Menopause Is A Choice

Menopause is optional. Menopause is a choice. Women don’t realize it but they never have to experience menopause at all. Women are told menopause is a natural part of being a woman. We’re told our brains and bodies are going to fall apart after child-bearing years until we die. At least that’s the consensus of several hundred Hormone Medicine patients in Northern California I’ve worked with for over a decade.   Most of my patients are in a place in their lives where they have pubescent teenagers living at home and rapidly aging parents they have some responsibility to care for. Perimenopause is one of the hardest times in a woman’s life because she isn’t expecting the “silent decline” of her brain and body. Women who’ve waited until their mid-thirties to have children tend to have a more rapid mental and physical decline postpartum due to already declining levels pre-pregnancy. Perimenopause, like puberty is a process over a period of time that involves changing main-sex hormone levels, and neither the perimenopausal woman nor pubescent teen have enough hormones to carry on a rational conversation or thought. Add in an andropausal man and life at home is a miserable existence.

A tough reality for perimenopausal women is they see how their mother is mentally and physically declining, and all the ailments and medication prescriptions to manage a physical existence. Who wants that life? Women have been told they have to live with all the mental and physical symptoms they complain to the doctor about and given prescription drugs to numb and silence them. It’s not all the doctors fault. Doctors have been left in the dark about main-sex hormones and the impact they have on the brain and body when patients have enough, what happens when they don’t have enough, and how to properly fix the problem at the source. Taking medications for symptoms of low estrogen doesn’t make sense to me but that’s how our modern medical model works in this country; keep the patient deficient and sick and maintain symptoms with drugs and procedures.

Robert A. Wilson, MD was a pioneer in Hormone Medicine and published several articles and studies in support of high dose estrogen therapy. He wrote an article in 1964 published in the Delaware Medical Journal entitled, The Obsolete Menopause that stated…

“In the past, because the menopause happened to every woman, it was generally thought to be normal. So long as there was no remedy, this was a comforting, almost necessary idea. Today the effects of estrogen and progesterone deficiency are so completely documented that to list them would be repetitious. We know that menopausal women are not normal; they suffer from a deficiency disease with serious sequelae and need treatment.”

After many years of Hormone Medicine research, education, training, and clinical experience, we found what Dr. Wilson and his colleagues have said about intelligent administration of estrogen to be true. Menopause is an estrogen deficiency condition. Menopause is truly an option. Menopause will soon be something only our foremothers suffered from. I started Panacea Sciences Foundation for HRT Research, Development & Education in 2014 to build on the work of Hormone Medicine pioneers like Wilson, Masters, Shorr, Currier, Greenblatt, Papanicolaou, Houck, Novak, and many others who looked outside conventional medicine and saw menopause as an estrogen deficiency condition. I feel it important to dig up the studies that have mysteriously disappeared from the National Library of Medicine in support of high dose estrogen therapies, and how PMS, perimenopause, and menopause are all reversible and preventable estrogen deficiency diseases. We also wanted to provide proper education and clinical training for intelligent estrogen administration to clinicians who see the truth in hormones. Doctors are hard pressed to find appropriate HRT training and millions of women are needlessly suffering from mental and physical conditions that need not exist if only their estrogen were sound.  Follow our website at Panacea Sciences for more information about trained and qualified Hormone Medicine experts.  The more you know about estrogen and how important it is to our brain and body, the better you can take control of your mental and physical health.  You’ll have to step outside the conventional medical model of disease management and make some pivotal diet, lifestyle, and endocrine changes.  Women have more control over their health than they realize. 

Our first formal clinical training for Panacea|HRT will be in the spring of 2017.   You you know of a physician who’d like more information on high dose estrogen protocols, have them to to  Take a look at the Panacea Directory to find a qualified Panacea|HRT physician and pharmacy. If you don’t find one in your area, come back for updates or find one who practices telemedicine. You don’t have to suffer from menopause ever. Maintaining optimal estrogen levels protects the brain and body from deterioration and decay. Menopause is a choice.


The 5 Not-So-Fun Things About Menopause


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.

15 Perimenopause Signs No One Tells You


The North American Menopause Society posted an article that was in Reader’s Digest on Facebook entitled 15 Signs No One Tells You Come Before Menopause. The Reader’s Digest article is written by Susan Jara quotes Ellen Dolgen as a menopause expert as to these “15 Signs” but falls short of really helping women how to address these issues. It’s articles like this that makes women think they have to suffer through perimenopause and menopause when in reality they do not.

1.  Breast Tenderness –Ellen Dolgen says it’s impossible to know when your breasts are going to begin throbbing and says that breasts will feel more lumpy but offers no real solution.  There are several reasons women get breast tenderness in perimenopause but the main reason is because they’re estrogen dominant. Estrogen dominance is an estrogen deficiency disease. I explain this in greater detail in my post “Estrogen Dominance or Deficient?”. Diet, medications, and low estrogen cause boobs to hurt and throb. When estrogen gets too low and a woman eats a high carb and sugar diet, normal estrogen will not detoxify properly out of the body and will store in fat. Sore boobs are brought on by low estrogen causing an estrogen dominance effect. Keeping estrogen in healthy reproductive ranges will eliminate sore and throbbing boobs and many other perimenopause signs. Lumpy boobs happen to women whose estrogen has fallen too low. The lower estrogen gets, the more lumpy and ropy breast tissue will be. To never have lumpy, ropey boobs again, keep estrogen in healthy reproductive ranges. In the long run, estrogen deficiency contributes to breast tenderness because there isn’t sufficient estrogen to induce the progesterone receptors. Without adequate progesterone receptor up-regulation, the progesterone isn’t able to down regulate the estrogen receptor therefore calming the proliferative effect of estrogen on the breast tissue. If you pay attention, your boobs will cycle right along with your menstrual cycle.

2.  Unexpected Bruising–Most people don’t expect to bruise but as we age, bruises come up all over our body when it doesn’t make sense. This article states that because women become clumsier in perimenopause, which leads to the increased bruising, and that fluctuating hormones makes skin thinner causing you to bruise easier. It’s not clumsiness that causes perimenopausal women to bruise easier, nor because our skin is thinner due to fluctuating hormones. Women bruise easier without trauma in perimenopause because their estrogen is dropping too low, and/or anemia (brought on by estrogen deficiency). Hormones aren’t fluctuating, they’re declining and when our bodies run out of the very juice that tells our brains we’re alive and well, then our body responds. One of the ways we respond is by our body’s inability to absorb nutrients from our food and supplements. One of the main nutrients our body loses when we lose estrogen is Vitamin K. Vitamin K is critical in our body’s ability to prevent bruising, and if a woman has a toxic gut, on medications or low in estrogen, she will bruise easily no matter how old she is.

3.  Dry Eyes–Dolgen got this right about declining hormones but didn’t offer a real solution to fix the problem. Dry eyes, like everything else in the female body will dry up when estrogen levels decline, as well as the ocular tissues. All tissues in the female body are designed to shrivel up and deteriorated as estrogen tanks. The lower estrogen gets, the more “raisin-like” we get from head to toe, in our brain and body. The best way to prevent or completely eliminate altogether is get your estrogen levels back into healthy reproductive ranges again. Women with healthy levels of estrogen do not have dry eyes. Dry eyes need not be one of the 15  perimenopause signs.

4. Chin Hair–Dolgen and the Northern Menopause Society says chin hair is an all-too-common symptom of perimenopause but offers no solution for increased facial hair and hair loss on our head. No matter how old a woman is, if her estrogen is too low, she will lose her hair. The longer she goes without estrogen will cause an increase of coarse facial hair on the chin and upper lip and a peach fuzz blanket on the sides of the face an jaw. This does not happen to women who maintain healthy levels of estrogen.

5. Heart Palpitations–This article says the studies show epinephrine and norepinephrine fluctuate causing heart palpitations in menopausal women which is the cause of heart palpitations. Clinically speaking, when working in a menopause and hormone clinic, I had the chance to witness hundreds of patients’ bodies and brains transform as they got hormone levels back to healthy ranges. One of the most common things women complained about coming in with low estrogen is heart palpitations and it’s one the most reversible symptoms of perimenopause and menopause. When we lose our estrogen, our tissues begin to shrivel up including muscles such as the heart. The walls and strength of the heart is compromised as estrogen declines. When estrogen is restored, the tissues rebuild and become strong again. Outside the brain, it is the heart that benefits the most from adequate levels of estrogen. Outside the brain, it is the heart that is the most compromised as estrogen declines. This deterioration process can be avoided completely is estrogen remains sound.

6. Urinary Leakage— Lower estrogen levels cause the lining of the urethra to thin, says JoAnn V. Pinkerton, MD, executive director of the North American Menopause Society (NAMS). This is where there is a disconnect in modern medicine and estrogen deficiency diseases. We can find experts that tell us what causes the problem but they don’t offer any real solutions like don’t let your estrogen fall too low, or let’s restore your estrogen back to healthy levels to fix the problem altogether. When estrogen declines, all tissues in the body are designed to deteriorate and decay. Estrogen levels tell our brains and bodies where we are in our lifespan. When estrogen is low, no matter how old we are, our brains and bodies will decline. If estrogen remains in a healthy range, this declining does not take place like it would without estrogen. The best way to keep from peeing your pants when you laugh is keep estrogen in healthy reproductive ranges. You can get significant improvement or an elimination of urinary incontinence if you get your estrogen back.

7. Dry Skin— Less estrogen equals acne and dry and thinning skin for many women in entering menopause, which Dr. Pinkerton likens to “reverse puberty.” It’s also common to experience flare-ups or new cases of allergies and eczema during this time, adds Dolgen, whose swears by coconut oil for softer skin and smaller pores. While Ellen Dolgen swears by coconut oil, I swear by estrogen restoration. When estrogen declines in women, so does the moisture throughout our entire body, eyes, vagina, mouth, joints, poop, skin, hair, etc. No matter how much water you consume estrogen levels decide how much water our body will utilize and keep throughout. Some patients after getting healthy levels of estrogen no longer use lotion or other lubricants to rehydrate the skin because it’s no longer necessary. Low estrogen also contributes to low secondary hormones like thyroid. When estrogen and thyroid are low in women, it’s guaranteed moisture in the body is low. Allergies, eczema and psoriasis are also estrogen deficiency issues that do not exist when the toxic gut is cleaned and estrogen is restored.

8. Body Odor–This article states, “A drop in estrogen levels tricks your hypothalamus gland into thinking you’re overheated, signaling your body to sweat more.” This isn’t the case. It’s not sweat that makes you stink, it’s the lack of estrogen, circulation, and water that causes us to stink. Detoxifying our body and gut and restoring estrogen cleanses the odor our body produces. The lower estrogen gets, the worse women stink. The same holds true for men and declining testosterone levels. Our sense of smell also changes when estrogen declines. Old women smell like decaying flesh the older they get. This is an actual scent of the living decaying the physical body has when estrogen is low. If you gave an old aging woman estrogen, her body scent would change to less a decaying smelling odor and more sweet to our olfactory glands.

9. Migraines— Migraines may start for the first time, or worsen, when you start going through menopause because of new hormonal fluctuations, says Dr. Pinkerton.  Migraines only happen to women whose estrogen is too low. Women with healthy levels of estrogen do not get migraines no matter how old she is.

10. Vaginal Dryness— Sex-stifling vaginal dryness was one of the most difficult symptoms for Dolgen. “Your vagina takes a trip to the desert and takes your eyes and skin along with it,” she says. Lower estrogen levels cause thinner, drier and less-elastic vaginal tissue and decrease blood flow to the area. The result: vaginal dryness, itching, and painful sex. I recommend to never let your estrogen fall in the first place so this deterioration and dryness never happens. The walls of the vagina will not thin and be lubed up and receptive to sexual stimuli as well. Healthy estrogen levels allow a woman to respond to pheromonal messages stimulating a clitoral lubricating response in the vagina.

11. Hot Flashes–This article states that low estrogen levels contribute to hot flashes but offers no solutions as to how to keep estrogen levels up to prevent this in the first place. I discuss the Anatomy of Hot Flashes in an article I posted earlier. No woman needs to ever have a hot flash and every woman is susceptible no matter how old she is if her estrogen drops too low.

12. Weight Shifts–Though this article quotes Ellen Dolgen saying “A woman’s weight throughout her menopausal journey is impacted by five factors: hormones, diet, exercise, stress, and genetics”, she fails to tell women what those hormones levels should look like and missing a critical component of sleep that will dictate fat gain or loss. The reality is that it’s estrogen levels that dictate our shoulder-waist-hip ratio. Everyone knows the best way to fatten a sow is to take away her ovaries. A woman can exercise, eat healthy, and have good genes but if estrogen is in the tank, a perimenopausal woman will get fat and won’t be able to get rid of it as long as her estrogen is in the tank. That’s why it’s easier for younger women to lose weight than an older woman, assuming the younger woman is estrogen sound.

13. Irregular Periods–This article states that irregular periods are a nuisance but offers no solutions to work with. The truth is, no matter how old a post-menarche woman is, when her estrogen is low, she will have irregular periods. Irregular periods are a result of low estrogen levels and can be fixed if estrogen were properly dosed. No woman ever need to go into menopause at all if estrogen is kept at healthy reproductive levels.

14. Bone Loss— The less estrogen your ovaries produce, the more bone loss may accelerate. This can put you at a greater risk for osteoporosis, or bone thinning, which increases your risk of fracture. “You can lose up to 20 percent of your bones during the first five years of menopause,” Dr. Pinkerton says in this article. What Dr. Pinkerton doesn’t say is its estrogen that decides bone density and osteoporosis in women and can be reversed or prevented if estrogen were maintained at healthy reproductive levels.

15. Fuzzy Thinking–Like most of the 15 Signs in this article, cognition issues are a direct result of estrogen deficiency. Estrogen deficiency has the greatest impact on the female brain than anything else. Women without estrogen have a difficult time with cognition, memory, and “pulling up information” out of their head when estrogen is too low. The more estrogen declines, the worse it gets. This also greatly impacts a woman’s ability to cope and handle the things that come her way.

Every one of these 15 Body Signs No One Tells You Will Come Before Menopause is a direct result of estrogen deficiency. That’s what Susan Jara should’ve written, The 15 Things That Happen To Women When Their Estrogen Falls Too Low. If she had all the right information, she may have.


What Hormone Labs Do I Take?

 Screen Shot 2016-08-26 at 2.41.10 PMI get a lot of questions about which hormone labs should they be taking, or which hormone labs they should ask their doctor to order.  The following is a recent message I received about hormone labs and other good questions.  I appreciate you all that send in good questions because so many others want to know as well.  I will always remove your name to protect your privacy.

“Tell me about what to ask my lady doctor I need specifically to test for so I can get my hormones in working condition?”

Moxie: First find out what she recommends for treatment of your miserable symptoms and ask “why” questions. It’s important you know what’s going on with your body because nobody cares about how you really feel but you no matter how “nice” your doctor is, so that means you have to be the driver of your own bus.   Educate yourself then ask why she/he is recommending the treatment they do, ask where they got their hormone specialty training (they don’t teach hormone replacement therapy in med school), ask what success they’ve had with this HRT treatment, and whatever else you want to know. Make sure your practitioner isn’t afraid of estrogen and warns you against it, and doesn’t dose too low. Most doctors who try to balance hormones that have no education or training, or went to the A4M, will dose your hormones too low, and not the right way. If your doctor is of this mindset and you take the hormones, you will feel good for a little bit, but they will stop working because the dose they prescribed doesn’t trigger a receptor response therefore most patients will respond with an estrogen dominance effect.

I don’t know what your doctor will do with regards to labs but the initial lab panel for female and MTF patients who are considering the Panacea Protocol, we take these labs:

  • Estradiol
  • FSH
  • Progesterone
  • LH
  • TSH
  • Total testosterone
  • Free testosterone
  • % of free testosterone
  • Bioavailable testosterone
  • SHBG
  • IGF-1 (if indicated)

You should already have had a female physical and other general labs to make sure you’re a medical candidate for advanced hormone replacement therapy. Not all patients are the same and depending on what you’re coming to the table with regarding past medical issues and other factors, will determine the clinical efficacy of your HRT.

If your doctor doesn’t know what initial hormone lab panel to take, then end your appointment and go to someone who will tell you what needs to be done because they have the knowledge experience. It’s not easy finding a doctor who isn’t afraid of estrogen who properly knows how to prescribe it. This is the biggest challenge physicians face so it becomes a challenge to find a doctor who’s “figured” it out.

“Should I beware of getting the wrong direction from her, an internal medicine specialist.”

Moxie: Most certainly. Med school teaches doctors how to treat and manage endocrine dysfunction issues with prescriptions, surgeries, or treatments but are not taught how to fix it altogether by restoring falling hormones back to healthy levels. If you had a heart attack, would you see a Chiropractor for heart surgery? They do not teach hormone replacement therapy in medical school. There are only a few institutions that educate about 2nd generation hormone therapy but it’s an old school mentality, in addition to offering no clinical instruction. Doctors are taught to keep the hormones low for the shortest amount of time but no one will tell you what that is exactly. We are already working on a 5th generation that address the progesterone lethargy and the thyroid/estrogen relationship, so most doctors who have some outside training are still misinformed.

“I have many upcoming appointments with specialists for…”

Moxie: Based on all the medical challenges you expressed of which I omitted from this post for your privacy, you have some things to take care of before really considering high dose 4th, or 5th generation hormone restoration therapies, the ones that restore hormones to healthy levels the right way. With all the medical issues you’re about to address, it will create havoc on your endocrine system and stress tolerance. It’s typically not recommend to start a good hormone protocol while under great stress, good or bad because cortisol being the trump hormone takes over the system in a way that no matter what hormones you’re taking, your body will have a difficult time accessing, utilizing, and detoxifying them in an appropriate manner, so most patients will get no positive effects of the hormones. After things calm down medically is the best time to consider HRT therapies in some manner. You medical history, diet, lifestyle, toxic load, and gut function will play a role in the efficacy of your hormone replacement therapy.

You have a bit of a challenging medical road ahead of you but if you have true concerns about osteoporosis, when you’ve been recovered for about six months, I highly recommend seeing a doctor who understands that estrogen deficiency causes osteoporosis, and uses high dose estrogen therapies to reverse or reduce it depending on your circumstance.

“I need to straighten out my hormones as I know I have been imbalanced since very very young.”

Moxie: Most women have always been estrogen or hormonally deficient. Most women have dysfunctional ovaries that do not produce enough of our main sex hormone that tells us if we want to live or die, and how we mentally and physically feel. There are many reasons young girls do not produce adequate estrogen at puberty and suffer greatly from PMS, PMDD, irrational behavior, irregular and painful menstrual cycles, headaches, mood swings, and bipolar-like behavior. These young women are prescribe birth control pills and anti-depressants and told to live with it. The biggest problem with this approach to medicine is it never addresses the true issue of the symptoms. These symptoms only exist in girls whose estrogen is too low. Putting a young girl on birth control pills puts her in immediate chemical menopause. If you’re ever read the package insert of the birth control pill you will see all the side effects are what old women deal with when their estrogen stops producing. Most women spend most of their lives in chemical or medical induced menopause. The longer a woman goes without estrogen the worse she feels mentally and physically. Our brains and bodies are designed to deteriorate and decay when estrogen is low making us mentally crazy and physically deteriorating.

“Any advice would be greatly appreciated and I will forever be Indebted to you for coming into my life.”

Moxie: Remember, you’re the driver of your own bus so never replace your judgment for someone else’s, including mine. If you pay attention to your brain and body, you’ll be able to make good decisions as to how to take care of it. Gather good information and decide what makes sense to you.



7 Tips For Wiping Out Your Worst Menopause Symptoms

screen-shot-2016-09-14-at-11-49-37-amSarah Klein wrote an article entitled 7 Essential Tips For Wiping Out Your Worst Menopause Symptoms stating, “Diana Bitner was tired of having patients ask questions she couldn’t answer. ‘There’s a joke among doctors,” she says, “that if we can’t fix something, we don’t want to hear about it’.” This is very true with most doctors. They don’t want to hear about our “problems” because they’ve been lied to about fixing it. Doctors are under the impression they can’t fix a lot of the problems women come in to complain about because that’s what they’ve been taught in medical school. Medical school only trains doctors to treat the symptoms of 80% of the reason we go to the doctor. They are left in the dark with regards to why “issues” occur and how to get rid of it. The goal is to keep the patient with the disease, but treat the symptoms with “pre-approved” prescriptions or surgeries.

The majority of the issues both men and women go to the doctor for have to do with their gut or hormones, mostly hormones, then the gut, so when Sarah Klein wrote about a doctor certified as a menopause practitioner and her recommendations for menopause I had to laugh at what Diana Bitner had to say after her “training”. Dr. Bitner’s training involved learning how to dose hormones in women asking for them with the lowest dose possible, for the shortest amount of time. This is still conventional medicine mentality with a menopause specialty; keep the patient in a state of estrogen deficiency by keeping the dose low enough to treat the symptoms of the estrogen deficiency, and scare everyone into thinking estrogen causes cancer so doctors don’t keep patients on them for long. Here is my take on Dr. Bitner’s “essential tips”:

“It doesn’t take a medical degree to know that staying hydrated, logging enough sleep, and exercising are generally essential for good health, but somehow Bitner—and most of her OB/GYN colleagues—hadn’t before realized how much those health fundamentals have a huge impact on just how heavily menopause symptoms take their toll.”

Moxie: Why aren’t doctors educated to know how much those health fundamentals have a huge impact on just how heavily menopause symptoms take their toll? If it’s not rocket science, why is this doctor just now “getting it”?

“She started warning patients that if they didn’t embrace the most basic good habits, their newly low estrogen would have intensified ramifications. Simply not drinking enough water may not be the cause of night sweats, say, but if you’re stressed, overdoing it on sugar, carrying a couple of extra pounds, already low in the estrogen department, and then don’t drink enough water? Your symptoms are bound to go haywire, she says.”

Moxie: This is where Dr. Bitner is delusional, the symptoms her patients are having are not coming from an inability to sleep, eating too much sugar, gaining weight, not staying hydrated, not eating enough fiber, or not getting enough exercise, etc. Women without enough estrogen can’t sleep, have no motivation or energy to exercise, its estrogen that decides your hydration, not water intake, or have the ability to lose weight.

“’There is no magic bullet,’ says Bitner,”

Moxie: There actually is. Its estrogen in high enough doses to fix the problem of estrogen deficiency instead of giving low doses of estrogen keeping them in a state of deficiency.

“If you’ve got wrinkled skin, dry hair, and hot flashes, and you’re not on some kind of misguided hike through the desert, consider the possibility that you’re just parched.”

Moxie: Seriously? Is this what she learned in her menopause certification? Dr. Bitner has been lied to and then passing on this misleading information to patients. It’s women without estrogen who have wrinkly skin, dry hair, and hot flashes. It doesn’t matter how much water a woman drinks in a day, she will still have wrinkly skin, dry hair, and hot flashes because the root cause of those things isn’t dehydration, it’s estrogen below blood levels of 300.

“If you don’t sleep, you’re basically up the creek…Hot flashes destroy your sleep, and destroyed sleep makes your menopause symptoms worse, robbing you of important physical repair time and leaving you susceptible to crying at pet food commercials and other mood-swing issues.”

Moxie: Why isn’t this doctor able to figure out that none of her patients who have estrogen levels below the 300-700 range, aren’t able to sleep? Women don’t sleep because their estrogen is too low. Women whose estrogen is in the 300-700 range have no problem sleeping and getting adequate REM sleep for healing, repair, and restoration.

In addition, the less sleep a woman gets the night before will determine her sugar and bad carb cravings the next day. Without estrogen, women cannot fall asleep, stay asleep, or remember their dreams. This ONLY happens when estrogen is in the correct range. The lower estrogen levels are in women, the worse they’ll get and feel, mentally and physically. The same holds true for testosterone in men.

“One study of 10,000 adults found that people with insomnia are 5 times more likely to develop depression and 20 times more likely to develop panic disorder, a type of anxiety disorder.”

Moxie: I’m waiting for the study that shows how keeping women in the 300-700 estrogen blood serum range reverses her PMS, perimenopause and menopause, and hundreds of other diseases women tolerate that wouldn’t need a pharmaceutical drug to manage the symptom of.   Doctors are purposely left in the dark about estrogen so sneaky in a way that leads them to believe their getting the best and most accurate menopausal medicine education and training. What a crock.

“Multivitamins might not be useless. True, there’s only limited evidence supporting popping those pills, but a daily multivitamin can help you stock up on the nutrients you’re missing if you’ve been known to skimp on your fresh fruits and leafy greens from time to time, Bitner says.

Moxie: There is plenty of evidence about vitamins just like there is about high dose estrogen therapy and its affects on the brain and body of a woman. She clearly went to the wrong institution for training if this is what she left with.

“If you want to focus on individual supplements instead, calcium and vitamin D are priorities: calcium to ward off menopause-related bone thinning and D to help you absorb that calcium and ease mood symptoms, Bitner says.”

Moxie: Dr. Bitner bought the notion that calcium and Vitamin D are the main contributors to bone regeneration. This is one of the BIG lies we all believed. It’s estrogen that decides bone density in women, and testosterone that decides it in men. These main-sex hormones rebuild the bones as it does muscle mass, skin tissue, gum tissue, and hundreds of other things you’d never think estrogen in the right amounts would do.

“Exercise is a powerful drug.”

Moxie: This is correct in that with exercise for women, it increases blood flow to the ovaries which in turn allows the ovaries to produce estrogen at higher levels which then makes a women feel like she can conquer the world.

“Mindfulness isn’t going anywhere.”

Moxie: This statement isn’t true for women whose estrogen is below 300. When estrogen declines, so dose the physical body and the brain. Women lose their memory, their ability to emotionally connect with anybody, to be grateful or rational, and many other normal functions. No woman without estrogen has mindfulness.

“Relying on mind tricks when you’d rather stick your head in the freezer might feel a little weak, but cultivating gratitude and awareness really can have physical payoffs.”

Moxie: Women without estrogen have no gratitude and are not aware as women with estrogen. Women without estrogen cannot do brain exercises like a woman with estrogen, if at all.

This article gave no real information. It’s the same crap as everyone else says to keep women estrogen deficient and sick. Menopause certification is trickery so doctors think they’re getting specialized training, and patients think they’re going to a “specialist”. It’s deceiving and manipulative.


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