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Download the diagram above, click here. Tracy’s Question: Episode 052 – What Biest Ratio is Best for Menopause? This is such helpful information. I have often wondered who 80:20 is good for and who 50:50 is good for. One thing I'm still confused by is the estrogen weight gain component. You said that estrogen […] The post Does Estrogen Cause Weight Gain? | PYHP 123 appeared first on .

  ‘Doc, I really don't feel like myself. I think it's my hormones. Could it be my hormones? Can you test my hormones?' How many times have I heard new clients tell me this story? They go to see their GP, Gyno, or Internist, asking to have their hormones tested. Only to be told that […] The post What Hormone Tests Should I Get? | PYHP 122 appeared first on .

Michelle’s Question: Hi, thank you so much for sharing your knowledge with us! In March 2022 at 42 years old, I had a total hysterectomy with bilateral salpingo-oophorectomy because of stage 4 endometriosis, grapefruit-sized fibroids, ovarian cysts, and my left ovary adhered to my colon. I was immediately put on an estradiol patch. I was […] The post Is Surgical Menopause Worse Than Natural Menopause? | PYHP 121 appeared first on .

Laura’s Questions: I am on 25 mcg of Levothyroxine for 6 yrs with hypo symptoms, every one! My endocrinologist just took a panel, and the results are the following: TSH 2.36 uUI/mL Reference Range = 0.45 to 4.5 uUI/mL Free T4 1.1 ng/dL Reference Range = 0.82 to 1.77 […] The post Is Armour Thyroid Better Than Levothyroxine? | PYHP 120 appeared first on .

Patient Question: Why am I getting acne in my 40s? Short Answer: Women’s hormones are always changing. From puberty to middle age, to when the ovaries cease producing hormones in menopause. When we hit our 40s, our progesterone starts to decline. And our estrogen levels drop slightly as well. But the androgens, which are testosterone and […] The post Why Am I Getting Acne In My 40s? | PYHP 119 appeared first on .

  Listener’s Question: Hello, recently my Nurse Practitioner recommended that I should start taking progesterone because she mentioned that I was estrogen dominant. I don’t have any real symptoms, so just want to make sure if I even need to take the progesterone. Thanks. Short Answer: If you don’t have any direct symptoms, then progesterone would […] The post When Should A Woman Take Progesterone? | PYHP 118 appeared first on .

                  Sarah's Question: Hi I was diagnosed with ovarian failure at the age of 36. Its been 4 years now, I have been to a few different clinics, trying to figure out what works best for myself. Right now I am using estrogen patches, which do seem […] The post Can Ovarian Failure Be Treated? | PYHP 117 appeared first on .

                      Megan’s Question: This was great information. I have been 130lbs until I turned 48. Now up to 157. Weight gain all in my stomach, legs, arms, boobs and butt. I have still been working out intensely with weights and cardio and no weight loss […] The post How Do I Stop Weight Gain During Perimenopause? | PYHP 116 appeared first on .

Question: I am forty-six years old and a 34A. Now, I’m a 34BC. My breasts hurt at least two weeks out of the month. Swollen, heavy, painful, have to take ibuprofen. It’s annoying as hell and it’s changed how I view my body. Not to mention, my midsection has changed too. I never wanted large […] The post Why Do Breasts Grow During Perimenopause? | PYHP 115 appeared first on .

Patient Question: A patient in her later 40’s, who is having a tough time with perimenopausal symptoms, recently asked me which is worse, perimenopause or menopause? Short Answer: After dealing with many patients over the years, it is clear that both Perimenopause and Menopause are difficult and the symptoms can have a significant impact on a […] The post Which is Worse, Perimenopause or Menopause? | PYHP 114 appeared first on .

Kathy’s Question: I tried progesterone 100 mg pill. I felt dizzy and felt like I could not stand upright. Does a cream have the same side effect? I was also prescribed an estrogen patch. Short Question: It is certainly possible that progesterone can cause someone to feel dizzy. It is often prescribed to help with sleep […] The post Can Progesterone Cause Dizziness? | PYHP 113 appeared first on .

Danielle’s Question: So, Thank you for this article. I’m having side effects from taking 200 milligrams of oral progesterone. I take forever to wake up and feel really, really groggy. I read where you said that take it early and when I take it early and out in an hour, I can barely keep my […] The post Can 200 mg Prometrium Make You Tired? | PYHP 112 appeared first on .

Amanda’s Question: I’m 41. I have regular periods every 35 days. I have some anxiety, tiredness, stress, but I do work a lot. I don’t have trouble sleeping, but my doctor checked my serum progesterone level, and at day 21, it was .5. She said it was low. She had prescribed me oral 200 milligrams […] The post Does Progesterone Help With Perimenopause? | PYHP 111 appeared first on .

Tammy’s Question: Hi. Recently, I read your article about estriol. I’m currently using a Biest Progesterone Vaginal Cream, but it’s compounded, and it’s expensive. I could use an estradiol patch and Prometrium and this therapy could be much more affordable. Would I expect a big change in that? Short Answer: First off, we don’t recommend using […] The post Biest vs Estradiol Patch for Vaginal Dryness | PYHP 110 appeared first on .

Kate’s Question: Hi, I’ve been doing extensive research and I came across your site. I don’t know if you’re still responding to email questions or not, but I thought I’d give it a try. I just completed my first year of no periods. Dryness, I have the beginning of atrophy, is really my only issue. […] The post Does Estradiol Work for Vaginal Dryness? | PYHP 109 appeared first on .

Anne’s Question: Since moving to the high desert, I have to use very large doses of Bio HRT or bioidentical hormone cream, and it is still not getting blood levels up to where my doctor would like. I tried switching to the patch and the level dropped to less than half. This is all giving […] The post What Should Estradiol Level Be On BHRT? | PYHP 108 appeared first on .

Carrie’s Question: I am currently taking, .25ml’s Biest which is 1.25mg, 70/30 ratio per gram. I apply it to the labia and vaginal area at night, every night. About how long do I have to wait for it to absorb before having intercourse? I am getting conflicting reports. My doctor says I do not have […] The post Does Estrogen Cream Affect Male Partner? | PYHP 107 appeared first on .

Joy’s Question: Is the Vivelle patch good to use? My gyno prescribed it for hot flashes, vaginal burning, vaginal itching, and mood issues during ovulation before my period. I have not tried it yet, though. Short Answer: Some women do fine with the Vivelle patch. However, in our experience, many women do not tolerate the patch […] The post Is an Estrogen Patch Good to Use? | PYHP 106 appeared first on .

Mary’s Question: I am 58 years old and lost my thyroid to cancer eight years ago. I am finding it impossible to lose weight and have thinning hair near my hairline and no eyebrows. I started Bi-est cream, 50/50 ratio, 2.5 milligrams; progesterone, a 175 milligrams; and testosterone, 1 mg. About a year ago, it […] The post Can BHRT Cause Weight Gain? | PYHP 105 appeared first on .

Monica’s Question: Hi, I have been prescribed testosterone cream and I have been advised to apply it to my inner thigh. I was wondering, in doing so, will this reverse the results of my laser hair removal on my bikini line? As per you stated that someone had a similar experience to this. Should I […] The post Where Do I Apply Testosterone Cream As A Woman? | PYHP 104 appeared first on .