Full Transcript Static vs. rhythmic HRT 0:02 Some people do wonderfully on static 0:02 Some people do wonderfully on static dosing and it can be magic for your 0:03 dosing and it can be magic for your 0:03 dosing and it can be magic for your joints, for your hot flashes, your night 0:06 joints, for your hot flashes, your night 0:06 joints, for your hot flashes, your night sweats, your skin, your hair. I've 0:07 sweats, your skin, your hair. I've 0:07 sweats, your skin, your hair. I've noticed 0:08 noticed 0:08 noticed >> [music] 0:10 >> [music] 0:10 >> [music] >> want more estradiol? Why rhythmic HRT 0:13 >> want more estradiol? Why rhythmic HRT 0:13 >> want more estradiol? Why rhythmic HRT might work better. Hi, I'm Dr. Valerie 0:16 might work better. Hi, I'm Dr. Valerie 0:16 might work better. Hi, I'm Dr. Valerie Davidson from the Progressive Health 0:17 Davidson from the Progressive Health 0:17 Davidson from the Progressive Health Podcast. 0:18 Podcast. 0:18 Podcast. >> Dr. Mauck from the Progressive Health 0:19 >> Dr. Mauck from the Progressive Health 0:19 >> Dr. Mauck from the Progressive Health Podcast. Uh so we've talked about this 0:21 Podcast. Uh so we've talked about this 0:21 Podcast. Uh so we've talked about this in the past um but you know, one trend 0:24 in the past um but you know, one trend 0:24 in the past um but you know, one trend that we've seen over the last few years 0:26 that we've seen over the last few years 0:26 that we've seen over the last few years with our website and ask the doctor and 0:28 with our website and ask the doctor and 0:28 with our website and ask the doctor and the podcast uh is women always want more 0:31 the podcast uh is women always want more 0:31 the podcast uh is women always want more estrogen. 0:32 estrogen. 0:32 estrogen. >> And they need more estrogen. A lot of 0:34 >> And they need more estrogen. A lot of 0:34 >> And they need more estrogen. A lot of times I find that a lot of women are 0:36 times I find that a lot of women are 0:36 times I find that a lot of women are under dosed. Now, I know every 0:37 under dosed. Now, I know every 0:37 under dosed. Now, I know every practitioner has their own philosophy 0:39 practitioner has their own philosophy 0:39 practitioner has their own philosophy and I completely respect that, but I do 0:41 and I completely respect that, but I do 0:41 and I completely respect that, but I do feel like women do need really good 0:43 feel like women do need really good 0:43 feel like women do need really good levels of estradiol that when it's too 0:46 levels of estradiol that when it's too 0:46 levels of estradiol that when it's too low, we're not really getting the 0:47 low, we're not really getting the 0:47 low, we're not really getting the effectiveness from it. Now, some women 0:49 effectiveness from it. Now, some women 0:49 effectiveness from it. Now, some women can only tolerate a little bit and that 0:51 can only tolerate a little bit and that 0:51 can only tolerate a little bit and that is totally fine. We want to treat the 0:53 is totally fine. We want to treat the 0:53 is totally fine. We want to treat the patient, not the numbers, but a lot of 0:55 patient, not the numbers, but a lot of 0:55 patient, not the numbers, but a lot of women do need more estradiol and one the 0:58 women do need more estradiol and one the 0:58 women do need more estradiol and one the reason we wanted to do this podcast 1:01 reason we wanted to do this podcast 1:01 reason we wanted to do this podcast rhythmic dosing or rhythmic HRT is 1:03 rhythmic dosing or rhythmic HRT is 1:03 rhythmic dosing or rhythmic HRT is different than static dosing. You're
Why women need more estradiol 1:05 different than static dosing. You're 1:05 different than static dosing. You're actually able to achieve physiological 1:08 actually able to achieve physiological 1:08 actually able to achieve physiological levels of estradiol which I'll go over 1:09 levels of estradiol which I'll go over 1:09 levels of estradiol which I'll go over the dosings on how much estradiol you 1:11 the dosings on how much estradiol you 1:11 the dosings on how much estradiol you take. 1:12 take. 1:12 take. >> that's the shocker. 1:13 >> that's the shocker. 1:13 >> that's the shocker. >> It is. Like how much you'll use over 1:15 >> It is. Like how much you'll use over 1:15 >> It is. Like how much you'll use over excuse me, a 28-day cycle. But in terms 1:18 excuse me, a 28-day cycle. But in terms 1:18 excuse me, a 28-day cycle. But in terms of static dosing, that's taking the same 1:20 of static dosing, that's taking the same 1:20 of static dosing, that's taking the same dose every day. Same as estrogen 1:22 dose every day. Same as estrogen 1:22 dose every day. Same as estrogen bio-identical estradiol every day and 1:25 bio-identical estradiol every day and 1:25 bio-identical estradiol every day and the same progesterone every single day. 1:27 the same progesterone every single day. 1:27 the same progesterone every single day. That's static dosing. Where rhythmic 1:28 That's static dosing. Where rhythmic 1:28 That's static dosing. Where rhythmic dosing is intentionally recreating the 1:31 dosing is intentionally recreating the 1:31 dosing is intentionally recreating the menstrual cycle. So you're doing varying 1:33 menstrual cycle. So you're doing varying 1:33 menstrual cycle. So you're doing varying doses of estradiol to match that of what 1:36 doses of estradiol to match that of what 1:36 doses of estradiol to match that of what the ovary would put out when our ovaries 1:38 the ovary would put out when our ovaries 1:38 the ovary would put out when our ovaries were working before we went through 1:40 were working before we went through 1:40 were working before we went through menopause and the same thing with the 1:41 menopause and the same thing with the 1:41 menopause and the same thing with the progesterone where you do the 1:42 progesterone where you do the 1:42 progesterone where you do the progesterone from day 14 till somebody 1:45 progesterone from day 14 till somebody 1:45 progesterone from day 14 till somebody gets a period. Now, like I was 1:47 gets a period. Now, like I was 1:47 gets a period. Now, like I was I have a uterus. I'm 53 years old. I 1:49 I have a uterus. I'm 53 years old. I 1:49 I have a uterus. I'm 53 years old. I have a uterus. I'm in menopause, but I 1:51 have a uterus. I'm in menopause, but I 1:51 have a uterus. I'm in menopause, but I do rhythmic dosing. So every month I get 1:53 do rhythmic dosing. So every month I get 1:53 do rhythmic dosing. So every month I get a period. Now, if somebody doesn't have 1:55 a period. Now, if somebody doesn't have 1:55 a period. Now, if somebody doesn't have a uterus, they can still do rhythmic 1:57 a uterus, they can still do rhythmic 1:57 a uterus, they can still do rhythmic dosing. It's totally fine um to do that 2:00 dosing. It's totally fine um to do that 2:00 dosing. It's totally fine um to do that in some ways. You just they just go up 2:01 in some ways. You just they just go up 2:02 in some ways. You just they just go up to day 28 and start back on day on day 2:04 to day 28 and start back on day on day 2:04 to day 28 and start back on day on day one. But we really wanted to get across 2:06 one. But we really wanted to get across 2:06 one. But we really wanted to get across the levels of estradiol that you can use 2:08 the levels of estradiol that you can use 2:08 the levels of estradiol that you can use with rhythmic.
How rhythmic dosing mimics the menstrual cycle 2:09 with rhythmic. 2:09 with rhythmic. >> Yeah. Um so, hysterectomy in some ways 2:12 >> Yeah. Um so, hysterectomy in some ways 2:12 >> Yeah. Um so, hysterectomy in some ways and then do rhythmic dosing in some ways 2:13 and then do rhythmic dosing in some ways 2:14 and then do rhythmic dosing in some ways could be best case scenario cuz now you 2:15 could be best case scenario cuz now you 2:15 could be best case scenario cuz now you don't have to deal with the period 2:16 don't have to deal with the period 2:16 don't have to deal with the period anymore. 2:17 anymore. 2:17 anymore. >> Well, a lot of women like myself, too, 2:18 >> Well, a lot of women like myself, too, 2:18 >> Well, a lot of women like myself, too, like having that period. They always 2:20 like having that period. They always 2:20 like having that period. They always feel like it's a reset. 2:21 feel like it's a reset. 2:21 feel like it's a reset. >> Sure. 2:21 >> Sure. 2:21 >> Sure. >> So, of course, a lot of women say, "Oh 2:23 >> So, of course, a lot of women say, "Oh 2:23 >> So, of course, a lot of women say, "Oh my gosh, I'm going to have to get my 2:24 my gosh, I'm going to have to get my 2:24 my gosh, I'm going to have to get my period back. Those were awful." 2:26 period back. Those were awful." 2:26 period back. Those were awful." >> Oh. 2:27 >> Oh. 2:27 >> Oh. >> The goal isn't to get your original 2:29 >> The goal isn't to get your original 2:29 >> The goal isn't to get your original periods back cuz I will say just for 2:30 periods back cuz I will say just for 2:30 periods back cuz I will say just for transparency, um and that's partly why I 2:33 transparency, um and that's partly why I 2:33 transparency, um and that's partly why I went into HRT as a young woman. I had 2:35 went into HRT as a young woman. I had 2:35 went into HRT as a young woman. I had very terrible periods, had 2:36 very terrible periods, had 2:36 very terrible periods, had endometriosis. I've had laparoscopic 2:38 endometriosis. I've had laparoscopic 2:38 endometriosis. I've had laparoscopic once, um D&C another time because I have 2:41 once, um D&C another time because I have 2:41 once, um D&C another time because I have I had um endometrial hyperplasia just as 2:44 I had um endometrial hyperplasia just as 2:44 I had um endometrial hyperplasia just as a young woman. I was put on birth 2:45 a young woman. I was put on birth 2:45 a young woman. I was put on birth control pills. That was my only option. 2:47 control pills. That was my only option. 2:47 control pills. That was my only option. Here, take the you know, take the pill. 2:49 Here, take the you know, take the pill. 2:49 Here, take the you know, take the pill. And I felt like that is not the 2:51 And I felt like that is not the 2:51 And I felt like that is not the solution. Now, granted, this is in the 2:53 solution. Now, granted, this is in the 2:53 solution. Now, granted, this is in the '90s that that's kind of why I went into 2:55 '90s that that's kind of why I went into 2:55 '90s that that's kind of why I went into the HRT. So, with my even with my 2:58 the HRT. So, with my even with my 2:58 the HRT. So, with my even with my history, I can do the rhythmic dosing. 3:00 history, I can do the rhythmic dosing. 3:00 history, I can do the rhythmic dosing. I'm able to adjust the levels of 3:03 I'm able to adjust the levels of 3:03 I'm able to adjust the levels of estrogen and progesterone like I do with 3:04 estrogen and progesterone like I do with 3:04 estrogen and progesterone like I do with my patients so that their periods are 3:06 my patients so that their periods are 3:06 my patients so that their periods are easy-peasy. 3:08 easy-peasy. 3:08 easy-peasy. >> Which is which is the way it's supposed 3:09 >> Which is which is the way it's supposed 3:09 >> Which is which is the way it's supposed to go, right? It's supposed to be no 3:11 to go, right? It's supposed to be no 3:11 to go, right? It's supposed to be no symptoms, no pain, no cramping, not any 3:13 symptoms, no pain, no cramping, not any 3:13 symptoms, no pain, no cramping, not any of the PMS symptoms that women deal with 3:15 of the PMS symptoms that women deal with 3:15 of the PMS symptoms that women deal with their entire menstrual history. That's a 3:18 their entire menstrual history. That's a 3:18 their entire menstrual history. That's a sign of dysfunction of some sort. But 3:20 sign of dysfunction of some sort. But 3:20 sign of dysfunction of some sort. But when your only options are either drugs 3:22 when your only options are either drugs 3:22 when your only options are either drugs or birth control, or excuse me, uh birth 3:24 or birth control, or excuse me, uh birth 3:24 or birth control, or excuse me, uh birth control or surgery, there's no really 3:26 control or surgery, there's no really 3:26 control or surgery, there's no really understanding of how to actually fix 3:28 understanding of how to actually fix 3:28 understanding of how to actually fix those problems. 3:29 those problems. 3:29 those problems. >> And one thing, too, just sorry to 3:30 >> And one thing, too, just sorry to 3:30 >> And one thing, too, just sorry to interrupt, is with rhythmic dosing, 3:32 interrupt, is with rhythmic dosing, 3:32 interrupt, is with rhythmic dosing, women will say, "Well, oh my goodness, 3:33 women will say, "Well, oh my goodness, 3:33 women will say, "Well, oh my goodness, am I going to get my endometriosis 3:35 am I going to get my endometriosis 3:35 am I going to get my endometriosis back?" I'll say just from personal 3:36 back?" I'll say just from personal 3:36 back?" I'll say just from personal experience, no. But all the women that 3:38 experience, no. But all the women that 3:38 experience, no. But all the women that I've worked with with rhythmic dosing, 3:39 I've worked with with rhythmic dosing, 3:39 I've worked with with rhythmic dosing, I've never seen their endometriosis come 3:41 I've never seen their endometriosis come 3:41 I've never seen their endometriosis come back. I've never seen their fibroids 3:43 back. I've never seen their fibroids 3:43 back. I've never seen their fibroids flare up. Now, I have seen some other um 3:46 flare up. Now, I have seen some other um 3:46 flare up. Now, I have seen some other um patients that have come into me, new 3:48 patients that have come into me, new 3:48 patients that have come into me, new patients that their fibroids have flared 3:50 patients that their fibroids have flared 3:50 patients that their fibroids have flared up from doing static dosing because the 3:52 up from doing static dosing because the 3:52 up from doing static dosing because the estradiol was a little too high. I have 3:54 estradiol was a little too high. I have 3:54 estradiol was a little too high. I have seen that. 3:55 seen that. 3:55 seen that. >> Yeah, it's it's too high for too long 3:57 >> Yeah, it's it's too high for too long 3:57 >> Yeah, it's it's too high for too long and then it can create some of that. 3:58 and then it can create some of that. 3:58 and then it can create some of that. When you have the cycle to those 4:01 When you have the cycle to those 4:01 When you have the cycle to those hormones, it tends to create a little 4:03 hormones, it tends to create a little 4:03 hormones, it tends to create a little bit of a different environment. 4:04 bit of a different environment. 4:04 bit of a different environment. >> Yeah, so that's sort of the safety 4:06 >> Yeah, so that's sort of the safety 4:06 >> Yeah, so that's sort of the safety behind that rhythmic dosing if somebody 4:08 behind that rhythmic dosing if somebody 4:08 behind that rhythmic dosing if somebody has a uterus is you're intentionally 4:10 has a uterus is you're intentionally 4:10 has a uterus is you're intentionally thickening up that endometrial lining 4:12 thickening up that endometrial lining 4:12 thickening up that endometrial lining and then you slough it off and you have 4:13 and then you slough it off and you have 4:13 and then you slough it off and you have a period at at the end of the cycle and 4:15 a period at at the end of the cycle and 4:15 a period at at the end of the cycle and you start back at day one as opposed to
Benefits and safety of rhythmic dosing 4:17 you start back at day one as opposed to 4:17 you start back at day one as opposed to static dosing, you do not want a 4:19 static dosing, you do not want a 4:19 static dosing, you do not want a thickened endometrial lining at all 4:21 thickened endometrial lining at all 4:21 thickened endometrial lining at all because that is a risk for uterine 4:22 because that is a risk for uterine 4:22 because that is a risk for uterine cancer. 4:23 cancer. 4:23 cancer. >> And that's the distinction between the 4:24 >> And that's the distinction between the 4:25 >> And that's the distinction between the two at the end of the day. And for those 4:26 two at the end of the day. And for those 4:26 two at the end of the day. And for those women like yourself that want their 4:28 women like yourself that want their 4:28 women like yourself that want their brain to work, their body to work, uh 4:31 brain to work, their body to work, uh 4:31 brain to work, their body to work, uh you know, all those things that are part 4:33 you know, all those things that are part 4:33 you know, all those things that are part of menopause that women don't want, um 4:36 of menopause that women don't want, um 4:36 of menopause that women don't want, um you can only accomplish some of that 4:38 you can only accomplish some of that 4:38 you can only accomplish some of that with a static dosing. You can accomplish 4:40 with a static dosing. You can accomplish 4:40 with a static dosing. You can accomplish a heck of a lot more um with the 4:42 a heck of a lot more um with the 4:42 a heck of a lot more um with the rhythmic dosing. Um you cannot compare 4:44 rhythmic dosing. Um you cannot compare 4:44 rhythmic dosing. Um you cannot compare those two as far as uh how someone feels 4:47 those two as far as uh how someone feels 4:47 those two as far as uh how someone feels on them. Uh you know, where the mostly 4:50 on them. Uh you know, where the mostly 4:50 on them. Uh you know, where the mostly conventional options for women just, you 4:52 conventional options for women just, you 4:52 conventional options for women just, you know, touch on the surface of what uh 4:55 know, touch on the surface of what uh 4:55 know, touch on the surface of what uh There's a lot of talk about how amazing 4:56 There's a lot of talk about how amazing 4:56 There's a lot of talk about how amazing HRT is, but you got to pick the right 4:58 HRT is, but you got to pick the right 4:58 HRT is, but you got to pick the right tool for the job. 4:59 tool for the job. 4:59 tool for the job. >> Exactly. Everybody's different. Some 5:01 >> Exactly. Everybody's different. Some 5:01 >> Exactly. Everybody's different. Some people do wonderfully on static dosing 5:04 people do wonderfully on static dosing 5:04 people do wonderfully on static dosing and it can be magic for your joints, for 5:06 and it can be magic for your joints, for 5:06 and it can be magic for your joints, for your hot flashes, your night sweats, 5:08 your hot flashes, your night sweats, 5:08 your hot flashes, your night sweats, your skin, your hair. I've noticed with 5:10 your skin, your hair. I've noticed with 5:10 your skin, your hair. I've noticed with the rhythmic dosing, I'll tend to maybe 5:13 the rhythmic dosing, I'll tend to maybe 5:13 the rhythmic dosing, I'll tend to maybe switch patients to that if especially if 5:15 switch patients to that if especially if 5:15 switch patients to that if especially if that libido isn't coming up. The 5:17 that libido isn't coming up. The 5:17 that libido isn't coming up. The rhythmic dosing is amazing for putting, 5:19 rhythmic dosing is amazing for putting, 5:19 rhythmic dosing is amazing for putting, you know, the libido back on the brain. 5:21 you know, the libido back on the brain. 5:21 you know, the libido back on the brain. Uh 5:21 Uh 5:22 Uh again, brain brain function. People will 5:23 again, brain brain function. People will 5:23 again, brain brain function. People will say sometimes that static dosing isn't 5:25 say sometimes that static dosing isn't 5:25 say sometimes that static dosing isn't quite helping with the brain fog. The 5:27 quite helping with the brain fog. The 5:27 quite helping with the brain fog. The rhythmic dosing can be incredible for 5:29 rhythmic dosing can be incredible for 5:29 rhythmic dosing can be incredible for that. And then you think about the hair, 5:30 that. And then you think about the hair, 5:31 that. And then you think about the hair, the skin, and the nails. Um the rhythmic 5:33 the skin, and the nails. Um the rhythmic 5:33 the skin, and the nails. Um the rhythmic dosing is great. Now, not it's not for 5:35 dosing is great. Now, not it's not for 5:35 dosing is great. Now, not it's not for everybody. Like if somebody cuz I've got 5:37 everybody. Like if somebody cuz I've got 5:38 everybody. Like if somebody cuz I've got it like I'll go over my dosing with you. 5:39 it like I'll go over my dosing with you. 5:39 it like I'll go over my dosing with you. to change it every few days cuz I'm 5:41 to change it every few days cuz I'm 5:41 to change it every few days cuz I'm increasing up my estradiol and then I'm 5:42 increasing up my estradiol and then I'm 5:42 increasing up my estradiol and then I'm decreasing it. I'm starting my 5:44 decreasing it. I'm starting my 5:44 decreasing it. I'm starting my progesterone, increasing up that, 5:46 progesterone, increasing up that, 5:46 progesterone, increasing up that, decreasing it, getting a period. You 5:47 decreasing it, getting a period. You 5:47 decreasing it, getting a period. You have to be very specific where you are 5:49 have to be very specific where you are 5:49 have to be very specific where you are in your calendar, you have to keep track 5:51 in your calendar, you have to keep track 5:51 in your calendar, you have to keep track of your dosing, and you have to keep 5:52 of your dosing, and you have to keep 5:52 of your dosing, and you have to keep track of your symptoms, too. Like, I 5:54 track of your symptoms, too. Like, I 5:54 track of your symptoms, too. Like, I might have a, you know, if I 5:56 might have a, you know, if I 5:56 might have a, you know, if I have sleeplessness on a certain day of 5:57 have sleeplessness on a certain day of 5:57 have sleeplessness on a certain day of the cycle, I'll know maybe I need to 5:59 the cycle, I'll know maybe I need to 5:59 the cycle, I'll know maybe I need to adjust that dose. Now, if somebody has a 6:01 adjust that dose. Now, if somebody has a 6:01 adjust that dose. Now, if somebody has a hard time doing that, or it's just 6:02 hard time doing that, or it's just 6:02 hard time doing that, or it's just they're feeling scattered, maybe that's 6:04 they're feeling scattered, maybe that's 6:04 they're feeling scattered, maybe that's not the right, not right for them. Uh, a 6:07 not the right, not right for them. Uh, a 6:07 not the right, not right for them. Uh, a lot of women, too, that are already, 6:09 lot of women, too, that are already, 6:09 lot of women, too, that are already, like, "Hey, I feel really good. I'm fit. 6:11 like, "Hey, I feel really good. I'm fit. 6:11 like, "Hey, I feel really good. I'm fit. I eat good. I'm healthy. I want to keep 6:14 I eat good. I'm healthy. I want to keep 6:14 I eat good. I'm healthy. I want to keep it this way for as long as I, you know, 6:15 it this way for as long as I, you know, 6:15 it this way for as long as I, you know, as long as possible. I don't want to 6:17 as long as possible. I don't want to 6:17 as long as possible. I don't want to age. I don't want things to start to 6:18 age. I don't want things to start to 6:18 age. I don't want things to start to backslide." That's where the rhythmic 6:20 backslide." That's where the rhythmic 6:20 backslide." That's where the rhythmic dosing is really nice for what I call 6:22 dosing is really nice for what I call 6:22 dosing is really nice for what I call the the racehorse, somebody that's 6:24 the the racehorse, somebody that's 6:24 the the racehorse, somebody that's already got this amazing lifestyle. 6:26 already got this amazing lifestyle. 6:26 already got this amazing lifestyle. They're eating great. They're, you know, 6:28 They're eating great. They're, you know, 6:28 They're eating great. They're, you know, they want to just make sure they're able 6:29 they want to just make sure they're able 6:29 they want to just make sure they're able to continue that. 6:30 to continue that. 6:30 to continue that. >> Yeah, if you take if you go to our 6:31 >> Yeah, if you take if you go to our 6:31 >> Yeah, if you take if you go to our website and take the quiz, uh, and 6:33 website and take the quiz, uh, and 6:33 website and take the quiz, uh, and you'll determine where you are. Either 6:35 you'll determine where you are. Either 6:35 you'll determine where you are. Either you're in perimenopause, you're an 6:37 you're in perimenopause, you're an 6:37 you're in perimenopause, you're an in-betweener, or you're in menopause. 6:39 in-betweener, or you're in menopause. 6:39 in-betweener, or you're in menopause. Um, Rachel the racehorse is your sort 6:42 Um, Rachel the racehorse is your sort 6:42 Um, Rachel the racehorse is your sort of, uh, character, avatar, of who's a 6:45 of, uh, character, avatar, of who's a 6:45 of, uh, character, avatar, of who's a good fit for rhythmic dosing. 6:47 good fit for rhythmic dosing. 6:47 good fit for rhythmic dosing. >> I wrote a free guide that kind of goes 6:49 >> I wrote a free guide that kind of goes 6:49 >> I wrote a free guide that kind of goes through perimenopause, menopause, and 6:50 through perimenopause, menopause, and 6:50 through perimenopause, menopause, and also the in-betweener, because the 6:52 also the in-betweener, because the 6:52 also the in-betweener, because the in-betweener is also a great one that 6:54 in-betweener is also a great one that 6:54 in-betweener is also a great one that would start that the rhythmic dosing. 6:57 would start that the rhythmic dosing. 6:57 would start that the rhythmic dosing. That's right when they're coming out of 6:58 That's right when they're coming out of 6:58 That's right when they're coming out of perimenopause, or just kind of in late 7:00 perimenopause, or just kind of in late 7:00 perimenopause, or just kind of in late perimenopause, going into menopause. 7:02 perimenopause, going into menopause. 7:02 perimenopause, going into menopause. Their body doesn't miss a beat when you
Who is a good candidate for rhythmic HRT 7:04 Their body doesn't miss a beat when you 7:04 Their body doesn't miss a beat when you add in that rhythmic dosing, because 7:06 add in that rhythmic dosing, because 7:06 add in that rhythmic dosing, because it's like, oh, body's like, "Oh, thanks. 7:07 it's like, oh, body's like, "Oh, thanks. 7:07 it's like, oh, body's like, "Oh, thanks. Where'd this go? Now we have, you know, 7:08 Where'd this go? Now we have, you know, 7:08 Where'd this go? Now we have, you know, back to our cycle, you know, I I I 7:10 back to our cycle, you know, I I I 7:10 back to our cycle, you know, I I I understand this." You can keep that 7:12 understand this." You can keep that 7:12 understand this." You can keep that brain in the in that not technically the 7:14 brain in the in that not technically the 7:14 brain in the in that not technically the ovaries, because you're in menopause, 7:16 ovaries, because you're in menopause, 7:16 ovaries, because you're in menopause, but the hormones in the system, the 7:17 but the hormones in the system, the 7:17 but the hormones in the system, the brain thinks the ovaries are secreting 7:19 brain thinks the ovaries are secreting 7:19 brain thinks the ovaries are secreting these hormones. Now, somebody that maybe 7:21 these hormones. Now, somebody that maybe 7:21 these hormones. Now, somebody that maybe hadn't been on HRT, which unfortunately, 7:24 hadn't been on HRT, which unfortunately, 7:24 hadn't been on HRT, which unfortunately, there was a generation of women 7:26 there was a generation of women 7:26 there was a generation of women that were neglected with their hormones, 7:28 that were neglected with their hormones, 7:28 that were neglected with their hormones, and they, you know, they might be 65 7:30 and they, you know, they might be 65 7:30 and they, you know, they might be 65 years old, and have never been on HRT, 7:32 years old, and have never been on HRT, 7:32 years old, and have never been on HRT, cuz they were told it was going to give 7:34 cuz they were told it was going to give 7:34 cuz they were told it was going to give them cancer, which it does not. 7:36 them cancer, which it does not. 7:36 them cancer, which it does not. The Those those women, it is harder to 7:38 The Those those women, it is harder to 7:38 The Those those women, it is harder to matriculate them to the rhythmic dosing, 7:40 matriculate them to the rhythmic dosing, 7:40 matriculate them to the rhythmic dosing, because their bodies have a It's a 7:42 because their bodies have a It's a 7:42 because their bodies have a It's a little bit harder to for it to remember. 7:44 little bit harder to for it to remember. 7:44 little bit harder to for it to remember. So, that's where it kind of depends on 7:46 So, that's where it kind of depends on 7:46 So, that's where it kind of depends on the person and of course working it with 7:47 the person and of course working it with 7:47 the person and of course working it with your practitioner. 7:49 your practitioner. 7:49 your practitioner. >> And it also depends on too like their 7:50 >> And it also depends on too like their 7:50 >> And it also depends on too like their previous menstrual history. 7:52 previous menstrual history. 7:52 previous menstrual history. Um you know, just how their body 7:53 Um you know, just how their body 7:53 Um you know, just how their body responds to estrogen, um being pregnant, 7:56 responds to estrogen, um being pregnant, 7:56 responds to estrogen, um being pregnant, how they respond to estrogen. Those are 7:57 how they respond to estrogen. Those are 7:57 how they respond to estrogen. Those are all the factors that we sort of um but 8:00 all the factors that we sort of um but 8:00 all the factors that we sort of um but usually the the Rachel the racehorse 8:02 usually the the Rachel the racehorse 8:02 usually the the Rachel the racehorse that avatar 8:03 that avatar 8:03 that avatar um is really at least with our 8:05 um is really at least with our 8:05 um is really at least with our population is relatively pretty easy to 8:07 population is relatively pretty easy to 8:07 population is relatively pretty easy to spot them. Like you know what this 8:10 spot them. Like you know what this 8:10 spot them. Like you know what this profile of this person and the things 8:11 profile of this person and the things 8:12 profile of this person and the things that they want to accomplish 8:13 that they want to accomplish 8:13 that they want to accomplish um and they're maybe already on HRT and 8:15 um and they're maybe already on HRT and 8:15 um and they're maybe already on HRT and they're not accomplishing that. It's 8:17 they're not accomplishing that. It's 8:17 they're not accomplishing that. It's really easy to tell that hey, this one 8:18 really easy to tell that hey, this one 8:18 really easy to tell that hey, this one is a good candidate. 8:19 is a good candidate. 8:19 is a good candidate. >> Yeah, or somebody that's just not 8:21 >> Yeah, or somebody that's just not 8:21 >> Yeah, or somebody that's just not getting what they want to achieve with 8:23 getting what they want to achieve with 8:23 getting what they want to achieve with HRT with static dosing. That's where the 8:25 HRT with static dosing. That's where the 8:25 HRT with static dosing. That's where the rhythmic dosing can be such a beautiful
Example rhythmic estradiol protocol 8:27 rhythmic dosing can be such a beautiful 8:27 rhythmic dosing can be such a beautiful matriculation to that. But let me let me 8:29 matriculation to that. But let me let me 8:29 matriculation to that. But let me let me show you what I do. So, this is kind of 8:31 show you what I do. So, this is kind of 8:31 show you what I do. So, this is kind of a sample of what rhythmic dosing looks 8:33 a sample of what rhythmic dosing looks 8:33 a sample of what rhythmic dosing looks like. Now, the thing is with rhythmic 8:35 like. Now, the thing is with rhythmic 8:35 like. Now, the thing is with rhythmic rhythmic dosing is you have a protocol, 8:37 rhythmic dosing is you have a protocol, 8:37 rhythmic dosing is you have a protocol, but you can also tailor that protocol 8:39 but you can also tailor that protocol 8:39 but you can also tailor that protocol for that particular individual. So, this 8:41 for that particular individual. So, this 8:41 for that particular individual. So, this protocol that I'm doing is actually 8:42 protocol that I'm doing is actually 8:42 protocol that I'm doing is actually tailored to me to fit, you know, who I 8:44 tailored to me to fit, you know, who I 8:44 tailored to me to fit, you know, who I am, my blood work and my my goals and 8:46 am, my blood work and my my goals and 8:46 am, my blood work and my my goals and how I how I kind of balance my hormones 8:49 how I how I kind of balance my hormones 8:49 how I how I kind of balance my hormones where somebody else might be a little 8:50 where somebody else might be a little 8:50 where somebody else might be a little bit different. So, for example, day one 8:52 bit different. So, for example, day one 8:52 bit different. So, for example, day one would be my period. So, day one to day 8:55 would be my period. So, day one to day 8:55 would be my period. So, day one to day five I take 4 mg of estradiol 8:57 five I take 4 mg of estradiol 8:57 five I take 4 mg of estradiol transdermal. I put it on my inner thigh 8:59 transdermal. I put it on my inner thigh 8:59 transdermal. I put it on my inner thigh cuz I don't want it to get on our 9:01 cuz I don't want it to get on our 9:01 cuz I don't want it to get on our animals and that's a nice um fatty space 9:03 animals and that's a nice um fatty space 9:03 animals and that's a nice um fatty space to kind of soak up the hormones which 9:06 to kind of soak up the hormones which 9:06 to kind of soak up the hormones which hormones are all have a cholesterol 9:07 hormones are all have a cholesterol 9:07 hormones are all have a cholesterol backbone. They're fat, you know, fat 9:08 backbone. They're fat, you know, fat 9:08 backbone. They're fat, you know, fat soluble. So, I do 4 mg in the morning 9:11 soluble. So, I do 4 mg in the morning 9:11 soluble. So, I do 4 mg in the morning and I do 4 mg in the evening. So, that's 9:13 and I do 4 mg in the evening. So, that's 9:13 and I do 4 mg in the evening. So, that's a total of 8 mg and that's 1 2 3 4 5. 9:17 a total of 8 mg and that's 1 2 3 4 5. 9:17 a total of 8 mg and that's 1 2 3 4 5. And then on day 6 7 and 8 I increase 9:19 And then on day 6 7 and 8 I increase 9:19 And then on day 6 7 and 8 I increase that up to 6 mg of estradiol twice a 9:22 that up to 6 mg of estradiol twice a 9:22 that up to 6 mg of estradiol twice a day. So, a total of 12 in that 24-hour 9:25 day. So, a total of 12 in that 24-hour 9:25 day. So, a total of 12 in that 24-hour period. So, as you can see in the 9:27 period. So, as you can see in the 9:27 period. So, as you can see in the natural ovarian cycle, the estrogen is 9:29 natural ovarian cycle, the estrogen is 9:29 natural ovarian cycle, the estrogen is starting to go up hoping for ovulation. 9:32 starting to go up hoping for ovulation. 9:32 starting to go up hoping for ovulation. So, on day 9 and 10 I increase it up to 9:35 So, on day 9 and 10 I increase it up to 9:35 So, on day 9 and 10 I increase it up to 7 mg of estradiol twice a day. Then on 9:38 7 mg of estradiol twice a day. Then on 9:38 7 mg of estradiol twice a day. Then on day 11, I go to 8 mg twice a day of 9:41 day 11, I go to 8 mg twice a day of 9:41 day 11, I go to 8 mg twice a day of estradiol. And then on day 12, which in 9:43 estradiol. And then on day 12, which in 9:43 estradiol. And then on day 12, which in a 28-day, a perfect 28-day cycle, the 9:46 a 28-day, a perfect 28-day cycle, the 9:46 a 28-day, a perfect 28-day cycle, the body surges this huge amount of 9:48 body surges this huge amount of 9:48 body surges this huge amount of estradiol on day 12 to try to cause an 9:51 estradiol on day 12 to try to cause an 9:51 estradiol on day 12 to try to cause an ovulation. Of course, I'm in menopause. 9:53 ovulation. Of course, I'm in menopause. 9:53 ovulation. Of course, I'm in menopause. I'm not My ovaries are checked out. I'm 9:54 I'm not My ovaries are checked out. I'm 9:55 I'm not My ovaries are checked out. I'm not going to get an ovulation, but I'm 9:56 not going to get an ovulation, but I'm 9:56 not going to get an ovulation, but I'm mimicking it. So, on day 12, I actually 9:58 mimicking it. So, on day 12, I actually 9:58 mimicking it. So, on day 12, I actually do 12 mg of estradiol in the morning and 10:01 do 12 mg of estradiol in the morning and 10:01 do 12 mg of estradiol in the morning and 12 mg of estradiol in the evening. So, 10:04 12 mg of estradiol in the evening. So, 10:04 12 mg of estradiol in the evening. So, that's a total of 24 mg of estradiol in 10:07 that's a total of 24 mg of estradiol in 10:07 that's a total of 24 mg of estradiol in a 24-hour period. 10:08 a 24-hour period. 10:08 a 24-hour period. >> that's not biased. That's straight 10:10 >> that's not biased. That's straight 10:10 >> that's not biased. That's straight estradiol. 10:10 estradiol. 10:10 estradiol. >> estradiol. And then on the next day, so 10:14 >> estradiol. And then on the next day, so 10:14 >> estradiol. And then on the next day, so as that start, you know, then you start 10:15 as that start, you know, then you start 10:15 as that start, you know, then you start to see the estradiol start to gently 10:17 to see the estradiol start to gently 10:17 to see the estradiol start to gently come down, I go down to 6 mg in the 10:20 come down, I go down to 6 mg in the 10:20 come down, I go down to 6 mg in the morning of estradiol and 6 mg in the 10:22 morning of estradiol and 6 mg in the 10:22 morning of estradiol and 6 mg in the evening. Then on day 14, that's the 10:24 evening. Then on day 14, that's the 10:24 evening. Then on day 14, that's the lowest day, as I go down to 3 mg in the 10:27 lowest day, as I go down to 3 mg in the 10:27 lowest day, as I go down to 3 mg in the morning, 3 mg in the evening. Then on 10:30 morning, 3 mg in the evening. Then on 10:30 morning, 3 mg in the evening. Then on day 15, 16, and 17, I do go up to 4 mg 10:34 day 15, 16, and 17, I do go up to 4 mg 10:34 day 15, 16, and 17, I do go up to 4 mg cuz the estradiol does come up a little 10:35 cuz the estradiol does come up a little 10:35 cuz the estradiol does come up a little bit towards that end of that cycle is on 10:38 bit towards that end of that cycle is on 10:38 bit towards that end of that cycle is on that 15, 16, 17, I go to 4 mg twice a 10:41 that 15, 16, 17, I go to 4 mg twice a 10:41 that 15, 16, 17, I go to 4 mg twice a day. And then on day 18 until I get my 10:44 day. And then on day 18 until I get my 10:44 day. And then on day 18 until I get my period, I end up doing 5 mg twice a day, 10:47 period, I end up doing 5 mg twice a day, 10:47 period, I end up doing 5 mg twice a day, so that's 10 mg in a 24-hour period. 10:49 so that's 10 mg in a 24-hour period. 10:49 so that's 10 mg in a 24-hour period. Now, I usually get my period right 10:51 Now, I usually get my period right 10:51 Now, I usually get my period right around day 26, which is pretty typical
Adjusting doses and tracking symptoms 10:53 around day 26, which is pretty typical 10:53 around day 26, which is pretty typical for me even when I was menstruating. I 10:55 for me even when I was menstruating. I 10:55 for me even when I was menstruating. I was 26, 27, sometimes 28. Some women 10:58 was 26, 27, sometimes 28. Some women 10:59 was 26, 27, sometimes 28. Some women will get their periods on day 28 when 11:01 will get their periods on day 28 when 11:01 will get their periods on day 28 when they're doing the rhythmic dosing. If 11:02 they're doing the rhythmic dosing. If 11:02 they're doing the rhythmic dosing. If it's closer to 30 or 32, if that wasn't 11:06 it's closer to 30 or 32, if that wasn't 11:06 it's closer to 30 or 32, if that wasn't originally what their cycles were when 11:08 originally what their cycles were when 11:08 originally what their cycles were when they were younger and menstruating, 11:10 they were younger and menstruating, 11:10 they were younger and menstruating, then I usually kind of increase up that 11:12 then I usually kind of increase up that 11:12 then I usually kind of increase up that estrogen. It usually means that 11:13 estrogen. It usually means that 11:13 estrogen. It usually means that estrogen's a little low. They're getting 11:15 estrogen's a little low. They're getting 11:15 estrogen's a little low. They're getting their periods a little too soon, like 11:16 their periods a little too soon, like 11:16 their periods a little too soon, like day 21, you might want to decrease the 11:20 day 21, you might want to decrease the 11:20 day 21, you might want to decrease the estrogen or raise the progesterone. So, 11:21 estrogen or raise the progesterone. So, 11:21 estrogen or raise the progesterone. So, there's all different ways to dose with 11:23 there's all different ways to dose with 11:23 there's all different ways to dose with that. And then you can also test. Of 11:25 that. And then you can also test. Of 11:25 that. And then you can also test. Of course, we like to do the testing on 11:27 course, we like to do the testing on 11:27 course, we like to do the testing on this. We'll do another podcast on 11:29 this. We'll do another podcast on 11:29 this. We'll do another podcast on progesterone cuz there's a lot to kind 11:31 progesterone cuz there's a lot to kind 11:31 progesterone cuz there's a lot to kind of unwrap with progesterone. I think 11:33 of unwrap with progesterone. I think 11:33 of unwrap with progesterone. I think with rhythmic versus cyclic. But in 11:36 with rhythmic versus cyclic. But in 11:36 with rhythmic versus cyclic. But in terms of the estradiol with rhythmic 11:37 terms of the estradiol with rhythmic 11:37 terms of the estradiol with rhythmic dosing, as you can see, you can you can 11:40 dosing, as you can see, you can you can 11:40 dosing, as you can see, you can you can really get those estradiol levels up. 11:41 really get those estradiol levels up. 11:41 really get those estradiol levels up. >> Yeah, and and now granted as a little 11:44 >> Yeah, and and now granted as a little 11:44 >> Yeah, and and now granted as a little caveat or a little disclaimer here, this 11:46 caveat or a little disclaimer here, this 11:46 caveat or a little disclaimer here, this is for, you know, educational purposes. 11:48 is for, you know, educational purposes. 11:48 is for, you know, educational purposes. Do not try to recreate this on your own. 11:50 Do not try to recreate this on your own. 11:50 Do not try to recreate this on your own. This is not the starting point for any 11:52 This is not the starting point for any 11:53 This is not the starting point for any woman, right? This is you you work your 11:55 woman, right? This is you you work your 11:55 woman, right? This is you you work your way up to this kind of dosing once your 11:57 way up to this kind of dosing once your 11:57 way up to this kind of dosing once your body has a chance to be exposed to it. 12:00 body has a chance to be exposed to it. 12:00 body has a chance to be exposed to it. Uh you know, so even with this, we 12:02 Uh you know, so even with this, we 12:02 Uh you know, so even with this, we usually start at a much lower point and 12:04 usually start at a much lower point and 12:04 usually start at a much lower point and then it gradually works its way up. And 12:07 then it gradually works its way up. And 12:07 then it gradually works its way up. And the woman herself, her subjective, you 12:09 the woman herself, her subjective, you 12:09 the woman herself, her subjective, you know, situation, how she's feeling, 12:12 know, situation, how she's feeling, 12:12 know, situation, how she's feeling, what's what's getting better, getting 12:13 what's what's getting better, getting 12:13 what's what's getting better, getting worse, will be uh will be adapted as 12:17 worse, will be uh will be adapted as 12:17 worse, will be uh will be adapted as time goes on. And sometimes it takes 3 12:19 time goes on. And sometimes it takes 3 12:19 time goes on. And sometimes it takes 3 months, sometimes it takes 6 months. In 12:21 months, sometimes it takes 6 months. In 12:21 months, sometimes it takes 6 months. In in reality, it is sort of a it's sort of 12:24 in reality, it is sort of a it's sort of 12:24 in reality, it is sort of a it's sort of like a a never-ending 12:26 like a a never-ending 12:26 like a a never-ending um tweaking process. Now, that doesn't 12:28 um tweaking process. Now, that doesn't 12:28 um tweaking process. Now, that doesn't mean that you're never going to feel 12:29 mean that you're never going to feel 12:30 mean that you're never going to feel good. Um the patients that are doing 12:32 good. Um the patients that are doing 12:32 good. Um the patients that are doing well with dosing 12:32 well with dosing 12:32 well with dosing >> Women feel really good on this 12:34 >> Women feel really good on this 12:34 >> Women feel really good on this >> good. But you know, might tweak this 12:35 >> good. But you know, might tweak this 12:35 >> good. But you know, might tweak this here and might tweak that there. And 12:38 here and might tweak that there. And 12:38 here and might tweak that there. And maybe there's a stressor in her life or 12:40 maybe there's a stressor in her life or 12:40 maybe there's a stressor in her life or something's going on. So now things get 12:42 something's going on. So now things get 12:42 something's going on. So now things get adjusted on the fly as, you know, she's 12:45 adjusted on the fly as, you know, she's 12:45 adjusted on the fly as, you know, she's already her body's already had exposure 12:47 already her body's already had exposure 12:47 already her body's already had exposure to the hormone. 12:47 to the hormone.
Who should avoid self-directed dosing 12:48 to the hormone. >> So just like Dr. Maki mentioned is don't 12:50 >> So just like Dr. Maki mentioned is don't 12:50 >> So just like Dr. Maki mentioned is don't do this on your own because this is a 12:52 do this on your own because this is a 12:52 do this on your own because this is a protocol that we studied intensely. 12:55 protocol that we studied intensely. 12:55 protocol that we studied intensely. We've I've been doing this since 2009. I 12:57 We've I've been doing this since 2009. I 12:57 We've I've been doing this since 2009. I think you've been working with women 12:58 think you've been working with women 12:58 think you've been working with women with rhythmic dosing even before that. 13:01 with rhythmic dosing even before that. 13:01 with rhythmic dosing even before that. This is something that really you want 13:02 This is something that really you want 13:02 This is something that really you want to work with a practitioner that knows 13:04 to work with a practitioner that knows 13:04 to work with a practitioner that knows how to do rhythmic dosing. So that's the 13:06 how to do rhythmic dosing. So that's the 13:07 how to do rhythmic dosing. So that's the most important caveat because you want 13:09 most important caveat because you want 13:09 most important caveat because you want to make sure that you're doing it right. 13:10 to make sure that you're doing it right. 13:10 to make sure that you're doing it right. But I wanted 13:11 But I wanted 13:11 But I wanted >> And and safely. 13:12 >> And and safely. 13:12 >> And and safely. >> And safely. But I wanted to show this 13:14 >> And safely. But I wanted to show this 13:14 >> And safely. But I wanted to show this because even when I originally started 13:16 because even when I originally started 13:16 because even when I originally started on rhythmic dosing, I mean, I've done 13:18 on rhythmic dosing, I mean, I've done 13:18 on rhythmic dosing, I mean, I've done static dosing. I've done it all because 13:19 static dosing. I've done it all because 13:19 static dosing. I've done it all because I like to, you know, hormones are our 13:21 I like to, you know, hormones are our 13:21 I like to, you know, hormones are our thing. We're we're the hormone experts. 13:23 thing. We're we're the hormone experts. 13:23 thing. We're we're the hormone experts. But when, you know, I started in my I 13:24 But when, you know, I started in my I 13:24 But when, you know, I started in my I got went through menopause about 50 and 13:26 got went through menopause about 50 and 13:26 got went through menopause about 50 and a half. And so I've been doing this 13:28 a half. And so I've been doing this 13:28 a half. And so I've been doing this protocol for a couple of years, but I 13:30 protocol for a couple of years, but I 13:30 protocol for a couple of years, but I did kind of start off a little bit lower 13:32 did kind of start off a little bit lower 13:32 did kind of start off a little bit lower and work my way up, but even the lower 13:34 and work my way up, but even the lower 13:34 and work my way up, but even the lower doses are still a tremendous amount of 13:37 doses are still a tremendous amount of 13:37 doses are still a tremendous amount of estradiol compared to somebody on a 13:39 estradiol compared to somebody on a 13:39 estradiol compared to somebody on a biased. 13:39 biased. 13:39 biased. >> Yeah, now one thing that does happen on 13:41 >> Yeah, now one thing that does happen on 13:41 >> Yeah, now one thing that does happen on the practitioner side is when you see 13:43 the practitioner side is when you see 13:43 the practitioner side is when you see the patch that has 0.05 or 0.075 or 13:49 the patch that has 0.05 or 0.075 or 13:49 the patch that has 0.05 or 0.075 or 0.1 and you look at the doses that you 13:52 0.1 and you look at the doses that you 13:52 0.1 and you look at the doses that you take there, it freaks people out, but 13:54 take there, it freaks people out, but 13:54 take there, it freaks people out, but you cannot compare the the patch or even 13:57 you cannot compare the the patch or even 13:57 you cannot compare the the patch or even biased to this 13:58 biased to this 13:58 biased to this >> static 13:59 >> static 13:59 >> static >> because they're all completely different 14:01 >> because they're all completely different 14:01 >> because they're all completely different and the woman herself, whoever whatever 14:03 and the woman herself, whoever whatever 14:03 and the woman herself, whoever whatever form of hormone she's using, she's going 14:06 form of hormone she's using, she's going 14:06 form of hormone she's using, she's going to respond to each one of them 14:07 to respond to each one of them 14:07 to respond to each one of them completely different. Even now, there is 14:09 completely different. Even now, there is 14:09 completely different. Even now, there is an idea and I see the same thing with 14:11 an idea and I see the same thing with 14:11 an idea and I see the same thing with thyroid, which we're going to talk about 14:13 thyroid, which we're going to talk about 14:13 thyroid, which we're going to talk about that later, too, is that um whatever the 14:15 that later, too, is that um whatever the 14:15 that later, too, is that um whatever the dose is, everyone assumes that those 14:17 dose is, everyone assumes that those 14:17 dose is, everyone assumes that those doses are 14:19 doses are 14:19 doses are um they convert to the other form and 14:21 um they convert to the other form and 14:21 um they convert to the other form and that is when you've been doing this long 14:23 that is when you've been doing this long 14:23 that is when you've been doing this long enough or even a real you realize real 14:26 enough or even a real you realize real 14:26 enough or even a real you realize real quickly that those doses are not the 14:28 quickly that those doses are not the 14:28 quickly that those doses are not the same when you transfer from one to the 14:30 same when you transfer from one to the 14:30 same when you transfer from one to the other to the other. 14:31 other to the other. 14:31 other to the other. >> Yeah, you're right. I think at some 14:32 >> Yeah, you're right. I think at some 14:32 >> Yeah, you're right. I think at some point we'll do a thyroid conversion 14:34 point we'll do a thyroid conversion 14:34 point we'll do a thyroid conversion about the different thyroids, so not on 14:36 about the different thyroids, so not on 14:36 about the different thyroids, so not on this episode, we'd be here for another 14:37 this episode, we'd be here for another 14:37 this episode, we'd be here for another couple hours, but but either way, I just 14:40 couple hours, but but either way, I just 14:40 couple hours, but but either way, I just wanted to kind of show everybody, you 14:42 wanted to kind of show everybody, you 14:42 wanted to kind of show everybody, you know, if you're not getting the 14:43 know, if you're not getting the 14:43 know, if you're not getting the satisfaction that you want with the 14:45 satisfaction that you want with the 14:45 satisfaction that you want with the current HRT that you're on or you're 14:47 current HRT that you're on or you're 14:47 current HRT that you're on or you're having symptoms of maybe the estrogen's 14:49 having symptoms of maybe the estrogen's 14:49 having symptoms of maybe the estrogen's too high and too low at the same time, 14:52 too high and too low at the same time, 14:52 too high and too low at the same time, which is another podcast, is perhaps 14:55 which is another podcast, is perhaps 14:55 which is another podcast, is perhaps rhythmic dosing might work better for 14:57 rhythmic dosing might work better for 14:57 rhythmic dosing might work better for you or something for you to consider. 14:59 you or something for you to consider. 14:59 you or something for you to consider. >> Yeah. Uh and if you're interested, um 15:01 >> Yeah. Uh and if you're interested, um 15:01 >> Yeah. Uh and if you're interested, um you can also uh look at our community, 15:04 you can also uh look at our community, 15:04 you can also uh look at our community, the Progesterone Hormones Community, 15:05 the Progesterone Hormones Community, 15:05 the Progesterone Hormones Community, where we sort of educate on how to do 15:08 where we sort of educate on how to do 15:08 where we sort of educate on how to do this uh in a safe way. 15:11 this uh in a safe way. 15:11 this uh in a safe way. Um so you're not flying blind, you sort 15:13 Um so you're not flying blind, you sort 15:13 Um so you're not flying blind, you sort of know what's going on, you know what 15:14 of know what's going on, you know what 15:14 of know what's going on, you know what to expect because we tell you. 15:17 to expect because we tell you. 15:17 to expect because we tell you. Uh 15:17 Uh 15:18 Uh now, granted, we're only we're we're 15:19 now, granted, we're only we're we're 15:19 now, granted, we're only we're we're licensed in what, five states, so we can 15:22 licensed in what, five states, so we can 15:22 licensed in what, five states, so we can prescribe in the five states that were 15:24 prescribe in the five states that were 15:24 prescribe in the five states that were you know obviously where we're licensed. 15:26 you know obviously where we're licensed. 15:26 you know obviously where we're licensed. Um but we've worked with some other 15:27 Um but we've worked with some other 15:27 Um but we've worked with some other people that they've learned a tremendous 15:29 people that they've learned a tremendous 15:29 people that they've learned a tremendous amount and are able to translate that in 15:31 amount and are able to translate that in 15:31 amount and are able to translate that in their with their own practitioners. 15:33 their with their own practitioners. 15:33 their with their own practitioners. Yeah, so 15:34 Yeah, so 15:34 Yeah, so we're going to probably circle back 15:35 we're going to probably circle back 15:36 we're going to probably circle back around on this on the progesterone side. 15:37 around on this on the progesterone side. 15:38 around on this on the progesterone side. If you have any questions at all, write 15:39 If you have any questions at all, write 15:39 If you have any questions at all, write them down below 15:41 them down below 15:41 them down below in the comments. You can always reach 15:43 in the comments. You can always reach 15:43 in the comments. You can always reach out on our website if you don't feel 15:44 out on our website if you don't feel 15:44 out on our website if you don't feel comfortable with that, but 15:46 comfortable with that, but 15:46 comfortable with that, but until next time, I'm Dr. Mackie. 15:48 until next time, I'm Dr. Mackie. 15:48 until next time, I'm Dr. Mackie. >> And I'm Dr. Valerie. 15:49 >> And I'm Dr. Valerie. 15:49 >> And I'm Dr. Valerie. >> Take care. Bye-bye.
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