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HRT vs. HRT
Taking a look at all forms of HRT
What is Hormone Replacement Therapy?
Hormone replacement therapy refers to a low dose, static
dose, hormone therapy wherein the patient, in the course of
medical treatment, receives hormones at the lowest possible
doses to treat the maximum amount of symptoms, using
pharmaceutical synthetic, or compounded bioidentical
hormones.
What is Hormone Restoration Therapy?
Hormone restoration therapy refers to bioidentical cyclic
dosed hormone therapy wherein the patient receives
hormones dosed in a rhythmic fashion to mimic a woman’s
body, at the most optimal healthy levels possible to prevent
and reverse disease, using compounded bioidentical
hormones.
Two forms of HRT
• Synthetic: manufactured with chemicals in a
pharmaceutical plant.
• Bioidentical hormones: plant base, similar
molecular structure as our own body
Types of HRT
Four types of HRT
• Synthetic hormones, low dose, static dose

• Bioidentical hormones, low dose, static dose
• Synthetic hormones, low dose, semi static dose
• Bioidentical hormones, optimal dose, cyclic dose
3 Dosing Methods of HRT
• Static: same dose every day
• Semi-static: on one week, off the next concept
• Cyclic or Rhythmic: dosed to mimic the
natural cycle of the human body
10 Misperceptions of HRT
1. Hormones Cause Cancer
If this were true, we’d all be dead. Synthetic hormones cause cancer,
bioidentical hormones do not. You are at greater risk for cancer if
your estrogen is in the tank. Estrogen is especially designed to
protect a woman’s body from the degenerative diseases of aging,
including cancer.
10 Misperceptions of HRT
2. There’s only one kind of HRT
There a couple ways to treat hormone deficiencies; treat the
symptoms with a synthetic or natural low, static dose, or restore
natural hormones to optimal levels, dosed in a cyclical manner
that mimics a woman’s natural cycle.
10 Misperceptions of HRT
3. Hormones are for old women
There is a huge misconception that we get our hormones at puberty,

and we all produce enough. PMS, perimenopause, and menopause
are a direct result of estrogen deficiency, and can happen at any age.
10 Misperceptions of HRT
4. Too old for
hormones
Many women think once they’ve “passed” the “change”, they don’t
need hormones. When women say this, it tells me how much they
don’t know about HRT and the benefits of replacing the hormones
that give life. Women feel much better on the right kind of HRT.
With the right amount of estrogen, a woman can rebuild her bones,
decreasing her risk, or reversing osteoporosis.
10 Misperceptions of HRT
5. Doctors know how to prescribe HRT
Make sure before taking hormones to ask your provider where they
received their hormone training. Your doctor may have a strong
opinion about hormones but are not forthcoming with their lack of
knowledge in this area, and can make a mess of the patient. It’s okay
to ask your doctor about their training and the focus of their practice.
It’s your body and your life. Hormones regulate everything in the
human body, and you have a right to proper HRT.
10 Misperceptions of HRT
6. Lowest dose is
best

With the lack of knowledge and training in HRT, doctors are telling their
patients the lowest dose is best for hormones. This is so far from the truth.
This method is taught in medical school with the mindset of estrogen
causes cancer so give the lowest dose for the shortest amount of time.
Hormones need to be restored to levels that mimic a healthy woman, not
an unhealthy woman. The goal is to fix the cause of hormone deficiency
by naturally restoring hormones instead of treating the symptoms of
hormone deficiency with a low dose.
10 Misperceptions of HRT
7. Use only for the shortest amount of time
Uneducated doctors suggest this because they’ve been lied to that
hormones cause cancer. If a woman’s hormones are balanced correctly,
she will want to be on them as long as she can. Staying on them as long
as she can will help her fight and reverse the degenerative diseases of
aging, and make her feel good.
10 Misperceptions of HRT
8. Use the same dose every day
This is a one-size-fits all mentality. I still haven’t come across a woman who has
by exact physical issues or body. Every woman’s body works a little differently but
one thing remains consistent if a woman is hormonally healthy and that is women’s
bodies cycle with the phases of the moon (men’s bodies cycle with the solar
system) and so does her hormones. On day six of a woman’s cycle, her estrogen
begins an incline and peaks on day 13 (full moon), then falls to a low by day 18.
Estrogen makes another incline peak at day 22 and drops again so a woman can
shed her lining. Why give the same dose everyday if our bodies don’t function that
way. One cannot have proper HRT if the hormones are not cycled and optimized.
10 Misperceptions of HRT
9. One size fits all
No two women are the same. Uneducated doctors read the hormone
sample insert in the box on how to dose the hormone, slap a patch on the
patient, and call it HRT. Proper hormone restoration involves dosing the
patient based on her body size, body type, level of deficiency, and how
long they’ve been deficient. These are very critical elements in dosing. I
tell my patients the regimen that works for me, wouldn’t work for them,
and their HRT would do me any good. My body is very sensitive to
testosterone so I take about a tenth less than a woman with average
tolerance.
10 Misperceptions of HRT
10. It’s quick and simple
The last thing proper HRT is: quick and simple. Patients who are looking
for a quick fix get terribly disappointed. Proper HRT is not conventional
medicine. Every patient is different and needs to be dosed and treated as
such. Proper HRT is a process over a period of time. The first month a
patient is on the correct hormone protocol, they feel better but they’re
skeptical about why they feel better. The second month is better than the
first month because estrogen receptors are waking up, and can receive and
utilize the estrogen. Each month more estrogen receptor sites are
awakened, making the patient feel better and better, for some women up to
a year.
5 Flaws of the Women’s Health Initiative
1. Hormones used in the study were Premarin
and Prempro
5 Flaws of the Women’s Health Initiative

2. Static, low dose, continuous therapy
5 Flaws of the Women’s Health Initiative

3. Oral route of estrogen administration
5 Flaws of the Women’s Health Initiative
4. Physiologic consequences to taking estrogen orally
5 Flaws of the Women’s Health Initiative
5. Many statistical flaws: http://goo.gl/q6qik
Estrogen does NOT cause cancer
No HRT Education
• “My doctor says estrogen causes cancer”

• “My OB-Gyn said I should take the lowest dose possible to treat the
symptoms”
• “My doctor said I should get a hysterectomy if I don’t like my
horrible periods”
• “My doctor said low dose HRT is better”
• “My doctor said take the lowest possible dose for the shortest
possible time”
Don’t be afraid to ask your doctor where they received their HRT fellowship
How Functional Menopause Medicine
Balances Hormones
• What are the hormone levels?
• What are the symptoms?

• What does the blood work indicate?
• What is the patient eating?
• How is the patient sleeping?
• What activities does the patient have?

• What stress is the patient under?
Functional Menopause Medicine

The Panacea Protocol:
Bioidentical Cyclic Dosed Hormone Restoration
If you are interested in learning more, or if
your doctor is interested in being trained in
The Panacea Protocol: Bioidentical Cyclic
Dosed Hormone Restoration Systems™,
please email info@PanaceaSciences.com
Upcoming Shows
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The following slides are recommended
pharmaceutical grade supplements and
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Estro Harmony™ is for women who want relief from menopausal hot
flashes and support for breast health. Research suggests the ingredients in
this formula can also benefit cardiovascular status and bone remodeling.
This all-natural formula delivers a proprietary blend of plant lignan extract
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MedCaps Menopause™ is a unique combination blend that is
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PMS Soothe™ is a comprehensive blend of Native
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HRT vs. HRT (Part One)

  • 1. HRT vs. HRT Taking a look at all forms of HRT
  • 2. What is Hormone Replacement Therapy? Hormone replacement therapy refers to a low dose, static dose, hormone therapy wherein the patient, in the course of medical treatment, receives hormones at the lowest possible doses to treat the maximum amount of symptoms, using pharmaceutical synthetic, or compounded bioidentical hormones.
  • 3. What is Hormone Restoration Therapy? Hormone restoration therapy refers to bioidentical cyclic dosed hormone therapy wherein the patient receives hormones dosed in a rhythmic fashion to mimic a woman’s body, at the most optimal healthy levels possible to prevent and reverse disease, using compounded bioidentical hormones.
  • 4. Two forms of HRT • Synthetic: manufactured with chemicals in a pharmaceutical plant. • Bioidentical hormones: plant base, similar molecular structure as our own body
  • 6. Four types of HRT • Synthetic hormones, low dose, static dose • Bioidentical hormones, low dose, static dose • Synthetic hormones, low dose, semi static dose • Bioidentical hormones, optimal dose, cyclic dose
  • 7. 3 Dosing Methods of HRT • Static: same dose every day • Semi-static: on one week, off the next concept • Cyclic or Rhythmic: dosed to mimic the natural cycle of the human body
  • 8.
  • 9.
  • 10.
  • 11. 10 Misperceptions of HRT 1. Hormones Cause Cancer If this were true, we’d all be dead. Synthetic hormones cause cancer, bioidentical hormones do not. You are at greater risk for cancer if your estrogen is in the tank. Estrogen is especially designed to protect a woman’s body from the degenerative diseases of aging, including cancer.
  • 12. 10 Misperceptions of HRT 2. There’s only one kind of HRT There a couple ways to treat hormone deficiencies; treat the symptoms with a synthetic or natural low, static dose, or restore natural hormones to optimal levels, dosed in a cyclical manner that mimics a woman’s natural cycle.
  • 13. 10 Misperceptions of HRT 3. Hormones are for old women There is a huge misconception that we get our hormones at puberty, and we all produce enough. PMS, perimenopause, and menopause are a direct result of estrogen deficiency, and can happen at any age.
  • 14. 10 Misperceptions of HRT 4. Too old for hormones Many women think once they’ve “passed” the “change”, they don’t need hormones. When women say this, it tells me how much they don’t know about HRT and the benefits of replacing the hormones that give life. Women feel much better on the right kind of HRT. With the right amount of estrogen, a woman can rebuild her bones, decreasing her risk, or reversing osteoporosis.
  • 15. 10 Misperceptions of HRT 5. Doctors know how to prescribe HRT Make sure before taking hormones to ask your provider where they received their hormone training. Your doctor may have a strong opinion about hormones but are not forthcoming with their lack of knowledge in this area, and can make a mess of the patient. It’s okay to ask your doctor about their training and the focus of their practice. It’s your body and your life. Hormones regulate everything in the human body, and you have a right to proper HRT.
  • 16. 10 Misperceptions of HRT 6. Lowest dose is best With the lack of knowledge and training in HRT, doctors are telling their patients the lowest dose is best for hormones. This is so far from the truth. This method is taught in medical school with the mindset of estrogen causes cancer so give the lowest dose for the shortest amount of time. Hormones need to be restored to levels that mimic a healthy woman, not an unhealthy woman. The goal is to fix the cause of hormone deficiency by naturally restoring hormones instead of treating the symptoms of hormone deficiency with a low dose.
  • 17. 10 Misperceptions of HRT 7. Use only for the shortest amount of time Uneducated doctors suggest this because they’ve been lied to that hormones cause cancer. If a woman’s hormones are balanced correctly, she will want to be on them as long as she can. Staying on them as long as she can will help her fight and reverse the degenerative diseases of aging, and make her feel good.
  • 18. 10 Misperceptions of HRT 8. Use the same dose every day This is a one-size-fits all mentality. I still haven’t come across a woman who has by exact physical issues or body. Every woman’s body works a little differently but one thing remains consistent if a woman is hormonally healthy and that is women’s bodies cycle with the phases of the moon (men’s bodies cycle with the solar system) and so does her hormones. On day six of a woman’s cycle, her estrogen begins an incline and peaks on day 13 (full moon), then falls to a low by day 18. Estrogen makes another incline peak at day 22 and drops again so a woman can shed her lining. Why give the same dose everyday if our bodies don’t function that way. One cannot have proper HRT if the hormones are not cycled and optimized.
  • 19. 10 Misperceptions of HRT 9. One size fits all No two women are the same. Uneducated doctors read the hormone sample insert in the box on how to dose the hormone, slap a patch on the patient, and call it HRT. Proper hormone restoration involves dosing the patient based on her body size, body type, level of deficiency, and how long they’ve been deficient. These are very critical elements in dosing. I tell my patients the regimen that works for me, wouldn’t work for them, and their HRT would do me any good. My body is very sensitive to testosterone so I take about a tenth less than a woman with average tolerance.
  • 20. 10 Misperceptions of HRT 10. It’s quick and simple The last thing proper HRT is: quick and simple. Patients who are looking for a quick fix get terribly disappointed. Proper HRT is not conventional medicine. Every patient is different and needs to be dosed and treated as such. Proper HRT is a process over a period of time. The first month a patient is on the correct hormone protocol, they feel better but they’re skeptical about why they feel better. The second month is better than the first month because estrogen receptors are waking up, and can receive and utilize the estrogen. Each month more estrogen receptor sites are awakened, making the patient feel better and better, for some women up to a year.
  • 21. 5 Flaws of the Women’s Health Initiative 1. Hormones used in the study were Premarin and Prempro
  • 22. 5 Flaws of the Women’s Health Initiative 2. Static, low dose, continuous therapy
  • 23. 5 Flaws of the Women’s Health Initiative 3. Oral route of estrogen administration
  • 24. 5 Flaws of the Women’s Health Initiative 4. Physiologic consequences to taking estrogen orally
  • 25. 5 Flaws of the Women’s Health Initiative 5. Many statistical flaws: http://goo.gl/q6qik
  • 26. Estrogen does NOT cause cancer
  • 27.
  • 28. No HRT Education • “My doctor says estrogen causes cancer” • “My OB-Gyn said I should take the lowest dose possible to treat the symptoms” • “My doctor said I should get a hysterectomy if I don’t like my horrible periods” • “My doctor said low dose HRT is better” • “My doctor said take the lowest possible dose for the shortest possible time” Don’t be afraid to ask your doctor where they received their HRT fellowship
  • 29. How Functional Menopause Medicine Balances Hormones • What are the hormone levels? • What are the symptoms? • What does the blood work indicate? • What is the patient eating? • How is the patient sleeping? • What activities does the patient have? • What stress is the patient under?
  • 30. Functional Menopause Medicine The Panacea Protocol: Bioidentical Cyclic Dosed Hormone Restoration
  • 31. If you are interested in learning more, or if your doctor is interested in being trained in The Panacea Protocol: Bioidentical Cyclic Dosed Hormone Restoration Systems™, please email info@PanaceaSciences.com
  • 32. Upcoming Shows 2/12/2014 Fat Skinny Girl 2/13/2014 Banana Boobs 2/14/2014 Sex, Lies, & Libido (Guest: James Nagel, MD) 2/17/2014 Blood, Saliva, & Urine 2/18/2014 Meno-Pube 2/19/2014 You Old Bag 2/20/2014 Don't Touch Me
  • 33. • FaceBook facebook.com/MenopauseTalkRadio FaceBook facebook.com/menopause.moxie • GoodReads goodreads.com/menopausemoxie • Google+ plus.google.com/+Menopausemoxie/ • InstaGram instagram.com/menopausemoxie/ • LinkedIn linkedin.com/in/mariehoag/ • Meetup meetup.com/Estrogen-Girls-Club/ • Pinterest pinterest.com/menopausemoxie/ • Tumblr menopausemoxie.tumblr.com/ • Twitter twitter.com/MenopauseRadio
  • 34. Thank you for listening to the show. We’d love to hear from you. Please email the show at info@menopausetalkradio.com. If you enjoyed the show, please forward it to a friend you think may enjoy it as well.
  • 35. The following slides are recommended pharmaceutical grade supplements and access codes.
  • 36. Xymogen eStore Access Code: Moxie Practitioner Code: Hoag
  • 37. Estro Harmony™ is for women who want relief from menopausal hot flashes and support for breast health. Research suggests the ingredients in this formula can also benefit cardiovascular status and bone remodeling. This all-natural formula delivers a proprietary blend of plant lignan extract and 8-prenylnaringenin (8-PN) from hops, at clinically relevant levels, to support the body’s natural process of healthy aromatase activity and exert phytoestrogen (e.g., enterolactone) and antioxidant activity.
  • 38. MedCaps Menopause™ is a unique combination blend that is formulated to provide nutritional targeted nourishment for women during menopause. It features specially selected herbs and nutrients that support the adrenal glands’ adaptive response as well as support circulation, relaxation and overall well-being. Featuring a non soy derived source of isoflavones, MedCaps Menopause may also beneficially influence estrogen receptor function.
  • 39. PMS Soothe™ is a comprehensive blend of Native American and Chinese herbs traditionally used to provide balance and support for a healthy menstrual cycle.
  • 40. Hormone Protect™ is an ideal combination of DIM (diindolylmethane) and SGS™ (glucoraphanin) that helps protect estrogen-sensitive tissues by promoting healthy estrogen metabolism and supporting detoxification and neutralization of harmful estrogen metabolites and xenoestrogens.
  • 41. ProbioMax DDS™ is a chewable probiotic designed to activate in the oral cavity for support of healthy teeth and gums. As you chew it releases the safe and powerful DDS-18™ strain of Streptococcus salivarius—a beneficial bacterium that normally occurs in a healthy oral cavity. S salivarius DDS-18 then attaches to cells in the oral cavity and colonizes, positively affecting the bacterial population therein and naturally defending the teeth and gums.