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Safe & Effective Bioidentical Hormone Replacement Therapy
Dr. Joseph J Collins, RN, ND Bioidentical Hormone Replacement Therapy

Bioidentical hormone replacement therapy (BHRT) has transformed the healthcare of men and women as they enter the second half of their lives. It provides an alternative to hormones that are synthetic or concentrated from animal urine. Patients taking BHRT prepared by compounding pharmacists can be given dosages tailored to their individual needs, instead of the narrow choices available with mass-produced hormone therapies. Patients have a notable improvement in quality of life. The body is better equipped to detoxify hormone molecules that it has been exposed to for its entire life, in contrast to xenohormones that are foreign to human detoxification systems.
Unfortunately, BHRT has unrightfully been maligned by opposing interests. In fact an opinion paper titled “Compounded Bioidentical Hormones” published by the American College of Obstetricians and Gynecologists in November 2005 strongly challenged the safety and efficacy of bioidentical hormones. In my opinion, their paper was so poorly researched that I expected no-one to pay any attention to it. However, after noticing that some physicians were influenced by the opinion paper, a journal published my response to the paper in a article titled “Hormone Therapy: It’s Time for a Second Opinion”. In my paper, you will see why it is important to know the research and science on hormones.

Keeping BHRT Safe & Effective BHRT is here to stay, yet as much as I am willing to defend BHRT, I am also willing to be open about some of the questions that it raises. So, to revisit a previous phrase; “bioidentical hormone replacement is exactly what it sounds like”, let’s now be clear on this point – it is replacement. The fact that it is replacement needs to be considered when we talk about proper use of BHRT. Are we replacing it is a way that is compatible with how the body functions? Are we replacing it safely? Are we replacing it appropriately? Let’s look at a few points that should be kept in mind if we are to have safe and effective BHRT.
Be forewarned, there are some clinicians who do not agree with all the points presented in this series. Some BHRT ideas have become so “common practice” that they are followed without question, even though they are not grounded in good science. There will no doubt continue to be debate before some people give up some of these practices. But one thing we can all agree on is that we all wish that, a long time ago, someone had questioned the validity of giving women hormones concentrated from horse urine. If we ask ourselves these questions now, we may avoid some troubling revelations in years to come.

Next: BHRT Should be Done Last


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