222. Estrogen Matters with Dr. Avrum Bluming

Published: July 30, 2023, 11 a.m.

Estrogen Matters with Dr. Avrum Bluming\nAvrum Bluming received his MD from the Columbia College of\nPhysicians and Surgeons. He spent four years as a senior investigator for the National Cancer Institute.\nHe organized the first study of lumpectomy for the treatment\nof breast cancer in Southern California in 1978, and for more than two decades he has been studying the benefits and risks of hormone replacement therapy administered to women with a history of breast cancer. Dr. Bluming has served as a clinical professor of medicine at USC and \xa0is the co-author of \u201cEstrogen Matters: why taking hormones in menopause can improve women\u2019s wellbeing and lengthen their lives \u2013 without raising the risk of breast cancer\u201d with Dr. Carol Tavris.\n\xa0\nHear his story about how he became the advocate for hormones and hormones after breast cancer.\n\xa0\nSo many people think correlation = causation \u2013 case with E and breast cancer \u2013 just poor\neducation in our population?\n\xa0\n\u201cwe don\u2019t know what causes breast cancer\u201d \u2013 can people handle a grey world?\n\xa0\nEstrogen receptor positive doesn\u2019t mean estrogen caused the cancer \u2013 discuss\n\xa0\nDispel the myth that early puberty and late menopause is a breast cancer risk \u2013 dogma \u2013 \u201clifetime exposure\u201d \u2013 but women with lots of pregnancies have lower risk. \n\xa0\nShould we just work on a re-brand? Go on HRT because if you do get breast cancer you will do better than if you weren\u2019t on it?\n\xa0\nHow do aromatase inhibitors work? People call them \u201cestrogen blockers\u201d so people think estrogen causes cancer and recurrence.\xa0\nWhy only in post-menopausal women? \n\xa0\nWhat\u2019s with adipose tissue? People always say it is because adipose tissue increases estrogen \u2013 is it estrone ?? Or inflammation? \n\xa0\nDoctors don\u2019t want to be sued. Do you know of any doctor getting sued for giving hormones in general or after breast cancer?\n\xa0\nIf estrogen is FDA approved for prevention of osteoporosis \u2013 why did the USPSTF say no to prevention and why are we screening for osteoporosis so late (age 65?)\n\xa0\nDo you agree with the USPSTF about no for prevention.\nYour opinion of Progestin causing Breast cancer"\nIs the placebo arm bad?\xa0\nIs the risk not actually that high \u2013 from 2-4%\nIs it the synthetic progestin?\n\xa0Everyone\u2019s talking about dementia now \u2013 Dr. Bluming\u2019s take\n\xa0There are 25 studies showing E is safe after breast cancer \xa0and 20 review studies\u2013 and the HABITS trial is the only one that shows local recurrence and is flawed \u2013 how many studies are enough?\n\xa0\nAdvice for younger physicians who care about this work?\n\xa0\nDo you think the world is just crazy? How does Dr. Bluming cope?\n\xa0\nWe discuss the new Danish study in the British Medical Journal and dissect the data to dispel the fear.\n\xa0\nhttp://www.instagram.com/estrogenmatters\nhttps://estrogenmatters.com/\nBuy Estrogen Matters https://amzn.to/3POsai5\n\xa0\n\xa0\nDid you get my \u201cYou Are Not Broken\u201d Book\nYet? https://amzn.to/3p18DfK\n\xa0\nJoin my NEW\nAdult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed\n\xa0\nJoin my\nmembership to get these episodes ASAP when they are created and without\nadvertisement and even listen live to the interviews and episodes. \nwww.kellycaspersonmd.com/membership\n\n--- \n\nSend in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message\nLearn more about your ad choices. Visit megaphone.fm/adchoices