The Perimenopause Trap: Why More Estrogen is Rarely the Answer
There is RARELY a need to start estrogen during perimenopause. Doing so results in adverse effects more often than not and I have seen far too many women stop hormone therapy completely because of an uninformed "menopause specialist" cluelessly creating an environment of estrogen excess.
Many practitioners, even self-proclaimed "menopause specialists", fail to understand the fundamental physiology of the perimenopausal transition. They operate under the false assumption that because a woman is experiencing hot flashes or night sweats, she must be estrogen deficient. In perimenopause, the reality is often the exact opposite.
Women's health matters. By understanding the physiology of perimenopause, we can save women from unnecessary suffering and keep them on a path to optimal health.
A Brief Blurb about Hormone Optimization
hormone optimization is about augmenting the levels that naturally decline with age to prevent the diseases associated with aging. We aren't just trying to make you feel good; we are using evidence-based medicine to protect your bones, brain, & heart.
Cognitive Dissonance: The Silent Barrier Preventing Optimal Patient Care
How can we improve the quality of care our patients receive if we are unwilling to acknowledge our cognitive dissonance and engage in educated discourse?
Misinformation is dangerous and it destroys trust in the medical system. I believe a significant amount of misinformation is unintentional, but that doesn't make it any less dangerous. Cognitive dissonance is the profound mental discomfort that arises when presented with evidence that directly contradicts one's deeply ingrained, established beliefs. This discomfort fuels confirmation bias, maintaining outdated dogma and often leading to the continuation of ineffective or potentially harmful treatments.
The challenge of Cognitive Dissonance is formidable, but surmountable. It requires professional humility, the willingness to acknowledge that what we once believed may no longer be true. Our duty is to provide transparent, coherent education, illuminating the profound difference between the old dogma and the new science. To truly progress and deliver optimal outcomes, we must embrace intellectual humility and let go of our cognitive dissonance. We must abandon this fast, comfortable thinking and confront the harsh reality of flawed historical teaching, enabling us to embrace the truth of the current science, regardless of how uncomfortable it makes us or our peers.
Progesterone's Role in Uterine Bleeding Control
Progesterone’s role in uterine bleeding control is a critically important area of discussion, and one that highlights a frequent point of confusion among patients and even some practitioners. Understanding the true relationship between progesterone and uterine bleeding is foundational to safe and effective hormone optimization, fostering optimal health within you and your patients.
Apolipoproteins: Key Drivers of Cardiovascular Health and Risk
Managing cardiovascular risk demands we look far beyond conventional cholesterol panels. The true drivers of atherosclerosis are the ApoB-containing particles, which I often refer to as the "bullets" that directly cause vascular injury. Today's article explores Apolipoproteins and how they are key drivers of cardiovascular health and risk.
Leaky Gut and Metabolic Health: Causes, Consequences, and Cures
The root cause of chronic insulin resistance and resulting conditions like visceral fat accumulation often begins in the gut. When the protective intestinal barrier fails, toxins like LPS flood the system, triggering chronic inflammation known as metabolic endotoxemia. Check out my latest article to learn more about the causes, consequences, and cures for leaky gut.
Hormones, Vision, and Ocular Protection
the interplay between hormones and vision is a topic of profound importance, yet it is often overlooked in conventional practice. It is a perfect example of how system-wide hormonal health underpins specific organ function, including the delicate structures of the eye and the visual processing centers of the brain.
Drawing from the research, we can dissect the relationship between hormones and vision into three primary areas: the protective role of specific hormones, the function of hormones as diagnostic indicators, and the management of visual symptoms related to hormone deficiencies and optimization therapies.
Response to the FDA's August 2025 statement on Desiccated Thyroid
The FDA posted a statement last week warning about the use of desiccated thyroid (DTE), making unsubstantiated claims about DTE and stating they have “concerns with the safety and effectiveness of the unapproved animal-derived thyroid medications”. I find the discussion surrounding desiccated thyroid both perpetually fascinating and, at times, profoundly frustrating due to persistent misconceptions. The evidence surrounding the use of desiccated thyroid is quite clear and this recent statement made by the FDA provides very strong evidence, in my opinion at least, that the FDA does not base its guidelines on evidence-based research.