Bioidentical Hormone Replacement Therapy
(BHRT) Management
Studies Provided by Dr. Bob Fishman -
Compounding Pharmacist For The Anti-Aging Clinic

         Endocrine Glands

      Bioidentical HRT  micronized in varying dosages for balancing hormones

Natural vs. Synthetic Estrogens

Progesterone vs. Progestins

  These are just some of the questions on the questionnaire provided for each client to help in
   follow up dosage adjustment.

 
This 47 year old female suffered PMS all month long

  
This 58 year old female has no energy for most of the month.

This 27 year old female has trouble sleeping most of the month.

This 31 year old female who had been on hormone creams prescribed by someone before
she came to us. The chart only goes to 1000 and there is no way of knowing how high
her progesterone really was. Her estrogen followed as it will. 

This 51 year old female wants to sleep all month long.

This 22 year old female high anxiety beginning of month.

This 40 year old female no energy.

 This 48 year old, low DHEA as you can see, tired and depress all the time and her progesterone
 was low most of the month, spiking toward the end of the month and estrogen near flat lining.
 Normalized the cycle with micronized BHRT through symptom follow up from questionnaire
and dosage alterations.

 This is the same 48 year old female and as you can see her cortisol was low through out the
 day which caused her to be sleepy all the time.

 This 42 year old woman was severely depressed; as you can see her DHEA was negative
  and she was nearly flat lined in progesterone and estrogen. She slept all time and had no
  ovulation spike. Her cycle was corrected with BHRT.

 This is the same 42 year old female and as you can see her cortisol was low through out the
 day which caused her to be sleepy all day and began to rise at bedtime so she could not sleep..

 This 54 year old female self diagnosed when she was suffering PMS symptoms and purchased
 progesterone cream from a health food store. As she applied it over time her symptoms went
 away. In time the symptoms came back and this time with greater intensity. Notice the chart
 only goes to 1000. Her saliva test chart maxed out. She had to be taken off progesterone until
 the symptoms normalized and then began to appear once more. Then she could be stabilized
with micronized BHRT.

 Same 54 year old female's cortisol shows off the chart. Normal is between the lines; high at
 8AM lowering by noon and still lower by 4PM and even lower by Midnight. She had not slept
 in 30 days. With BHRT and morning sun walking Circadian rhythm and cortisol normalized.

This 69 year old male could not get an erection. You can see his Progesterone was 550 and
 the normal range being 5 to 95. No human can get this high without outside help. It was
 discovered his wife was applying Progesterone cream on her body and it was transmitting
 to him. The Androstanediol was not elevated greatly so he had little chance of developing
 prostate cancer at that point. After BHRT all hormones balanced.

This 52 year old female's estrogen was nearly flat lined and her progesterone was low and
 spiking one time In the 37 days of testing.

              
The same 85 year old woman after improvement with BHRT, which included progesterone

Benefits of Endocrine Balance cont...

Take Home Points