Functional Medicine Considerations

Back To the vault

Determining when hormone dosage needs changed

Risks of starting HRT later post-menopause

Physiologic restoration (PR) hormone dosing

Lab frequency for hormone static dosing

Discussing Bi-Est

Ideal reference range for testosterone in women

Thoughts on coming off of HRT

Desired hormone levels for bone health

Application tips for topical hormones

Thyroid health assessment labs

The relationship between Progesterone and T3

The relationship between thyroid and sex hormones

Bones are dynamic organs

What are osteocytes?

What are osteoblasts?

What are osteoclasts?

Copper, zinc, iron imbalances affect brain

Antibiotics impact gut; probiotics, diet help rebalance

Digestive enzymes are not a match for everyone; bitters can be used to stimulate digestion

Long-term restricted diets and supplements can cause gut issues

Tips for looking for a provider to help with gut health

Kombucha can be beneficial but they are not all created equal

Probiotics are transient; prebiotics sustain gut health long-term

Focus on adding dietary variety for better gut health

The correlation of low stomach acid to acid reflux

The impact of artificial sweeteners on gut health

Focus on non-starchy carbs for fiber and blood sugar control

A wide variety of foods leads to a much healthier microbiome

There is no one-size-fits-all diet for gut health

Things that are making your gut unhealthy, Part 2

Gut health significantly impacts bone health

Things that may be making gut health worse

Elimination diet is the gold standard for identifying food sensitivities, allergies

Gut health is foundational; symptoms indicate underlying issues

Gut Health Basics: Gut health relies on a balanced microbiome for overall wellness

Testosterone can cause unwanted side effects like facial hair if it breaks down to DHT

Body fat level impacts topical hormone absorption

Symptom management prioritized over testing for progesterone balance

HRT dosing: rhythmic vs static

Testosterone may compete with estradiol absorption

Hormones may protect against cancer

HRT and cancer risk is a contentious topic

No blood clotting concerns with topical estradiol

No contraindications for BHRT with surgical hysterectomy

There shouldn't be breakthrough bleeding on HRT

Going on HRT is a personal choice

Stopping HRT briefly will result in bone loss but speed of bone loss is unknown

Is there any limit to how long someone can stay on HRT?

Using CAC to determine risks for estrogen therapy

Dr. Doug discusses cardiovascular risks of HRT

Dr. Doug's qualifications for developing hormone protocols

Are there any considerations with HRT for people who have had a full or partial hysterectomy?

What is rhythmic hormone dosing?

Types of hormones used for bone health

Would a family history of cancer be a contraindication for HRT?

Are there any cancers that would be a contraindication for HRT or the use of estrogen?

Dr. Doug discusses the Women's Health Initiative study

Why hormone replacement therapy is recommended for bone health

Hormone Replacement Therapy (HRT) basics

Does growth hormone have an effect on cancer?

What peptides can be used for osteoporosis?

What are peptides?

Testosterone helps bones but may not be needed by all women

Standard lab ranges often don't align with thyroid symptoms

What signs or symptoms might indicate when a deeper dive into thyroid function is necessary

Dysfunctioning thyroid as an underlying cause of osteoporosis

The thryoid is the master metabolic set point of the body

MTHFR gene can affect the absorption of HRT

P1NP to CTX Ratios for Bone Building

Conflicting advice on calcium intake after bariatric surgery, need more information

Estrogen drop increases histamine intolerance, according to Stacy Sims' book

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