In the News

Birth Control Makes Women Unattractive and Crazy

Birth Control Makes Women Unattractive and Crazy. This is the headline by Milo Yiannopoulos that stirred up a lot of controversy for Steve Bannon and Breitbart News. It’s been all over the news as a reason to turn against Steve Bannon hoping to expose his true character with what he allows on this news site. Most of my readers know I’ve extensive professional education and research in Hormone Medicine, worked over a decade in a Hormone Medicine Specialty clinic, and launched a Hormone Medicine research foundation working with hundreds of women of all ages, and virtually every method and system of hormone replacement therapy. So, when I saw the morning news splash this article up on the screen the last couple of days, I had to pull it up and see what the fuss was about because I didn’t see what the problem was. Why was everyone in such a tizzy?

For those who didn’t hear, Milo Yiannopoulos posted an article on Breitbart News by entitled, “Birth Control Makes Women Unattractive and Crazy” in December of 2015 that many women and men found offensive. In fact the article was listed as one of Breitbart News’ Top 5 Worst Headlines and was barred on Twitter after being accused of inciting racist and sexist attacks on the actress Leslie Jones, told women that birth control “makes you fat,” “makes your voice unsexy,” “makes you jiggle wrong,” “makes you a slut” and “makes you unsexy all the time.” He stated many harsh things where I can see where most women would jump at the opportunity to say this guy’s a schumck. Though his tone comes off as offensive and judgmental, and no woman wants to hear female related anything come out of the mouth of a man, but could there be any truth to what he’s saying about women being fat and mental on birth control? I’m not saying what Milo Yiannopoulos said about Leslie Jones is right, in fact it’s unacceptable and emotionally immature, but like anyone else, Milo has a right to his opinion with his interactions with women who’ve been on birth control. Have you ever read the package insert in the birth control pill box? It’s not big news what happens to women who take it, it’s listed in black and white.

Although Milo Yiannopoulos comes off as a disgruntled teenager, he is right with regards to what happens to a woman’s brain and body when they go on birth control. He appears to be knowledgeable than most men (and women) with how estrogen affects a woman’s brain and body. I actually don’t blame him as a man with what he has to put up with when around an estrogen deficient woman. What many don’t realize is birth control puts a woman in chemical menopause but everyone has to pay the price in one way or another. There are 9 miserable side effects to chemical birth control he addressed I’d like to comment on for a Hormone Medicine consultant’s clinical perspective:

1. BIRTH CONTROL MAKES YOU FAT—This is very true, kind of. Milo talks specifically about DMPA, an injectable birth control like the brand Depo-Provera®. I’d like to clarify that any chemical given to a woman, whether injectable or oral, will cause her body to no longer produce estrogen. This will put a woman, no matter her age, into “chemical menopause”. What we have come to find is that estrogen affects every function in the female body right down to the core of every cell. The brain and body are significantly dependent on adequate (reproductive) levels of estrogen pumping in the blood, and when estrogen is not abundantly flowing through a woman, no matter how old she is, she will get fat and be unreasonable to be around most of the time. Everyone knows the best way to fatten up a female pig is to disrupt her ovarian function by way of spaying to shut off estrogen production. Taking away estrogen creates menopause. Estrogen levels indicate to the brain what stage of life a woman is in, and low levels of estrogen indicate a woman is in a state of post production signaling it’s time to “check out” and make way for the next generation so to speak. This triggers a mental and physical decline getting worse the lower estrogen gets. Chemical birth control tricks the brain into thinking a woman is producing enough estrogen so it shuts off her own estrogen production. You can see the change in body composition and personality of household pets, male and female, after they’ve been fixed. It’s not necessarily birth control that makes a woman fat and unable to lose it, it such low levels of estrogen that are the culprit.

When a patient can’t lose weight we take a look to see if it’s due to ovarian dysfunction (under producing estrogen), we find out why they’re not producing what they should then get their own body to trigger production with a nutrient dense diet, good sleep hygiene, a sound gut microbiome, and removing any endocrine disruptors. There is usually a reason a woman cannot produce enough estrogen. Increasing estrogen levels intrinsically or extraneously, changes brain and body function and indicates a different stage in life, (reproduction) so the body changes shape to indicate such (by dropping fat and increased muscles tone to prepare for reproduction), and demeanor calms and softens.

2. BIRTH CONTROL MAKES YOUR VOICE UNSEXY—Milo Yiannopoulos is correct when he wrote:

“Women sound most attractive to men when their estrogen levels are high, and their progesterone levels are low. Birth control lowers the former and raises the latter, making women sound as erotically appealing as Bruce Jenner giving a croaky acceptance speech.”

It’s not so much birth control that makes a woman’s voice deeper as it’s due to low estrogen levels from taking chemical birth control. When estrogen gets too low in a woman of any age, she will no longer produce water and fluids the body needs to lube things up like our internal tissues, oral cavity, skin, joints, nails, hair, vagina, eyes, throat, etc. In addition to a lack of lube, muscles and tissues are in atrophy compromising function, which changes the voice of a woman to a deeper, strenuous tone. This is not appealing to men with adequate testosterone levels. It’s not as repulsive to men with low testosterone and increasing estrogen levels. Cisgender men with healthy testosterone levels are drawn to healthy estrogen levels in cisgender women. Cisgender women with healthy estrogen are drawn to healthy testosterone in cisgender men, no matter how old the person is.

3. BIRTH CONTROL MAKES YOU JIGGLE WRONG—What he refers to with this statement is that the body composition and posture are just not right with women on the Pill, and he’s right. The body composition of a woman isn’t what it used to be like back in the 50s and earlier. Because of the Pill (a cease in estrogen production), fast food, poor sleep hygiene, muscle atrophy, an unhealthy gut microbiome, and shrinking bones, the posture and overall body composition will look more like a menopausal woman than a woman in reproductive prime. Estrogen levels dictate cravings, quality of sleep, health of gut, muscle tone, bone density, and how a woman will hold herself up and lift her chin and chest. Estrogen deficient women have bad posture.

4. BIRTH CONTROL MAKES YOU CHOOSE THE WRONG MATES—I loved this one because he hit the nail on the head but not for what he states. He claims women on the Pill seek men who are closer to their own tribe, meaning that low estrogen women are not drawn to high testosterone men but rather seek, weak estrogen dominant, low testosterone men. This isn’t exactly true. Yes, low estrogen women are not drawn to testosterone dominant men but it’s not testosterone deficient men she’s drawn to. Estrogen deficient women aren’t drawn to anyone. Low estrogen signals a woman is no longer in a state of reproduction so she detaches from her significant other as she loses her libido. Her ability to make emotional attachments diminishes, and irrational behavior gets indefensibly unreasonable driving others away. Low estrogen women are lonely and bitter. Estrogen sound women don’t have that sharp bitterness to them.

Estrogen deficient women are emotionally broken, no matter how much therapy they get. Estrogen is the confidence hormone to women that testosterone is to men. Estrogen at low levels causes depression, severe anxiety, and suicidal and homicidal thoughts. Low estrogen levels create low self-esteem, low self-confidence, and low self-worth in women. Women have a hard time making confident, rational decisions when estrogen is in the tank and tend to choose men to control or to mend their problems. I believe women choose the wrong mates because their estrogen is too low. They search for the mate who can fix all their broken emotional parts estrogen deficiency causes. I’ve seen it hundreds of times when women get their estrogen sound again and the changes that take place in the brain and mental outlook. When a woman marries a man when she was estrogen deficient and gets her hormones where they should be, her relationship will be challenged as the self esteem, self confidence, and self worth emerge. I’ve coached many women who’ve become estrogen strong how to re-establish a new relationship with her significant other.

5. BIRTH CONTROL MAKES YOU UNSEXY ALL THE TIME—This statement has a lot of truth for a reason. Estrogen levels dictate the stage of life a woman is in, low levels of estrogen program the mind she’s in postproduction and will not be interested in reproduction or anything associated with it. Estrogen levels of a healthy reproductive woman are somewhere in the 300-700 blood serum range on day 12 of the menstrual cycle, and an FSH <5. It’s in this range a women will be drawn to high testosterone men, want to be touched, have a good muscle to fat shoulder-waist-hip ratio, pleasant demeanor, increased pheromones, lubricated naughty bits, increased sensuality and sexuality, nipple-clitoral response, and tend to be more approachable.

6. BIRTH CONTROL MAKES YOU A SLUT—I’m not so sure about this one because he’s insinuating women on the Pill are more likely to cheat. The way he explains it doesn’t make sense but I have seen women so insecure with such low estrogen levels that they will risk their relationship to be with someone who they think will make them feel better about themselves even for just a moment. Estrogen deficient women are lonely and insecure and long to make connections to no avail. Women on the Pill are not hornier or want to be with a manly man because they can’t control themselves like Milo Yiannopoulos states. They cheat because they’re so emotionally broken and think it will make them happy. The truth is, nothing makes a woman who’s estrogen deficient happy. Absolutely nothing will make a woman happy if her estrogen is in the tank. Estrogen sound women are less likely to cheat because they’re more secure with who they are and find contentment in what they have.

7. BIRTH CONTROL MAKES MEN UNMANLY—Spoken like an emotionally immature male, Milo Yiannopoulos says the Pill will cause your woman to nag at you and if she weren’t on the pill then she wouldn’t nag. There actually is some truth to this. Estrogen deficient women will never be happy and will complain at anything. Estrogen is the contentment hormone in women and when it remains too low or non-existent, women will be unreasonable, have responses that are out of proportion to the situation at hand, stir up trouble, and never really have an end in sight. Even if you do what she says will make her happy, it won’t if her estrogen is too low. She’s up one week and down the next.

8. BIRTH CONTROL GIVES YOU COTTAGE CHEESE THIGHS—This is true. Estrogen deficiency causes cottage cheese thighs. Estrogen levels dictate cellulite. If you’ve gotten it by now that women without enough estrogen will be fat and crazy, it should also trigger a response of why aren’t doctors keeping estrogen levels up so women’s bodies and brains aren’t compromised?

9. THE PILL MAY HAVE DESTROYED THE INSTITUTION OF MARRIAGE—For most, this is the case but it’s not so much the Pill that caused it but the fact the Pill suppressed estrogen production so low a woman is no longer human and if coupled with anti-depressants, women don’t want to be touch and are numb about it. Most women are given anti-depressants and other drugs to treat the symptoms of estrogen deficiency instead of addressing the estrogen deficiency issue at the source. Women without estrogen are fat and moody and can’t be depended on. Her body is starved of the very hormone that tells her brain whether she wants to live or die, let alone contribute to a relationship.

Though Milo Yiannopoulos clearly has an opinion about he’s been affected by women affected by the Pill or injectable birth control, it’s not the Pill that’s causing all the problems, it’s low estrogen and a woman doesn’t have to be on the Pill to have low estrogen. It’s too bad that when young co-eds go to the doctor and complain about menstrual problems, headaches, depression, etc., the first line therapy is to prescribe birth control and anti-depressants. This is what’s making women crazy, and why I started a Hormone Medicine research foundation. If women’s estrogen was maintained at healthy levels as first line therapy, their brains and bodies wouldn’t fall apart so profoundly and rapidly. Women’s biggest challenge is finding a doctor who truly understands the impact estrogen has on her brain and body when she gets enough, what happens when she doesn’t, and how to properly manage it.

Janet Jackson’s Postpartum Expectations

 

Janet Jackson’s birth.  It’s big news Janet Jackson gives birth at 50. The media is having a heyday with discussions of celebrity women in their 40s and 50s giving birth. Posted today in the Lifestyle-Beauty section of the news magazine The Telegraph is just such an article entitled, “As Janet Jackson announces the birth of her son, here’s what to expect from pregnancy in your late forties” about how wonderful it is for women to give birth as such a late age and what you can expect from pregnancy in your late 40s. No one really gives any good information in articles like this one, almost like the article was a link to current news for exposure with no real useful information. In this article, the unnamed author listed tips from fertility expert Emma Cannon who gives some generic pregnancy advise but no one really addresses what Janet Jackson can expect having a child at 50.

Though many think there’s no problem with a woman having a child at 50, there are some things a woman must truly consider with having a child at such a late age. Let me start with saying I’m surprised Janet was able to get pregnant at all. Women in their 50s typically have very low estrogen levels which is a big factor of whether a woman will get pregnant or not. Most ovaries have shut down adequate estrogen production, which makes it more difficult to get pregnant. A woman may be able to get pregnant at 50 but her estrogen will be so low after birth that her brain and body will not only not “bounce back” postpartum, but her estrogen production would be less than before she got pregnant, and continue a rapid decline until the tank is empty.

Women without enough estrogen are not tolerant, patient, or calm. They’re not teachable. They’re responses are out of proportion to the situation at hand. They have horrible migraines, headaches, and mood swings. They feel like the walking dead, can’t sleep and constantly crave bad carbs and refined sugar. They can’t remember anything and cry at everything. They’re not dependable and are augmentative.   Nothing makes an estrogen deficient woman happy. Nothing makes a woman without estrogen happy. Women without estrogen can’t stand the sound of children’s voices and have a difficult time emotionally connecting to others, including her own children. Estrogen deficient women are controlling, moody, and unpredictable. Women without estrogen are not happy campers to say the least. I would not want to be the child of an estrogen deficient women and no woman in her 50s has adequate levels of estrogen and it gets worse if she has children as her body is ready to throw in the reproductive towel.

Janet Jackson can expect to feel miserable mentally and physically if she doesn’t address her low estrogen issue she’s about to face in a couple months. When women have children in their early to mid twenties, their ovaries are more likely to kick back in with adequate estrogen production, making them better at being a mom. Depression and anxiety will be too much to handle.  It’s mentally and physically impossible to be a mom with no estrogen so the best thing Janet Jackson can do is find a good Hormone Medicine doctor who knows how to intelligently administer estrogen to optimal levels. This will allow Janet to bond with her son and not be at the mercy of her estrogen deficient brain and body falling apart.

 

The 5 Not-So-Fun Things About Menopause

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Ann Brenoff wrote an article for the Huffington Post entitled The 5 Not-So-Fun Things About Menopause And Tips To Deal With Them about a small study conducted by Ambren, and with Marcy Letourneau, part of the Amberen NurseAid program, they put together a menopause survival guide. This so-called “survival guide” is just that, a survival guide for women who are suffering from the symptoms of menopause, not a solution. Amberen’s motto is to “Embrace The Change” offering support from nurses with expertise in menopause. What women do not know is, these women have no education, training, or clinical success in preventing or reversing menopause, just offering support for the miserable symptoms of menopause. Who really wants to embrace the nightmare of menopause?

The truth is, menopause doesn’t have to exist at all, nor does perimenopause. The five not-so-fun things Ann Brenoff discusses in this article are all symptoms of ovarian dysfunction and can be fixed. Women with PMS, PMDD, Perimenopause and Menopause all suffer from the same thing, insufficient estrogen production. Women only have these conditions when their estrogen gets too low, and there are many reasons that cause our ovaries to stop producing estrogen.

Let me take you through the five not-so-fun things about menopause from the perspective of addressing the root cause of each issue:

1. Sex can hurt–Brenoff discusses vaginal atrophy and lack of lubrication for painful sex. She is right. Women with declining estrogen, no matter how old she is, will dry up all over her body and be unable to lubricate her vagina. The vagina isn’t the only thing that dries up when estrogen declines, the oral cavity, eyes, skin, nails, hair, and many other areas our body needs lubricating. When this dehydration takes place in the body, tissue will shrink up creating atrophy throughout our body, our heart, gum tissue, lungs, and our vagina to name a few areas affected. The walls of the vagina atrophy when estrogen gets too low as the body dries up.   Without lubrication and stimulation, it hurts to have sex. In addition, an estrogen deficient woman will lose the ability to get nipple and clitoral stimulation and the connection between the two. The best way to address painful sex, a dried up vagina, and lack of lube is to get your estrogen back up into healthy reproductive ranges again. This will eliminate this problem altogether, as long as your estrogen is sound.

2. Lowered libido means less interest in having sex. You don’t have to be in menopause it have a low libido, just low in estrogen. Women who don’t have enough estrogen will not have a libido because healthy estrogen levels tells the brain of a woman what stage of life she’s in. If estrogen is low, the brain and body assume a woman is in post-production and will not have the desire to reproduce, therefore shutting down reproductive desires. Not only does an estrogen deficient woman not have a libido, she no longer is able to make emotional connections with others: children, spouses, girlfriends, and the general population, avoiding eye contact. Women without enough estrogen do not like to be touched and will send out repellent pheromones to shoo away anyone considering approaching her. When a woman’s estrogen remains low, human touch can be like touching someone with sunburn. The only thing that truly addresses the libido in women is healthy levels of estrogen. Estrogen is the sensuality and sexuality hormone for women and when it remains too low, we can’t expect them to connect or want to have sex. The best way to address this not-so-fun thing is to keep estrogen levels sound.

3. Your skin will break out so badly that you’ll think you’re back in puberty. Brenoff is right with exercise increases blood flow to all organs stating it’s the increase in oxygen that makes the skin healthier but the truth is, estrogen levels and gut dysfunction are the culprits for acne for menopausal women. Women with healthy levels of estrogen and a clean gut never get acne. What Brenoff doesn’t say is exercise is the best way to get blood flowing to the ovaries so they can produce more estrogen to address the acne. The quality of a woman’s skin is dependent on estrogen levels. When estrogen is low, skin gets dry, bumpy, pimply, and cracks. Getting physical exercise in the sun without sunscreen is the most effective way to increase estrogen production if the ovaries are still functioning. If ovaries are dysfunctional, supplementing estrogen back to healthy levels and cleaning out the gut is the only way to completely eliminate acne altogether.

4. You may forget what sleep is. Brenoff suggests that women don’t sleep because of hot flashes but the truth is, when estrogen remains too low, women will have a difficult time falling and staying asleep regardless if they have hot flashes or not. Hot flashes many keep some awake but hot flashes is also a symptom of estrogen deficiency and will go away once estrogen is sound. Estrogen levels decided whether a woman will sleep or not, and testosterone levels will determine if men will sleep or not. Addressing the main-sex hormone decline will get you to fall asleep and stay asleep for good. There is no better sleep aid.

5. Your moods may range from weepy depressed to murderously angry with little in between. Estrogen levels dictate a woman’s self esteem and self-confidence just like testosterone does in men. Only women with low estrogen have mood swings and are irritable. Women with healthy levels of estrogen are not moody or irritable and their responses are proportionate to the situation at hand. Estrogen is the mood stabilizing hormone for women and when it remains too low, you never know what you’re going to get. When estrogen is sound, women feel alive and content. When estrogen is too low, women will feel like the walking dead and be too difficult to be around.

If these things not-so-fun things about menopause are bothering you, find yourself a practitioner who has training, experience and success with high dose estrogen therapies. Going to a doctor who’s afraid of estrogen will only offer you products, drugs, and procedures to treat your estrogen deficiency symptoms. To get rid of these problems altogether, restore estrogen to reproductive levels and you will never deal with any of these symptoms again. Learn more about menopause and the causes of it so you can avoid it for good.

Misleading HRT Study

Screen Shot 2016-08-27 at 9.07.59 AMAnother misleading HRT study by The Pharmaceutical Journal about hormone replacement therapy (HRT) causing cancer. The only time estrogen causes cancer is when it’s kept too low. The problem with studies, articles, and reports like this one, is they throw all HRT in the same basket as if it’s all the same, and they do not conduct studies on the correct demographic of women. After reading the actual study, I failed to see where it was hormones that caused the cancer. When reading studies such as the one mentioned here, there are some things to take into consideration before coming to a conclusion as to whether the study is accurate: 

  1. What kind of hormones are they using? Not all HRT is the same. Hormone medicine has progressed over the last ten years especially with bioidentical hormones. There are four generations of HRT with the fifth generation under construction. Using first and second-generation hormones in a study is ridiculous and outdated. Bioidentical hormones are not the same as synthetic hormones.
  1. How are the hormones dosed? If the hormones given to patients are too low, then you’ll get nothing but a mess of problems. Merely treating the symptoms of hormone deficiency is not the same as truly dosing hormones to fix the problem of the deficiency, not just masking the symptoms of the deficiency. Hormones dosed to patients need to be high enough to trigger a receptor response. If this isn’t done, the patient will not be able to receive, utilize, and detoxify the hormones appropriately so the hormones get stored in the body creating problems. True hormone restoration involves restoring hormones back to healthy reproductive levels and you cannot do that with low dosing. Keeping hormones too low is a death sentence.
  1. In what manner are the hormones being dosed? Giving patients hormones in a static manner, especially low dosed estrogen eventually stops working after a short period of time because the dose is too low to trigger a receptor response for the hormones to work. Taking the same dose everyday does not mimic the natural physiology of a woman’s hormone tide-like cycle. It’s like being noseblind and the body won’t recognize them. Women (or men) do not produce hormones at the same amounts everyday. Estrogen has two peaks in a 28-day cycle with a high peak at Day 12 and another luteal not so high peak around Day 21. Dosing hormones in the natural physiologic rhythm of the male or female body allows for the production of receptors further allowing the body to properly receive, utilize, and detoxify hormones.
  1. How long has the patient been hormonally deficient? It’s impossible to resurrect the dead. The longer a patient has been hormonally deficient will determine how effective the hormone replacement will be. Using post menopausal women in a study where they’ve been so deficient for so long, already at significant risk for many deteriorating diseases, no amount of hormones can reverse or fix that. Estrogen decides how women feel mentally and physically and when women have been deficient for a while, they’re at increased risk of the degenerative diseases of aging. If you can catch women before they have one foot in the grave will keep women from going into menopause in the first place. The best time to address hormonal deficiencies is not after a woman has turned into a raisin, but when the decline begins, and that could be at any post menarche age. Many things cause estrogen to decline and most women have never had adequate amounts of estrogen due to many factors like birth control pills, medications, diet, lack of sleep when the sun is down, lack of physical movement, toxic exposure, etc. The birth control pill puts a woman in immediate chemical menopause. Take a moment to read the package insert of the birth control pill and read the warnings and side effects. You will read all the miserable things menopausal women experience because without estrogen, no matter how old a woman is, she will mentally feel like she’s going crazy and her physical body will fail. It’s a long, drawn out miserable living death. After a woman is finished having children is the best time to consider replacing hormones back to healthy levels to keep her brain and body from falling apart to begin with.
  1. What are the lifestyle factors involved? It’s never just about replacing hormones and calling it good. If a patient has a crappy diet, doesn’t sleep, taking a lot of meds, or doesn’t get physical activity in the sunshine and fresh air, they will never get the full benefits of the hormones. Taking hormones without addressing the other 15 Essential Elements of advanced hormone restoration will result in mediocre results. Patients feel better with HRT alone but the hormones work at an echelon level with combined with the right diet and lifestyle. What one puts in their body and how they live their life will determine the efficacy of the hormones. Hormone, only work well if taken in conjunction with a nutrient dense, whole foods, raw dairy diet, daily physical activity, and sleeping sound when the sun is down.

Most studies about HRT are misleading and keep women from seeking help. As long as our medical industry treats hormones, especially estrogen, as the enemy, women will feel like the walking dead. The biggest problem women face with HRT today is finding doctors who aren’t afraid of estrogen and who’re educated and trained in proper hormone restoration.

 

Transgender Patients and Hormones

Screen Shot 2015-08-31 at 1.47.01 PMI’ve had the rare privilege to tag along with a brilliant hormone restoration physician with regards to education, training, and working side-by-side in a hormone restoration clinic, and independently, as a professional Hormone Health Coach for over 13 years. We have experience with every form of hormone therapy with the exception of pellet therapy because is goes against the natural physiology of the patient. We’ve worked with teenagers for PMS to the extreme miserable menopausal woman. We’ve also worked with men treating the same main-sex hormone deficiency diseases women face by restoring hormones to healthy levels again. The clinic wasn’t open long before we started receiving inquires for transgender hormone therapy. This was not a category of patient we had specific training or education, and we had a lot of education and training but weren’t sure what to do with fielding the inquiries. We didn’t want to refuse treatment because we also knew we were their best bet with getting them the hormones they so desperately need.

After some careful conversations with a few transgender patients explaining what we have to bring to the table, and what the hurdles are, I opened a transgender clinic within our clinic. I made an arrangement with a handful of transgender patients that if they had patience with us trying to “figure out” their hormones, we’d see them as patients. That was over five years ago but we figured it out, at least we think we did. Treating transgender patients, whether male to female or female to male, the patient the same clinically and hormonally as if the clinician would treat a male or female cisgender patient. We found when hormones were optimized according to the gender the patient specifies, and reach for optimal blood serum levels, they get the life they’ve been struggling for for so long. It’s not an easy journey and there are many things to consider but the point I’m attempting to make is the medical community shouldn’t be so afraid to treat transgender patients.

Transgender patients are not freaks. They’re just like every other patient that comes into the office with a hormone deficiency to be addressed. Most transgender patients have complicated medical and psychological concerns which make doctors nervous in conjunction with being clueless about how to prescribe hormones. The ironic thing is 80% of the physical and mental health issues transgender and cisgender patients face has to do with the fact they have no “main-sex” hormones. It’s like being a cisgender male and withholding his testosterone. What kind of man would he be? The same for women; what kind of women are we expecting if we withhold the very chemical that tells their brain and body whether they’re in a state of reproduction or decomposition?

We see many patients in the clinic and hormone coaching that I have a few favorite patients I can’t wait to see again. Most of these patients are transgender patients. Transgender patients are often mislabeled and judged mostly because of professional ignorance. A doctor would rather save face and not mention they don’t know what they’re doing with regards to treating their hormones. They don’t teach hormone therapy in med school, not even for cisgender patients. Doctors are taught to treat cisgender hormone deficiency symptoms with prescription drugs instead of restoring the declining hormones causing hormone deficiency symptoms, of which there are hundreds. The transgender population is growing and more needs to be done about accessibility to hormones and quality healthcare. The medical community can no longer pretend the transgender population doesn’t exist.

Transgender patients are actually my favorite demographic population in the clinic. I don’t want to speak for an entire community but I found our transgender patients to be exceptional; they’re gracious, kind, intelligent, bright, driven, passionate, compassionate, have incredible senses of humor, and dedicated to living the life they’ve struggled to get for so long. Denying hormones not only to transgender patients but cisgender patients is a human rights violation. Transgender patients are our sons, our daughters, sisters, brothers, mothers, fathers, and friends. The transgender community is here to stay and thanks to Caitlin Jenner, they’re freer to come out.

Hormone replacement therapy is still in evolution and there are some terrific healthcare facilities taking good care of transgender patients. There are a handful of ways to balance hormones for patients just like with cisgender patients. Some facilities practice second generation hormones like low, static dosed patches and such, and others practice a fourth generation hormone restoration system like the Panacea Protocol™.

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