Full Transcript Introduction and Patient Story 0:01 I recently received a call from 0:01 I recently received a call from a patient I have known for years. He is 76 0:03 a patient I have known for years. He is 76 0:03 a patient I have known for years. He is 76 years old. He works part-time, 20 hours a 0:06 years old. He works part-time, 20 hours a 0:06 years old. He works part-time, 20 hours a week. She does water aerobics four times a 0:08 week. She does water aerobics four times a 0:08 week. She does water aerobics four times a week in a therapy pool, and 0:10 week in a therapy pool, and 0:10 week in a therapy pool, and people regularly assume she's 0:11 people regularly assume she's 0:11 people regularly assume she's over 60. He called to see 0:14 over 60. He called to see 0:14 over 60. He called to see how his hormone regimen is going, 0:15 how his hormone regimen is going, 0:15 how his hormone regimen is going, which is still working well. Then she 0:17 which is still working well. Then she 0:17 which is still working well. Then she said, "My daughter just turned 0:19 said, "My daughter just turned 0:19 said, "My daughter just turned 50. She's going through menopause. She 0:21 50. She's going through menopause. She 0:21 50. She's going through menopause. She tried using the patch for a couple 0:23 tried using the patch for a couple 0:23 tried using the patch for a couple of weeks, and I'd like to ask her a few 0:24 of weeks, and I'd like to ask her a few 0:24 of weeks, and I'd like to ask her a few questions." And he had some good questions. 0:27 questions." And he had some good questions. 0:27 questions." And he had some good questions. The kind of questions I hear all the time. 0:29 The kind of questions I hear all the time.
Dr. Bloom and the WY Protocol Overview 0:30 The kind of questions I hear all the time. So today I will answer. I will use her 0:32 So today I will answer. I will use her 0:32 So today I will answer. I will use her story and her daughter's situation 0:34 story and her daughter's situation 0:34 story and her daughter's situation to explain what 0:35 to explain what 0:35 to explain what the WY protocol actually consists of, 0:37 the WY protocol actually consists of, 0:37 the WY protocol actually consists of, why some women choose it, and what 0:39 why some women choose it, and what 0:39 why some women choose it, and what I think about it clinically. Before I 0:41 I think about it clinically. Before I 0:41 I think about it clinically. Before I begin, I'm Dr. Fred Bloom. 0:42 begin, I'm Dr. Fred Bloom. 0:42 begin, I'm Dr. Fred Bloom. I am a holistic and integrative medicine doctor 0:44 I am a holistic and integrative medicine doctor 0:44 I am a holistic and integrative medicine doctor based in Kansas, 0:45 based in Kansas, 0:46 based in Kansas, Maryland. My practice focuses 0:48 Maryland. My practice focuses 0:48 Maryland. My practice focuses on root cause medicine, 0:49 on root cause medicine, 0:49 on root cause medicine, meaning I try to understand why a 0:51 meaning I try to understand why a 0:51 meaning I try to understand why a patient feels a certain way, not 0:53 patient feels a certain way, not 0:53 patient feels a certain way, not just manage the symptom I'm 0:54 just manage the symptom I'm 0:54 just manage the symptom I'm dealing with. Hormones are a 0:56 dealing with. Hormones are a 0:56 dealing with. Hormones are a big part of what I do. I have 0:57 big part of what I do. I have 0:57 big part of what I do. I have worked with 0:59 worked with 0:59 worked with bioidentical hormone replacement therapy for many years, 1:01 bioidentical hormone replacement therapy for many years, 1:01 bioidentical hormone replacement therapy for many years, including the WY protocol. I see many 1:03 including the WY protocol. I see many 1:03 including the WY protocol. I see many patients who have gone through the 1:04 patients who have gone through the 1:04 patients who have gone through the conventional system, who were told 1:06 conventional system, who were told 1:06 conventional system, who were told everything looked fine, and still 1:08 everything looked fine, and still 1:08 everything looked fine, and still feel strange. These are mainly 1:09 feel strange. These are mainly 1:09 feel strange. These are mainly the people I work with. If 1:11 the people I work with. If 1:11 the people I work with. If you're new here, welcome. I post 1:12 you're new here, welcome. I post 1:12 you're new here, welcome. I post videos about hormones, 1:14 videos about hormones, 1:14 videos about hormones, integrative medicine, and addressing the 1:16 integrative medicine, and addressing the 1:16 integrative medicine, and addressing the root causes of complex health issues 1:18 root causes of complex health issues 1:18 root causes of complex health issues . If you find this video helpful, please subscribe, 1:20 . If you find this video helpful, please subscribe, 1:20 . If you find this video helpful, please subscribe, click the notification bell, 1:22 click the notification bell, 1:22 click the notification bell, and like this video
Patch vs Creams: Rhythm vs Constant Dosing 1:23 and like this video 1:23 and like this video . I also have a newsletter 1:25 . I also have a newsletter 1:25 . I also have a newsletter where I go into more detail about topics like 1:27 where I go into more detail about topics like 1:27 where I go into more detail about topics like this. The link is in the description. 1:29 this. The link is in the description. 1:29 this. The link is in the description. Now, let's get started. The patient has been following the 1:31 Now, let's get started. The patient has been following the 1:31 Now, let's get started. The patient has been following the WY protocol for years. 1:33 WY protocol for years. 1:34 WY protocol for years. Estradiol cream and progesterone cream in 1:36 Estradiol cream and progesterone cream in 1:36 Estradiol cream and progesterone cream in monthly cycles. He didn't call because 1:38 monthly cycles. He didn't call because 1:38 monthly cycles. He didn't call because something was wrong. He 1:39 something was wrong. He 1:39 something was wrong. He called because things are going 1:41 called because things are going 1:41 called because things are going well and he wanted to make sure we 1:42 well and he wanted to make sure we 1:42 well and he wanted to make sure we continued to do so. It's actually 1:44 continued to do so. It's actually 1:44 continued to do so. It's actually quite rare in medicine. Someone 1:46 quite rare in medicine. Someone 1:46 quite rare in medicine. Someone who is proactive, someone who pays 1:48 who is proactive, someone who pays 1:48 who is proactive, someone who pays attention, someone who doesn't 1:50 attention, someone who doesn't 1:50 attention, someone who doesn't show up in crisis but in 1:52 show up in crisis but in 1:52 show up in crisis but in maintenance mode. And here's what 1:54 maintenance mode. And here's what 1:54 maintenance mode. And here's what struck me about the call. She continued to 1:56 struck me about the call. She continued to 1:56 struck me about the call. She continued to link her quality of life to 1:58 link her quality of life to 1:58 link her quality of life to her hormones. Not in a dramatic way, 2:00 her hormones. Not in a dramatic way, 2:00 her hormones. Not in a dramatic way, just in a practical way. People tell me I 2:03 just in a practical way. People tell me I 2:03 just in a practical way. People tell me I look young. I think it's 2:05 look young. I think it's 2:05 look young. I think it's because of my creams. I'm still 2:07 because of my creams. I'm still 2:07 because of my creams. I'm still working. I'm still exercising 2:09 working. I'm still exercising . I'm still fit at 76. His 2:12 . I'm still fit at 76. His 2:12 . I'm still fit at 76. His daughter, on the other hand, is at the beginning of 2:14 daughter, on the other hand, is at the beginning of 2:14 daughter, on the other hand, is at the beginning of this situation. He just turned 2:16 this situation. He just turned 2:16 this situation. He just turned 50. She recently started 2:19 50. She recently started 2:19 50. She recently started having symptoms, including more anxiety than 2:20 having symptoms, including more anxiety than 2:20 having symptoms, including more anxiety than usual. Her doctor put a 2:23 usual. Her doctor put a 2:23 usual. Her doctor put a band-aid on her. He had only been taking it for a 2:25 band-aid on her. He had only been taking it for a 2:25 band-aid on her. He had only been taking it for a couple of weeks when his mother 2:27 couple of weeks when his mother 2:27 couple of weeks when his mother called me. I want to use both as a 2:29 called me. I want to use both as a 2:29 called me. I want to use both as a lens for this conversation because 2:31 lens for this conversation because 2:31 lens for this conversation because they represent something I see 2:33 they represent something I see 2:33 they represent something I see constantly. A woman who has understood 2:35 constantly. A woman who has understood 2:35 constantly. A woman who has understood and a woman who is just beginning to 2:37 and a woman who is just beginning to 2:37 and a woman who is just beginning to ask herself the right questions. Question one: 2:39 ask herself the right questions. Question one: 2:39 ask herself the right questions. Question one: What is the difference between the patch and 2:41 What is the difference between the patch and 2:41 What is the difference between the patch and the creams? Here's where I want to slow down 2:43 the creams? Here's where I want to slow down 2:43 the creams? Here's where I want to slow down because the answer is more important
Anxiety, Mood, and Hormonal Shifts 2:45 because the answer is more important 2:45 because the answer is more important than most 2:47 than most 2:47 than most people realize. The short version is 2:48 people realize. The short version is 2:48 people realize. The short version is this. The patches give you a 2:51 this. The patches give you a 2:51 this. The patches give you a stable and constant hormone level. The 2:52 stable and constant hormone level. The 2:52 stable and constant hormone level. The Wy protocol gives you a rhythm. Think about 2:55 Wy protocol gives you a rhythm. Think about 2:55 Wy protocol gives you a rhythm. Think about your heart for a moment. It beats to the beat 2:58 your heart for a moment. It beats to the beat . It increases, it contracts, it relaxes. And do 3:01 . It increases, it contracts, it relaxes. And do 3:01 . It increases, it contracts, it relaxes. And do you know what a flat line on your 3:03 you know what a flat line on your 3:03 you know what a flat line on your heart rate monitor means? It means the 3:06 heart rate monitor means? It means the 3:06 heart rate monitor means? It means the heart has stopped. In cardiology, 3:08 heart has stopped. In cardiology, 3:08 heart has stopped. In cardiology, a flat line is never positive. 3:10 a flat line is never positive. 3:10 a flat line is never positive. You need rhythm. Hormones 3:12 You need rhythm. Hormones 3:12 You need rhythm. Hormones work the same way. When 3:14 work the same way. When 3:14 work the same way. When you were in your 20s and 30s, your 3:16 you were in your 20s and 30s, your 3:16 you were in your 20s and 30s, your estradiol didn't stay at 3:19 estradiol didn't stay at 3:19 estradiol didn't stay at a steady number. It started low at 3:21 a steady number. It started low at 3:21 a steady number. It started low at the beginning of the cycle. Saliva. It 3:24 the beginning of the cycle. Saliva. It 3:24 the beginning of the cycle. Saliva. It peaked around 3:25 peaked around 3:25 peaked around ovulation. Then he went down. It would rise 3:28 ovulation. Then he went down. It would rise 3:28 ovulation. Then he went down. It would rise again in the second half of the cycle 3:30 again in the second half of the cycle 3:30 again in the second half of the cycle and fall before the period. 3:31 and fall before the period. 3:32 and fall before the period. Progesterone was low in the first 3:33 Progesterone was low in the first 3:33 Progesterone was low in the first half of the month. Then it increased 3:35 half of the month. Then it increased 3:35 half of the month. Then it increased dramatically after ovulation. That 3:37 dramatically after ovulation. That 3:37 dramatically after ovulation. That rise and fall 3:39 rise and fall 3:39 rise and fall was a signal that your cells 3:41 was a signal that your cells 3:41 was a signal that your cells were built around your 3:42 were built around your 3:42 were built around your estrogen receptors, your 3:44 estrogen receptors, your 3:44 estrogen receptors, your progesterone receptors, 3:45 progesterone receptors, 3:45 progesterone receptors, your brain chemistry, your sleep. 3:47 your brain chemistry, your sleep. 3:48 your brain chemistry, your sleep. All of this developed in response 3:50 All of this developed in response 3:50 All of this developed in response to that monthly rhythm. Menopause doesn't just 3:52 to that monthly rhythm. Menopause doesn't just 3:52 to that monthly rhythm. Menopause doesn't just lower your levels, it 3:54 lower your levels, it 3:54 lower your levels, it disrupts their rhythm. When you apply a 3:56 disrupts their rhythm. When you apply a 3:56 disrupts their rhythm. When you apply a patch, even if it has a 3:58 patch, even if it has a 3:58 patch, even if it has a protective coating, you get a 4:00 protective coating, you get a 4:00 protective coating, you get a continuous and uniform release. The dose 4:02 continuous and uniform release. The dose 4:02 continuous and uniform release. The dose is low. It doesn't change. Your levels 4:05 is low. It doesn't change. Your levels 4:06 is low. It doesn't change. Your levels may be in your bloodstream, but 4:08 may be in your bloodstream, but 4:08 may be in your bloodstream, but there is no rhythm, no rise, 4:10 there is no rhythm, no rise, 4:10 there is no rhythm, no rise, no fall, no pattern that your 4:12 no fall, no pattern that your 4:12 no fall, no pattern that your receptors recognize as normal. For 4:14 receptors recognize as normal. For 4:14 receptors recognize as normal. For some women, that's enough. 4:15 some women, that's enough. 4:15 some women, that's enough. Hot flashes subside.
Cancer Concerns and Bioidentical Hormones 4:17 Hot flashes subside. 4:17 Hot flashes subside. Bone density can be maintained. This 4:19 Bone density can be maintained. This 4:19 Bone density can be maintained. This is a real benefit and I don't rule it out. 4:21 is a real benefit and I don't rule it out. 4:22 is a real benefit and I don't rule it out. But for women who still feel 4:24 But for women who still feel 4:24 But for women who still feel dull, who don't sleep well, who are 4:26 dull, who don't sleep well, who are 4:26 dull, who don't sleep well, who are still confused, who still have 4:28 still confused, who still have 4:28 still confused, who still have unstable moods, who are not yet themselves, 4:30 unstable moods, who are not yet themselves, 4:30 unstable moods, who are not yet themselves, a uniform dosage is often not 4:32 a uniform dosage is often not 4:32 a uniform dosage is often not enough because the rhythm is still 4:34 enough because the rhythm is still 4:34 enough because the rhythm is still missing. The WY protocol is a 4:36 missing. The WY protocol is a 4:37 missing. The WY protocol is a compounded hormonal protocol that 4:38 compounded hormonal protocol that 4:38 compounded hormonal protocol that alternates estradiol and progesterone 4:40 alternates estradiol and progesterone 4:40 alternates estradiol and progesterone over 28 days, mimicking the 4:42 over 28 days, mimicking the 4:42 over 28 days, mimicking the curve of a natural menstrual cycle. 4:44 curve of a natural menstrual cycle. 4:45 curve of a natural menstrual cycle. The dose changes from day to day. 4:47 The dose changes from day to day. 4:47 The dose changes from day to day. Some days you use very little cream, 4:49 Some days you use very little cream, 4:50 Some days you use very little cream, other days a lot more. This 4:52 other days a lot more. This 4:52 other days a lot more. This variation is intentional. It's the 4:54 variation is intentional. It's the 4:54 variation is intentional. It's the signal. My patient 4:56 signal. My patient 4:56 signal. My patient described it exactly. She said: “ 4:58 described it exactly. She said: “ Some days I use very little 5:00 Some days I use very little 5:00 Some days I use very little estrogen cream and other days I use more 5:02 estrogen cream and other days I use more . It’s like my body is 5:04 . It’s like my body is 5:04 . It’s like my body is changing and needs 5:06 changing and needs 5:06 changing and needs different amounts throughout the month.” Yes, that's 5:08 different amounts throughout the month.” Yes, that's 5:08 different amounts throughout the month.” Yes, that's exactly right. The doses in the 5:11 exactly right. The doses in the 5:11 exactly right. The doses in the WY protocol are higher than those 5:13 WY protocol are higher than those 5:13 WY protocol are higher than those accepted by many physicians. This is 5:16 accepted by many physicians. This is 5:16 accepted by many physicians. This is one of the reasons why it is controversial. 5:17 one of the reasons why it is controversial. 5:18 one of the reasons why it is controversial. But it is not possible to separate the dose 5:20 But it is not possible to separate the dose 5:20 But it is not possible to separate the dose from the model. They work together. A 5:22 from the model. They work together. A 5:22 from the model. They work together. A high dose administered 5:23 high dose administered 5:23 high dose administered evenly is a very different thing from 5:25 evenly is a very different thing from 5:25 evenly is a very different thing from a dose that increases and decreases as 5:27 a dose that increases and decreases as 5:27 a dose that increases and decreases as a natural cycle does. Question two: What 5:30 a natural cycle does. Question two: What 5:30 a natural cycle does. Question two: What about anxiety and mood? The daughter also 5:33 about anxiety and mood? The daughter also 5:33 about anxiety and mood? The daughter also suffered more from anxiety. This is 5:35 suffered more from anxiety. This is 5:36 suffered more from anxiety. This is one of the most common things I 5:37 one of the most common things I 5:38 one of the most common things I hear from pre-menopausal and 5:40 hear from pre-menopausal and 5:40 hear from pre-menopausal and early menopausal women, and it is one of the most 5:42 early menopausal women, and it is one of the most 5:42 early menopausal women, and it is one of the most mismanaged. This is what often happens. 5:45 mismanaged. This is what often happens. 5:45 mismanaged. This is what often happens. A woman between 40 and 50 years old begins 5:48 A woman between 40 and 50 years old begins 5:48 A woman between 40 and 50 years old begins to experience mood swings, anxiety 5:50 to experience mood swings, anxiety , irritability, cries more easily 5:53 , irritability, cries more easily , a kind of emotional unpredictability 5:55 , a kind of emotional unpredictability 5:55 , a kind of emotional unpredictability that is new to her. She goes to her 5:58 that is new to her. She goes to her 5:58 that is new to her. She goes to her GP, is referred to a 6:01 GP, is referred to a 6:01 GP, is referred to a psychiatrist and starts taking an SSRI 6:03 psychiatrist and starts taking an SSRI 6:03 psychiatrist and starts taking an SSRI or an anxiety medication. Sometimes 6:06 or an anxiety medication. Sometimes 6:06 or an anxiety medication. Sometimes these drugs help, but they may 6:09 these drugs help, but they may 6:09 these drugs help, but they may treat the symptom, not the cause. 6:12 treat the symptom, not the cause. 6:12 treat the symptom, not the cause. Psychiatrists typically do not have 6:13 Psychiatrists typically do not have 6:13 Psychiatrists typically do not have extensive training in 6:15 extensive training in 6:15 extensive training in hormonal physiology. This is not a criticism. It 6:17 hormonal physiology. This is not a criticism. It 6:17 hormonal physiology. This is not a criticism. It just doesn't usually fit 6:19 just doesn't usually fit 6:19 just doesn't usually fit into their training. So, when 6:21 into their training. So, when 6:21 into their training. So, when a woman presents with anxiety or depression 6:23 a woman presents with anxiety or depression 6:23 a woman presents with anxiety or depression at this stage of life, the 6:25 at this stage of life, the 6:25 at this stage of life, the standard therapy is often a 6:26 standard therapy is often a 6:26 standard therapy is often a psychiatric medication. But what often happens 6:29 psychiatric medication. But what often happens 6:29 psychiatric medication. But what often happens is a hormonal shift. Both 6:31 is a hormonal shift. Both 6:31 is a hormonal shift. Both estrogen and progesterone 6:32 estrogen and progesterone 6:32 estrogen and progesterone influence brain chemistry. 6:34 influence brain chemistry. 6:34 influence brain chemistry. Progesterone in particular has a 6:36 Progesterone in particular has a 6:36 Progesterone in particular has a calming and anxiolytic effect. It acts 6:39 calming and anxiolytic effect. It acts 6:39 calming and anxiolytic effect. It acts on GABA receptors in the brain, the 6:41 on GABA receptors in the brain, the 6:41 on GABA receptors in the brain, the same general calming pathway 6:43 same general calming pathway 6:43 same general calming pathway involved in drugs like 6:44 involved in drugs like 6:44 involved in drugs like benzodiazepines. When progesterone 6:47 benzodiazepines. When progesterone 6:47 benzodiazepines. When progesterone drops sharply and stops working 6:49 drops sharply and stops working , some women experience it as 6:51 , some women experience it as 6:51 , some women experience it as anxiety, as internal turmoil, as if I 6:53 anxiety, as internal turmoil, as if I 6:53 anxiety, as internal turmoil, as if I don't feel like myself and don't know 6:55 don't feel like myself and don't know 6:55 don't feel like myself and don't know why. If this sounds familiar, 6:58 why. If this sounds familiar, 6:58 why. If this sounds familiar, if your anxiety seems new, 6:59 if your anxiety seems new, 6:59 if your anxiety seems new, worse, or related to this stage of 7:01 worse, or related to this stage of 7:01 worse, or related to this stage of life, it's worth asking yourself whether your 7:03 life, it's worth asking yourself whether your 7:03 life, it's worth asking yourself whether your hormones were 7:05 hormones were 7:05 hormones were properly assessed before adding a 7:07 properly assessed before adding a 7:07 properly assessed before adding a psychiatric medication. This does not 7:08 psychiatric medication. This does not 7:08 psychiatric medication. This does not mean that psychiatric medications 7:10 mean that psychiatric medications 7:10 mean that psychiatric medications are never appropriate. Sometimes they 7:12 are never appropriate. Sometimes they 7:12 are never appropriate. Sometimes they are, but the sequence is important. 7:14 are, but the sequence is important. 7:14 are, but the sequence is important. First the hormones, then the reevaluation. 7:16 First the hormones, then the reevaluation. 7:16 First the hormones, then the reevaluation. Question three: Can hormones cause 7:19 Question three: Can hormones cause 7:19 Question three: Can hormones cause cancer? This is an 7:20 cancer? This is an 7:20 cancer? This is an important question. Almost all patients ask themselves this question 7:22 important question. Almost all patients ask themselves this question 7:22 important question. Almost all patients ask themselves this question . It's a legitimate question, and 7:25 . It's a legitimate question, and 7:25 . It's a legitimate question, and the answer is more nuanced than 7:27 the answer is more nuanced than 7:28 the answer is more nuanced than fear suggests. First of all we 7:30 fear suggests. First of all we 7:30 fear suggests. First of all we need to clarify what type of hormones 7:32 need to clarify what type of hormones 7:32 need to clarify what type of hormones we are talking about. The WY protocol 7:34 we are talking about. The WY protocol 7:34 we are talking about. The WY protocol uses bioidentical hormones. 7:36 uses bioidentical hormones. 7:36 uses bioidentical hormones. Bioidentical means that the 7:38 Bioidentical means that the 7:38 Bioidentical means that the molecular structure is identical to the hormones 7:40 molecular structure is identical to the hormones 7:40 molecular structure is identical to the hormones your body produces from puberty. 7:43 your body produces from puberty. 7:43 your body produces from puberty. Your body can't distinguish them 7:44 Your body can't distinguish them 7:45 Your body can't distinguish them from the estradiol and progesterone it 7:46 from the estradiol and progesterone it 7:46 from the estradiol and progesterone it produces on its own because 7:48 produces on its own because 7:48 produces on its own because they are chemically the same. Your body has been living with 7:51 they are chemically the same. Your body has been living with 7:51 they are chemically the same. Your body has been living with these hormones for decades. They 7:53 these hormones for decades. They 7:53 these hormones for decades. They helped build your bones. 7:54 helped build your bones. 7:54 helped build your bones. They supported your brain. They 7:56 They supported your brain. They 7:56 They supported your brain. They affected your 7:57 affected your 7:57 affected your cardiovascular system. They help maintain 7:59 cardiovascular system. They help maintain 7:59 cardiovascular system. They help maintain skin, hair, mood, sleep and 8:01 skin, hair, mood, sleep and 8:01 skin, hair, mood, sleep and metabolism. Menopause does not 8:04 metabolism. Menopause does not 8:04 metabolism. Menopause does not suddenly make these 8:05 suddenly make these 8:06 suddenly make these hormones dangerous. Menopause means that your 8:08 hormones dangerous. Menopause means that your 8:08 hormones dangerous. Menopause means that your body has stopped producing 8:09 body has stopped producing 8:09 body has stopped producing enough of it. In this call, my 8:11 enough of it. In this call, my 8:11 enough of it. In this call, my patient said she had taken 8:13 patient said she had taken 8:13 patient said she had taken birth control pills before 8:14 birth control pills before 8:14 birth control pills before and, like many people, thought 8:16 and, like many people, thought 8:16 and, like many people, thought birth control pills were a 8:18 birth control pills were a 8:18 birth control pills were a hormone. This is one of the 8:20 hormone. This is one of the 8:20 hormone. This is one of the most common clichés I hear. The 8:23 most common clichés I hear. The 8:23 most common clichés I hear. The birth control pill is not the same as 8:24 birth control pill is not the same as 8:24 birth control pill is not the same as bioidentical hormones. They are 8:27 bioidentical hormones. They are 8:27 bioidentical hormones. They are synthetic compounds designed to suppress 8:29 synthetic compounds designed to suppress 8:29 synthetic compounds designed to suppress ovulation. They appear biochemically similar to 8:31 ovulation. They appear biochemically similar to 8:31 ovulation. They appear biochemically similar to hormones, 8:33 hormones, 8:33 hormones, but they are structurally different, and 8:35 but they are structurally different, and 8:35 but they are structurally different, and this difference is important. Here's 8:38 this difference is important. Here's 8:38 this difference is important. Here's the analogy I used in the call. 8:40 the analogy I used in the call. 8:40 the analogy I used in the call. Water is H2O. Hydrogen peroxide 8:43 Water is H2O. Hydrogen peroxide 8:43 Water is H2O. Hydrogen peroxide is H2O2. They are almost identical 8:47 is H2O2. They are almost identical 8:47 is H2O2. They are almost identical chemically, just one more oxygen atom 8:49 chemically, just one more oxygen atom 8:49 chemically, just one more oxygen atom . But one is something you drink 8:52 . But one is something you drink 8:52 . But one is something you drink every day. The other can damage the 8:54 every day. The other can damage the 8:54 every day. The other can damage the tissues. The molecular difference is 8:56 tissues. The molecular difference is 8:56 tissues. The molecular difference is small. Biological difference is not 8:59 small. Biological difference is not 8:59 small. Biological difference is not . Synthetic hormone-like drugs 9:01 . Synthetic hormone-like drugs 9:01 . Synthetic hormone-like drugs can have a 9:03 can have a 9:03 can have a very different biological effect than hormones 9:05 very different biological effect than hormones 9:05 very different biological effect than hormones identical to those produced by the body. 9:07 identical to those produced by the body. 9:08 identical to those produced by the body. This distinction is very important. 9:10 This distinction is very important. 9:10 This distinction is very important. Now, does that mean there is no 9:12 Now, does that mean there is no 9:12 Now, does that mean there is no nuance? No. Women with a history 9:14 nuance? No. Women with a history 9:14 nuance? No. Women with a history of certain estrogen-sensitive or estrogen- 9:16 of certain estrogen-sensitive or estrogen- 9:16 of certain estrogen-sensitive or estrogen- sensitive tumors require a 9:18 sensitive tumors require a 9:18 sensitive tumors require a personalized consultation. This is a 9:20 personalized consultation. This is a 9:20 personalized consultation. This is a real clinical decision. I take it 9:22 real clinical decision. I take it 9:22 real clinical decision. I take it seriously. But the fear many women 9:24 seriously. But the fear many women 9:24 seriously. But the fear many women have that any estrogen replacement therapy
How the Patch Works and Its Limits 9:26 have that any estrogen replacement therapy 9:26 have that any estrogen replacement therapy automatically causes 9:28 automatically causes 9:28 automatically causes breast cancer is often based on 9:30 breast cancer is often based on 9:30 breast cancer is often based on confusion between different types of 9:32 confusion between different types of 9:32 confusion between different types of hormone therapy. The distinction is 9:34 hormone therapy. The distinction is 9:34 hormone therapy. The distinction is important. Question four. Are the patches 9:37 important. Question four. Are the patches 9:37 important. Question four. Are the patches real hormones? This also came 9:39 real hormones? This also came 9:39 real hormones? This also came up during the call. The daughter 9:41 up during the call. The daughter 9:41 up during the call. The daughter had been given a patch. His 9:43 had been given a patch. His 9:43 had been given a patch. His mother asked, "Are these real hormones?" 9:45 mother asked, "Are these real hormones?" 9:45 mother asked, "Are these real hormones?" The answer is yes. Regular 9:48 The answer is yes. Regular 9:48 The answer is yes. Regular estrogen patches available at pharmacies 9:50 estrogen patches available at pharmacies 9:50 estrogen patches available at pharmacies usually contain estadyl, which 9:52 usually contain estadyl, which 9:52 usually contain estadyl, which is a true bioidentical hormone. So, 9:54 is a true bioidentical hormone. So, 9:54 is a true bioidentical hormone. So, this part is fine. The problem 9:57 this part is fine. The problem 9:57 this part is fine. The problem isn't what's in the patch. The problem 9:59 isn't what's in the patch. The problem 9:59 isn't what's in the patch. The problem is what the patch can't do. 10:01 is what the patch can't do. 10:02 is what the patch can't do. First of all, the dose is low. The 10:04 First of all, the dose is low. The 10:04 First of all, the dose is low. The patches are designed to deliver the 10:05 patches are designed to deliver the 10:05 patches are designed to deliver the minimum amount of estrogen 10:07 minimum amount of estrogen 10:07 minimum amount of estrogen needed to reduce symptoms. This 10:09 needed to reduce symptoms. This 10:09 needed to reduce symptoms. This is a conservative approach. For 10:11 is a conservative approach. For 10:11 is a conservative approach. For some patients, this is appropriate, but 10:13 some patients, this is appropriate, but 10:13 some patients, this is appropriate, but often it is not enough to 10:15 often it is not enough to 10:15 often it is not enough to address the full range of what 10:17 address the full range of what 10:17 address the full range of what menopause does to a woman's body. 10:18 menopause does to a woman's body. 10:19 menopause does to a woman's body. Bones, brain, sleep, mood, skin, 10:23 Bones, brain, sleep, mood, skin, 10:23 Bones, brain, sleep, mood, skin, libido. Second, and more 10:26 libido. Second, and more 10:26 libido. Second, and more importantly, administration is 10:28 importantly, administration is 10:28 importantly, administration is static. Same dose every day. 10:30 static. Same dose every day. 10:31 static. Same dose every day. No cycle, no rhythm. You're 10:34 No cycle, no rhythm. You're 10:34 No cycle, no rhythm. You're getting estradiol, but you're 10:35 getting estradiol, but you're 10:35 getting estradiol, but you're getting it in a way your body 10:38 getting it in a way your body 10:38 getting it in a way your body has never experienced before—flat and 10:40 has never experienced before—flat and 10:40 has never experienced before—flat and unchanging. For women whose 10:42 unchanging. For women whose 10:42 unchanging. For women whose primary goal is to stop 10:43 primary goal is to stop 10:43 primary goal is to stop hot flashes, a patch can 10:45 hot flashes, a patch can 10:45 hot flashes, a patch can achieve this goal. For
Who the WY Protocol Fits Best 10:47 achieve this goal. For 10:47 achieve this goal. For women who want more—to sleep 10:48 women who want more—to sleep 10:48 women who want more—to sleep better, think more clearly, 10:50 better, think more clearly, 10:50 better, think more clearly, have a more stable mood, stronger bones 10:52 have a more stable mood, stronger bones 10:52 have a more stable mood, stronger bones , and better skin—a 10:54 , and better skin—a 10:54 , and better skin—a cyclical approach often works best. When 10:57 cyclical approach often works best. When 10:57 cyclical approach often works best. When a patient comes to me who hasn't 10:58 a patient comes to me who hasn't 10:58 a patient comes to me who hasn't responded well to standard hormone therapy 11:00 responded well to standard hormone therapy 11:00 responded well to standard hormone therapy or is just beginning to 11:02 or is just beginning to 11:03 or is just beginning to explore menopause options, 11:05 explore menopause options, 11:05 explore menopause options, the first thing I do is listen 11:07 the first thing I do is listen 11:07 the first thing I do is listen carefully when she feels worse, 11:09 carefully when she feels worse, 11:09 carefully when she feels worse, not just when she feels bad, which is when 11:11 not just when she feels bad, which is when 11:11 not just when she feels bad, which is when women who don't perceive their 11:13 women who don't perceive their 11:13 women who don't perceive their period cues often notice a 11:14 period cues often notice a 11:15 period cues often notice a pattern. They feel better in the first 11:17 pattern. They feel better in the first 11:17 pattern. They feel better in the first half of the month. They crash at a 11:19 half of the month. They crash at a 11:19 half of the month. They crash at a predictable time, usually the third 11:20 predictable time, usually the third 11:20 predictable time, usually the third week, when progesterone 11:22 week, when progesterone 11:22 week, when progesterone would naturally change, or they notice that 11:24 would naturally change, or they notice that 11:24 would naturally change, or they notice that their emotions still seem 11:25 their emotions still seem 11:25 their emotions still seem cyclical even though they no longer have a 11:27 cyclical even though they no longer have a 11:27 cyclical even though they no longer have a menstrual cycle. Their body is 11:29 menstrual cycle. Their body is 11:30 menstrual cycle. Their body is searching for a rhythm that is no longer there. 11:31 searching for a rhythm that is no longer there. 11:32 searching for a rhythm that is no longer there. Sleep is always an 11:34 Sleep is always an 11:34 Sleep is always an important clue, especially the kind of 11:35 important clue, especially the kind of 11:35 important clue, especially the kind of interrupted sleep where you 11:37 interrupted sleep where you 11:37 interrupted sleep where you fall asleep well but wake up at 2 11:39 fall asleep well but wake up at 2 11:39 fall asleep well but wake up at 2 or 3 a.m., alert, sometimes 11:41 or 3 a.m., alert, sometimes 11:41 or 3 a.m., alert, sometimes anxious, unable to fall back asleep. 11:43 anxious, unable to fall back asleep. 11:43 anxious, unable to fall back asleep. This is often related to 11:45 This is often related to 11:45 This is often related to progesterone and often persists with a 11:47 progesterone and often persists with a 11:47 progesterone and often persists with a static dosage because 11:48 static dosage because 11:48 static dosage because progesterone is not moving as it should 11:51 progesterone is not moving as it should . I also pay attention to the second 11:53 . I also pay attention to the second 11:53 . I also pay attention to the second half of the month. Irritability, little 11:55 half of the month. Irritability, little 11:55 half of the month. Irritability, little patience, reduced resilience, 11:57 patience, reduced resilience, 11:57 patience, reduced resilience, mental confusion that comes and goes in 11:59 mental confusion that comes and goes in 11:59 mental confusion that comes and goes in cycles. These indicate a 12:02 cycles. These indicate a 12:02 cycles. These indicate a hormonal pattern, not just a hormone level. 12:05 hormonal pattern, not just a hormone level. 12:05 hormonal pattern, not just a hormone level. Then I look at the lab results 12:07 Then I look at the lab results 12:07 Then I look at the lab results in context. Not only is the level 12:09 in context. Not only is the level 12:09 in context. Not only is the level normal, but what is the relationship 12:11 normal, but what is the relationship 12:11 normal, but what is the relationship between estradiol and progesterone? What's going 12:14 between estradiol and progesterone? What's going 12:14 between estradiol and progesterone? What's going on with DHEA and testosterone? 12:17 on with DHEA and testosterone? 12:17 on with DHEA and testosterone? How does the clinical picture match 12:19 How does the clinical picture match 12:19 How does the clinical picture match the numbers? I also check 12:21 the numbers? I also check 12:21 the numbers? I also check my thyroid thoroughly, not just TSH, 12:25 my thyroid thoroughly, not just TSH, 12:25 my thyroid thoroughly, not just TSH, 3T3, freeT4, thyroid antibodies. An 12:30 3T3, freeT4, thyroid antibodies. An 12:30 3T3, freeT4, thyroid antibodies. An undertreated thyroid dysfunction can 12:32 undertreated thyroid dysfunction can 12:32 undertreated thyroid dysfunction can cause symptoms almost identical to 12:33 cause symptoms almost identical to 12:33 cause symptoms almost identical to hormone deficiency and is consistently 12:35 hormone deficiency and is consistently 12:35 hormone deficiency and is consistently overlooked. The WY protocol is not the 12:38 overlooked. The WY protocol is not the 12:38 overlooked. The WY protocol is not the right choice for every patient. I have a 12:41 right choice for every patient. I have a 12:41 right choice for every patient. I have a critically ill patient with 12:42 critically ill patient with 12:42 critically ill patient with severe lung disease who can 12:44 severe lung disease who can 12:44 severe lung disease who can barely get out of her chair. I have no 12:46 barely get out of her chair. I have no 12:46 barely get out of her chair. I have no intention of putting her on a 12:47 intention of putting her on a 12:47 intention of putting her on a cyclical protocol that requires 12:49 cyclical protocol that requires 12:49 cyclical protocol that requires daily administration and 12:50 daily administration and 12:50 daily administration and possibly cyclical symptoms. You 12:51 possibly cyclical symptoms. You 12:51 possibly cyclical symptoms. You will be given a 12:53 will be given a 12:53 will be given a static lowddo protocol. This is the 12:54 static lowddo protocol. This is the 12:54 static lowddo protocol. This is the right choice for your situation. But for 12:56 right choice for your situation. But for 12:57 right choice for your situation. But for many otherwise healthy, 12:58 many otherwise healthy, 12:58 many otherwise healthy, symptomatic women, the WY protocol or at least
Practical Questions and Clinical Evaluation 13:00 symptomatic women, the WY protocol or at least 13:00 symptomatic women, the WY protocol or at least a cyclical approach is often what 13:02 a cyclical approach is often what 13:02 a cyclical approach is often what I would consider because it is 13:03 I would consider because it is 13:03 I would consider because it is physiologically closest to the way 13:05 physiologically closest to the way 13:05 physiologically closest to the way the body was designed to 13:07 the body was designed to 13:07 the body was designed to function. I want to go back to the woman 13:09 function. I want to go back to the woman 13:09 function. I want to go back to the woman who started this conversation 13:11 who started this conversation 13:11 who started this conversation because her story is the point. He is 13:13 because her story is the point. He is 13:13 because her story is the point. He is 76 years old. He has been following this protocol for 13:16 76 years old. He has been following this protocol for 13:16 76 years old. He has been following this protocol for years. And this is what his life is like. 13:18 years. And this is what his life is like. 13:18 years. And this is what his life is like. He works 20 hours a week from home. She goes 13:20 He works 20 hours a week from home. She goes 13:20 He works 20 hours a week from home. She goes to water aerobics in a therapy pool 13:22 to water aerobics in a therapy pool 13:22 to water aerobics in a therapy pool four times a week. She is active 13:24 four times a week. She is active 13:24 four times a week. She is active in her community and in her faith. 13:26 in her community and in her faith. 13:26 in her community and in her faith. She and her husband are always busy 13:28 She and her husband are always busy 13:28 She and her husband are always busy and when people see them, they often 13:30 and when people see them, they often 13:30 and when people see them, they often think they are in their 60s. During the 13:34 think they are in their 60s. During the 13:34 think they are in their 60s. During the call he told me, “People say you 13:35 call he told me, “People say you 13:35 call he told me, “People say you look so young.” I think it's 13:38 look so young.” I think it's 13:38 look so young.” I think it's because of my dreams. Now, I'm not going to 13:41 because of my dreams. Now, I'm not going to 13:41 because of my dreams. Now, I'm not going to sit here and say that the WY protocol 13:43 sit here and say that the WY protocol 13:43 sit here and say that the WY protocol is the only reason it looks 13:45 is the only reason it looks 13:45 is the only reason it looks and functions the way it does. She is also 13:48 and functions the way it does. She is also 13:48 and functions the way it does. She is also disciplined. He exercises. He is 13:50 disciplined. He exercises. He is 13:50 disciplined. He exercises. He is socially engaged. These things 13:53 socially engaged. These things 13:53 socially engaged. These things matter a lot, but hormones are 13:55 matter a lot, but hormones are 13:55 matter a lot, but hormones are part of the picture. She knows it. I know that too 13:58 part of the picture. She knows it. I know that too 13:58 part of the picture. She knows it. I know that too . And she's living proof of what 14:01 . And she's living proof of what 14:04 long-term hormone support can look like as a woman 14:04 long-term hormone support can look like as a woman ages. Not just symptom management 14:06 ages. Not just symptom management 14:06 ages. Not just symptom management , but real 14:08 , but real 14:08 , but real physiological support. His daughter is 50 years old and has 14:10 physiological support. His daughter is 50 years old and has 14:10 physiological support. His daughter is 50 years old and has just started this journey. He's 14:13 just started this journey. He's 14:13 just started this journey. He's asking the right questions. She's cautious, which 14:15 asking the right questions. She's cautious, which 14:15 asking the right questions. She's cautious, which is smart. He wants to understand before 14:19 is smart. He wants to understand before 14:19 is smart. He wants to understand before committing. This is exactly 14:22 committing. This is exactly 14:22 committing. This is exactly the right approach. And the fact that his 14:24 the right approach. And the fact that his 14:24 the right approach. And the fact that his mother called on his behalf 14:26 mother called on his behalf 14:26 mother called on his behalf trying to share what she's 14:28 trying to share what she's 14:28 trying to share what she's learned is something I see often. 14:30 learned is something I see often. 14:30 learned is something I see often. Women who understand this 14:32 Women who understand this 14:32 Women who understand this pass it on to their daughters, sisters, 14:34 pass it on to their daughters, sisters, 14:34 pass it on to their daughters, sisters, and friends, because they know how 14:36 and friends, because they know how 14:37 and friends, because they know how different life can be when 14:38 different life can be when 14:38 different life can be when hormones are effectively managed 14:40 hormones are effectively managed 14:41 hormones are effectively managed correctly. If any of 14:43 correctly. If any of 14:43 correctly. If any of this resonates with you, whether you are 14:45 this resonates with you, whether you are 14:45 this resonates with you, whether you are permenopausal, postmenopausal, or 14:46 permenopausal, postmenopausal, or 14:46 permenopausal, postmenopausal, or supporting someone who is, 14:48 supporting someone who is, 14:48 supporting someone who is, here are practical questions 14:49 here are practical questions 14:49 here are practical questions worth asking yourself. First, if you're 14:52 worth asking yourself. First, if you're 14:52 worth asking yourself. First, if you're on hormone therapy and 14:54 on hormone therapy and 14:54 on hormone therapy and still feel unwell, ask 14:56 still feel unwell, ask 14:56 still feel unwell, ask your doctor if your regimen is 14:58 your doctor if your regimen is 14:58 your doctor if your regimen is static or cyclical. Most 15:00 static or cyclical. Most 15:00 static or cyclical. Most protocols are static. This isn't 15:02 protocols are static. This isn't 15:02 protocols are static. This isn't automatically wrong, but it's a 15:03 automatically wrong, but it's a 15:03 automatically wrong, but it's a starting point for understanding why 15:05 starting point for understanding why 15:05 starting point for understanding why you might still feel uncomfortable. 15:08 you might still feel uncomfortable. 15:09 you might still feel uncomfortable. Second, ask if your hormones 15:11 Second, ask if your hormones 15:11 Second, ask if your hormones have been assessed as a full picture 15:13 have been assessed as a full picture , not just estradiol and FSH, 15:15 , not just estradiol and FSH, 15:15 , not just estradiol and FSH, progesterone, testosterone, 15:17 progesterone, testosterone, 15:17 progesterone, testosterone, DHA sulfate, and a complete thyroid panel. A 15:20 DHA sulfate, and a complete thyroid panel. A 15:20 DHA sulfate, and a complete thyroid panel. A single estradiol level measured just 15:22 single estradiol level measured just 15:22 single estradiol level measured just once tells you very little. 15:24 once tells you very little. 15:24 once tells you very little. Context matters. Third, 15:27 Context matters. Third, 15:27 Context matters. Third, if you have mood symptoms, anxiety, 15:29 if you have mood symptoms, anxiety, 15:29 if you have mood symptoms, anxiety, depression, or irritability that 15:30 depression, or irritability that 15:30 depression, or irritability that seem new or worsening, make sure 15:32 seem new or worsening, make sure 15:32 seem new or worsening, make sure your hormones have been assessed 15:34 your hormones have been assessed 15:34 your hormones have been assessed before accepting a 15:36 before accepting a 15:36 before accepting a psychiatric medication as the only answer. I 15:39 psychiatric medication as the only answer. I 15:39 psychiatric medication as the only answer. I 'm not saying don't take medications if you 15:40 'm not saying don't take medications if you 15:40 'm not saying don't take medications if you need them. I'm saying to 15:42 need them. I'm saying to 15:42 need them. I'm saying to check your hormones first. 15:45 check your hormones first. 15:45 check your hormones first. Fourth, if you are 15:47 Fourth, if you are 15:47 Fourth, if you are specifically interested in the WY protocol, look for 15:49 specifically interested in the WY protocol, look for 15:49 specifically interested in the WY protocol, look for a doctor who has 15:50 a doctor who has 15:50 a doctor who has actual experience in prescribing and 15:52 actual experience in prescribing and 15:52 actual experience in prescribing and monitoring. This is not a 15:54 monitoring. This is not a 15:54 monitoring. This is not a protocol you should manage on your own 15:56 protocol you should manage on your own 15:56 protocol you should manage on your own by relying on online resources. The dose 15:58 by relying on online resources. The dose 15:58 by relying on online resources. The dose changes throughout the month. 16:00 changes throughout the month. 16:00 changes throughout the month. Monitoring is important. The 16:01 Monitoring is important. The 16:01 Monitoring is important. The transition from static to 16:03 transition from static to 16:03 transition from static to cyclic dosing must be managed 16:04 cyclic dosing must be managed 16:04 cyclic dosing must be managed carefully. And fifth, you need to have 16:07 carefully. And fifth, you need to have 16:07 carefully. And fifth, you need to have realistic expectations. For some 16:09 realistic expectations. For some 16:09 realistic expectations. For some women, resetting the rhythm changes 16:11 women, resetting the rhythm changes 16:11 women, resetting the rhythm changes everything. Sleep, mood, clarity, energy 16:15 everything. Sleep, mood, clarity, energy , skin. For others, the underlying problem 16:17 , skin. For others, the underlying problem 16:17 , skin. For others, the underlying problem turns out to be something 16:19 turns out to be something 16:19 turns out to be something different. Low testosterone, 16:22 different. Low testosterone, 16:22 different. Low testosterone, thyroid dysfunction, 16:23 thyroid dysfunction, 16:23 thyroid dysfunction, nutritional deficiencies, intestinal dyspnoea. The 16:26 nutritional deficiencies, intestinal dyspnoea. The 16:26 nutritional deficiencies, intestinal dyspnoea. The work is to understand what it is 16:28 work is to understand what it is 16:28 work is to understand what it is . This requires a 16:30 . This requires a 16:30 . This requires a thorough evaluation, not 16:32 thorough evaluation, not 16:32 thorough evaluation, not trial-and-error medicine. The woman in 16:34 trial-and-error medicine. The woman in 16:34 trial-and-error medicine. The woman in question has been contacting me for years. She 16:38 question has been contacting me for years. She 16:38 question has been contacting me for years. She has no medical problems, but she decided early on
Closing Thoughts and Call to Action 16:40 has no medical problems, but she decided early on 16:41 has no medical problems, but she decided early on to manage her hormones the 16:43 to manage her hormones the 16:43 to manage her hormones the right way. Not just in the most 16:45 right way. Not just in the most 16:45 right way. Not just in the most convenient way, not just with the 16:47 convenient way, not just with the 16:47 convenient way, not just with the minimum dose approach, but in a way that 16:49 minimum dose approach, but in a way that 16:49 minimum dose approach, but in a way that actually fit the way 16:50 actually fit the way 16:50 actually fit the way his body worked. And at 76 16:53 his body worked. And at 76 16:53 his body worked. And at 76 , she still shows up, she still works 16:56 , she still shows up, she still works , she still moves, as she says, she 16:59 , she still moves, as she says, she 16:59 , she still moves, as she says, she still keeps busy. Your daughter is 17:03 still keeps busy. Your daughter is 17:03 still keeps busy. Your daughter is asking the right questions at 50. 17:05 asking the right questions at 50. 17:06 asking the right questions at 50. This is a good sign. The earlier you start 17:08 This is a good sign. The earlier you start 17:08 This is a good sign. The earlier you start asking yourself these questions, the more options you have. 17:11 asking yourself these questions, the more options you have. 17:12 asking yourself these questions, the more options you have. If you find yourself in a middle ground 17:15 If you find yourself in a middle ground , where something is clearly 17:17 , where something is clearly 17:17 , where something is clearly wrong but no one has a real answer, 17:20 wrong but no one has a real answer, 17:20 wrong but no one has a real answer, know this. Often the answer exists 17:24 know this. Often the answer exists . It just takes someone willing to 17:26 . It just takes someone willing to 17:26 . It just takes someone willing to look for it properly. I want to hear 17:28 look for it properly. I want to hear 17:28 look for it properly. I want to hear your opinion. Are you undergoing 17:30 your opinion. Are you undergoing 17:30 your opinion. Are you undergoing hormone therapy? If so, is it working? 17:33 hormone therapy? If so, is it working? 17:33 hormone therapy? If so, is it working? Or are you still having symptoms even though you 17:35 Or are you still having symptoms even though you 17:35 Or are you still having symptoms even though you 've been told your levels are 17:36 've been told your levels are 17:36 've been told your levels are normal? Have you ever heard 17:38 normal? Have you ever heard 17:38 normal? Have you ever heard of the WY protocol before this video 17:40 of the WY protocol before this video ? If you're following along, I'd love to 17:42 ? If you're following along, I'd love to 17:42 ? If you're following along, I'd love to hear what your experience has been. 17:44 hear what your experience has been. 17:45 hear what your experience has been. And here's one that particularly intrigues me 17:47 And here's one that particularly intrigues me 17:47 And here's one that particularly intrigues me . Did someone pass 17:50 . Did someone pass 17:50 . Did someone pass this information on to you—a friend, a 17:52 this information on to you—a friend, a 17:52 this information on to you—a friend, a sister, a mother who figured it out 17:55 sister, a mother who figured it out 17:55 sister, a mother who figured it out first? Or are you the one trying to 17:58 first? Or are you the one trying to 17:58 first? Or are you the one trying to share them with someone you care about? 18:00 share them with someone you care about? 18:00 share them with someone you care about? Leave a comment below. I read them 18:02 Leave a comment below. I read them 18:02 Leave a comment below. I read them and your experience might be 18:03 and your experience might be 18:03 and your experience might be exactly what someone else 18:05 exactly what someone else 18:05 exactly what someone else needs to hear. If you're ready to 18:07 needs to hear. If you're ready to 18:07 needs to hear. If you're ready to have this conversation with someone 18:09 have this conversation with someone 18:09 have this conversation with someone who will really look at the 18:11 who will really look at the 18:11 who will really look at the bigger picture, I see patients both in 18:12 bigger picture, I see patients both in 18:12 bigger picture, I see patients both in person at my office in Kensington, 18:14 person at my office in Kensington, 18:14 person at my office in Kensington, Maryland, and via 18:15 Maryland, and via 18:15 Maryland, and via telehealth. So the location 18:17 telehealth. So the location 18:17 telehealth. So the location should not be an obstacle. You can find 18:19 should not be an obstacle. You can find 18:20 should not be an obstacle. You can find more information and request a 18:21 more information and request a 18:22 more information and request a consultation at drbloom.com. The link is 18:24 consultation at drbloom.com. The link is 18:24 consultation at drbloom.com. The link is in the description. And if this video 18:26 in the description. And if this video 18:26 in the description. And if this video was helpful to you, please share it with 18:27 was helpful to you, please share it with 18:27 was helpful to you, please share it with someone who needs it. Sometimes the 18:30 someone who needs it. Sometimes the 18:30 someone who needs it. Sometimes the most helpful thing you can do for the 18:32 most helpful thing you can do for the 18:32 most helpful thing you can do for the women in your life is to give them 18:33 women in your life is to give them 18:33 women in your life is to give them something that finally answers the 18:35 something that finally answers the 18:35 something that finally answers the questions they've been carrying around for years. 18:37 questions they've been carrying around for years. 18:40 Thanks for watching. See you 18:40 Thanks for watching. See you next time.
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