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b'Staci\\u2019s Question:\\xa0\\nHello, Dr. D, I was on Biest, 80:20 ratio. One mg/mL. I take one click, which is a quarter gram per day. I have been taking that for two and a half months to come about sleep disturbances, low libido, and hot flushes. I also take 100 mg of progesterone capsules at night. After the two and a half months, my breasts were so dense, tender and sore that I had to stop, to get some of the estrogen out of my body. I still get my period intermittently, so I don\\u2019t think I\\u2019m quite finished going through menopause yet. Should I lower my Biest dose or take it every other day? The hormones do alleviate my symptoms. It\\u2019s just that, eventually, it seems to be too strong.\\nShort Answer:\\xa0\\nFor a woman, it is a tough situation to be experiencing hot flashes, but still be mensturating at the same time. When a woman is still mensturating, she is not an ideal canidate for bioidentical estrogen. The fact that a woman is have a cycle means that she is still producing enough of her own estrogen, so taking an exogenous source of estrogen can cause some unwanted side effects like breast tenderness or unwanted bleeding. In Staci\\u2019s case, taking progesterone alone might be enough to help aleviate some of her symptoms. Also, supplementing with iodine can help to reduce breast tenderness.\\nPYHP 082 Full Transcript:\\xa0\\nDownload PYHP 082 Transcript\\nDr. Maki: Everyone, thank you for joining of another episode of the progressional podcast. I\\u2019m Dr. Maki.\\nDr. Davidson: And I\\u2019m Dr. Davidson.\\nDr. Maki: So we\\u2019re back at another episode. Again, if you hear weird noise in the background, we have our co-pilot Bob with us. He\\u2019s chewing on a beef cheek and he\\u2019s making quit of the noise so, let me apologize for that. Like I said, we used to try to redo this with all the background noise but, we just kind of gave up on it because he always has to be right in our feet where we are, and we are to keep from occupied, is to give him something to chew on so. Hopefully, it\\u2019s not too distracting but at the same time when we record these, we always listen to the recordings afterwards and you can hear it back there so hopefully it\\u2019s not too terrible.\\xa0\\nDr. Davidson: And he likes to push that beef cheek up against the table desk here and it\\u2019s got this metal little prod on the bottom that he just likes to push up against it, so that\\u2019s why it\\u2019s making all that noise.\\nDr. Maki: Yes. He\\u2019s trying to get some leverage. It\\u2019s not as bad as it probably could be, I guess. But it is connected through the table and the microphones are attached to the table and of course, the frame of the table has to be metal. But anyways-\\nDr. Davidson: He could be barking.\\nDr. Maki: Anyways, hopefully, it\\u2019s not too annoying for you. He\\u2019ll probably change positions in a little bit and it\\u2019ll go away. So, on this one, we\\u2019re going to do another question. We have a kind of a backlog of questions, that come in via email and comments through the website. And it is all time consuming, to be abl'