Full Transcript Introduction and episode topic 0:01 I do notice that a lot of patients that 0:01 I do notice that a lot of patients that I have there, you know, it's easy for 0:03 I have there, you know, it's easy for 0:03 I have there, you know, it's easy for them to take their thyroid capsule in 0:04 them to take their thyroid capsule in 0:04 them to take their thyroid capsule in the morning or their progesterone 0:05 the morning or their progesterone 0:05 the morning or their progesterone capsule at night, but sometimes they 0:07 capsule at night, but sometimes they 0:07 capsule at night, but sometimes they forget to put that biest or that 0:08 forget to put that biest or that 0:08 forget to put that biest or that estradiol cream on. 0:14 How do I know my progesterone dose is 0:14 How do I know my progesterone dose is too high? Hi, I'm Dr. Valerie Davidson 0:17 too high? Hi, I'm Dr. Valerie Davidson 0:17 too high? Hi, I'm Dr. Valerie Davidson from the Progress Your Health Podcast. 0:19 from the Progress Your Health Podcast. 0:19 from the Progress Your Health Podcast. >> And I'm Dr. Robert Mackey from the 0:20 >> And I'm Dr. Robert Mackey from the 0:20 >> And I'm Dr. Robert Mackey from the Progress Your Health Podcast. Uh so, 0:22 Progress Your Health Podcast. Uh so, 0:22 Progress Your Health Podcast. Uh so, today we're going to talk the last one 0:24 today we're going to talk the last one 0:24 today we're going to talk the last one we did was about high estrogen or 0:27 we did was about high estrogen or 0:27 we did was about high estrogen or estradiol or how to know if your 0:29 estradiol or how to know if your 0:29 estradiol or how to know if your estradiol dose is too high. So, now we 0:31 estradiol dose is too high. So, now we 0:31 estradiol dose is too high. So, now we thought we would talk about uh the same 0:33 thought we would talk about uh the same 0:33 thought we would talk about uh the same thing for progesterone.
How to tell if progesterone is too high 0:35 thing for progesterone. 0:35 thing for progesterone. And usually, to be honest, and we've 0:36 And usually, to be honest, and we've 0:36 And usually, to be honest, and we've been uh obviously um giving women 0:38 been uh obviously um giving women 0:38 been uh obviously um giving women progesterone for a 0:40 progesterone for a 0:40 progesterone for a number of years, and usually the woman 0:42 number of years, and usually the woman 0:42 number of years, and usually the woman sort of can always tell when the 0:44 sort of can always tell when the 0:44 sort of can always tell when the progesterone dose is too much. 0:45 progesterone dose is too much. 0:46 progesterone dose is too much. >> Mhm. 0:46 >> Mhm. 0:46 >> Mhm. >> Uh and understanding what that looks 0:48 >> Uh and understanding what that looks 0:48 >> Uh and understanding what that looks like or what she would feel is sort of 0:51 like or what she would feel is sort of 0:51 like or what she would feel is sort of uh a good idea because a blood test 0:53 uh a good idea because a blood test 0:53 uh a good idea because a blood test might not tell you enough. 0:55 might not tell you enough. 0:55 might not tell you enough. >> It No, exactly. A blood test is just a 0:56 >> It No, exactly. A blood test is just a 0:56 >> It No, exactly. A blood test is just a snapshot. It gives you a little bit of
Using symptoms instead of blood tests alone 0:58 snapshot. It gives you a little bit of 0:58 snapshot. It gives you a little bit of data. We want to get the whole picture 1:00 data. We want to get the whole picture 1:00 data. We want to get the whole picture by getting those symptoms. So, for 1:02 by getting those symptoms. So, for 1:02 by getting those symptoms. So, for example, the oral progesterone, so an 1:04 example, the oral progesterone, so an 1:04 example, the oral progesterone, so an oral progesterone capsule, you might 1:06 oral progesterone capsule, you might 1:06 oral progesterone capsule, you might take that in the evening cuz 1:07 take that in the evening cuz 1:07 take that in the evening cuz progesterone orally can make you a 1:09 progesterone orally can make you a 1:09 progesterone orally can make you a little more tired or groggy cuz it helps 1:11 little more tired or groggy cuz it helps 1:11 little more tired or groggy cuz it helps upregulate GABA. Now, there's two 1:14 upregulate GABA. Now, there's two 1:14 upregulate GABA. Now, there's two different types of progesterone oral 1:15 different types of progesterone oral 1:15 different types of progesterone oral capsules. There's instant release and 1:17 capsules. There's instant release and 1:17 capsules. There's instant release and there's sustained release. So, the 1:19 there's sustained release. So, the 1:19 there's sustained release. So, the instant release goes right into your 1:21 instant release goes right into your 1:21 instant release goes right into your system pretty quickly. So, that helps 1:23 system pretty quickly. So, that helps 1:23 system pretty quickly. So, that helps somebody if they if they're having 1:24 somebody if they if they're having 1:24 somebody if they if they're having trouble falling asleep. Now, if they're 1:27 trouble falling asleep. Now, if they're 1:27 trouble falling asleep. Now, if they're having having trouble staying asleep, 1:28 having having trouble staying asleep, 1:28 having having trouble staying asleep, which has always been kind of my issue 1:30 which has always been kind of my issue 1:30 which has always been kind of my issue and I think a lot of my patients that 1:32 and I think a lot of my patients that 1:32 and I think a lot of my patients that I've talked to, too, that's kind of a 1:33 I've talked to, too, that's kind of a 1:33 I've talked to, too, that's kind of a bigger picture as being able to stay 1:35 bigger picture as being able to stay 1:35 bigger picture as being able to stay asleep, is we might do a progesterone 1:37 asleep, is we might do a progesterone 1:37 asleep, is we might do a progesterone sustained release. So, when they take 1:39 sustained release. So, when they take 1:39 sustained release. So, when they take it, it stays in their system a little 1:41 it, it stays in their system a little 1:41 it, it stays in their system a little bit longer. Now, ideally, that
Oral progesterone: instant vs sustained release 1:43 bit longer. Now, ideally, that 1:43 bit longer. Now, ideally, that progesterone is supposed to be mostly 1:46 progesterone is supposed to be mostly 1:46 progesterone is supposed to be mostly out of their system by the morning. 1:48 out of their system by the morning. 1:48 out of their system by the morning. There still can be a little bit, but 1:49 There still can be a little bit, but 1:49 There still can be a little bit, but mostly out. So, if that progesterone 1:51 mostly out. So, if that progesterone 1:51 mostly out. So, if that progesterone isn't coming out of their system and 1:53 isn't coming out of their system and 1:53 isn't coming out of their system and it's still elevated in in morning, then 1:56 it's still elevated in in morning, then 1:56 it's still elevated in in morning, then that can make you feel tired. So, women 1:57 that can make you feel tired. So, women 1:57 that can make you feel tired. So, women will say in the morning, "Oh, it's hard 1:59 will say in the morning, "Oh, it's hard 1:59 will say in the morning, "Oh, it's hard for me to get up. Um it's hard for me to 2:01 for me to get up. Um it's hard for me to 2:01 for me to get up. Um it's hard for me to get going. I kind of feel sort of 2:03 get going. I kind of feel sort of 2:03 get going. I kind of feel sort of groggy. Uh 2:04 groggy. Uh 2:04 groggy. Uh and you know, I want to have some coffee 2:06 and you know, I want to have some coffee 2:06 and you know, I want to have some coffee or some caffeine." So, that Then, you 2:08 or some caffeine." So, that Then, you 2:08 or some caffeine." So, that Then, you can also test the blood to kind of pair 2:10 can also test the blood to kind of pair 2:10 can also test the blood to kind of pair with that, which we can talk about. I 2:11 with that, which we can talk about. I 2:11 with that, which we can talk about. I don't know if you want to switch that 2:13 don't know if you want to switch that 2:13 don't know if you want to switch that apart, but I will definitely say one of 2:14 apart, but I will definitely say one of 2:14 apart, but I will definitely say one of the biggest symptoms is somebody feeling 2:16 the biggest symptoms is somebody feeling 2:16 the biggest symptoms is somebody feeling tired the next day. Now, if they are and 2:19 tired the next day. Now, if they are and 2:19 tired the next day. Now, if they are and they're on sustained release, then a 2:20 they're on sustained release, then a 2:20 they're on sustained release, then a really quick, easy fix to that is just 2:22 really quick, easy fix to that is just 2:22 really quick, easy fix to that is just switch them over to an instant release. 2:24 switch them over to an instant release. 2:24 switch them over to an instant release. >> Uh when they haven't been sleeping well 2:26 >> Uh when they haven't been sleeping well 2:26 >> Uh when they haven't been sleeping well and now they start sleeping, they might 2:28 and now they start sleeping, they might 2:28 and now they start sleeping, they might get a little bit more groggy in the
Signs of excess progesterone and morning grogginess 2:29 get a little bit more groggy in the 2:29 get a little bit more groggy in the short term as their sleep sort of They 2:31 short term as their sleep sort of They 2:31 short term as their sleep sort of They might have a little bit more uh 2:33 might have a little bit more uh 2:33 might have a little bit more uh grogginess uh initially. Um but if it 2:36 grogginess uh initially. Um but if it 2:36 grogginess uh initially. Um but if it persists after a few days, then you know 2:38 persists after a few days, then you know 2:38 persists after a few days, then you know that the dose is probably a little too 2:39 that the dose is probably a little too 2:39 that the dose is probably a little too much. 2:40 much. 2:40 much. >> Now, if you're doing HRT and you're 2:41 >> Now, if you're doing HRT and you're 2:41 >> Now, if you're doing HRT and you're taking any form of estradiol, you really 2:43 taking any form of estradiol, you really 2:43 taking any form of estradiol, you really want to take progesterone, absolutely, 2:46 want to take progesterone, absolutely, 2:46 want to take progesterone, absolutely, to protect that uterine lining from that 2:48 to protect that uterine lining from that 2:48 to protect that uterine lining from that increasing the risk of of uterine 2:49 increasing the risk of of uterine 2:49 increasing the risk of of uterine cancer. But, depending on what your 2:52 cancer. But, depending on what your 2:52 cancer. But, depending on what your level of progesterone dose is, you could 2:54 level of progesterone dose is, you could 2:54 level of progesterone dose is, you could reduce it down if you're having that 2:55 reduce it down if you're having that 2:55 reduce it down if you're having that grogginess. Now, I know some other 2:57 grogginess. Now, I know some other 2:57 grogginess. Now, I know some other symptoms that we've talked about before 2:58 symptoms that we've talked about before 2:58 symptoms that we've talked about before with the progesterone dose being too 3:01 with the progesterone dose being too 3:01 with the progesterone dose being too high or somebody might be a little bit 3:02 high or somebody might be a little bit 3:02 high or somebody might be a little bit sensitive to it is getting puffy.
Progesterone dosing, HRT, and estrogen protection 3:04 sensitive to it is getting puffy. 3:04 sensitive to it is getting puffy. They'll say, "Oh, you know, I get kind 3:05 They'll say, "Oh, you know, I get kind 3:05 They'll say, "Oh, you know, I get kind of puffy and bloated." 3:07 of puffy and bloated." 3:07 of puffy and bloated." >> Yeah. Now, almost like they're 3:10 >> Yeah. Now, almost like they're 3:10 >> Yeah. Now, almost like they're coming up to a period like uh 3:12 coming up to a period like uh 3:12 coming up to a period like uh I Now, tell a man telling a woman 3:16 I Now, tell a man telling a woman 3:16 I Now, tell a man telling a woman Excuse me, what? Yeah, yeah, a little 3:17 Excuse me, what? Yeah, yeah, a little 3:17 Excuse me, what? Yeah, yeah, a little bit. Uh a man telling a woman what 3:19 bit. Uh a man telling a woman what 3:19 bit. Uh a man telling a woman what progesterone's going to feel like, you 3:21 progesterone's going to feel like, you 3:21 progesterone's going to feel like, you know, I've never taken a progesterone. 3:23 know, I've never taken a progesterone. 3:23 know, I've never taken a progesterone. Uh but I said, you know, to over the 3:25 Uh but I said, you know, to over the 3:25 Uh but I said, you know, to over the years I've said, "You you'll sort of 3:27 years I've said, "You you'll sort of 3:27 years I've said, "You you'll sort of know it if you feel it." All right? Uh 3:29 know it if you feel it." All right? Uh 3:29 know it if you feel it." All right? Uh it'll feel like you're getting your 3:30 it'll feel like you're getting your 3:30 it'll feel like you're getting your period, but you're not really going to 3:31 period, but you're not really going to 3:31 period, but you're not really going to get one. You get some of that, like I 3:33 get one. You get some of that, like I 3:33 get one. You get some of that, like I said, the puffy feeling. Uh or they just 3:36 said, the puffy feeling. Uh or they just 3:36 said, the puffy feeling. Uh or they just feel a little uncomfortable. 3:38 feel a little uncomfortable. 3:38 feel a little uncomfortable. Uh and that's how you know if the 3:39 Uh and that's how you know if the 3:39 Uh and that's how you know if the progesterone dose is a little too much. 3:41 progesterone dose is a little too much. 3:41 progesterone dose is a little too much. >> Now, I will say, you know, I take 3:43 >> Now, I will say, you know, I take 3:43 >> Now, I will say, you know, I take progesterone, so I'm 53 years old at the 3:45 progesterone, so I'm 53 years old at the 3:45 progesterone, so I'm 53 years old at the time we're doing this podcast, and I 3:47 time we're doing this podcast, and I 3:47 time we're doing this podcast, and I take progesterone as part of my HRT. And 3:49 take progesterone as part of my HRT. And 3:49 take progesterone as part of my HRT. And I was doing the sustained release, and 3:52 I was doing the sustained release, and 3:52 I was doing the sustained release, and then when I tested my blood that love 3:54 then when I tested my blood that love 3:54 then when I tested my blood that love the next morning so you take your 3:56 the next morning so you take your 3:56 the next morning so you take your sustained release progesterone oral 3:57 sustained release progesterone oral 3:57 sustained release progesterone oral capsule the night before go in for your 3:59 capsule the night before go in for your 3:59 capsule the night before go in for your blood test you know I think I went in 4:01 blood test you know I think I went in 4:01 blood test you know I think I went in probably it was probably like maybe 12 4:03 probably it was probably like maybe 12 4:03 probably it was probably like maybe 12 or 4:04 or 4:04 or 13 hours after I'd taken my progesterone 4:06 13 hours after I'd taken my progesterone 4:06 13 hours after I'd taken my progesterone capsule cuz I slept all night woke up 4:07 capsule cuz I slept all night woke up 4:07 capsule cuz I slept all night woke up went to the lab at 9:30 and my 4:09 went to the lab at 9:30 and my 4:09 went to the lab at 9:30 and my progesterone blood level was a little
Transvaginal progesterone and patient preferences 4:11 progesterone blood level was a little 4:11 progesterone blood level was a little high was definitely in the high teens 4:13 high was definitely in the high teens 4:14 high was definitely in the high teens and I think that might be part of the 4:15 and I think that might be part of the 4:15 and I think that might be part of the bloating because it's holding on to some 4:16 bloating because it's holding on to some 4:17 bloating because it's holding on to some of the water weight. 4:18 of the water weight. 4:18 of the water weight. >> Yeah. 4:18 >> Yeah. 4:18 >> Yeah. >> So that I could say could be but mainly 4:20 >> So that I could say could be but mainly 4:20 >> So that I could say could be but mainly when the estradiol level is a little too 4:22 when the estradiol level is a little too 4:22 when the estradiol level is a little too high or somebody's sensitive to it 4:24 high or somebody's sensitive to it 4:24 high or somebody's sensitive to it that's where they'll notice the breast 4:25 that's where they'll notice the breast 4:25 that's where they'll notice the breast tenderness specifically as opposed to 4:27 tenderness specifically as opposed to 4:27 tenderness specifically as opposed to that bloating with that progesterone. 4:29 that bloating with that progesterone. 4:29 that bloating with that progesterone. Some people will also report with the 4:31 Some people will also report with the 4:31 Some people will also report with the low progesterone is a low mood that they 4:33 low progesterone is a low mood that they 4:33 low progesterone is a low mood that they just don't feel as jazzed you know not 4:36 just don't feel as jazzed you know not 4:36 just don't feel as jazzed you know not that they're sad but some people can 4:38 that they're sad but some people can 4:38 that they're sad but some people can feel like their mood is a little bit 4:39 feel like their mood is a little bit 4:39 feel like their mood is a little bit lower if that progesterone level is a 4:41 lower if that progesterone level is a 4:41 lower if that progesterone level is a little bit too high. 4:42 little bit too high. 4:42 little bit too high. >> Yeah. Uh what I've now granted again 4:44 >> Yeah. Uh what I've now granted again 4:44 >> Yeah. Uh what I've now granted again like I said this is a man telling women 4:46 like I said this is a man telling women 4:46 like I said this is a man telling women how they're supposed to feel on the 4:47 how they're supposed to feel on the 4:47 how they're supposed to feel on the hormones 4:48 hormones 4:48 hormones Um but usually when a woman's starting 4:51 Um but usually when a woman's starting 4:51 Um but usually when a woman's starting progesterone 100 milligrams even 50 4:53 progesterone 100 milligrams even 50 4:53 progesterone 100 milligrams even 50 milligrams depending if she's on any 4:55 milligrams depending if she's on any 4:55 milligrams depending if she's on any estrogen or not uh yeah she says if the 4:58 estrogen or not uh yeah she says if the 4:58 estrogen or not uh yeah she says if the dose is too much you'll sort of you'll 4:59 dose is too much you'll sort of you'll 4:59 dose is too much you'll sort of you'll sort of know it when it happens. Um you 5:02 sort of know it when it happens. Um you 5:02 sort of know it when it happens. Um you know almost like you're going to get a 5:03 know almost like you're going to get a 5:03 know almost like you're going to get a period um you know like it's just going 5:05 period um you know like it's just going 5:05 period um you know like it's just going to start but it never really quite 5:07 to start but it never really quite 5:07 to start but it never really quite starts um you know um um but it's uh 5:11 starts um you know um um but it's uh 5:11 starts um you know um um but it's uh like I said it's more subjective like 5:13 like I said it's more subjective like 5:13 like I said it's more subjective like you know they just feel a certain way as 5:15 you know they just feel a certain way as 5:15 you know they just feel a certain way as opposed to like you said being related 5:17 opposed to like you said being related 5:17 opposed to like you said being related to a blood level. 5:19 to a blood level. 5:19 to a blood level. Unless their level. Uh so what would you 5:21 Unless their level. Uh so what would you 5:21 Unless their level. Uh so what would you expect they'd take the progesterone the 5:23 expect they'd take the progesterone the 5:23 expect they'd take the progesterone the night before right they go to the lab 5:25 night before right they go to the lab 5:25 night before right they go to the lab the following day uh you said between 5:27 the following day uh you said between 5:27 the following day uh you said between two to five is where you typically see 5:29 two to five is where you typically see 5:29 two to five is where you typically see progesterone. Uh so it really does sort 5:32 progesterone. Uh so it really does sort 5:32 progesterone. Uh so it really does sort of depend on the person. I know there's 5:34 of depend on the person. I know there's 5:34 of depend on the person. I know there's a percentage some women just don't 5:36 a percentage some women just don't 5:36 a percentage some women just don't tolerate progesterone very well uh you 5:39 tolerate progesterone very well uh you 5:39 tolerate progesterone very well uh you know as far as oral progesterone. 5:42 know as far as oral progesterone. 5:42 know as far as oral progesterone. The other one that I has been popular as 5:45 The other one that I has been popular as 5:45 The other one that I has been popular as of the last maybe the last couple of 5:47 of the last maybe the last couple of 5:47 of the last maybe the last couple of years, uh at least online, is using um 5:50 years, uh at least online, is using um 5:50 years, uh at least online, is using um vaginal progesterone or a progesterone 5:53 vaginal progesterone or a progesterone 5:53 vaginal progesterone or a progesterone suppository. What do you think about 5:55 suppository. What do you think about 5:55 suppository. What do you think about that? 5:55 that? 5:55 that? >> Oh, I love um transvaginal progesterone. 5:57 >> Oh, I love um transvaginal progesterone. 5:57 >> Oh, I love um transvaginal progesterone. I've used that with women, especially 5:59 I've used that with women, especially 5:59 I've used that with women, especially women in early pregnancy, we might use 6:01 women in early pregnancy, we might use 6:01 women in early pregnancy, we might use that. A lot of women, like you said, you 6:03 that. A lot of women, like you said, you 6:03 that. A lot of women, like you said, you don't tolerate the oral. We can do it 6:05 don't tolerate the oral. We can do it 6:05 don't tolerate the oral. We can do it transvaginally, or you can do it 6:07 transvaginally, or you can do it 6:07 transvaginally, or you can do it transdermally on the inner thigh. It's 6:08 transdermally on the inner thigh. It's 6:09 transdermally on the inner thigh. It's everybody's, uh you know, a little bit 6:10 everybody's, uh you know, a little bit 6:10 everybody's, uh you know, a little bit different. Some Some women really like 6:13 different. Some Some women really like 6:13 different. Some Some women really like the transvaginal progesterone. It's a 6:14 the transvaginal progesterone. It's a 6:15 the transvaginal progesterone. It's a way to really kind of get into that 6:16 way to really kind of get into that 6:16 way to really kind of get into that bloodstream really quickly. It's good 6:17 bloodstream really quickly. It's good 6:17 bloodstream really quickly. It's good for the uterine, you know, the uterus. 6:19 for the uterine, you know, the uterus. 6:19 for the uterine, you know, the uterus. That's why I use it a lot with women 6:21 That's why I use it a lot with women 6:21 That's why I use it a lot with women that might be um we're worried about a 6:23 that might be um we're worried about a 6:23 that might be um we're worried about a miscarriage and they're recently 6:24 miscarriage and they're recently 6:24 miscarriage and they're recently pregnant. That's a That's a good idea. 6:27 pregnant. That's a That's a good idea. 6:27 pregnant. That's a That's a good idea. But then, of course, when you're putting 6:29 But then, of course, when you're putting 6:29 But then, of course, when you're putting on transvaginal progesterone every day, 6:31 on transvaginal progesterone every day, 6:31 on transvaginal progesterone every day, it can be a little, you know, it's just 6:32 it can be a little, you know, it's just 6:32 it can be a little, you know, it's just like one more thing to do.
Blood levels, tolerance, and symptom-based dosing 6:34 like one more thing to do. 6:34 like one more thing to do. >> Sure. 6:34 >> Sure. 6:34 >> Sure. >> Some I do notice that a lot of patients 6:36 >> Some I do notice that a lot of patients 6:36 >> Some I do notice that a lot of patients that I have, they're, you know, that 6:37 that I have, they're, you know, that 6:37 that I have, they're, you know, that it's easy for them to take their thyroid 6:39 it's easy for them to take their thyroid 6:39 it's easy for them to take their thyroid capsule in the morning or their 6:40 capsule in the morning or their 6:40 capsule in the morning or their progesterone capsule at night, but 6:41 progesterone capsule at night, but 6:41 progesterone capsule at night, but sometimes they forget to put that Biest 6:43 sometimes they forget to put that Biest 6:43 sometimes they forget to put that Biest or that estradiol cream on because it's 6:45 or that estradiol cream on because it's 6:45 or that estradiol cream on because it's one more step. So, thinking about, "Oh, 6:47 one more step. So, thinking about, "Oh, 6:47 one more step. So, thinking about, "Oh, I have to do this transvaginal." It's 6:49 I have to do this transvaginal." It's 6:49 I have to do this transvaginal." It's like 6:50 like 6:50 like Just I'm just saying it's, you know, 6:51 Just I'm just saying it's, you know, 6:51 Just I'm just saying it's, you know, from 6:52 from 6:52 from a gal's point of view, you know, it's 6:54 a gal's point of view, you know, it's 6:54 a gal's point of view, you know, it's just enough to wash off your makeup and 6:55 just enough to wash off your makeup and 6:55 just enough to wash off your makeup and brush your teeth and floss your teeth 6:57 brush your teeth and floss your teeth 6:57 brush your teeth and floss your teeth and take your contacts out and then I've 6:58 and take your contacts out and then I've 6:58 and take your contacts out and then I've got it, you know, it's like one more 6:59 got it, you know, it's like one more 7:00 got it, you know, it's like one more step to do. So, I do like the idea of 7:02 step to do. So, I do like the idea of 7:02 step to do. So, I do like the idea of it. It just depends on the person on 7:04 it. It just depends on the person on 7:04 it. It just depends on the person on whether they feel like, "Yes, I'm going 7:06 whether they feel like, "Yes, I'm going 7:06 whether they feel like, "Yes, I'm going to make this a part of my routine." or 7:07 to make this a part of my routine." or 7:07 to make this a part of my routine." or that just seems like too much work. 7:09 that just seems like too much work. 7:09 that just seems like too much work. >> Right. Right. Right. Uh 7:11 >> Right. Right. Right. Uh 7:11 >> Right. Right. Right. Uh uh so, 7:13 uh so, 7:13 uh so, would you say that the 7:15 would you say that the 7:15 would you say that the uh the blood level of progesterone 7:18 uh the blood level of progesterone 7:18 uh the blood level of progesterone makes any difference or does it really 7:20 makes any difference or does it really 7:20 makes any difference or does it really come down to I mean, it probably does to 7:21 come down to I mean, it probably does to 7:22 come down to I mean, it probably does to cer- certain extent. I'm sort of 7:23 cer- certain extent. I'm sort of 7:23 cer- certain extent. I'm sort of answering my own question, but it's more 7:25 answering my own question, but it's more 7:25 answering my own question, but it's more about how they feel with the 7:26 about how they feel with the 7:26 about how they feel with the progesterone as opposed to what the 7:28 progesterone as opposed to what the 7:28 progesterone as opposed to what the blood number shows. So, again, it still 7:31 blood number shows. So, again, it still 7:31 blood number shows. So, again, it still comes down to a little bit about the 7:33 comes down to a little bit about the 7:33 comes down to a little bit about the blood level, but a lot of it is 7:34 blood level, but a lot of it is 7:34 blood level, but a lot of it is subjective. Like, you know, how they're 7:36 subjective. Like, you know, how they're 7:36 subjective. Like, you know, how they're feeling on it um sort of determines 7:38 feeling on it um sort of determines 7:38 feeling on it um sort of determines whether that, you know, and a woman sort 7:40 whether that, you know, and a woman sort 7:40 whether that, you know, and a woman sort of can determine herself if that dose is 7:42 of can determine herself if that dose is 7:42 of can determine herself if that dose is too high. Um but if she's on estrogen 7:45 too high. Um but if she's on estrogen 7:45 too high. Um but if she's on estrogen right now, there's um sometimes 7:47 right now, there's um sometimes 7:47 right now, there's um sometimes limitations on how low that progesterone 7:49 limitations on how low that progesterone 7:49 limitations on how low that progesterone dose can go. 7:49 dose can go. 7:49 dose can go. >> Yeah, if they have a uterus because you 7:51 >> Yeah, if they have a uterus because you 7:51 >> Yeah, if they have a uterus because you want to protect that uterine lining. 7:53 want to protect that uterine lining. 7:53 want to protect that uterine lining. Now, most you know, like you said, there 7:55 Now, most you know, like you said, there 7:55 Now, most you know, like you said, there are a few women that can't tolerate the 7:56 are a few women that can't tolerate the 7:56 are a few women that can't tolerate the oral progesterone. It just makes them 7:58 oral progesterone. It just makes them 7:58 oral progesterone. It just makes them feel very anxious. I will say there is a 8:00 feel very anxious. I will say there is a 8:00 feel very anxious. I will say there is a population on that. I have a lot of 8:01 population on that. I have a lot of 8:01 population on that. I have a lot of patients like that, but a lot of people 8:04 patients like that, but a lot of people 8:04 patients like that, but a lot of people do really like their progesterone. Like 8:06 do really like their progesterone. Like 8:06 do really like their progesterone. Like they they love their progesterone that 8:08 they they love their progesterone that 8:08 they they love their progesterone that they want to take their progesterone 8:10 they want to take their progesterone 8:10 they want to take their progesterone every night cuz it's very relaxing. It 8:11 every night cuz it's very relaxing. It 8:11 every night cuz it's very relaxing. It helps them get a good night's sleep. 8:13 helps them get a good night's sleep. 8:13 helps them get a good night's sleep. They wake up. It's just, you know, too 8:15 They wake up. It's just, you know, too 8:15 They wake up. It's just, you know, too much of a good thing can be a good What 8:17 much of a good thing can be a good What 8:17 much of a good thing can be a good What is could be not a good thing. So, if the 8:19 is could be not a good thing. So, if the 8:19 is could be not a good thing. So, if the progesterone were too high, you could 8:20 progesterone were too high, you could 8:20 progesterone were too high, you could have some of those symptoms of the 8:22 have some of those symptoms of the 8:22 have some of those symptoms of the bloating, of the low libido, um maybe 8:24 bloating, of the low libido, um maybe 8:24 bloating, of the low libido, um maybe the breast fullness just from the water 8:26 the breast fullness just from the water 8:26 the breast fullness just from the water weight cuz they can notice some water 8:27 weight cuz they can notice some water 8:27 weight cuz they can notice some water weight gain on that. And then of course,
Wrap-up and listener comments 8:30 weight gain on that. And then of course, 8:30 weight gain on that. And then of course, the um grogginess in the morning if 8:31 the um grogginess in the morning if 8:31 the um grogginess in the morning if they're doing more of an oral. 8:32 they're doing more of an oral. 8:32 they're doing more of an oral. >> Yeah. Uh so, the episode we did right 8:34 >> Yeah. Uh so, the episode we did right 8:34 >> Yeah. Uh so, the episode we did right before this was about um what how to 8:36 before this was about um what how to 8:36 before this was about um what how to know when your estradiol dose is too 8:38 know when your estradiol dose is too 8:38 know when your estradiol dose is too high. So, you can probably find the link 8:40 high. So, you can probably find the link 8:40 high. So, you can probably find the link for that one uh somewhere up above. 8:43 for that one uh somewhere up above. 8:43 for that one uh somewhere up above. This one of course uh is you know, 8:46 This one of course uh is you know, 8:46 This one of course uh is you know, there's not as many dosing options um 8:48 there's not as many dosing options um 8:48 there's not as many dosing options um with I mean, sort of there is, but you 8:51 with I mean, sort of there is, but you 8:51 with I mean, sort of there is, but you know, if someone's on HRT, they're going 8:52 know, if someone's on HRT, they're going 8:52 know, if someone's on HRT, they're going to be uh usually on a standard amount. 8:54 to be uh usually on a standard amount. 8:54 to be uh usually on a standard amount. So, 8:55 So, 8:55 So, um you can check out the estrogen one uh 8:57 um you can check out the estrogen one uh 8:57 um you can check out the estrogen one uh in the you know, in the link or the area 9:00 in the you know, in the link or the area 9:00 in the you know, in the link or the area up here somewhere or description down 9:02 up here somewhere or description down 9:02 up here somewhere or description down below. 9:02 below. 9:02 below. >> I think we kind of went over the main 9:04 >> I think we kind of went over the main 9:04 >> I think we kind of went over the main points. There could be a couple other 9:06 points. There could be a couple other 9:06 points. There could be a couple other things that listeners might say, "Hey, 9:07 things that listeners might say, "Hey, 9:07 things that listeners might say, "Hey, hey, I can chime in on this and tell you 9:09 hey, I can chime in on this and tell you 9:09 hey, I can chime in on this and tell you when my progesterone was too high and 9:10 when my progesterone was too high and 9:11 when my progesterone was too high and what I felt." You know, everybody's 9:12 what I felt." You know, everybody's 9:12 what I felt." You know, everybody's different. So, anyone that has any 9:14 different. So, anyone that has any 9:14 different. So, anyone that has any comments, please leave them. I'd love to 9:16 comments, please leave them. I'd love to 9:16 comments, please leave them. I'd love to hear your experience. 9:17 hear your experience. 9:17 hear your experience. >> Yeah. Yeah. So, uh feel free to write 9:19 >> Yeah. Yeah. So, uh feel free to write 9:19 >> Yeah. Yeah. So, uh feel free to write down in the comments below. 9:21 down in the comments below. 9:21 down in the comments below. Um that would be uh really nice to uh to 9:23 Um that would be uh really nice to uh to 9:23 Um that would be uh really nice to uh to see pointing in weird 9:25 see pointing in weird 9:25 see pointing in weird Yeah. Yeah. Uh give this way, that way, 9:27 Yeah. Yeah. Uh give this way, that way, 9:27 Yeah. Yeah. Uh give this way, that way, up up and down. Uh it'd be a great to 9:30 up up and down. Uh it'd be a great to 9:30 up up and down. Uh it'd be a great to see uh you know, what people have to say 9:32 see uh you know, what people have to say 9:32 see uh you know, what people have to say about that. Uh anything else to add or 9:34 about that. Uh anything else to add or 9:34 about that. Uh anything else to add or we uh 9:35 we uh 9:35 we uh cut this one off? 9:36 cut this one off? 9:36 cut this one off? >> Oh, I think this was good. Like I said, 9:38 >> Oh, I think this was good. Like I said, 9:38 >> Oh, I think this was good. Like I said, any comments, I'd love to see what you 9:39 any comments, I'd love to see what you 9:39 any comments, I'd love to see what you have to say. Thank you. And I'm Dr. 9:41 have to say. Thank you. And I'm Dr. 9:41 have to say. Thank you. And I'm Dr. Valerie. All right, bye.
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