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	<title>Comments on: Unwanted side effects of (bioidentical) hormone replacement therapy</title>
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	<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/</link>
	<description>NYC Chiropractor &#38; Applied Kinesiologist - Diplomate of the International Board of Applied Kinesiology</description>
	<lastBuildDate>Mon, 13 Feb 2012 17:32:27 +0000</lastBuildDate>
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		<title>By: Dr. Rob D'Aquila</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1501</link>
		<dc:creator><![CDATA[Dr. Rob D'Aquila]]></dc:creator>
		<pubDate>Mon, 13 Feb 2012 16:22:26 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1501</guid>
		<description><![CDATA[Hi Martha,

I&#039;m glad you like the article. And good for you and your health over the years. As you can see, most people who find this article are really struggling. 
As far as getting off of hormones, it sounds as if you&#039;re on the right track with diet and exercise. 
It&#039;s good that you got so many thyroid tests done. Hopefully all the values were within the functional normal range. The reference range for normal on lab tests is often way too wide. For example, the range for TSH (thyroid-stimulating hormone) is often 0.45-4.5. That&#039;s a whopping 10-fold difference, which implies that it would be normal if one person had 10 times the hormone level of another.
I would also look into adrenal gland function via salivary hormone levels, as well as &quot;sex&quot; hormones via saliva. 
Obviously weening off would be better than going cold turkey...
You should monitor yourself regularly, via blood and saliva tests, as relying on symptoms may not be the best route. And of course, bone density and quality needs to be assessed. 
Lastly, I would certainly recommend you do everything under the supervision of a competent, licensed healthcare practitioner. 

Keep up the good work,
Dr. Rob D&#039;Aquila]]></description>
		<content:encoded><![CDATA[<p>Hi Martha,</p>
<p>I&#8217;m glad you like the article. And good for you and your health over the years. As you can see, most people who find this article are really struggling.<br />
As far as getting off of hormones, it sounds as if you&#8217;re on the right track with diet and exercise.<br />
It&#8217;s good that you got so many thyroid tests done. Hopefully all the values were within the functional normal range. The reference range for normal on lab tests is often way too wide. For example, the range for TSH (thyroid-stimulating hormone) is often 0.45-4.5. That&#8217;s a whopping 10-fold difference, which implies that it would be normal if one person had 10 times the hormone level of another.<br />
I would also look into adrenal gland function via salivary hormone levels, as well as &#8220;sex&#8221; hormones via saliva.<br />
Obviously weening off would be better than going cold turkey&#8230;<br />
You should monitor yourself regularly, via blood and saliva tests, as relying on symptoms may not be the best route. And of course, bone density and quality needs to be assessed.<br />
Lastly, I would certainly recommend you do everything under the supervision of a competent, licensed healthcare practitioner. </p>
<p>Keep up the good work,<br />
Dr. Rob D&#8217;Aquila</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Martha</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1499</link>
		<dc:creator><![CDATA[Martha]]></dc:creator>
		<pubDate>Mon, 13 Feb 2012 03:49:48 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1499</guid>
		<description><![CDATA[HI Dr. Rob,
I read with interest your article on the side effects of BHRT. 
I am a 55 yr old female and have been on BHRT for at least 6 years with great results.  I had was thrown into Menopause 10 years ago after a hysterectomy and oophorectomy.  I struggled the first years after with extreme depression, mood swings, not to mention the hot flashes.    I was put on HRT and this seemed to aggravate my symptoms.  I found my way,  after research,  to BHRT.
While at times I have been symptomatic ( hot flashes and tired) I have used these with great success.  The last couple of years I have been able to actually decrease my dose to 1/2 the recommended dosage.  This I feel is due to cleaning up my diet and becoming very mindful of making healthy food choices.  I eat a primal diet and exercise regularly including olympic weight lifting. I am very conscience of my food choices eating grass-fed, pastured meats and buy most of my food locally.  I supplement with Fermented CLO, Krill Oil, Vit C, Vit B complex, Vit E, Vit D3 and Co-Q10.  I try to supplement with Whole Food complexes rather than synthetic.  I also supplement with a grass fed whey after my workouts.  I am a firm believer that the body can heal itself if given the correct fuel (food).  Currently I feel fantastic and am told I look younger than my years.  My question:  I would like to come off of BHRT and allow my body to take over.  I want to make sure my adrenals, thyroid and endocrine system as a whole is healthy as I continue to age and I feel that continuing on BHRT is not in my best interests. The only endocrine issue I have is thyroid cysts.  They are benign and all my blood levels are fine.  ( there were 10 different levels checked)  Is there anything I should supplement to beginto come off of the BHRT.  Do you have any other suggestions as how best to do this.   Thank you for your help and advice!]]></description>
		<content:encoded><![CDATA[<p>HI Dr. Rob,<br />
I read with interest your article on the side effects of BHRT.<br />
I am a 55 yr old female and have been on BHRT for at least 6 years with great results.  I had was thrown into Menopause 10 years ago after a hysterectomy and oophorectomy.  I struggled the first years after with extreme depression, mood swings, not to mention the hot flashes.    I was put on HRT and this seemed to aggravate my symptoms.  I found my way,  after research,  to BHRT.<br />
While at times I have been symptomatic ( hot flashes and tired) I have used these with great success.  The last couple of years I have been able to actually decrease my dose to 1/2 the recommended dosage.  This I feel is due to cleaning up my diet and becoming very mindful of making healthy food choices.  I eat a primal diet and exercise regularly including olympic weight lifting. I am very conscience of my food choices eating grass-fed, pastured meats and buy most of my food locally.  I supplement with Fermented CLO, Krill Oil, Vit C, Vit B complex, Vit E, Vit D3 and Co-Q10.  I try to supplement with Whole Food complexes rather than synthetic.  I also supplement with a grass fed whey after my workouts.  I am a firm believer that the body can heal itself if given the correct fuel (food).  Currently I feel fantastic and am told I look younger than my years.  My question:  I would like to come off of BHRT and allow my body to take over.  I want to make sure my adrenals, thyroid and endocrine system as a whole is healthy as I continue to age and I feel that continuing on BHRT is not in my best interests. The only endocrine issue I have is thyroid cysts.  They are benign and all my blood levels are fine.  ( there were 10 different levels checked)  Is there anything I should supplement to beginto come off of the BHRT.  Do you have any other suggestions as how best to do this.   Thank you for your help and advice!</p>
]]></content:encoded>
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	<item>
		<title>By: Dr. Rob D'Aquila</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1497</link>
		<dc:creator><![CDATA[Dr. Rob D'Aquila]]></dc:creator>
		<pubDate>Fri, 10 Feb 2012 02:14:44 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1497</guid>
		<description><![CDATA[Hi Annie,

I&#039;m sure the anxiety attack was just a coincidence after receiving the bio-identical treatment. (please realize I&#039;m being facetious) To be fair, anything is possible...perhaps it was a coincidence or related to a fear you may have had about the treatment. Although, I wouldn&#039;t at all be surprised if it was a result of the treatment. 

For help on diet, click the &quot;sugar&quot; tag on the right of this site. Also, read the &quot;Weight Loss and Detox&quot; articles I recently posted. 

Being that you had a hysterectomy, bHRT may very well be appropriate for you. But it is also important to eat properly and live in a way that avoids unwanted inflammatory reactions in the body. AND, it&#039;s important to get the proper hormones replaced in the proper dosage.

Good luck,
Dr. Rob D&#039;Aquila]]></description>
		<content:encoded><![CDATA[<p>Hi Annie,</p>
<p>I&#8217;m sure the anxiety attack was just a coincidence after receiving the bio-identical treatment. (please realize I&#8217;m being facetious) To be fair, anything is possible&#8230;perhaps it was a coincidence or related to a fear you may have had about the treatment. Although, I wouldn&#8217;t at all be surprised if it was a result of the treatment. </p>
<p>For help on diet, click the &#8220;sugar&#8221; tag on the right of this site. Also, read the &#8220;Weight Loss and Detox&#8221; articles I recently posted. </p>
<p>Being that you had a hysterectomy, bHRT may very well be appropriate for you. But it is also important to eat properly and live in a way that avoids unwanted inflammatory reactions in the body. AND, it&#8217;s important to get the proper hormones replaced in the proper dosage.</p>
<p>Good luck,<br />
Dr. Rob D&#8217;Aquila</p>
]]></content:encoded>
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	<item>
		<title>By: annie</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1496</link>
		<dc:creator><![CDATA[annie]]></dc:creator>
		<pubDate>Thu, 09 Feb 2012 22:06:24 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1496</guid>
		<description><![CDATA[D
DrRob D&#039;Aquila
My name is Annie, and I&#039;m a 59 yr old who had a hystorectomy about 12 or so years ago.  I saw an ad on tv about bio-identical hormone replacement therapy.  I went in, they did blood work and said I was very low in the areas of testosterone and progesterone.  I just have decided not to continue with the bio-identical program I&#039;m currently on, due to the fact that when I started this program almost 4 months ago I had a reaction to the testosterone pellet.  I felt like I was having an anxiety attack on the 2nd day after it was inserted.  When I called them to ask about it, it seemed to me that it wasn&#039;t an issue according to them.
I&#039;m coming up on my next pellet insert, and I&#039;m feeling very uncomfortable with the propect of going in for it.  If there is a way to get my body up to speed with a good diet, PLEASE help me.]]></description>
		<content:encoded><![CDATA[<p>D<br />
DrRob D&#8217;Aquila<br />
My name is Annie, and I&#8217;m a 59 yr old who had a hystorectomy about 12 or so years ago.  I saw an ad on tv about bio-identical hormone replacement therapy.  I went in, they did blood work and said I was very low in the areas of testosterone and progesterone.  I just have decided not to continue with the bio-identical program I&#8217;m currently on, due to the fact that when I started this program almost 4 months ago I had a reaction to the testosterone pellet.  I felt like I was having an anxiety attack on the 2nd day after it was inserted.  When I called them to ask about it, it seemed to me that it wasn&#8217;t an issue according to them.<br />
I&#8217;m coming up on my next pellet insert, and I&#8217;m feeling very uncomfortable with the propect of going in for it.  If there is a way to get my body up to speed with a good diet, PLEASE help me.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Dr. Rob D'Aquila</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1494</link>
		<dc:creator><![CDATA[Dr. Rob D'Aquila]]></dc:creator>
		<pubDate>Wed, 08 Feb 2012 03:00:12 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1494</guid>
		<description><![CDATA[Hi Jeff,

It&#039;s very hard to be able to help you without knowing the entire story. After 13 vials of blood, I would expect some tests to be out of range - at least out of a functional range. If testosterone was the only treatment offered, I think it&#039;s an incomplete treatment at best, and unnecessary at worst. Again, it&#039;s hard to say without knowing the whole story. 
Another thing I don&#039;t understand is why your body suddenly stopped absorbing the gel after it had been working fine previously- that makes little sense to me...I don&#039;t think your levels dropped because you weren&#039;t absorbing it.
The irritability can definitely be a result of the treatment, esp. because you make it sound as if it was never a problem before - and the same goes for the volume of your ejaculate. 
The alternatives to your treatment depend on exactly why you had the low testosterone to begin with.
I would have to evaluate all your tests and take your complete history to guide you better.
I offer phone consultations if you&#039;re interested.

Take care,
Dr. Rob D&#039;Aquila]]></description>
		<content:encoded><![CDATA[<p>Hi Jeff,</p>
<p>It&#8217;s very hard to be able to help you without knowing the entire story. After 13 vials of blood, I would expect some tests to be out of range &#8211; at least out of a functional range. If testosterone was the only treatment offered, I think it&#8217;s an incomplete treatment at best, and unnecessary at worst. Again, it&#8217;s hard to say without knowing the whole story.<br />
Another thing I don&#8217;t understand is why your body suddenly stopped absorbing the gel after it had been working fine previously- that makes little sense to me&#8230;I don&#8217;t think your levels dropped because you weren&#8217;t absorbing it.<br />
The irritability can definitely be a result of the treatment, esp. because you make it sound as if it was never a problem before &#8211; and the same goes for the volume of your ejaculate.<br />
The alternatives to your treatment depend on exactly why you had the low testosterone to begin with.<br />
I would have to evaluate all your tests and take your complete history to guide you better.<br />
I offer phone consultations if you&#8217;re interested.</p>
<p>Take care,<br />
Dr. Rob D&#8217;Aquila</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Dr. Rob D'Aquila</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1493</link>
		<dc:creator><![CDATA[Dr. Rob D'Aquila]]></dc:creator>
		<pubDate>Wed, 08 Feb 2012 02:37:58 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1493</guid>
		<description><![CDATA[Hi Shaun,

I&#039;m glad you enjoyed reading the article. Yes, in many cases endocrinologist&#039;s and alternative practitioners prescribe HRT too quickly, and without other types of support. 

The patient I mentioned mostly had blood sugar problems contributing to his low testosterone. The blood sugar issues were very much caused by being a vegetarian for years. Obviously he had receptor site down-regulation from the HRT as well.

Thanks for reading,
Dr. Rob D&#039;Aquila]]></description>
		<content:encoded><![CDATA[<p>Hi Shaun,</p>
<p>I&#8217;m glad you enjoyed reading the article. Yes, in many cases endocrinologist&#8217;s and alternative practitioners prescribe HRT too quickly, and without other types of support. </p>
<p>The patient I mentioned mostly had blood sugar problems contributing to his low testosterone. The blood sugar issues were very much caused by being a vegetarian for years. Obviously he had receptor site down-regulation from the HRT as well.</p>
<p>Thanks for reading,<br />
Dr. Rob D&#8217;Aquila</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Shaun</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1485</link>
		<dc:creator><![CDATA[Shaun]]></dc:creator>
		<pubDate>Sun, 05 Feb 2012 08:56:15 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1485</guid>
		<description><![CDATA[I enjoyed reading this article , especially after reading countless others which promote hrt so easily. Even the endo I went to see suggested hrt a bit too easily .
I would like to know more about the patient mentioned above who was treated for low testosterone as I think I maybe am going through the same as him.]]></description>
		<content:encoded><![CDATA[<p>I enjoyed reading this article , especially after reading countless others which promote hrt so easily. Even the endo I went to see suggested hrt a bit too easily .<br />
I would like to know more about the patient mentioned above who was treated for low testosterone as I think I maybe am going through the same as him.</p>
]]></content:encoded>
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	<item>
		<title>By: Jeff</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1483</link>
		<dc:creator><![CDATA[Jeff]]></dc:creator>
		<pubDate>Sun, 05 Feb 2012 02:04:07 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1483</guid>
		<description><![CDATA[Hi Dr. Rob First off I enjoyed reading your article above and hope you can help me. I am 57 years old. About a year ago my Testosterone was under 200 . I went to a Dr for healthy living who did a very extensive blood panel(13 vials) and put me on bioidentical gel ..To use it 5 days on then 2 days off. my level rose to 600 then 3 months later to 750 then it dropped to 200 . I was told that the gel was not absorbing so he switched me to a cream.  My level went back up to 600 but i get alot of fatigue and irritability and do not really like that. When my level was low I had fatigue and working out in the gym seemed like a chore   The T helped with the working out that got easier but the fatigue seem to come and go but come more often. I was never an irritable person and can control it but dont like it. Is this a side effect?. Also when i ejaculate now its very little compared to before i started the testosterone. its seems the only thing that is better is that I get more erections. I sometimes just do not feel like my self and think maybe I should stop  but if I stop what alternatives do I have. The long term effects you described above scare me. I am 5.5 weigh 124 eat very healthy do not eat gluten or wheat. Walk 5 k 4 times a week ride a bike 10 k 3x a week and work out in the gym 3x a week but had to stop weights as i strained a deltoid. One more thing I have also  lately been getting stomach pains. Anything you can do to help would be greatly appreciated.
Jeff]]></description>
		<content:encoded><![CDATA[<p>Hi Dr. Rob First off I enjoyed reading your article above and hope you can help me. I am 57 years old. About a year ago my Testosterone was under 200 . I went to a Dr for healthy living who did a very extensive blood panel(13 vials) and put me on bioidentical gel ..To use it 5 days on then 2 days off. my level rose to 600 then 3 months later to 750 then it dropped to 200 . I was told that the gel was not absorbing so he switched me to a cream.  My level went back up to 600 but i get alot of fatigue and irritability and do not really like that. When my level was low I had fatigue and working out in the gym seemed like a chore   The T helped with the working out that got easier but the fatigue seem to come and go but come more often. I was never an irritable person and can control it but dont like it. Is this a side effect?. Also when i ejaculate now its very little compared to before i started the testosterone. its seems the only thing that is better is that I get more erections. I sometimes just do not feel like my self and think maybe I should stop  but if I stop what alternatives do I have. The long term effects you described above scare me. I am 5.5 weigh 124 eat very healthy do not eat gluten or wheat. Walk 5 k 4 times a week ride a bike 10 k 3x a week and work out in the gym 3x a week but had to stop weights as i strained a deltoid. One more thing I have also  lately been getting stomach pains. Anything you can do to help would be greatly appreciated.<br />
Jeff</p>
]]></content:encoded>
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	<item>
		<title>By: Dr. Rob D'Aquila</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1476</link>
		<dc:creator><![CDATA[Dr. Rob D'Aquila]]></dc:creator>
		<pubDate>Fri, 03 Feb 2012 03:34:43 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1476</guid>
		<description><![CDATA[Hi Debbie,

Please read all the comments above for my input. I recommend people find out the cause of their hormone imbalance before simply taking BHRT; esp. at age 30.

Good luck,
Dr. Rob D&#039;Aquila]]></description>
		<content:encoded><![CDATA[<p>Hi Debbie,</p>
<p>Please read all the comments above for my input. I recommend people find out the cause of their hormone imbalance before simply taking BHRT; esp. at age 30.</p>
<p>Good luck,<br />
Dr. Rob D&#8217;Aquila</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Debbie</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1474</link>
		<dc:creator><![CDATA[Debbie]]></dc:creator>
		<pubDate>Thu, 02 Feb 2012 07:00:57 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1474</guid>
		<description><![CDATA[Hi Dr. Rob

I am 30 years old and noticing that every month my periods get worse. Not worse in Menstrual flow, but fatigue, cramps, headaches, and mood swings.  I can cry at the drop of a hat and 10 minutes later want out of my own skin. The feeling is horrible and wondering if BHRT would help? Hope you have some input.

 Thanks so much
         Debbie]]></description>
		<content:encoded><![CDATA[<p>Hi Dr. Rob</p>
<p>I am 30 years old and noticing that every month my periods get worse. Not worse in Menstrual flow, but fatigue, cramps, headaches, and mood swings.  I can cry at the drop of a hat and 10 minutes later want out of my own skin. The feeling is horrible and wondering if BHRT would help? Hope you have some input.</p>
<p> Thanks so much<br />
         Debbie</p>
]]></content:encoded>
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