The Truth About Bioidentical Hormones in Perimenopause and Menopause

[@electricksblanket]

Dr Garrett thank you for the information. I cannot understand the role of the other person

[@mohiramardoni8934]

Same here

[@danubiacallara]

She was soooo lost 😖😖

[@amandajordan6813]

Yes very painful to watch

[@letitiamonge1065]

Thank you for saying you are not weak if you have to take hormones

[@jacquelynberger637]

Dr. Betsy you seem nice however, you seem to have scattered thoughts, although you said some things that were of value but overall, I’m not sure I would trust your information. Dr. Garrett thanks for your information you seem very knowledgeable. Keep up the good work. In conclusion Dr. Betsy you really should get yourself together before coming on a public platform. Watching you laugh and be scattered is very frustrating.

[@amandajordan6813]

My thoughts exactly. It was almost painful for me to listen to her. Maybe she just gets stage fright. Very frustrating. She actually seems as though she has no knowledge whatsoever on this topic or shes intoxicated.

[@barbaratankersley7117]

I don't think they really know what they should know I wouldn't take to much to Heart There's many women on Male hormone

[@crh251]

Dr. Anna Garrett is a wealth of information!!

[@hormoneharmony]

thank you!

[@topny516]

CR VT It’s a shame Betsy was on another planet though!

[@myheartisinthemountains2660]

I appreciated getting more information on compounding but found her to be unprofessional and over the top. I'll continue to glean info from Dr. Anna. I'm thankful to have found her.

[@sarag.2724]

Okay ladies. I am 41. My mother was in full menopause at 45. I suspect I am beginning perimenopause. I think I'm going to contact you to check my hormones and see what can be done about these bizarre periods I'm having, mood swings, breast tenderness, etc.

[@crh251]

@@sarag.2724, I’m just reading this now. I started perimenopause at 44 years old. It lasted nine years. I’m post menopausal now. If you’re miserable, definitely seek help.

[@sh99x]

I took the peanut oil progesterone and had a bad reaction, even though I don't have a peanut allergy. My compounded oral progesterone is so clean, made with olive oil, and no problems. I wish all pharmaceuticals were so clean.

[@adgarrett1]

Yes, Prometrium also contains a cheap form of progesterone that some women don't do well with. Glad you found something that works!

[@Jdub1005]

You can get bioidentical hormones from regular pharmacies. Depo estradiol, estradiol valerate, oral prometrium/progesterone. Testosterone cypionate. They have so many options available if you can't afford compounding pharmacy or insurance won't cover them.

[@karenpeaden271]

My compound pharmacy estrodiol was 17.59.....yesterday

[@danubiacallara]

De Garret thank you for the effort to explain your public the hormone importance but it was a really hard to trust what Dr Betsy was talking.

[@mohiramardoni8934]

Sorry but Betsy didn’t know what is doing or saying very frustrating

[@tndrhrt64]

I have been suffering all the side effects of loss of estrogen and other hormones due to a total hysterectomy. Due to high family history of cancers and breast cancer, I cannot take HRT's. I came to this video to help me understand bioidentical hormones versus compounded bio-identicals with wild yam and soy products. This video did not help me. The conversation was very scattered and all over the place and left me more confused about the ingredients and safety. I am suffering vaginal atrophy, vulva dryness, itching and burning, urinary issues, weight gain, thinning hair, etc. Can you please direct me to where I can find out the information on this and the safety of it?

[@amandajordan6813]

tndrhrt64 try dr. Susan Hardwick-smith

[@amandajordan6813]

Also Dr. Louise Newson

[@alexandraferreira561]

Perfect,i wish i know that sooner 🙏💯👏👏👏

[@kristydickerson6171]

Can you talk about the first pass effect of these oral medications--I have read that they often break down into unwanted chemicals that actually make things worse and you don't actually get what you need.

[@cindycox8222]

could you do a video and how to cycle them ?

[@Jdub1005]

I inject estradiol valerate 2.5mgs every 4 days. Which brings my level to about 225. It's so simple and painless. I also inject testosterone cypionate 5mg once a week. I use an insulin needle and inject into my deltoid. I take 400mg progesterone nightly. I sleep like a baby and my anxiety has gone away. I know injections are not the money maker like pellets and creams though so clinics don't want to prescribe it.

[@juanvaldes1837]

Jennifer Wallis

[@josephmanning1647]

What are your total Testosterone or free Testosterone levels with 5 mg/shot once a week ? Once a week will cause your levels to fluctuate up to 50% between shots. Test-cypionate should be taken at twice a week and sometimes every 3d day or even every other day for the more level amounts. I'm taking every day shots of Test-cypionate and my levels are pretty constant from day to day and week to week. From what I've heard from pellet therapy.....more like 10 mg/week would be better at 5 mg/shot every 3d day. But I'm interested in what you testosterone levels are for just one 5 mg/shot a week.

[@Jdub1005]

I actually just had a hysterectomy 2 weeks ago and decided to up my test injections to every 3-4 days with my estradiol because I was having some depression set in. When I was using test twice a week I was injecting a bigger mg and it gave me negative symptoms. So I dialed it back until they went away . So now here I am playing with doses again to find a good level for me after hysterectomy . My last report of my estradiol level was wrong . My last labs came in at 340 on 2.5mgs every 4 days of valerate. My T was pretty low yes, but I think it was ok for me at that time. I honestly can't remember what it was but it was a single digit. I'm a believer that estradiol and progesterone gives us libido so I try to make sure I get enough of those 2. Testosterone is my last worry. I just want a little bit. I had terrible acne and enlarged, painful clitoris with higher T.

[@josephmanning1647]

Jennifer? Wow that seems like a high estrdiol level. What are the units? My E2 is about 38-66 ng/dL which is pretty high for a msn although it was 140 ?ng/dL when I was on T-pellets. And you take a huge dose of progesterone....is that a cream or a pill? Just curios because progesterone is supposed to increase estradiol receptor sensitivity so you should need less estradiol.....just trying to wrap my head around your numbers. I want to get other women's experiences with dosing as I don't need to supplement with E2 as Iget mine from my high testosterone which some converts to E2 in my tissues.

[@Jdub1005]

@@josephmanning1647 its not very high honestly. I want my E2 to be that of a younger woman. Not for a post menopause woman.. I need a higher progesterone (I take oral micronized progesterone) dose to balance out the estradiol. The pills only last about 8-12 hours as well. 5mg/week estradiol is a common dose for women. I break mine into 2 smaller injections so they level stays even..if I took that 5mg dose all at once it would be 700-800ng and that I think would send me way out of balance. Women are supposed to have a 10:1 e2 to P ratio.

[@daisymae749]

Hi, Why does my bio-identical progesterone cause me negative symptoms. It doesn’t make me feel calm. It causes me anxiety, sleeplessness, breast tenderness, cramping, increased heart rate and blood pressure. Why does this happen? Thanks

[@karenpeaden271]

Dose?

[@darlaroblee]

Me too!

[@juliacliett1716]

Hi Dr Garret, I had both thyroid removed two years ago, and since 5 months I’m struggling with bloating and gain weight no matter I doing keto ad. Exercises did not work. And I’m so tired until energy level drop to zero, I never feel this before. But when my energy drop to zero I thought I’m dying…lol… even I sleep 12 hours still not help. I just changed my PCP, and she check my hormone and finally after two years later I got the answer. My estrogen, progesterone and testosterone really low. And the PCP offered the hormone pellet donation soy. Is it safe for me ? I thought after thyroidectomy I cannot take any soy? Thanks 🙏

[@mrs.beachhunter5352]

Dr. Garrett... Recommend anyone in the San Francisco Bay Area?

[@carmenalvarez8740]

Can you please say what are the simptoms of having estrogen dominance?

[@adriapeet3943]

Thank you so much for this info!! I'm a 41yr old in perimenopause..... I'm taking 100mg of prometrium daily cyclically (I have estrogen dominance). I feel better but still having problems that worsens close to my period time. Would it be alright to take 100mg daily the whole month but then increase to 200mg the 2nd half? My doc is not a hormone specialist.

[@adriapeet3943]

I meant to say I still have sleep issues that worsen closer to my period time.

[@hormoneharmony]

@@adriapeet3943 I can't really give you medical advice with no background about you. I will tell you that I took progesterone all month.

[@muse3241]

I wish I had taken the prometrium nightly like I was given in early 40’s. I decided not to and now have fibroids due to estrogen dominance. I am now on compounded bio identical progesterone and it is taking a while to work and expensive. My doc increased the dose to 200 mg a night when I was taking the prometrium for a few months. Definitely safe and definitely get your levels checked if you can. Good luck!

[@ivelinabancheva619]

Hi Dr. Garrett! I have a question about an estrogen dominant 36 year woman with fibroids, and an extremely short luteal phase (the period comes on the 17th day). She obviously needs natural progesterone, but the fibroids have lots of receptors both for estrogen and progesterone, which means that giving a progesterone will make the fibroids grow. How would you proceed in this situation - will you not give progesterone or you would give a small dose? Thank you!

[@meredithgraham29]

I’m using a compound pharmacy to get my progesterone. Is there an expert you would recommend in/around Asheville, NC.

[@hormoneharmony]

Hi, a compounding expert?

[@hormoneharmony]

Or subject matter?

[@meredithgraham29]

I have a compound pharmacy. Someone like you? A Dr that understands hormones and could help me further?

[@thankyoudoris]

This is much too serious of a topic to be laughing and joking while women are barely hanging on by the skin of our teeth, looking to you two for answers. Please bring on more professional, so called experts, who have their information together & not scattered. This was very frustrating to watch & listen to... especially while dealing with estrogen dominance & low progesterone and not being able to see a doctor until weeks from now. Please get to the point quicker, that's all.

[@lisamariestarcher1365]

Would it be possible to recommend a hormone specialist in Houston? Thanks a bunch!

[@adgarrett1]

What kind of support do you need? I don’t know providers in Houston, but I work virtually all over the world.

[@lisamariestarcher1365]

@@adgarrett1 it’s been difficult to find an Obgyn that understands hormones and replacement after a hysterectomy. I’m on the patch and take Prometrium but I had almost fight for the Prometrium since doc’s always say I don’t need it after a hysterectomy. Difficult to find that correct dose mix that won’t cause weight gain Thank you 😁

[@mariekatez4730]

Is safe to put esterol pregestrone cream inprimenopause what will help with getting sweating weight gain bad pms I 42 my period are bad

[@JAIMESABRINA2]

My previous doctor was amazing. He told me I was estrogen dominant (I was in Perimenopause) and put me on Progesterone via compounding pharmacy. He retired. My new doctor told me there was no such thing as estrogen dominance. Wait WHAT! She wants to take me off progesterone and put me on estradiol. I had a hysterectomy in 2017 but kept my ovaries. Before progesterone i was in a deep dark depression and the progesterone helped tremendously. I am scared to get on estradiol without any progesterone. She didn’t even pull a cortisol level or progesterone level. I’m baffled

[@Sheshe661972]

Sounds like you need to get another doctor or a second opinion.

[@avagencheva8354]

How do we get in touch with you?

[@katiewhitney8499]

Dr Garrett I have higher estrogen and testosterone but a low progesterone. Will the progesterone I am on now balance things out because I have been having sleep and hair loss problems.

[@hormoneharmony]

Hi Katie, progesterone may help with sleep, but you may need to do more digging about hair loss. This is typically caused by stress, thyroid issues or low ferritin (or genetics).

[@katiewhitney8499]

@@hormoneharmony thank you Dr Garrett. My androgens were also high, so I think that is converting to dht. I have heard progesterone blocks that?

[@hormoneharmony]

@@katiewhitney8499 no, I haven't found that to be the case. I use saw palmetto...but you REALLY want to know if this is true (rather than thinking so).

[@katiewhitney8499]

@@hormoneharmony When the levels of estrogen and progesterone drop, hair grows more slowly and becomes much thinner. A decrease in these hormones also triggers an increase in the production of androgens, or a group of male hormones. Androgens shrink hair follicles, resulting in hair loss on the head.

[@bharathiranjani1135]

Hi madam, i am 43 yrs old using dinogest from past 1 year for chocolate cysy and sever pelvic pain but I am facing severe dry throat .if I go for hysterectomy can I relive from these symptoms madam.

[@mariekatez4730]

Getting puffiness breast growth I didn't change my deit and I was thinner now gaining for now reason

[@Gruig15]

I live in Thailand, how can I get Bio-Identical and can women take it at 68 years? And dose this product come in one items, example if it’s oral or a cream etc or would I have to take several items ??

[@angelarogoveanu304]

Jeeeee !!! This Betsy !!! Woman !! what s wrong with you !! The way you move constantly , gesticulate , stumbleing in her own words !!! Uhhhhh, hard to follow !!🙄🙄

[@secondskinfillers8709]

Please help I’ve been suffering with terrible menopause

[@mariekatez4730]

Have any suggestions

[@God_is_good912]

Hi I’m 45 and perimenopausal I was interested in a bio hormone clinic do you recommend any place ? I live in n e ct also do you recommend the human growth hormone testosterone pellets?

[@elizabethmcleod246]

Go to a Naturopath.

[@Jdub1005]

As a female you should worry about your estradiol and progesterone 1st. Get those levels right. Testosterone should be last and you don't need a huge dose or level. We need all 3 yes, but women should have a man's level of Testosterone. Pellets are the worst option for women.

[@minhtam5193]

@@Jdub1005 what is the best option if it is not pellet

[@mohiramardoni8934]

Betsy doesn’t know at all what she was doing or saying dangerous to see this type of uneducated dr

[@daisymae749]

Hi, I have been using bio-identical hormones for years with negative symptoms from the 2 weeks on progesterone. I have asked many doctors why this happens, and none of them have had an answer. So this video is a blessing because Dr. Anna touched on a cortisol progesterone problem. So, after 20 years, I might finally get some help if she responds. As far as the other woman, I don’t think she’s as incompetent as she appears. But, she is definitely awkward and doesn’t seem credible, but I think she is just probably nervous.

[@Brooklynlife1000]

I agree actually she's doing a disservice from what I listened to I couldn't listen to the whole thing bioidentical progesterone micro progesterone is the best and safest option women to get sideI agree actually she's doing a disservice from what I listened to I couldn't listen to the whole thing bioidentical progesterone micro progesterone is the best and safest option women to get side effects but if they stay on it that can calm down if not there other ways of taking it then oral.

[@ivalani]

Synthetic hormones can also be bio identical, why is this so misunderstood?

[@Shellbee22]

Sorry you’re still not FDA approved …haven’t been tests and tests on your products for safety

[@SheelPalm]

i like dr.Betsy... light.. laugh.. enjoy 🍸

[@hormoneharmony]

I do too

[@winterfawn2341]

Super frustrating all the jumping around of topics. 🤦🏽‍♀️

[@ranveiglie5768]

Betsy is very annoying to listen to in this video, sorry

[@sjordan7085]

Your guest, is really annoying and does not instill confidence.

[@pierrecote9507]

Betsy was so annoying and seemed to be all over the map !! Almost like a comedy show .. not professional in the least bit.. this is a serious subject Betsy learn your craft before you speak .