Archive | BHRT

Two World-Renowned Speakers Coming to the February 19 & 20, 2011 Conference

The Robert Fishman Institute is very pleased to announce the addition of two new world-renowned speakers for the “Yes … We Can Think Outside the Box” The Next Generation 2-Day Conference on Functional Medicine. (Please click on the below lecture’s names for a complete biography).

Russell Blaylock, M.D Featured Topic: Nutrition & Behavior

Richard Lord, PhD Featured Topic: The Brain-Gut Connection

As previously announced, New York Times Best Selling Author, Daniel G. Amen, M.D. will be presenting the research and findings of his book: “Change Your Brain, Change Your Body.”

Don’t miss out on the chance to take your practice to the next level … Early registration is going on until September 27th – take advantage of the $200 in savings now.

Other invited speakers:

Topics will include:

  • Fishman Institute Protocol of Bioidentical Hormones
  • What to Do When Your Patients Want to Get Off Prescriptions
  • The Gut-Brain Connection
  • Neurotransmitters: A New Way to Look at Psychiatric Diseases
  • Pancreas Fatigue: Predicting and Treating Before Diabetes Begins
  • Weight Loss: New Findings on Losing and Keeping it off
  • Optimal Sexual Health: Amazing New Findings
  • Your Hormones: More Than You Think
  • Practical Use of Supplements & Nutrition In Your Practice

Register: Visit www.lef.org/OutsideTheBox • Call 1-866-598-6752 • Fax 1-800-528-8984

Location: Nova Southeastern University Health Professions Division 3200 S. University Dr., Davie, FL (Fort Lauderdale area)

Early Bird Registration Specials (prices good through Sept. 27, 2010): $599 for All Medical Professionals (CME credits available) $149 for Life Extension Members (non-medical                  professionals only)

Full Tuition Registration (prices effective after Sept. 27, 2010): $799 for All Medical Professionals (CME credits available) $199 for Life Extension Members (non-medical professionals        only)

Get Up To Speed: Purchase the 2009 6-Disc DVD Box-Set, complete with all lecturer’s pdf slideshow documents! Cost is $99 plus shipping. Click here to order now.

Posted in BHRT, Cancer, Chronic Pain, Diet, Nutrition, Seminars, Training, Treatment, Upcoming Webinars0 Comments

Dr. Robert Fishman explains his unique approach to balancing the endocrine system

Dr. Robert Fishman explains his unique approach to balancing the endocrine system

In this video, Dr. Robert Fishman explains the importance of maintaining balancing within the endocrine system and why it is necessary to treat this system as a whole vs treating symptoms individually. As a nutritional counselor, Dr. Fishman applies this insightful reasoning to effectively manage and treat hormonal imbalances in his patients using BHRT, or Bio-Identical Hormone Replacement Therapy.

*THE STATEMENTS HAVE NOT BEEN EVALUATED OR APPROVED BY THE US FOOD AND DRUG ADMINISTRATION (FDA). THESE PRODUCTS ARE NOT INTENDED TO DIAGNOSE, TREAT, CURE, OR PREVENT ANY DISEASE.

Posted in BHRT, Training, Video0 Comments

Sublingual -VS- Transdermal: The Best Method for Consuming Bio-Identical Hormones

Sublingual -VS- Transdermal: The Best Method for Consuming Bio-Identical Hormones

The reason I am explaining this story is because of an alarming fact: 90% of the compounding pharmacies in this country dispense creams and they have no idea what harm they are doing to their patients. The majority of these patients will eventually stop taking bio-identical hormones and will walk-away with the impression that BHRT is not effective — when in fact, these patients are just not receiving the proper method of dosing.

When I first started with bio-identical hormone replacement therapy (BHRT) over 20 years ago, I originally invented a transdermal cream base called Viaderm FMG (Patented & Trademarked 2003). At the time, this was the best transdermal cream I had ever come across, so I started dispensing bio-identical hormones within this cream base.  But after two to four years of my patients being on the cream, I noticed a phenomenon occur:  The majority of my patients came back to me complaining they were experiencing the same hormonal imbalance symptoms that brought them to me in the first place. So, I had to reason out why this was occurring after so many years of success with BHRT. It was obvious the symptoms were returning because the endocrine system was out of balance once again:  but why?

Coincidentally, at the same time this was happening, I had a patient that came to me and who’s saliva test yielded these results:

It is key to note the progesterone levels of this patient, indicated by the flat line at the top of the graph.

So, I decided to re-test all of the patients who were having sudden problems with the BHRT cream. All of the saliva tests came back identical to this patients chart, with the progesterone clearly elevated and not cycling the way it should. I have approximately 500 charts that look the exact same way. At last, I had figured out the imbalance. I deduced that the creams were getting into the muscle and fat cells of these patients; thereby releasing the hormones slowly into the body. At the same time, the women were increasing their own dosage to try to alleviate their symptoms.

You will notice the same elevated progesterone level in this patient's chart. The reason that this patient's progesterone is elevated is due to the way in which the body absorbs BHRT creams. This is why I am an advocate of sublingual dosing.

After much more deliberation on what would make a better way to dose my patients, the idea of using sublingual lozenges came to me. Sublingual delivery is the most superior dosing method, because it is the most immediate method of absorption into the human body and once the sublinguals are absorbed, they go directly to the cells where they are needed. Sublingual delivery allows the practitioner to control the dosage per day, making it easier for the practitioner to alleviate the symptoms of all women, at any age in which hormones play a major part of their life, even in cases of fertility problems and puberty.

-Dr. Robert Fishman

Posted in BHRT, Featured, Training1 Comment

Saliva vs Blood Testing: The Best Method for Determining a Patient’s Hormone Status

One of the vital steps in properly assessing a patient’s hormone status is through testing. Testing the levels of progesterone, estrogens, and testosterone over a 30-day period is crucial; in order to get a visual picture of what exactly is going on with the patient’s cycle.  But, how do you know which testing method to use?

Here at The Robert Fishman Institute for Training & Research, we are advocates of saliva over blood testing. The simple reason being is that a serum, or blood, test only offers a snapshot of these hormones on the day you are tested. Therefore, this does not give a complete picture of what is going on inside of your body. Saliva testing, on the other hand, allows for a much more in-depth study of what these hormones are actually doing over a 30-day cycle, because 11 samples of saliva are tested over a period of 30 days. These saliva samples measure the unbound biologically active hormone levels, while serum only measures the protein bound biologically inactive hormone levels in the body. The Robert Fishman Institute believes that serum levels make it impossible to truly understand and manage hormone levels in all cycling women. And all women cycle, all of their lives, no exception.

Here is a sample chart taken from the infamous gynecologist Dr. Leon Speroff, depicting what a normal 30-day cycle should look like

The 11 saliva tests are sent out to a diagnostics lab and will come back with results that allow a medical professional to interpret the various markers and levels of the unbound hormones, which begin to compose a line chart, much like this one:

Here is a sample chart taken from a women suffering from a hormonal imbalance.

The below referenced article is taken from the Labrix Hormone Resource Center’s website and is used to further substantiate this reasoning …

Why Use Saliva?

Saliva testing is an easy and noninvasive way of assessing your patient’s hormone status and balancing needs and is proving to be the most reliable medium for measuring hormone levels.

Appreciating the reliability of saliva testing is based on understanding the difference between steroid hormones in saliva and serum. This difference is based on whether or not the hormones are bound to proteins in the medium used for testing. The majority of hormones exist in one of two forms: free (5%) or protein bound (95%). It is only the free hormones that are biologically active, or bio-available, and available for delivery to receptors in the body. Those which are protein bound do not fit those receptors and are considered non-bioavailable. When blood is filtered through the salivary glands, the bound hormone components are too large to pass through the cell membranes. Only the unbound hormones pass through and into the saliva. What is measured in the saliva is the bioavailable hormone, the clinically relevant portion which will be delivered to the receptors in the tissues of the body.

Salivary hormone levels are expected to be much lower than serum levels, as only the unbound hormones are being measured. When health care providers measure serum hormone levels and prescribe hormone replacement therapy based on those results, patients are often overdosed. If the patients are then tested using saliva, the results are extraordinarily high, and confusion results from a lack of correlation between the two methods.

Saliva Measures the “Unbound” Biologically Active or Free Hormone Levels in the Body:

When blood is filtered through the salivary glands, the bound hormone components are too large to pass through the cell membranes of the salivary glands. Only the unbound hormones pass through and into the saliva. What is measured in the saliva is considered the “free”, or bioavailable hormone, that which will be delivered to the receptors in the tissues of the body.

Serum Measures the “Protein Bound” Biologically Inactive Hormone Levels in the Body:

In order for steroid hormones to be detected in serum, they must be bound to circulating proteins. In this bound state, they are unable to fit into receptors in the body, and therefore will not be delivered to tissues. They are considered inactive, or non-bioavailable.

Only Saliva Testing Measures Topically Dosed Hormones:

The discrepancy between free and protein bound hormones becomes especially important when monitoring topical, or transdermal, hormone therapy. Studies show that this method of delivery results in increased tissue hormone levels (thus measurable in saliva), but no parallel increase in serum levels. Therefore, serum testing cannot be used to monitor topical hormone therapy.

Reference: Labrix Clinical Services 2006


Posted in BHRT, Training3 Comments

Breast Cancer Risk Assessment Test and Possible Prevention of Estrogen-Sensitive Cancers

Breast Cancer Risk Assessment Test and Possible Prevention of Estrogen-Sensitive Cancers

Breast Cancer Risk Assessment Test

YES OR NO Do you have a family history of Breast Cancer? (Grandmother, Mother, Sister, Aunts)

YES OR NO Do you not have regular bowel movements? Meaning you go less than once daily?

YES OR NO Do you or have you used oral contraceptives or hormone replacement therapy?

YES OR NO Do you have a history of any cyclical issues such as: cyclical breast tenderness, endometriosis, uterine Fibroids, Fibrocystic Breast, PMS / PMDD or have you been diagnosed or told that you were “estrogen dominant”?

YES OR NO Are you diabetic, pre- diabetic, or do you have blood sugar control issues?

YES OR NO Do you regularly consume non-organic dairy products (milk, cheese, yogurt, etc) or non-organic meat or chicken?

YES OR NO Is your body fat over 30%?

YES OR NO Have you had your 2/16 estrogen-ratio evaluated?

If you answered mostly “yes” to the above referenced questions, then your risk for developing an estrogen-sensitive cancer, like breast cancer, is much greater than someone who answers mostly “no.”

For at risk patients, the Robert Fishman Institute recommends the following protocol:

1. Have your health care provider give you an estrogen-ratio evaluation screening. We recommend the Estronex test.
2. Visit a Bio-Identical Hormone Replacement Therapy (BHRT) specialist. This individual will be able to administer comprehensive testing to evaluate your hormone levels and will then begin balancing your body’s cycle using all natural compounds from plant extracts.
3. Start consuming high amounts of cruciferous vegetables like cauliflower, kale, brussel sprouts, broccoli, cabbage, and bok choy (1)
4. Not a vegetable fan? Then you should look for supplements containing both Indole-3-Carbinole (I3C) and Di-Indole-Methane (DIM). We recommend Cruciferus Complete by Standard Process or Meta I3C by Metagenics
5. Increase your body’s alkaline PH level by eating alkaline foods (2), drinking certified alkaline water (3), and/or using supplements that increase alkalinity.

FOOTNOTES:

(1) Wondering how cruciferous vegetables can help you combat cancer? Here’s a great link to the many benefits of the crucifer plant group:
http://lpi.oregonstate.edu/infocenter/foods/cruciferous/

(2) Wondering what foods are alkaline? Here is a great resource: http://www.liferesearchuniversal.com/acid.html

(3) Here at the Robert Fishman Institute, we are currently in the process of reviewing and testing the various alkaline water systems available on the market and will be publishing our results as soon as they are available.

-Dr. Arango

*THE STATEMENTS HAVE NOT BEEN EVALUATED OR APPROVED BY THE US FOOD AND DRUG ADMINISTRATION (FDA). THESE PRODUCTS ARE NOT INTENDED TO DIAGNOSE, TREAT, CURE, OR PREVENT ANY DISEASE.

Posted in BHRT, Cancer, Diet, Featured, Nutrition, Treatment1 Comment

Treating Osteoporosis Naturally: The Robert Fishman Theorem

Treating Osteoporosis Naturally: The Robert Fishman Theorem

As a clinical nutritionist and pharmacist, I have been effectively treating osteoporosis in women, and some men, for over 20 years and I have come up with the following conclusions based off of my observations … I call it a theorem, because much like theorems in geometry, I have been able to prove this again and again.

The Robert Fishman Theorem on Osteoporosis:

Everybody on the face of the Earth made bones as they developed as a young child. This means that everyone’s brain knows the process of how to make bones.

When you are a young child, you do the following:

  1. Run, jump, play
  2. Go out in the sun and obtain healthy levels of Vitamin D
  3. Drink milk and consume other dairy products to obtain calcium
  4. Drink water and eat vegetables to obtain trace minerals
  5. Everyone had a certain amount of progesterone, an essential ingredient needed to make osteoblast, which then makes bone

Women when they reach their 30′s & 40′s, the following behaviors become the norm:

  1. Stop exercising because life becomes too busy
  2. No more sun exposure without sunscreen because skin cancer fears
  3. Stop drinking milk and consuming as much dairy products
  4. Drink bottled water, which doesn’t have minerals, and don’t eat enough organic vegetables. Our food supply is inadequate as a source of trace minerals, because the process of mass production doesn’t allow for the development of nutrition in our food supply
  5. Women in the late 30′s and early 40′s naturally start losing progesterone, because progesterone is necessary to start making placenta, in order to make babies. At this stage of life, your body is preparing not to make any more babies

So, you’re body is not missing Fosamax, Boniva, Actinel, Foreo or Reclast, because they were never a part of what we were born with. In order to replace bone you’re losing, all you have to do is give the brain the tools it needs to start making bone once again. This process will take 2 years to replace all of your bone, which is — not coincidentally — the same amount of time your body originally took to make bone. Think about it: At age 2, you are already walking upright and steadily, meaning your body took 2 years to make the bone necessary in order to carry out this function.

The treatment process for osteoporosis is as follows:

  1. Exercise every day, especially using weights
  2. Go in the sun for 30 minutes without sunscreen on your arms -or- consume 5,000 units of Vitamin D3
  3. Obtain a source of absorbable calcium and trace minerals. I recommend Osteoapatite or Calcifood for my patients.
  4. You will need to raise your progesterone levels PROPERLY by consulting an expert in Bio-Identical Hormone Replacement Therapy.

I welcome any questions, comments or concerns. Please feel free to contact me at askrfi@gmail.com

-Dr. Robert Fishman

*THE STATEMENTS HAVE NOT BEEN EVALUATED OR APPROVED BY THE US FOOD AND DRUG ADMINISTRATION (FDA). THESE PRODUCTS ARE NOT INTENDED TO DIAGNOSE, TREAT, CURE, OR PREVENT ANY DISEASE.

Posted in BHRT, Diet, Featured, Nutrition, Osteoporosis, Treatment0 Comments

Metabolizing Estrogen: The importance of testing for women using Hormone Replacement Therapy

Metabolizing Estrogen: The importance of testing for women using Hormone Replacement Therapy

Who knows how Ms. Jones metabolizes estrogen? It’s a shot in the dark for women using Hormone Replacement Therapy (HRT). Dr. Arango weighs in …

There are 6 commonly known estrogen metabolites, but for today’s blog topic, we will look at 3 of the most commonly known metabolites: 2-OH, 4-OH and 16-OH estrogens. Maintaining the proper ratio between these metabolites is essential to protecting the body from estrogen-sensitive cancer. The first metabolite, 2-OH, will protect you from developing an estrogen-sensitive cancer, which can occur in ovarian, cervical, uterine, and breast tissue. Men are not excluded: The 2-OH metabolite is also responsible for protecting the prostate for men. The second and third metabolites do not. In fact these last two metabolites may even promote an unfavorable balance that can lead to a cancerous condition.

I personally fill thousands of prescriptions for compounded hormone replacement medications for women from all over the United States and often wonder how many of them metabolize estrogen in a safe way. Patients and doctors should know the risk factors for developing cancers related to estrogen and can use the Estronex Test by Metametrix Laboratories to monitor estrogen metabolism before and during the use of hormone replacement therapy (HRT). This testing practice should not be discounted if the person is using Bio-Identical Hormone Replacement Therapy either.

For more information and testing, you can visit The Wellness Center at Post Haste Pharmacy or you can check out the Metametrix website:  http://www.metametrix.com/test-menu/profiles/hormones/estronex. Here’s a sample report for a female: Estronex Sample Report

-Dr. Arango

Posted in BHRT, Cancer, Treatment5 Comments

Save-the-Date: Conference on Science-Based Medicine coming February 19 & 20

Save-the-Date: Conference on Science-Based Medicine coming February 19 & 20

The Robert Fishman Institute for Training & Research is pleased to announce it’s upcoming conference on science-based medicine to be held on February 19 & 20, 2011 at Nova Southeastern University in Davie, FL. The second annual “Yes, We Can … Think Outside The Box” symposium will be full of the latest health & wellness information and will feature world-renowned keynote speakers. Implement the next generation of scientific medical innovation into your practice and save $200 by registering before September 27th. CLICK HERE TO REGISTER.

Topics include:
• What to do when your patients want to get off prescriptions
• The gut-brain connection
• Weight Loss: New findings on losing it and keeping it off
• Optimal Sexual Health: Amazing new findings
• Your Hormones: More than you think
• Alternative approaches for cancer patients
• Neurotransmitters: A new way to look at psychiatric diseases
• Pancreas Fatigue: Predicting & treating before diabetes begins
• Practical use of supplements & nutrition in your practice
Early bird registration discounts have now been extended through September 27th, 2010. Click here to sign up and save $200 on your registration. Don’t miss out on two full days of “Outside the Box” information presented by the sources that are leading the wellness revolution. Special travel discounts and arrangements have been provided by our platinum sponsor: Life Extension, For Longer Life.

Check out a quick preview of last year’s conference.  The 6-Disc DVD Set is available for purchase, complete with 2 CD’s filled with all of the presenters slideshows. Click HERE for more info.

Posted in BHRT, Cancer, Chronic Fatigue, Chronic Pain, Diabetes, Diet, Featured, Nutrition, Seminars, Training, Treatment0 Comments

Bringing your endocrine system into balance – part 1 of 3 (text)

Bringing your endocrine system into balance – part 1 of 3 (text)

Hi, my name is Bob Fishman. I’m a Pharmacist, a Clinical nutritionist, and a Hormone Counselor.

I’m sure you’re wondering why a pharmacist is doing this type of work. You would normally feel like you had to go to a physician to find out what’s wrong with you, but I’ve been doing this for 15 years, I’ve seen over 3600 women and all of them have come here because their friends have sent them, or recommended it. So, somehow or other I must be doing the right thing.

It all started when I was a young man, about 14 years old in geometry in high school; I was talking to my geometry teacher, she was trying to help me with a problem I was having trouble solving. And there was a young man in my class who was pretty bright and he came over, interrupted and told the teacher that he found a theorem that was wrong. She gave him a dissertation on why theorems can’t be wrong. We’ve all heard it when we took geometry. He said he really didn’t care, he could prove that this theorem was wrong, and he proceeded to write all over the blackboard, his formulas, and it was well above the head of my teacher, and myself. And the rest of the math teachers in the high school came in and nobody could figure out what he was talking about .

It was recommended by one of the teachers that went to Princeton that we take him down to Princeton that was about 15 miles from where we were. There was a very, very smart math professor there named Albert Einstein, and Einstein went through his work with this young man, and when they finished he said that he was absolutely right. He received a scholarship to Princeton and was gone and this episode just stood in the back of my mind for many years.

About 35 years ago, as a pharmacist I was filling a lot or prescriptions for Premarin and Provera, Prempro, and birth control pills, and women were having lots of problems. They weren’t doing so well. Just small percentages were successful. The rest were having all kinds of problems and I began getting a lot of questions every day from women who didn’t understand what was happening to them. And basically what I knew about hormones at that time is the same thing that a physician learns because we took classes together. We learned all about this at the same time. The theories that were given to us, we accepted. But it bothered me as a businessman that I was spending all this time answering questions and not getting paid. So I decided I was going to become a hormone counselor, put up a sign and I was going to charge for what I was doing. So it was basically a business decision. It had nothing to do with trying to help anybody.

I put up my sign and got three women who were probably very desperate or they wouldn’t have come to me in the first place. …l spent a little time asking them questions, and I wasn’t allowed to do blood tests: pharmacists at that time weren’t allowed to do blood tests, or any kind of testing except saliva testing – which was something new. Nobody ever heard of saliva testing, neither did I, but it was something that I could do, and it was easy to follow the directions, so I took the three saliva tests of these women;, sent them off to a lab and when they came back something outstanding came to me, and that was that all three women had lots of estrogen.

Now there had to be something wrong when the physician that was prescribing estrogen and it shows that she had plenty of estrogen. So either my test was no good or their blood test was no good. Something was out of whack.

So, I spent about 6 months researching saliva testing. I sent away because we didn’t have computers at the time so I had to write letters and get all their studies and all their research, and I spent 6 months researching all of this. And when I got I got finished, I thought that saliva testing sounded pretty good to me. And so I set about, in my own best interest to see what was wrong with blood testing.

So what is wrong with blood testing?

I wasn’t about to start a war with the medical profession, so I just did it for my own best interests, and I had a friend of mine who was a gynecologist run – every time he ran a hormone panel, I had him run a 24 hour urinalysis at the same time.

The results were that each of the 12 women (tested) that the blood tests showed very low estrogen levels, and the urinalysis showed lots of metabolites of estrogen.

Everything that metabolizes in the body shows up in the urine; that’s why they do drug testing in urine. So I knew that the amount of estrogens in the urine, that were so different from in the blood, you had to think how did it get from the blood to the urine if it wasn’t there?

So, those estrogens had to be in the human body someplace else: most likely in all the cells and body fluids. And so at that point I knew that there was something really wrong with blood. And if you think about it, if you take 10cc of blood out of somebody’s arm, you’re not going to, how would you know what’s going on with the whole rest of a person’s month and their levels of hormones.

I’m not to sure that it doesn’t also effect all the other things that they measure in the blood, but, because I’m only dealing with hormones, we’ll just talk about hormones.

Ovarian and Menstrual Cycles Graph

Ovarian and Menstrual Cycles

This graphic shows the estrogen and progesterone levels in a normal 20 year old’s hormone cycle. The green is the progesterone and the brown is the estrogen. So at the beginning of the cycle the estrogen levels rise up somewhere around the 5th of the month and by the 11th of the month they reach a peak. That rise in estrogen is to prepare the egg for fertilization. That means the eggs are in your ovaries. The positive and negative charges have to be put in the right place. The genes all have to be lined up, so that you get a healthy egg running down your fallopian tube.

11th of the month is ovulation

About the 11th of the month when the estrogen levels reach their highest point, that’s called ovulation, the eggs go down the fallopian tube and two things can happen. One: it gets fertilized, and Two: it doesn’t. If the egg is fertilized it goes into the endometrium where you see the green on the chart showing the high levels of progesterone rising up at the same time. That’s to form the placenta in the endometrium. So if you have a fertilized egg going into the endometrium and you have enough progesterone, you have an egg that’s going to gestate.

If the egg is not fertilized, then both the egg, and all the estrogen and progesterone are cleaned out of the endometrium and that’s called menses. Menses is the process of eliminating eggs in the female

Which brings you to the point that you have to understand that menses and the egg only happen together, so if you run out of eggs you have no menses. For instance, if a woman has a hysterectomy and they remove all of her eggs, then those women never have periods again.

If you get pregnant and an egg is fertilized then the periods stop for the 9 months that you’re pregnant and maybe a month or two after until the new eggs start coming down. And if you’re menopausal, peri-menopausal, and between 42 and 55 or so, it varies, and you start missing periods that means that you’re running out of eggs. And so maybe one or two months you’ll miss a period, then an egg will come, and I’ve seen women after four or five years of not having periods, at 55 or 56, drop an egg and they have a period.

So the process of eliminating the egg is what menses is all about.
Now during all the years I’ve been doing this, I noticed that when women don’t have enough progesterone, and they can’t make a good placenta, it shows up on my questions and answer sheets, that these women are the ones that have miscarriages. Miscarriages are caused by the lack of progesterone

A miscarriage is caused by lack of progesterone

So a woman who has very bad periods; the kind that are very painful, keep you out of school or keep you from going to work: those are the women who have miscarriages.

Link to part two (text)
Click here to watch the video

Posted in BHRT, DVD Sales, Training, Treatment0 Comments

Bringing your endocrine system into balance – part 3 of 3 (text)

Bringing your endocrine system into balance – part 3 of 3 (text)

I want to show a slide of the hormone pathways. As you see on this slide, cholesterol is the precursor to all of the hormones in the human body. That should make us all think, “Why are we trying to lower everybody’s cholesterol levels if cholesterol is necessary to make hormones?”

Cholesterol is also necessary to make cell walls on all the trillions of cells in your body. So in my personal opinion, and a lot of people out of big universities like Yale et cetera are coming up with studies now showing that lowering our cholesterol levels too low is a dangerous thing.

As you look at the slide you’ll see cholesterol makes pregnenolone and that makes progesterone, and they go across the slide to make DHEA (Dehydroepiandrosterone). So there are two sections to the hormone pathway. One is the progesterone side, and the other is the DHEA side, and DHEA is processed through the adrenals and makes all of the rest of the hormones on that side of this pathway. In the graphic you see that the hormones go back and forth between each, so that means that’s a self-sustaining section; it never runs out. So you really very rarely ever run out of estrogen in your body.

The only one that really runs out is progesterone because you that nothing goes back to the progesterone side; all of the arrows are going the other way. So if you start depleting progesterone, and I think that cholesterol may be one of the problems by everybody trying to lower their cholesterol levels, are causing people to lose more progesterone.

Progesterone is the hormone that I use to regulate the system, but if I find that you’re short of estrogen, or short of testosterone, then we can always add. If you have too much estrogen and too much testosterone then we can subtract it out by using some natural substances to remove them from your body.

So this method is how I go about regulating your system.
Now I establish a protocol which you would have to take to your physician for him to write out the prescriptions because as a pharmacist, I’m not allowed to write prescriptions. This protocol then will establish for you, what you’re supposed to be doing. And after one month on the hormones that we compound here for you (at Post Haste Pharmacy in Hollywood, FL), we have you come in and ask you the same questions over again, and we rate your answers from zero to ten.

Because you’re the only one that knows how you feel, I have to learn what’s happening to you. For instance if you were having very, very bad hot flashes and when you came back the second time they were improving but just a slight bit you might say, “An eight.” Or if they were almost gone, or you’re only having them once a week instead of every day, that would be a one, or two, or three, and zero if you’re not having them.

As I get each one of those symptoms down to zero, that means your endocrine system is coming into balance. When it’s in balance you will stop having symptoms. That usually takes anywhere from three to six months, and then you should be in good condition to maintain for the rest of your life.

If at any time during that period, things change, then you’re always welcome to come back here and I will help you adjust your hormone levels so that you can continue having a productive life.

There are no two women that are the same, so it’s been wrong that in the last fifty years we’ve been treating all women the same, giving them all the same medications, when they’re all totally different.

Every woman should be treated as an individual, their hormones should be regulated as individuals. That’s what I do. I want to make sure that I don’t have anybody that walks out of here that doesn’t feel good. I think I’ve need very successful at it in the thirty-six hundred that I’ve seen. I can’t think of five or ten that ever complained, and usually it was because they were non-compliant with the regimens.

Thank you for watching. I hope that you’ve been enlightened by the information I’ve given you. If you’re interested in what we’re doing here, please use the contact form and ask RFI.

Click here to watch the video

Posted in BHRT, Training, Treatment0 Comments

Robert Fishman, PD, Rph, CP.CN

Robert Fishman Institute for Training & Research; Bio-Identical Hormone Therapy; Genomics: A Key to Personalized and Individualized Medicine; Endocrinology; Clinical Nutrition; personal consultations and CME training for medical professionals. Science Based Medicine.
Advert

askRFI on Twitter