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";s:4:"text";s:3711:"Of course, the Prometrium, we’re not a fan of that. Cold turkey. So, she’s probably having trouble sleeping, even though it doesn’t have that on her symptom list but the sustained release helps stay in the system, it helps you stay asleep, and then you can– because I feel like 200 maybe a little high for her, because Heidi had also– because there’s a lot to this that we’re going to break it all down for you. I had a hysterectomy at age of 36 and kept my ovaries for the hormones. You can do an instant saliva test, where I test, one, my saliva all day long, a morning saliva sample, at noon, and afternoon and evening time and then just send it in. Several hormone therapy products approved by the FDA and prescribed by health care providers contain bioidentical hormones. Then of course, any type of potential thyroid related symptoms: heart palpitations, the anxious, the jittery, insomnia. But she has prescribed the propranolol for this and it seems to take the edge off. If weight loss is your goal, you have to sleep well at night. But definitely with a higher doses, bloating and weight gain. But two things, the DHEA testosterone because of the PCOS, the oral testosterone and the estrogen. But she has prescribed the propranolol for this and it seems to take the edge off. Ideally these issues should all be addressed before, or at least during, hormone replacement. So that’s why doing the Bios, doing the bioidentical hormone estrogen component in the morning. Bioidentical hormones are sometimes called “natural” hormones—even though they are made in a laboratory—because they come from plant sources before being altered to be like human hormones. Yes, especially for a woman. We can’t really go anywhere without him. And it’s a trend that we see a lot of women come to us after having been on testosterone and we’re not necessarily quite in the same agreement as what other practitioners do. It’s just his bones. We have another listener question. Our job as the practitioners to get the dosing right. Hello everyone. I have a handful of women that do want to get a period, but as you said, rhythmic dosing is you do have to change the dose, every several days. What we like to see is a low normal TSH, so again, something around one and a high normal free T3. The Progesterone, not only does it provide some of those other benefits, as you said, it’s fairly relaxing, it can reduce her anxiety at night and we may often go up to even up to 200 milligrams in a situation like this because her sleep isn’t great and she’s still having some nighttime anxiety. As a practicing OB/GYN for 19 years, I began my practice at about the same time as bioidentical hormones came on the scene, made readily available by the new compounding pharmacies as they were expanding their product lines. Compounding typically involves ingredients being combined or altered to meet the needs of an individual.The U.S. Food and Drug Administration (FDA) has approved some forms of manufactured bioidentical hormones, including bioidentical estriol (a weak form of estrogen) and progesterone. Make sure they can evaluate hormonal AND non-hormonal treatments, and ask their office if they have special training in prescribing bio-identical hormones.Enter your details below to get a free copy of 'Balance Your Hormones with Diet and Lifestyle' by Dr. Aimee Shunney. I’ve had patients on accident take their Progesterone in the morning and they’re calling me saying they felt like they drink wine or something. There are claims that bioidentical hormones are safer and more effective than traditional HRT because they’re identical in structure to those produced in the body. 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