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bioidentical hormones (the prof, etc)

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nohorn | 19:22 Mon 10th Jan 2011 | Science
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Hi squad suggested I put this in the science section. Is it possible that bioidentical hormones (from yams) are more helpful balancing hormones in older women. The older method was the premarin
(prempro) which supposedly not such a good thing. However, there are propoents of bioidentical hormones, and many studies, that say bioidentical hormones are more effective and less dangerous.

The AMA doctor says, don't buy into that argument, a molecule is a molecule, despite its origin.
Who should we believe? Personal testimonies such as youthful (sexy) 60's Susanne Sommers has made a compelling argument? Any comments. Thanking you in advance.
Nohorn
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As someone who has known something about transgenderism, I would start by saying do not go into this lightly or buy off the internet - proper hormones coming from a specialist have a better chance of working as often the internet ones are cut or at worse the dilutants are highly obnoxious to the body.

Each person, be it a woman or a transgender candidate, needs very careful assessment as to what is best. Thyroid, liver, heart and kidney functions are particularly vulnerable and therefore any prescription needs to be balanced to blood work results. The choice of premarin versus many others, for example, oestrogen 17 beta oestradiol which is often a much more effective treatment for osteoporosis or growing breasts (in conjunction with an adrogen) is taken into consideration. There are concerns about premarin as it originates from mares urine (hence the name) as to side effects which I can go into if you wish. The biggest dangers apart from heart attacks and thromboses are an elevated risk of cancer.
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Yes DT, I have researched the premarin stuff, I would not touch that stuff. I it is the bio that is rather nebulus. I would recommend of course, a reliable local physician, not over the internet to purchase it. And then more blood tests to see if the correct amount was prescribed.

I guess my question boils down to whether the bioidentical hormones are any safer than the prempro. The AMA position is "no", a molecule is a molecule, whether it is derived from pregnant mares or a yam, matters not.

Thank you for your reply.
nohorn
,
Think this sums it up well:

The International Menopause Society, American Congress of Obstetricians and Gynecologists, Society of Obstetricians and Gynaecologists of Canada, the Endocrine Society, the North American Menopause Society (NAMS), United States Food and Drug Administration, American Association of Clinical Endocrinologists, American Medical Association, American Cancer Society and the Mayo Clinic have released statements that the there is a lack of evidence that the benefits and risks of bioidentical hormones are different from well-studied nonbioidentical counterparts, that until such evidence is produced the risks should be treated as if they were similar, and that compounded hormone products may have additional risks related to compounding. A major safety concern of bioidentical hormone replacement therapy is that there is no requirement to include package inserts despite the potential for serious adverse effects, including life threatening adverse effects, being associated with HRT. This can lead to consumers being deceived and even harmed as they are mislead into believing that BHRT is safe and has no side effects.
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Thank you

That surely is a long list of professionals who say there is "lack of evidence."

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