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- Standard BHRT that has been studied, approved, and regulated by the FDA is effective. However, compound bioidentical hormone therapy (cBHRT) is not FDA tested or approved. In addition, cBHRT dosages vary and there is insufficient evidence to know if they work correctly.
www.verywellhealth.com › bioidentical-hormone-replacement-therapy-5324521
People also ask
What is bioidentical hormone replacement therapy (BHRT)?
Does BHRT replace estrogen?
Is BHRT a safer alternative to traditional HRT?
Sep 8, 2011 · “Bioidentical” is more broadly defined by advocates of “bioidentical hormone replacement therapy” (BHRT), which includes hormone testing via saliva tests and the use of individually compounded hormones to correct “deficiencies.” It’s the claims made for BHRT that Harvard Women’s Health Watch calls into question. These include:
- 4 Blackfan Circle, 4th Floor, Boston, 02115, MA
- hhp_info@health.harvard.edu
- (877) 649-9457
Aug 8, 2023 · Blood and urine lab testing can gauge how well bioidentical hormone replacement therapy (BHRT) is working and whether the treatment is providing the desired benefits, such as symptom relief and improved well-being.
Monitoring hormone levels before and after starting BHRT is the only way to really be sure that the therapy is safe and effective. Unfortunately if a patient insists that they need increased dosage of hormones to get relief, some prescribers comply without keeping an eye on hormone levels. As a result, the patient may have levels that are too high.
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Bioidentical hormones are artificial hormones that are similar to the hormones produced by the human body. They are used as treatment for people whose own hormones are low or unbalanced. Some people benefit from bioidentical hormones, but there are risks to treatment.
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How are bioidentical hormones given?
Bioidentical hormones come in many forms. These include: Pills. Patches. Creams. Gels. Shots. Implanted pellets. Your healthcare provider will decide which method is best for you. You may try more than one way before you find one that works well for you. Advertisement
How does my healthcare provider select my dose?
People on hormone treatment are watched very closely by their healthcare providers. The goal is to relieve symptoms with the lowest dose possible for the shortest amount of time. Depending on your healthcare provider, you might have routine blood, urine or saliva tests to check your hormone levels. Your healthcare provider may adjust your dose based on your changing hormone needs. The FDA recommends against using hormone levels to guide the dosing of hormone therapy in women, as normal levels fluctuate day to day. In particular, salivary hormone levels are known to fluctuate and have not been shown to be related to menopausal symptoms.
How long does it take for bioidentical hormones to start working?
The amount of time it takes for bioidentical hormones to work varies. Some people may feel mild relief within a few weeks. Most of the time, it takes about three months to feel the full effect of any type of hormone therapy. Care at Cleveland Clinic Find Your Ob/Gyn Make an Appointment
What are the risks of bioidentical hormones?
It has been shown in research studies that there are risks to taking hormones. It can increase the risk of blood clots, stroke, and gallbladder disease. Your risk of heart disease and breast cancer may also increase if you are older or use hormonal therapy for an extended period. Many healthcare providers who use bioidentical hormones claim they are safer than traditional hormone therapy treatments. But there have been no large research studies of bioidentical hormones to show evidence of this.
Are bioidentical hormones safe?
The bioidentical hormones that are approved by the FDA have been tested for safety. They have passed the FDA's strict standards and are safe for people to use. Like all hormone treatments, there are risks involved. You should weigh the pros and cons of even the FDA-approved bioidentical hormones with your healthcare provider.
Are compounded bioidentical hormones bad?
There are risks to taking compounded bioidentical hormones, but in some cases, they may be a better choice. Compounded bioidentical hormones are not FDA-approved. They are not tested for safety or effectiveness. Many major medical groups do not support using them because not enough is known about their safety and long-term side effects.
Do bioidentical hormones really work?
Yes, they work for some people. You will have different results depending on your symptoms and health history. Talk with your healthcare provider about bioidentical hormones and what form may work best for you. In some cases, your healthcare provider may recommend against using bioidentical hormones in favor of a more traditional hormone replacement therapy option.
When should I see my healthcare provider?
Call your healthcare provider if you have any negative side effects after getting a dose of hormones. If you have a side effect that you cannot manage or does not go away in a short time, your hormone level might be too high. Talk to your healthcare provider before hormone treatment so you know what to expect.
Do bioidentical hormones cause weight gain?
Yes, weight gain is a side effect of bioidentical hormones. A note from Cleveland Clinic Bioidentical hormones are used to help people manage symptoms of menopause or other hormonal imbalances. The FDA does not approve some bioidentical hormones. All hormone replacement therapy comes with risks. Compounded bioidentical hormones may come with more risk because their effects are not well studied. Talk to your healthcare provider about the pros and cons of hormone replacement. Most importantly, know that you do not need to live with unpleasant symptoms of low hormones. Your provider can help safely manage your symptoms. Medically Reviewed Last reviewed by a Cleveland Clinic medical professional on 04/15/2022. Learn more about our editorial process.
How often are labs required after starting? Watch: Learn about lab work for BHRT & TRT. What states do you service? How old do you need to be? Who is excluded from the program? Insurance. What are the costs with insurance? Do you accept insurance for labs? Does insurance cover bioidentical hormones? How does verification of benefits work?
Aug 17, 2022 · Standard BHRT that has been studied, approved, and regulated by the FDA is effective. However, compound bioidentical hormone therapy (cBHRT) is not FDA tested or approved. In addition, cBHRT dosages vary and there is insufficient evidence to know if they work correctly.
BHRT is typically an ongoing treatment, meaning that you will likely continue supplementing hormones indefinitely to keep your levels optimized. There is currently no effective treatment that can fully restart your body’s natural hormone production, which is why ongoing replacement is necessary. What Causes Hormonal Imbalances in Women?
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related to: what is the truth on hormone replacement therapy bhrt testEvidence-Based, Holistic Solutions. Feel Better & Fantastic Now. Explore More Solutions. Get The Safe, Effective Hormone Replacement Therapy You Need. Improve Quality Of Life.
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