Claim : Compounding Provides Improved Delivery And Tolerability Of Ht
Compounded medications require a written prescription from a licensed physician. Prescriptions filled in a compounding pharmacy are prepared, mixed, and assembled according to the specifications of the prescriber. Compounding plays an important role in providing drugs to meet the individualized needs of patients that cannot be met by a commercially available FDA-approved preparation. It may provide a different strength, dose, or delivery system, or it may allow a medication that is otherwise poorly tolerated to be essentially reformulated and delivered in an alternative form .28,29 Compounded hormone preparations are not required to undergo the rigorous safety and efficacy studies required of FDA-approved HT and can demonstrate wide variation in active and inactive ingredients.5
The oversight of accredited compounding pharmacies falls to state pharmacy boards, which are to direct the method of preparation and enforce standards for compounding as dictated by the US Pharmacopeia. Thus, most compounded products do not have scientifically rigorous clinical testing for either safety or efficacy.5,30 A limited FDA survey in 2001 analyzed 29 product samples from 12 compounding pharmacies. None of the products failed identity testing however, 10 of the 29 failed 1 or more quality test, and 9 of the 10 failing products also failed potency or assay testing. For FDA-approved therapies, the usual comparison failure rate is less than 2%.28
Cme Questions About Bioidentical Hormone Therapy
How Does My Healthcare Provider Select My Dose
People on hormone treatment are watched very closely by their healthcare providers. The goal is to relieve symptoms with the lowest dose possible for the shortest amount of time. Depending on your healthcare provider, you might have routine blood, urine or saliva tests to check your hormone levels. Your healthcare provider may adjust your dose based on your changing hormone needs.
The FDA recommends against using hormone levels to guide the dosing of hormone therapy in women, as normal levels fluctuate day to day. In particular, salivary hormone levels are known to fluctuate and have not been shown to be related to menopausal symptoms.
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Bioidentical Hormone Training For Nurse Practitioners Topics Covered
Bioidentical hormone training modules should cover a range of practical topics to prepare practitioners for encounters with real-world patients:
- The pathology of aging and hormone loss
- The differences between synthetic and bioidentical hormone treatments
- Complaints associated with low levels of estrogen, testosterone, and other key hormones, such as weight gain, chronic fatigue, depression, bone density loss, low libido, and sexual dysfunction
- Symptoms of andropause and post- and perimenopause, such as night sweats, ovarian cysts, uterine fibroids, and menstrual irregularities
- Pre-treatment hormone testing and test analysis
- Treatment planning and individualization around specific patient objectives, such as weight loss or higher energy levels
- Training in hormone delivery methods, such as hormone pellet therapy
- Complementing bioidentical hormone therapy with other anti-aging therapies
George Arnold Md Markham Ontario Bioidentical Hormone Doctor
All of the hormones in your body are designed to work together. A hormonal symphony, some would call it. If one hormone is altered, or even deficient, it can affect the actions of all of the other hormones.
No matter what symptoms you are suffering from, there is help available. Many of the women that come to see me have tried other treatments without success, because they have never been properly investigated to determine the cause of their symptoms. It is so important to first identify the cause of your hormone imbalance, for it is only then that a customized program can be put together, specifically for you, to restore balance and alleviate your symptoms.
Dr. Arnold has been in practice as an Obstetrician/Gynaecologist for 20 years. He is highly skilled in the diagnosis and treatment of hormone imbalances. Bio-identical hormone replacement is offered as the preferred option for re-establishing hormone balance. Bio-identical or natural hormones are structurally identical to the hormones your body produces.
They have not been altered the way synthetic hormones have. Doesnt it just make sense that you want to replace a deficient hormone with something identical? The end result: hormone balance is restored: safely and naturally. My patients feel themselves again. Thank-you Dr. Arnold for giving me my life back is a common and gratifying response I regularly receive.
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What Is The Difference Between Transdermal And Oral Delivery Of Hormones
Transdermal hormones have been demonstrated to be highly absorbable, effective in symptom management, and well tolerated by patients. They also have the additional benefit of bypassing the first-pass effect of the liver. This can mean lower doses for your patient as more of the hormone is directly available rather than being metabolized purely through the digestive tract.
There are important differences between oral administration and transdermal hormone delivery. During first-pass metabolism in oral administration, 90% of the hormones are converted to metabolites, leaving only 10 percent of the hormones in their original forms. Therefore, to achieve an effective dose, the HRT practitioner must prescribe as much as ten times the dose compared to transdermal dosing. For example, the typical dosing of oral progesterone is 100-200 mg compared to 10-20mg of transdermal progesterone.
Ready to learn more about how BHRT could fit into your practice? to schedule a strategy call and get started.
Enjoyed this article? Here are three more to help you:
Course 1 Introduction To Bioidentical Hormone Replacement Therapy
This introductory one-day course, developed by Dr Marion Gluck, will give you a unique opportunity to understand the role of hormones and how you can use bioidentical hormones in your practice. The course will cover how to use BHRT to treat and manage a number of common female conditions, including premenstrual syndrome , peri-menopause and menopause.
The course is designed to provide an introduction to bioidentical hormone replacement therapy using the proven Marion Gluck Method and will enable you as a medical practitioner to offer your patients a personalised approach to balancing hormones. During this initial course you will also learn about the compounding process for bioidentical hormones, the different forms they come in and the different routes of intake.
Ongoing post-course support is included as part of the course fee and will offer expert help with your patient case studies, helping you to feel confident and supported in offering this therapy to your patients.
Course outcomes
After the course you will have increased confidence in:
This course will equip you with protocols to treat the common conditions outlined, using the hormones listed. Subject to your background and expertise, it is recommended not to treat patients outside of the scope of the course and refer as appropriate.
It is recommended to complete Course 2 after you have completed Course 1 to further develop your knowledge and scope of treatment.
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Training For Providers & Their Teams
The Biote Method training facility for physicians, healthcare providers, and medical staff provides on-site and virtual educational programs, seminars, training, and refresher courses in hormone optimization, synergistic vitamin and nutraceutical guidance, and other topics. Over 5,300 providers in more than 2,800 clinics nationwide have successfully completed this rigorous curriculum and clinical training program. Upon completion, each provider is teamed with a Biote Mentor, who is committed to providing continuing support and guidance, including regulatory compliance, education, and new research updates.
Who Shouldn’t Take Bioidentical Hormones
Using any type of hormone therapy is a decision made between you and your healthcare provider after carefully weighing the risks and benefits. Bioidentical hormones have been controversial, and many are not FDA-approved, but that doesn’t mean your healthcare provider will rule them out as a treatment option.
If you’ve had or are at high risk for the following conditions, hormone therapy may not be safe:
- Memory loss or confusion.
Replacing these lost or low hormones is the goal of bioidentical hormone therapy or conventional hormone therapy. Once hormone levels are increased, most people see their symptoms improve. However, there is not much evidence to support that bioidentical hormones are equal to conventional hormone therapy. Your healthcare provider can discuss your options for hormone replacement with you based on your symptoms and health history.
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What We Learned From The Whi
The findings of the E+P arm of the WHI that were published in 2002 dramatically changed the prescribing practices of physicians in the United States.6 Before the trial demonstrated adverse cardiovascular disease events and a 26% increased risk of breast cancer in female participants, the number of women for whom E+P was prescribed had been steadily increasing, from 58 million in 1995 to 90 million in 1999.6 From 1999 to 2002, the numbers stabilized however, within 3 months of publication of the WHI findings, prescriptions for E+P decreased by 63%. Many women stopped HT and some sought out alternative therapies for treatment of symptoms associated with menopause.6 In addition to their effect on physician-prescribing patterns, the WHI findings changed the perceptions of patients about the trustworthiness of the advice dispensed by physicians. A small survey of 97 women conducted in 2005 demonstrated that all the participants had heard of the WHI a substantial number expressed a loss of trust in the information about HT that they received from their physicians.7
What Are The Side Effects Of Bioidentical Hormones
When the FDA approves a drug, the drug company must report any side effects they are told about. These side effects are included in the paperwork you get when you pick your medication up at the pharmacy. Pharmacies that compound hormones do not have to report drug side effects to the FDA or provide paperwork. This contributes to the myth that compounded hormones are safer when healthcare providers don’t know all of the possible side effects of these hormones.
Side effects can occur, especially after the first dose. Your body is not used to the new level of hormones. Many side effects get better as the body adjusts to the new level of hormones. In some cases, the dose may need to be changed.
Some common side effects of bioidentical hormones include:
You may itch or get red around the area where you apply your hormones if you use a patch, cream or gel.
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Fresno State Introduces Gender Affirming Care Program This Fall
This fall, Fresno States Student Health and Counseling Center will introduce its Gender Affirming Care Program.
FRESNO, Calif. This fall, Fresno States Student Health and Counseling Center will introduce its Gender Affirming Care Program.
Services will include hormone replacement therapy and counseling for transgender students.
Malia Sherman is the Director of Counseling and psychological services at the university.
We are always assessing the needs of our students and trying to provide services that can meet those needs, so we always hope students will feel comfortable, welcomed and supported here, says Malia.
The program was requested by students, faculty and community members.
Currently, students seeking hormone injections have to find off-campus care.
So we do know those students did have to wait a significant amount of time, mentions Malia.
Director of Medical Services at Fresno State, Dr. Robert Mitchell, calls the new program inclusive and says employees at the Student Health Center will undergo training ahead of the launch.
The training will encompass various aspects of gender-affirming care ranging from policies, communication, as well as understanding new treatments, says Dr. Mitchell.
The Gender Affirming Care program is covered by annual student dues.
For details on the program visit here. You can also visit the Student Health and Counseling Center webpage here.
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Here’s What Providers Have To Say About Our Training
“Donnas training has been invaluable to my practice. It provided me the knowledge and confidence to safely and effectively prescribe BHRT, and my practice is thriving because of it!”
Shawnie Perkins, PA
Arbor Vitae Medical Center
As a pharmacist the course has been fantastic to help inexperienced providers with BHRT, and it will help set us apart from other pharmacy providers in the area who dont have the clinical knowledge on prescribing, dosing, and testing BHRT. Thanks for putting the mentor and weekly training sessions online on the site. The mentor sessions and Master level trainings as well as supplemental learning at the end of the modules have been great and added tremendous insights to augment the modules.
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The Biote Method: Clinician Education Training & Practice Support
Our cutting-edge, proprietary medical protocols deliver a lifetime of personalized patient care and individual programs based on specific conditions and patient goals. We educate providers on:
- Hormone science
- Deploying our data-driven diagnostic and dosing platform
- Tactical dispensing of innovative wellness resources
- Training on non-surgical subcutaneous pellet insertion
- Complementary roles of nutraceuticals and other supplements
The Biote Method consistently delivers individualized care that patients value, with a less than 1% rate of implementation-related adverse events. And 93% of patients who choose to start therapy choose to continue BHRT.*
How Can A Patient Know That He Needs Hrt
There are some special symptoms that occur when the lack of hormones exist. They concern both mental and physical condition. In some cases, you may have only several of them, in some all of them. The last option may enclose you have a hormone deficit of more than one hormone. What are these symptoms?
- Constant feeling of weariness.
- Sexual dysfunctions i.e. low libido, erectile dysfunctions.
- Low mood, dissatisfaction with life, depression symptoms.
- Increasing fat fibre and weight.
When you notice at least one or two of these symptoms repeating, it is better to visit our clinic in Fresno to get diagnosed. We have a big experience in overcoming ageing symptoms using Hormone Replacement Therapy methods with proven efficiency. Well test your hormone level and provide you with an appropriate cure. Apply for a doctors supervision right now not to feel annoying symptoms of hormone deficit.
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Don’t Miss: Royal Medical Center Hormone Therapy
Obstetrics And Gynecologist Located In Fresno Ca
Menopause is one of the biggest changes a woman will undergo during her life. This change in the hormonal balance of the body doesnt just mean the end of the menstrual cycle. It can bring a number of unwanted symptoms with it, too. If youre going through menopause, Vasanth Vishwanath, MD, and his caring team at Fresno Womens Care can help you restore your comfort and your quality of life. To learn more, call their office in Fresno, California, or schedule your appointment online today.
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Claim : Custom Cbht Contains Safer Ingredients Than Fda
The production of US Pharmacopeia ingredients begins with the extraction of diosgenin from plants such as soy and yams.32 A chemical conversion is then required to produce progesterone, which is the precursor to the estrogens and the androgens that are used to formulate the final compounded product.32 This derivation and production process is similar to that of many commercially available, FDA-approved BHT products for which safety and efficacy data are available.
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What Are Bioidentical Hormones
Bioidentical hormones are processed hormones designed to mimic the hormones made by your bodys glands. Taking bioidentical hormones can help people who experience symptoms of low or unbalanced hormones. This is often the case for people experiencing symptoms of perimenopause or menopause.
Hormones are chemicals made by your endocrine glands. They are messengers that tell other parts of your body how and when to work. Hormones affect many systems and functions in your body. Even the slightest imbalance can cause symptoms that interfere with your day. Healthcare providers may recommend hormone replacement therapy as a treatment for these symptoms.
Bioidentical hormone therapy uses processed hormones that come from plants. Estrogen, progesterone and testosterone are the most commonly used bioidentical hormones.
Some prescription forms of bioidentical hormones are premade by drug companies. The U.S. Food and Drug Administration has approved certain types of bioidentical hormones. Other forms of bioidentical hormones are custom-made by a pharmacist based on a healthcare provider’s prescription. These are compounded bioidentical hormones.
The compounded forms have not been tested and approved by the FDA. Though it is often advertised that products that are made from plants are “natural” choices, they are altered in a lab so are no longer natural when done with processing.
Conventional hormone therapy vs. bioidentical hormone therapy
Are You Interested In Training In Bioidentical Hormone Restoration Therapy
Our sister company, The Marion Gluck Training Academy, is the first of its kind to deliver a CPD accredited course in BHRT and has been successfully training practitioners since 2016.
This two-part course will provide you with the crucial information and confidence that you need to manage a wide range of hormone-related conditions, including menopause, PMS, acne and andropause. Additionally, you will benefit from the support of experienced BHRT specialists who will walk you through any queries.
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World Experts Exclusive Interviews
Medical Disclaimer: Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this program is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturers product information, and comparison with recommendations of other authorities.