You CANNOT practice medicine without a license!!
Suzanne Somers is at it yet again, touting something that does not have the proper data from clinical trials to back it up. What's more, she isn't certified to do anything, and yet she, by using interviews with some doctors, takes it upon herself to make clinical recommendations to women who prefer not to use Wyeth's class of hormone drugs, Premarin and Prempro. Most of the trials on HRT have indeed involved Premarin and Prempro, and the results have been disappointing, even alarming. Prempro failed to prevent heart attacks in women who'd already had them and it increased the risks of heart attack, stroke, breast cancer, and dementia in healthy women. Premarin also failed to prevent heart disease in healthy women and it too increased the risks of stroke and dementia/mild cognitive impairment. Clearly, these drugs aren't the anti-aging elixirs they were once believed to be. However, many feel that HRT, as a concept, is still correct and that women need extra hormones after menopause to guarantee health and wellness into old age. So they have turned to bioidenticals. However, the very oldest observational data supporting HRT's benefits utilized Premarin, so the current belief that bioidenticals are better doesn't even have observational data to back it up. One thing needs to be made clear: just because something 'seems' better doesn't mean it is. Bioidentical estrogen, whether in pill or patch form, has already proved disappointing in some trials, most particularly, it increased the risk of fatal stroke in women who'd already had one and in the Papworth trial, it showed an early trend toward more heart attacks and blood clots in women with established coronary heart disease. Also, a woman's personal risk for breast cancer is due largely to her own hormonal profile the longer the duration of estrogen exposure, the higher the risk. And you certainly don't get much more 'bioidentical' than ovarian estrogen. Also, this idea that the ovaries don't serve a postmenopausal women is fallacious - the ovaries do continue to produce small amounts of testosterone and androstenedione, which the body, through the aromatase enzyme, converts to estrogen, giving women roughly 10%-15% of their former estrogen level. Menopause is NOT a disease and estrogen LOSS does not cause diseases to the contrary, there is a lot of reliable data showing that excessively high levels of estrogen throughout life are bad for your health. Obesity, which correlates with high estrogen and androgen, is a prominent risk factor for heart disease, stroke, diabetes, colon and reproductive cancers, and probably dementia. And while hysterectomy with ovary removal is probably a whole different ballgame in terms of women's health, there is no good reason to take hormones for more than a few years to deal with symptoms. Estrogen is estrogen and there probably isn't much difference between 'brands'. The hormone is not a cosmeceutical and has not been proven to combat the aging of skin or thinning hair. While we do have freedom of speech in this country, Suzanne Somers is completely out of line to be espousing non-synthetic estrogens because 1. she is not a doctor and 2. there is just no reliable data from longterm, prospective randomized trials to prove that they are safe and efficacious. Some believe she is a pioneer I think she's being reckless and irresponsible.
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