The document discusses two types of hormone replacement therapy (HRT): low dose static therapy and bioidentical cyclic dosed therapy, emphasizing the importance of tailoring hormone treatment to individual needs rather than applying a one-size-fits-all approach. It addresses common misconceptions about HRT, such as the belief that hormones are only for older women or that synthetic hormones are safer than bioidentical ones. Additionally, it highlights the necessity for properly trained healthcare providers to administer HRT, and outlines various dosing methods and the flaws of prior studies like the Women’s Health Initiative.

1. HRT vs. HRT
Taking a look at all forms of HRT

2. What is Hormone Replacement Therapy?
Hormone replacement therapy refers to a low dose, static
dose, hormone therapy wherein the patient, in the course of
medical treatment, receives hormones at the lowest possible
doses to treat the maximum amount of symptoms, using
pharmaceutical synthetic, or compounded bioidentical
hormones.

3. What is Hormone Restoration Therapy?
Hormone restoration therapy refers to bioidentical cyclic
dosed hormone therapy wherein the patient receives
hormones dosed in a rhythmic fashion to mimic a woman’s
body, at the most optimal healthy levels possible to prevent
and reverse disease, using compounded bioidentical
hormones.

4. Two forms of HRT
• Synthetic: manufactured with chemicals in a
pharmaceutical plant.
• Bioidentical hormones: plant base, similar
molecular structure as our own body

5. Types of HRT

6. Four types of HRT
• Synthetic hormones, low dose, static dose
• Bioidentical hormones, low dose, static dose
• Synthetic hormones, low dose, semi static dose
• Bioidentical hormones, optimal dose, cyclic dose

7. 3 Dosing Methods of HRT
• Static: same dose every day
• Semi-static: on one week, off the next concept
• Cyclic or Rhythmic: dosed to mimic the
natural cycle of the human body

11. 10 Misperceptions of HRT
1. Hormones Cause Cancer
If this were true, we’d all be dead. Synthetic hormones cause cancer,
bioidentical hormones do not. You are at greater risk for cancer if
your estrogen is in the tank. Estrogen is especially designed to
protect a woman’s body from the degenerative diseases of aging,
including cancer.

12. 10 Misperceptions of HRT
2. There’s only one kind of HRT
There a couple ways to treat hormone deficiencies; treat the
symptoms with a synthetic or natural low, static dose, or restore
natural hormones to optimal levels, dosed in a cyclical manner
that mimics a woman’s natural cycle.

13. 10 Misperceptions of HRT
3. Hormones are for old women
There is a huge misconception that we get our hormones at puberty,
and we all produce enough. PMS, perimenopause, and menopause
are a direct result of estrogen deficiency, and can happen at any age.

14. 10 Misperceptions of HRT
4. Too old for
hormones
Many women think once they’ve “passed” the “change”, they don’t
need hormones. When women say this, it tells me how much they
don’t know about HRT and the benefits of replacing the hormones
that give life. Women feel much better on the right kind of HRT.
With the right amount of estrogen, a woman can rebuild her bones,
decreasing her risk, or reversing osteoporosis.

15. 10 Misperceptions of HRT
5. Doctors know how to prescribe HRT
Make sure before taking hormones to ask your provider where they
received their hormone training. Your doctor may have a strong
opinion about hormones but are not forthcoming with their lack of
knowledge in this area, and can make a mess of the patient. It’s okay
to ask your doctor about their training and the focus of their practice.
It’s your body and your life. Hormones regulate everything in the
human body, and you have a right to proper HRT.

16. 10 Misperceptions of HRT
6. Lowest dose is
best
With the lack of knowledge and training in HRT, doctors are telling their
patients the lowest dose is best for hormones. This is so far from the truth.
This method is taught in medical school with the mindset of estrogen
causes cancer so give the lowest dose for the shortest amount of time.
Hormones need to be restored to levels that mimic a healthy woman, not
an unhealthy woman. The goal is to fix the cause of hormone deficiency
by naturally restoring hormones instead of treating the symptoms of
hormone deficiency with a low dose.

17. 10 Misperceptions of HRT
7. Use only for the shortest amount of time
Uneducated doctors suggest this because they’ve been lied to that
hormones cause cancer. If a woman’s hormones are balanced correctly,
she will want to be on them as long as she can. Staying on them as long
as she can will help her fight and reverse the degenerative diseases of
aging, and make her feel good.

18. 10 Misperceptions of HRT
8. Use the same dose every day
This is a one-size-fits all mentality. I still haven’t come across a woman who has
by exact physical issues or body. Every woman’s body works a little differently but
one thing remains consistent if a woman is hormonally healthy and that is women’s
bodies cycle with the phases of the moon (men’s bodies cycle with the solar
system) and so does her hormones. On day six of a woman’s cycle, her estrogen
begins an incline and peaks on day 13 (full moon), then falls to a low by day 18.
Estrogen makes another incline peak at day 22 and drops again so a woman can
shed her lining. Why give the same dose everyday if our bodies don’t function that
way. One cannot have proper HRT if the hormones are not cycled and optimized.

19. 10 Misperceptions of HRT
9. One size fits all
No two women are the same. Uneducated doctors read the hormone
sample insert in the box on how to dose the hormone, slap a patch on the
patient, and call it HRT. Proper hormone restoration involves dosing the
patient based on her body size, body type, level of deficiency, and how
long they’ve been deficient. These are very critical elements in dosing. I
tell my patients the regimen that works for me, wouldn’t work for them,
and their HRT would do me any good. My body is very sensitive to
testosterone so I take about a tenth less than a woman with average
tolerance.

20. 10 Misperceptions of HRT
10. It’s quick and simple
The last thing proper HRT is: quick and simple. Patients who are looking
for a quick fix get terribly disappointed. Proper HRT is not conventional
medicine. Every patient is different and needs to be dosed and treated as
such. Proper HRT is a process over a period of time. The first month a
patient is on the correct hormone protocol, they feel better but they’re
skeptical about why they feel better. The second month is better than the
first month because estrogen receptors are waking up, and can receive and
utilize the estrogen. Each month more estrogen receptor sites are
awakened, making the patient feel better and better, for some women up to
a year.

21. 5 Flaws of the Women’s Health Initiative
1. Hormones used in the study were Premarin
and Prempro

22. 5 Flaws of the Women’s Health Initiative
2. Static, low dose, continuous therapy

23. 5 Flaws of the Women’s Health Initiative
3. Oral route of estrogen administration

24. 5 Flaws of the Women’s Health Initiative
4. Physiologic consequences to taking estrogen orally

25. 5 Flaws of the Women’s Health Initiative
5. Many statistical flaws: http://goo.gl/q6qik

26. Estrogen does NOT cause cancer

28. No HRT Education
• “My doctor says estrogen causes cancer”
• “My OB-Gyn said I should take the lowest dose possible to treat the
symptoms”
• “My doctor said I should get a hysterectomy if I don’t like my
horrible periods”
• “My doctor said low dose HRT is better”
• “My doctor said take the lowest possible dose for the shortest
possible time”
Don’t be afraid to ask your doctor where they received their HRT fellowship

29. How Functional Menopause Medicine
Balances Hormones
• What are the hormone levels?
• What are the symptoms?
• What does the blood work indicate?
• What is the patient eating?
• How is the patient sleeping?
• What activities does the patient have?
• What stress is the patient under?

30. Functional Menopause Medicine
The Panacea Protocol:
Bioidentical Cyclic Dosed Hormone Restoration

31. If you are interested in learning more, or if
your doctor is interested in being trained in
The Panacea Protocol: Bioidentical Cyclic
Dosed Hormone Restoration Systems™,
please email info@PanaceaSciences.com

32. Upcoming Shows
2/12/2014
Fat Skinny Girl
2/13/2014
Banana Boobs
2/14/2014
Sex, Lies, & Libido (Guest: James Nagel, MD)
2/17/2014
Blood, Saliva, & Urine
2/18/2014
Meno-Pube
2/19/2014
You Old Bag
2/20/2014
Don't Touch Me

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35. The following slides are recommended
pharmaceutical grade supplements and
access codes.

36. Xymogen eStore
Access Code: Moxie
Practitioner Code: Hoag

37. Estro Harmony™ is for women who want relief from menopausal hot
flashes and support for breast health. Research suggests the ingredients in
this formula can also benefit cardiovascular status and bone remodeling.
This all-natural formula delivers a proprietary blend of plant lignan extract
and 8-prenylnaringenin (8-PN) from hops, at clinically relevant levels, to
support the body’s natural process of healthy aromatase activity and exert
phytoestrogen (e.g., enterolactone) and antioxidant activity.

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formulated to provide nutritional targeted nourishment for women
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that support the adrenal glands’ adaptive response as well as
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also beneficially influence estrogen receptor function.

39. PMS Soothe™ is a comprehensive blend of Native
American and Chinese herbs traditionally used to provide
balance and support for a healthy menstrual cycle.

40. Hormone Protect™ is an ideal combination of DIM
(diindolylmethane) and SGS™ (glucoraphanin) that helps protect
estrogen-sensitive tissues by promoting healthy estrogen
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harmful estrogen metabolites and xenoestrogens.

41. ProbioMax DDS™ is a chewable probiotic designed to activate in the
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