Re: Anyone doing saliva hormone levels? Bio-identical hormone treatment?

From: Joanne Bulley, MD (islesannie@yahoo.com)
Wed Jul 28 19:07:35 2004


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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