Re: bioidentical hormone replacement therapy

[Guest guest]



I just heard this same info at the UCSF conference I was at. The info is at the office..will try to post it tomorrow.

BTW.....I saw my first 3 patients this last week! No exam tables yet but they were willing to just sit in chairs!

Dannielle Harwood, M.D.-- Confidentiality Notice --This email message, including all the attachments, is for the sole use of the intended recipient(s) and contains confidential information. Unauthorized use or disclosure is prohibited. If you are not the intended recipient, you may not use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender immediately by reply email and destroy all copies of the original message, including attachments.

[Practiceimprovemen t1] bioidentical hormone> > > replacement therapy> > > >> > > >> > > >> > > >> > > >> > > > dear all,> > > >> > > > who here in this listserve is providing biohrt...> > > > any pros and cons are welcome...> > > >> > > > but most importantly, rather than run the other way,> i would> > > like to know more about it and why i should or why i> > > shouldnt... thanks...> > > >> > > > grace> > > >> > >> > >> > >> >> >>>>>> -- > PATIENTS,please remember email may not be entirely secure and that> Email is part of the medical record and is placed into the chart (> be careful what you say!)> Email is best used for appointment making and brief questions> Email replies can be expected within 24 hours-Please CALL if the> matter is more urgent .>>> MD> > > ph fax > impcenter.org <http://impcenter.org/>>>>>> -- > Sharon McCoy MD>> Renaissance Family Medicine> www.SharonMD.com <http://www.SharonMD.com>>>

[Guest guest]

Congrats, Dannielle!

From:

[mailto: ]

On Behalf Of dannielle harwood

Sent: Sunday, December 20, 2009 9:44 PM

To:

Subject: Re: Re: bioidentical hormone replacement

therapy



I

just heard this same info at the UCSF conference I was at. The info is at the

office..will try to post it tomorrow.

BTW.....I

saw my first 3 patients this last week! No exam tables yet but they were

willing to just sit in chairs!

Dannielle

Harwood, M.D.

-- Confidentiality Notice --

This email message, including all the attachments, is for the sole use of the

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-----

Original Message -----

From: Eads

To:

Sent: Sunday, December 20,

2009 8:32 PM

Subject: RE:

Re: bioidentical hormone replacement therapy

I wish I could pull the study up from

the conference where I learned this years ago, but endothelial cell function

responds positively to estrogen by making them less inflamed and friable and

form better protective caps over lipid deposits. This correlates with

lower vascular age and thinner intima media thickness on carotid IMT scans.

This estrogen effect seems to be lost after about a consecutive year

absence of estrogen, and may be the major reason why ERT/HRT started too far

into menopause doesn’t seem to be as cardiovascularly beneficial as when it is

started earlier.

Regarding the WHI study, a local female

cardiologist thinks it has been misinterpreted and is a strong supporter of

ERT/HRT.

Interesting how much we know, and yet

how much we still don’t know about the human body.

Eads, MD

Pinnacle Family Medicine

Colorado Springs, Colorado

www.PinnacleFamilyMedicine.com

From:

[mailto: ]

On Behalf Of Ellen son

Sent: Sunday, December 20, 2009 5:29 PM

To:

Subject: Re: Re: bioidentical hormone replacement

therapy

Recent article this wk shows that the rise in chol/LDL may very well

occur at the end of a yr of no periods, ie the start of menopause. Good

that they may have identified this.

WHI certainly showed that started elderly woman on HRT is not a good

idea but starting it early, late peri-/early menopause before the incr

risk of CVD occurs, we still don't know.

But it might be. An individual decision for sure.

Ellen

Dr. Sharon McCoy wrote:

> sorry for the delay on this one, I had written this response but

> wanted to research more before posting; now I will throw it out and

> hope someone else researches or I will add more later...

> ,

> I agree with your take on the WHI study. I don't see the CAD evidence

> for women perimenopausal/just into menopause taking HRT for 4-5 years.

> We know it decreases osteoporosis and related deaths from hip

> fractures, etc. Starting estrogen probably makes breast cancers that

> are already there grow and become apparent.....

> I also don't know that we know (or I guess I know that we don't know)

> what happens death rate wise/morbidity/quality of life-wise to women

> who start HRT at menopause andt then stay on continuously. We do know

> that CAD jumps in women after menopause.

> My take on the WHI always was, if a woman feels great and because of

> family hx or personal health fears breast cancer more than

> osteoporosis, no reason to even think about taking HRT. But if she

> isn't feeling well, not sleeping, etc., she may want to consider HRT.

> I wish there was some good algorithm to help sort the evidence for

> individuals better.....

> Sharon

>

>

> On Fri, Dec 18, 2009 at 11:23 AM, Myria <myriaemeny@...

> >

wrote:

>

> Is there anything to protect from uterine cancer when patient will

> only take the Estorgen because doesn't tolerate any form of

> Progesterone?

> When I was at the clinic 3 Chinese women were getting their

> estrogen from China and absolutely refused any progesterone after

> having side effects. Just curious if this comes up again.

>

> ----------------------------------------------------------

> *From:* <jnantonucci@...

> >

> *To:*

> <mailto: >

> *Sent:* Fri, December 18, 2009 9:11:06 AM

>

> *Subject:* Re: Re: bioidentical hormone

> replacement therapy

>

>

> ah.

>

> On Fri, Dec 18, 2009 at 8:42 AM, dannielle harwood <dharwood100@

> sbcglobal. net >

wrote:

>

> I meant use the mirena to offer some endometrial protection

> while giving estrogen.

> Dannielle Harwood, M.D.

> -- Confidentiality Notice --

> This email message, including all the attachments, is for the

> sole use of the intended recipient(s) and contains

> confidential information. Unauthorized use or disclosure is

> prohibited. If you are not the intended recipient, you may not

> use, disclose, copy or disseminate this information. If you

> are not the intended recipient, please contact the sender

> immediately by reply email and destroy all copies of the

> original message, including attachments.

>

> [Practiceimprovemen t1] bioidentical hormone

> > > replacement therapy

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > dear all,

> > > >

> > > > who here in this listserve is providing biohrt...

> > > > any pros and cons are welcome...

> > > >

> > > > but most importantly, rather than run the other way,

> i would

> > > like to know more about it and why i should or why i

> > > shouldnt... thanks...

> > > >

> > > > grace

> > > >

> > >

> > >

> > >

> >

> >

>

>

>

>

> --

> PATIENTS,please remember email may not be entirely secure and that

> Email is part of the medical record and is placed into the chart (

> be careful what you say!)

> Email is best used for appointment making and brief questions

> Email replies can be expected within 24 hours-Please CALL if the

> matter is more urgent .

>

>

> MD

>

>

> ph fax

> impcenter.org <http://impcenter.org/>

>

>

>

>

> --

> Sharon McCoy MD

>

> Renaissance Family Medicine

> www.SharonMD.com <http://www.SharonMD.com>

>

>