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Re: Anyone doing saliva hormone levels? Bio-identical hormone treatment?From: Braun, R. Daniel (rbraun@iupui.edu)Thu Jul 29 06:54:46 2004
You're a better man than me, Charlie Brown. "Sound is like water. If you drill one hole in the wall the sound will leak right through." - JAY BRAUN, a band member by love, a soundproofer by necessity. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Charlie Chambers Sent: Wednesday, July 28, 2004 7:19 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Anyone doing saliva hormone levels? Bio-identical hormone treatment? Haven't you ever been tempted just to let people know that if you truly want "natural" then let the aging process proceed naturally. Don't try to treat Alzheimer's or ease arthritis. If you want "natural" then let's allow disease processes to take their "natural" course without interference. I've been tempted but have managed to bite my tongue. However, if one more person comes in to assert that medication X caused their weight gain..... :^) ************************************************************************ ****=20 Charlie Chambers=20 Hood River, OR cchamber@alumni.rice.edu "Almost anything you do will seem insignificant but it is very important that you do it....You must be the change you wish to see in the world" -- Mahatma Ghandi. ************************************************************************ *******=20
On Jul 28, 2004, at 5:08 PM, Joanne Bulley, MD wrote: I think it is just a great gimmick the marketers have put for for the baby boomers into all this "if it is natural it must be better" thing. I spend a good bit of time teaching the patient about the hormonal cycle - with different levels every day - so any measurement is only that point in time - and says nothing about where she is with regards to menopause. Then there is the time spent on estradiol is estradiol - and do you want it from a place that has to keep detailed records on production etc etc and quality control. But .. having said all that .. many are so anti-doctor and anything else must be better -- that they are willing to pay big big big bucks. Joanne At Wed, 28 Jul 2004, Richard Chudacoff, MD wrote: I'll tell you a true story. I just spent time with someone who treats hormone deficiency and sexual dysfunction. A patient wanted to be on Bio-identical HRT. She was on Climera patches. She was switched to the bio-identical estradiol patch, Vivelle. Estradiol to estradiol. Paid cash for the honor of being switched. This bio-identical deal is the biggest gimmick, least meritous medical movement I have ever seen, and patients are paying cash for it. It must be a blond thing. -- Richard Chudacoff, MD -- Joanne Bulley, MD Keene, NH, USA
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