Is your OBGYN wrong about Estrogen | The research on Estrogen and Osteoporosis

Рет қаралды 8,117

The Dr Doug Show | Bones, Hormones and HealthSpan

Күн бұрын

In this episode, Dr. Douglas Lucas discusses the crucial role Estradiol levels play in bone health. Many doctors do not test estradiol levels, which can lead to inadequate protection of bones. Different types of testing, such as urine and saliva testing, can yield different results, but blood testing is the gold standard. He also delves into how compounded creams and commercial patches that can be used to achieve the desired estradiol levels. More is not necessarily better, and hitting the threshold is sufficient for bone health!
Study Links:
pubmed.ncbi.nlm.nih.gov/34717...
pubmed.ncbi.nlm.nih.gov/31446...
pubmed.ncbi.nlm.nih.gov/1458336/
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This channel is focused on Bones, Hormones, and Healthspan to help midlife women and beyond aim for optimal, not average, and reignite their spark!
The videos on this channel will be focused around helping women navigate healthspan and longevity through the lens of osteoporosis, perimenopause, and menopause. When it comes to osteoporosis and menopause providers and educators often get tunnel vision and your symptoms might get better, but if you don't keep longevity in mind, symptom improvement may come at the expense of heart and brain health.
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ABOUT DR. DOUG LUCAS
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Dr. Doug Lucas: Owner/founder of Optimal Bone Health and Optimal Human Health. My team and I work together to create custom bone optimization plans for individuals based around supplements, hormone optimization, peptides and more in order to increase bone health and longevity!
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#osteoporosis
#hormones
#healthspan
Watch and Enjoy! Dr. Doug Lucas Key Moments in this Episode =========================
Chapters
00:00 Introduction: Importance of Estradiol for Bone Health
06:25 Different Types of Testing for Estradiol Levels
11:30 Managing Estradiol Therapy for Bone Health

Пікірлер: 94

@user-zl3km6nx7x Ай бұрын

I’m 65 yo and was denied hrt after having ovaries removed and recently received an osteoporosis diagnosis. I’m seeing an obgyn (toronto Canada), this afternoon , who provides bioidenticals. Wish me luck. I’m outside of the 10 year window for greatest benefits of hrt but according to Dr Menn , an obgyn menopause care specialist in New York, we do not turn into pumpkins after 65 yo and still can benefit. Thank you Dr Lucas for this remarkable bone health program. It is truly one of a kind.

@marionboulstridge5077 Ай бұрын

I too am 65 and was denied hormones (in British Columbia). I found out I had osteo when I fractured my T7 six months ago. I am curious to know if you manage to get hormones or not.

@Dr_DougLucas Ай бұрын

Thank you for sharing this! I am glad this video was helpful!

@anne-louisegoldie Ай бұрын

In the UK, we measure oestradiol in pmol/L rather than picograms. So 60pg/ml is 221 pmol/L. (220.26pmol ) Mine is consistently lower than this. NHS doctors make a fuss about patients asking for an E2 blood test, 'no need' , or, ' we don't do that '. I've had to stand my ground to get it tested annually, and that's the only reason I know, and that they know, my levels are inadequate and have been for years now. Then there's another big fuss about asking for a higher dose of oestradiol. It's such a faff to go through this power play nonsense, and yet it's so important for patients to get what they need. Especially for we patients at higher risk for osteoporosis, and not just because of menopause. Thank you so much, I will remember the information from this video for my next battle 💛🤗xx

@Dr_DougLucas Ай бұрын

Thank you so much for sharing all of this. I am glad this video was helpful!

@gillianboyd1851 Ай бұрын

A heartfelt thank you Dr. Doug from Canada. The research and presentations provided are very much appreciated. I’ve been following your presentations for several months, since first diagnosed with osteoporosis. Your work educating women like myself with knowledge and science based research has empowered me to question the standard medical, drug based approach. Like others who have posted here, I’ve to had to push through and keep asking about a hormone alternative for osteoporosis, which can be an onerous process in the Canadian medical model. I’m determined though, to resist using osteoporosis drugs for as long as possible. My intent is by accessing accurate knowledge, lifestyle enhancements and HRT, I’ll continue to live a vibrant, healthy life into old age.

@Dr_DougLucas Ай бұрын

Hi Gillian, thank you so much for sharing all of this. We are glad you are here, it sounds like you are on the right path. We have a wonderful community here and I hope we can continue to help you through your bone health journey!

@tiffinywilliams5055 17 күн бұрын

Thanks for the great content

@Dr_DougLucas 16 күн бұрын

Glad you enjoy it!

@reimaravalk7679 Ай бұрын

Thank you Dr. Douglas. Another insightful informative video. Many, thank, Reimara

@Dr_DougLucas Ай бұрын

Thank you for watching!

@robyn3349 Ай бұрын

Thank you!

@Dr_DougLucas Ай бұрын

Thank you for watching!

@judithnolan1683 Ай бұрын

Thank you Dr. Doug for what you do for women.😊💕

@Dr_DougLucas Ай бұрын

Thanks for watching!

@GiGi-fd6om Ай бұрын

Thank you for this great info. So for someone using estradiol in the morning, what is the best time to test the blood?

@Dr_DougLucas Ай бұрын

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

@pamelahyde369 Ай бұрын

I’m an Ob/Gyn focusing my approach on optimizing diet/lifestyle/mindset +/- HRT and giving lots of physiological Testosterone. There are no studies looking at brain, bone and body optimal health for women when we replace T as well. I aim for 70pg/ml E2 for women on no Test replacement and 30-40 pg/ml when giving concomitant Test. Do you have an opinion regarding optimizing hormones other than E2? I treat with Oxytocin if there is evidence of prolonged grief (like divorce or death of a spouse) or complex PTSD. Thank you for the courage to have these conversations regarding HRT and what is optimal for ‘humanity’. With woman commonly taking on post menopausal ‘rules, roles, and responsibilities’ that were uncommon 50 years ago we need to rethink what is optimal.

@belly4608 Ай бұрын

Hi Doc, does gel form deliver estrodial better than the patches, like Dr. Doug said?

@SL-1985 Ай бұрын

I think SBHG also plays a role in estrogen levels/testosterone levels and availability. blood sugar levels, inflammation plays a role. so does thyroid and T3 to T4 conversion

@Dr_DougLucas Ай бұрын

@ThreeGreenthumbs Ай бұрын

Thank you for providing links to the studies! I will bring them to my OBGYN for my well-woman visit. I have to argue with her (and bring studies) to up my estradiol every time I see her. She keeps quoting "the lowest dose, the shortest amount of time" crap. I also have to push her to get lab testing for hormones. I have been on corticosteroids for asthma for over 20 years so HRT is so essential for me and my bones. Great video!

@Dr_DougLucas Ай бұрын

Thank you for sharing this, I am glad to hear these videos are helpful!

@janedough6575 Ай бұрын

Interesting that she worries more about hormone replacement long term than steroids long term.

@LilaCharlieHolly Ай бұрын

What do you think about pellet HRT?

@Dr_DougLucas Ай бұрын

@user-EinsteinSarge Ай бұрын

Love this type of content - need more on HRT

@Dr_DougLucas Ай бұрын

Thank you for your feedback, we will keep that in mind!

@AliciasHealingChannel 20 күн бұрын

Test for estrone and estradiol and get the ratio right 1:3 via proper delivery brand and dose. ❤

@Dr_DougLucas 19 күн бұрын

Thank you for sharing!

@lindathompson4770 Ай бұрын

How many years out from menopause can women still benefit from hormone therapy?

@mandysmith7812 Ай бұрын

I’ve just started taking HRT at 64, after seeing a different Consultant. She asked why I wasn’t taking it and wasn’t impressed when I said I was told I was too old by the previous Consultant who just wanted me to take drugs. She assured me it was one of the best defences against bone loss and for my heart health.

@lindathompson4770 Ай бұрын

@mandysmith7812 Thanks, good to know. Just last week, I ran into a GYN acquaintance (not my Dr) and told him about Dr Doug. I commented about a recent bone density test and that I'd seen him once several years ago about Bioidentical HRT, and he told me I wouldn't benefit from it since I was post M. He'd recently closed his OB/delivery practice and changed his focus, so maybe he wasn't as well versed at the time as I thought he'd be, or just thinking about symptoms other than bone. I asked last week if I could take them for my bones and he said to come see him.... only I don't know if I want to now.... how much confidence I'd have in him. I also asked if he was familiar with the REMS testing, and he wasn't so I briefly told him about that. He's independent from the clinic he was part of, so he isn't bound to a corp or big pharma any longer. Hopefully, I can take some good notes from listening to Dr Doug to talk to this Dr or my GYN. Mine is part of the clinic the other Dr left. I'm about exhausted from trying to put this all together, and crossing my fingers that I don't end up in a wheelchair one day.

@pejisan Ай бұрын

forever

@Dr_DougLucas Ай бұрын

@Padraigp Ай бұрын

@@mandysmith7812yeah especially the patches don't increase the risk of breast cancer and I think stroke is less too. Take your stroke preventative foods as well to minimise stroke risk you should be fine. Osteoporosis is pretty harsh and the drugs they give for it also harsh and risky so anything that can stave off that problem seems like its worth doing. The drugs for osteoporosis are also risky and less beneficial so it kinda seems crazy they don't offer it as long as someone is benifiting and doesn't have a problem related to it.

@AvocadoBoyFarm Ай бұрын

What do you mean they have reasonable validation to use as little as possible for the shortest time as possible?

@Dr_DougLucas 26 күн бұрын

@zsigzsag Ай бұрын

Do these hormone therapies include progesterone? How do levels of this hormone relate to bone density/loss?

@skitchyjohnson Ай бұрын

See Dr Heather Hirsch... If you have a uterus, you need progesterone to keep the lining of your uterus from thickening and protect you from risk of uterine cancer.

@Dr_DougLucas Ай бұрын

@mariamarino138 Ай бұрын

My doctor won’t test me, no doctors want too!

@sharonmarz8471 Ай бұрын

So, what about hrt and breast cancer risk?

@skitchyjohnson Ай бұрын

See the book estrogenmatters. They have an insta account by the same name. They go over the studies.

@Dr_DougLucas Ай бұрын

Checkout the video on my channel called "Does Estrogen Cause Breast Cancer or Build Bone?? What the research got WRONG!"

@robertahughes8782 Ай бұрын

Do you recommend estradiol only, or do you combine it with progesterone?

@julilla1 Ай бұрын

If you have a uterus, you should take progesterone with estrogen/estradiol. Progesterone reduces the risk of uterine cancer.

@Dr_DougLucas Ай бұрын

@elvan7502 Ай бұрын

What is your opinion on Raloxifene in cases when estrogen replacement therapy isn't an option?

@Dr_DougLucas Ай бұрын

@elvan7502 Ай бұрын

@@Dr_DougLucas Will do. Thanks!

@susandewhurst6771 Ай бұрын

Please can you clarify the European equivalent. Eg a result of 83 pomI/L and the doctors in the uk recommend 200 for bone health. How does that compare to the 60 you mention?

@Dr_DougLucas Ай бұрын

@marymunkcampbell6806 4 күн бұрын

Which pharmacy do you use for your estradiol cream?

@Dr_DougLucas Күн бұрын

Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

@kimw5533 Ай бұрын

How soon after starting HRT should I have my estradiol level checked?

@Dr_DougLucas Ай бұрын

@kimw5533 Ай бұрын

Are there long term studies showing and effect of higher estrogen levels? How long would one want higher levels? Recent studies show lowering estrogen dosing after 65.

@Dr_DougLucas Ай бұрын

@rebeccadavis674 Ай бұрын

What about progesterone with estradial with those with uteruses?

@Dr_DougLucas Ай бұрын

@821dbt59 Ай бұрын

I hear that post menopausal women who have had a total hysterectomy but w a history of endometriosis have to consider progesterone if they do HRT. Pls comment.

@Dr_DougLucas Ай бұрын

@salleone6387 24 күн бұрын

In the graph where both estrogen and endometrial stimulation is displayed, it looks like the optimal level of estrogen is just shy of stimulating endometrial tissue? Can you explain a little why that comparison is important? The take away for me is bone health good vs endometrial stimulation bad?

@Dr_DougLucas 21 күн бұрын

@stef3565 Ай бұрын

I'm 58. Is

@Dr_DougLucas Ай бұрын

@rockybeachy 23 күн бұрын

I just watched the video on reversing osteoporosis in 6 months which referred to this video. Odd thing is that in that most recent video your right arm is totally tattooed, and this video which was supposedly made three weeks prior you have no tats. What???

@Dr_DougLucas 21 күн бұрын

Hi! Yes, this is a recent addition :)

@SumGirls Ай бұрын

As you know, I LOVE my HRT! Thank you, Dr. Doug for taking care of me and everyone else! I literally don’t know where I’d be (or who I’d be) without it, or YOU! 💜 💪 🦴

@Dr_DougLucas Ай бұрын

Thank you so much for sharing! We are so happy to be apart of your bone health journey and being able to provide a brighter, happier and more confident future for you!

@kmtx78 Ай бұрын

I just got put on this for my bones because I did not have any estrogen showing up in my bloodwork. I am post menopause and -5.7.

@Dr_DougLucas Ай бұрын

Thank you for sharing!

@Indydi Ай бұрын

How long does it take for HRT to impact BTMs if all three hormones are given? I'm in a race against the clock and won't get started for at least a month. Apparently I'm not created for greatness...

@Dr_DougLucas Ай бұрын

@mariamarino138 Ай бұрын

My GYN just gave me a script for Climara, and Premarin.

@kellypeters8330 Ай бұрын

You should ask for bio identical, horse estrogen isn't good for humans...not to mention for the poor horses....best of luck

@Dr_DougLucas Ай бұрын

Thank you for sharing this

@JuliePeterson-12345 Ай бұрын

Do you use compound troches in your practice? My doc recommended BiEst E2+E3+Prog in troche form and I can’t find any great info on it

@lhobs9430 Ай бұрын

I used these for years from a pharmacy in Eugene, OR. The pharmacist was very helpful anytime I had questions.The compounding pharmacist is a good place to start.

@Dr_DougLucas Ай бұрын

@JuliePeterson-12345 Ай бұрын

@@lhobs9430 thank you for your reply:)