or worsen, contact your provider. A dose adjustment or switching from oral to transdermal estrogen may help reduce these side Read more ...