Our goal is to replace the hormones in your body to levels that would be expected in a healthy young adult. Today, we are lucky to be able to replace all of mother nature’s hormones to youthful levels. At Optimal Health Spectrums, we have years of experience in doing natural hormone replacement, and have treated thousands of patients – so we have the experience that is needed. Dr. Mielke takes bioidentical hormones herself, and she is an expert in bioidentical hormone testing and prescribing. We have seen some doctors prescribe, and some who don’t properly monitor hormone levels after they are prescribed. It requires a great deal of experience to do this well.
There are several ways to take bioidentical hormones. We do not recommend hormone pellets, because they are a foreign substance implanted in the body which requires a surgical procedure and carries a risk for infection. However, the biggest problem with pellets is that the dose is not adjustable once it is inserted. Dr. Mielke has seen patients who had terrible side-effects from pellets that were inserted by other doctors. Those patients just had to suffer for several months until it finally wore off. Hormone doses are very individual, and always require dosage adjustments that need to be individualized to each person, sometimes even day-to-day. Pellets are not easy to individualize, and some doctors just insert the same pellets into everyone, which is a big mistake in our opinion.
Some bioidentical hormones can be taken as a pill, but we think that estrogen should not be one of them. Oral estrogen can cause increased inflammation and increases the risk for weight gain and blood clots which are linked to heart attack and stroke, while estrogen creams cause none of those risks, so they are much safer. Women’s ovaries secreted our hormones directly into the blood stream, and estrogen creams go directly into the blood stream, as nature intended.
For men, Testosterone creams and shots are a viable option, but some doctors give high doses of Testosterone shots every two-four weeks, which can cause big highs and lows in the blood level, leading to mood swings and irritability in men. We prefer to do smaller doses of Testosterone shots more often which gives a much steadier, more even response. For men who don’t want to do shots, Testosterone can also be done as a daily cream.
Hormone dosing is very specific, and it is important to have just the right amount – not too much, and not too little. Our goal is to be optimally healthy, so we ensure that you are getting the right amount by doing urine testing – which we think is the most accurate way to monitor hormone dosing. Some doctors do blood or saliva testing of hormones, which have different accuracy issues in monitoring hormone levels, and do not give critical information about how your liver is metabolizing those hormones. This can lead to incorrect dosing and can even miss an increased risk for cancer over time.