Jeffrey Dach MD Bio-Identical Hormone Blog: Recent Comments

Comment on Why Natural Thyroid is Better than Synthetic by Jeffrey Dach MD

PAMI — 2010-09-01T20:30:11Z

Dear Dr Dach,

I love reading your email when it comes in.

I am on NT but have finally found out that I have Hashimoto. There is a theory out there that Hashi is the only exception to NT that one should compond equal T3/T4 synthetic cause our antibodies attack NT since it is so close to our own. Oh I would so much love to hear your opinion cause I am not sure what to do.
Tks PAMI
www.pami.us

Comment on Bioidentical Hormones and Medical GhostWriting by Jeffrey Dach MD

jo murphy — 2010-08-29T14:35:45Z

Ten or so years ago I went to my long-time ob/gyn at University of Pennsylvania for a checkup. I told him that I had started using bioidenticals from an anti-aging doctor. He went into a rage and verbally abused me, then made me sign a statement that I was using them against his advice. I, of course, never went back to him.

Comment on Wheatgrass, the Path to Health by Jeffrey Dach MD

Gerorge — 2010-08-24T14:00:14Z

thank you very much, this is a great in-depth resource on wheat grass. Many people still have no clue about this wonder plant which is so easy to grow and available everywhere. Wheat-grass use is very diverse and all it takes is a few minutes a day.

Comment on Vitamin B12 Deficiency by Jeffrey Dach MD

BR — 2010-08-20T00:08:37Z

Just wanted to say that I have just read your report on b12 deficiency symptoms and am amazed. I had had all of those symptoms for over a month before my physician checked for b12 and it was low (197 for their range of 211-945). I have started injections once per month and am curious, assuming the b12 deficiency is my only ailment, what is the average recovery time for fasciculations, cramps, etc. to begin to subside? I was considered a heavy drinker at the time so I believe that inhibited/eliminated by b12 absorption, do you agree? Thank you for what you do, we are all very grateful.

Regards, BR
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Comment on Bioidentical Hormones and Medical GhostWriting by Jeffrey Dach MD

Diana — 2010-08-19T13:19:40Z

Hi Dr Dach,

Thanks for your response. Is it safe to continue using Naturone progesterone cream as long as my daughter and i want to. Could it cause any harm?

Regards
Diana
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Comment on Bioidentical Hormones and Medical GhostWriting by Jeffrey Dach MD

Catherine Rollins — 2010-08-18T20:14:32Z

Dr Dach,

Progesterone does NOT cause an increase in the levels of other steroid hormones.
The body does use endogenous (made in the body) progesterone to create other hormones, but this does not occur with exogenous progesterone (made outside the body) is applied as a cream.

This is probably because progesterone cream is carried directly through the fat layer in your skin and into the bloodstream, while the conversion of progesterone made in the body into other hormones takes place directly in the ovaries and adrenal glands. This has been extensively tested by Dr David Zava of ZRT Labs using saliva hormone testing. However, the use of progesterone replacement therapy in someone who is deficient will keep estrogen receptors working efficiently, and it will improve thyroid function.

Catherine P. Rollins
Founder & CEO
Natural-Progesterone-Advisory-Network.com
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Thanks for the info
Here is another chart showing steroidal pathways

regards from jeffrey dach md disclaimer

Comment on Bioidentical Hormones and Medical GhostWriting by Jeffrey Dach MD

Diana from Capetown — 2010-08-18T12:23:04Z

Dear Dr Dach,

Thanks for an incredibly clear and informative website. After reading Dr John R Lee's book What your doctor may not tell you about menopause my daughter and I are now taking Naturone a bio identical progesterone cream put together by a compounding pharmacist here in South Africa

(There are 2000 mg of progesterone powder put into the 50ml jar of cream making it a 4% cream. ONE ml of cream there are 40 mg of progesterone. )If you would like see website www.naturone.co.za and www.naturone.com.

My daughter suffered from endometriosis (this was removed surgically over 5 years ago) I believe it has now returned - extremely painful periods. After one month on Naturone she is virtually pain free. I am on the cream too to avoid possible osteoporosis. I have lost my previous foggy thinking too.

You advocate bio identical estrogen therapy. Doesnt the body make the estrogen it needs from progesterone? Please could you help my confusion.

Should we continue with the Naturone cream?

thank you again and regards,
Diana from Capetown
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Hi Diana,

Progesterone can activate estrogen receptors and therfore increase an "estrogen effect".
Progesterone can be converted to 17 hydroxy progresterone and then androstendione which can then be converted to estrogen. See steroidal sythesis pathways. Testosterone can be converted to estrogen by the Aromatase enzyme in the liver.

The conversion rates are variable and under genetic and metabolic controls.

Regards, from dr dach www.drdach.com disclaimer

Comment on Get Off SSRI Drugs and Overcome Depression Naturally by Jeffrey Dach MD

GF — 2010-08-14T23:48:26Z

How effective is fosamax in treatment of osteopenia ?

I was prescribed 70mg. of Fosamax back in 2003 by a gyn and have been taking it weekly since.

I am 56 years of age and in excellent health I take no other medications, exercise regularly and practice sound nutrition.I am postmenopausal since March 2004.

In order to be more proactive in my health care would I be a good candidate for bioidentical hormone replacement in lieu of taking Fosamax for increasing bone density- from what I've read to be on Fosamax for a long time may not beneficial, however my primary doctor cautioned me to continue with the Fosamax if I'm not taking hormones.

Plus, this same doctor cautioned me in regards to bioidenticals. What to do? By the way Natural Medicine 101 is an excellent book. Any suggestions would be appreciated.
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Comment on Vitamin B12 Deficiency by Jeffrey Dach MD

GM from MA — 2010-08-13T09:07:22Z

Dr. Dach,

I read your site on b12 deficiency and I have some questions. Last fall I had a sudden onset of severe leg pain down the back of both of my legs and some in the front and in my knees. I was diagnosed with bilateral sciatica or piriformis syndrome. I tried everything but nothing helped that much. The pain has been debilitating and I have not worked for 10 months. I cannot sit very long as the pain in the back of my legs gets worse with pressure. I wonder if this is b12 since I have been a vegan for 25 years and I have only intermittently supplemented with B12 and only the vitamin shoppe brand. I also had an ulcer years ago so I have taken a lot of zantac and prilosec over the years - more regularly in the past and on an as-needed basis now. I was diagnosed by an alternative doctor as having a T3-T4 conversion problem about 6 years ago and I take 50mcg of levothyroxine a day. I started taking methylB12 5000 1x a day sublingual a few months ago and recently upped it to 2x a day and things do seem to be getting better but they are still not resolved and I'm still not working as sitting for long periods of time on a hard surface especially is very painful. I have a god day here and there now but still very bad days (like today). Do you think this is b12 and it just came on very quickly or do you think my tiredness and being constantly sick for the past 10 years is related to all this? I never had pain, just general malaise and lack of motivation - which is not typical for me. I used to be quite outgoing and over the past 10 years I have turned into a social hermit. I was originally diagnosed with the hypothyroid because I complained of tingling hands and feet but that was a long time ago and once I started the levothyroxine it did subside except during my menstural cycle when i would feel it again but it was not painful at all. This event last fall has left me dumbfounded and frightened and very depressed that I will never have a life again. I am taking b12 so I'm not sure if this is it or not as it seems strange that I don't just feel great now.

thank you GM
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Comment on Get Off SSRI Drugs and Overcome Depression Naturally by Jeffrey Dach MD

Clay Guyer — 2010-08-11T18:49:40Z

Great posting

thank you.

I think any awareness about the process of recovery from drug or alcohol addiction is beneficial.

I work for a young adult specific addiction recovery program in Orem, Utah.

We handle many clients dealing with depression at the same time as substance abuse.

Clay
New Roads Treatment Centers
www.newroadstreatment.com
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