What is a Usual Dose of Bioidentical Hormones? | PYHP 081

Published: April 14, 2020, 4:31 p.m.

b'Heidi\\u2019s Question:\\xa0\\nHi, I\\u2019m a 48 year old female who has struggled with PCOS my whole life. I\\u2019ve taken 200 milligrams of oral progesterone for several years now. I also take 45 milligrams of Armour Thyroid, and my TSH is 3.87, and my free T3 is 3.22. I\\u2019ve had symptoms of: hair loss, dry eyes, vaginal dryness, very low sex drive, and irritability. I just had a saliva test done which revealed very low estradiol levels, and low DHEA along with borderline low testosterone. The practitioner I have, put me on sublingual drops with a dosage of 80/20 ratio of biased being\\u2013 which is interesting, .8 milligrams of an 80/20 bias, .8 milligrams of testosterone, 25 milligrams of oral DHEA and kept me on my 200 milligrams of oral progesterone. My question is, is this a safe way to administer my Biest and testosterone? Do you agree with the dosing amounts? Any advice would be appreciated. Thank you for your time, Heidi.\\nShort Answer:\\xa0\\nWe do not like the idea of taking Biest and testosterone orally. Taking BHRT in a sublingual form is ok because the intention is to avoid the digestive tract and liver. However, for Estrogen and Testosterone, we prefer to use a transdermal cream instead. Also, in this case, the dosing is too low. Her Biest needs to be gradually increased, but with caution in order to prevent any bleeding or spotting.\\nPYHP 081 Full Transcript:\\nDownload PYHP 081 Transcript\\nDr. Maki: Hello, everyone. Thank you for joining us for another episode of the Progress your Health Podcast, I\\u2019m Dr. Maki.\\nDr. Davidson: I\\u2019m Dr. Davidson.\\xa0\\nDr. Maki: So, we\\u2019re going to dive right back in. We have another listener question. Actually, this is a reader question from a post on our website. What is bias? This is from Heidi. Dr. Davidson, why don\\u2019t you go ahead and give it a read.\\nDr. Davidson: Oh, sure. Sure. So, this is from Heidi. \\u201cHi, I\\u2019m a 48 year old female who has struggled with PCOS my whole life. I\\u2019ve taken 200 milligrams of oral progesterone for several years now. I also take 45 milligrams of Armour Thyroid, and my TSH is 3.87, and my free T3 is 3.22. I\\u2019ve had symptoms of: hair loss, dry eyes, vaginal dryness, very low sex drive and irritability. I just had a saliva test done which revealed very low estradiol levels, and low DHEA along with borderline low testosterone. The practitioner I have, put me on sublingual drops with a dosage of 80/20 ratio of biased being\\u2013 which is interesting, .8 milligrams of an 80/20 bias, .8 milligrams of testosterone, 25 milligrams of oral DHEA and kept me on my 200 milligrams of oral progesterone. My question is, is this a safe way to administer my Biest and testosterone? Do you agree with the dosing amounts? Any advice would be appreciated. Thank you for your time, Heidi.\\u201d\\nDr. Maki: So, yes, there\\u2019s a lot to dissect there. This is\\u2013 and I actually responded to her on the website. I asked her a question, is her progesterone, is it Prometrium or is it bioidentical progesterone? She came back to say that it was actually 200 milligrams of Prometrium. She had asked why we don\\u2019t\\u2013 because in my response to h'