The Next Time You Go To Your Doctor and Discuss Hormone Therapy…

The next time you go to your doctor and during the course of the visit you talk about hormone replacement (and trust me, there WILL be a time when you DO talk about this!) I would definitely first get his/her opinion of customized BHRT (bioidentical hormone replacement therapy). If they have any of the following responses:

-“You know that isn’t approved by the FDA” (everything we make in our compounding lab IS FDA-approved, but because we don’t dose for the masses, but instead customize for just ONE, WE are under the strict regulation of the Ohio State Board of Pharmacy)
-“It is very expensive.” (false. we, too, bill insurance companies for our monthly Rx)
-They hand you a paper of “talking points” about bioidenticals (usually with the FDA stamped somewhere on there and stating that “bioidentical” is a marketing term….which it is not. It is a medical term), please ask your doctor for a clinical study supporting what philosophy THEY subscribe to. If it is an “FDA-approved one”, I can guarantee, they won’t have any studies. The studies that have been done on the synthetic drugs masking as hormones have studies that show they have serious health risks (cancer, stroke, blood clots) associated with them. WE ACTUALLY HAVE CLINICAL STUDIES AND CAN PROVIDE THEM ON THE SPOT. (google Fornier and the Cohort study)
-they tell you that hormones, especially estrogen, will cause breast cancer (the FDA-approved Premarin-horse pee- might, but topical estrogen that is prescribed after checking existing levels and uses physiological dosing that is balanced with progesterone does NOT cause breast cancer.) As a side note, oral estrogen of any kind can raise the risk of blood clots. We never recommend oral estrogen-either bioidentical or synthetic.
-want to prescribe you an anti-depressant as your first line of defense against depleting hormone levels after the age of 35, when in actuality, if they would just check your progesterone levels (preferably using saliva), we could actually replace those with progesterone and thus prevent the issues that come with depleted levels: sleeplessness, depression and anxiety….then I would seriously consider finding another doctor!
I am hard-pressed to find even a handful of women who are not on an antidepressant.
Look around you. Start asking your friends, neighbors, relatives, anyone. It boggles the mind the number of women in their 30’s, especially their 40’s and beyond, who go to their trusted health professional with symptoms of a hormone imbalance (sleeplessness, depression, anxiety) and they leave the office with a prescription for an antidepressant. No one is checking hormone levels. No one is questioning the current standard of care in our country that is dictated by big-pharma.
Why is this? It is no longer OK to go to your doctor and accept his word as law and not question him. Ask for studies. Push for answers. The good doctor, the one who really is FOR women, will listen and recommend books you can read; (Natural Hormone Balance by Dr. Uzzi Reiss;  the Wisdom Of Menopause by Dr. Christine Northrup); and will even develop a strategy with you for hormone replacement. Hopefully, it won’t involve the synthetic drugs masking as hormones that are FDA-approved: Premarin, Prempro and Provera. The bottom line is that YOU have to do your homework and become educated. That way YOU will be in charge of YOUR journey. Maybe this will keep you OFF an antidepressant for a hormone imbalance! It might even get you progesterone to help you sleep again, get rid of your depression, decrease your anxiety AND balance your estrogen dominance to prevent breast cancer! Who knew?

I don’t care what the numbers say I KNOW how I feel !!!

I just received this e-mail from a friend about her recent interaction with her doctor: “When he asked if I had concerns I told him I was going to the cottage his face got red and he laughed.  He said my labs didn’t indicate I was premenopausal.  BUT, he didn’t offer any other solutions or address my concerns in ANY way.  I am SO frustrated with that attitude.  I don’t care what the numbers say I KNOW how I feel.  Thanks again for helping me get better !  Most of all for understanding and listening to us ALL !”

YOU GO, GIRL!! You are exactly right. Until we women stand up for ourselves to our current non-validating practitioners, we will never be treated any differently. Just because natural hormone replacement therapy isn’t taught in medical school, does NOT make it a non-option. Especially because we are out of the big pharma network does not make us a wrong option. WE are ALL about women’s health and we have your back because quite frankly, no one else does. Isn’t it interesting that he determined you can’t possibly be having hormone issues because your blood levels indicate that. IF he would have used saliva testing, he could have seen your hormone levels at the tissue level of cells where it really matters. Of course that isn’t taught in medical school either. Heaven forbid he also check cortisol levels (only found in saliva-not blood) for adrenal heath AND the T3 in thyroid. Even endocrinologists don’t check T3 levels. Why? It wasn’t taught in medical school. I bet if a drug company came up with a drug to fix T3, it would be taught in the medical community tomorrow!
And let’s talk about bone health, shall we? If I hear one more woman say that she had a dexascan and discovered her bone density is in the osteopenia range (next step-osteoporosis) so her doctor told her to take calcium AND SHE BELIEVES him, I might just slap her! Seriously! The only way to build new bone is to signal the osteoblasts in the bone to make more. Guess what does that?? Customized Natural Homones! We check your current hormone levels and, if your testosterone levels are below range, we recommend testosoterone. NOT those drug coompany drugs currently on the market that actually interrupt the bone-building process. And guess what?? Just taking calcium will NOT build new bone. How stupid are we to believe that? we have to ask why our bones lose density in the first place as we get older? What is different? Is our diet different? Are we suddenly drinking less milk to lose bone mass? And why isn’t drinking more milk fixing the issue? The same reason taking calcium supplements isn’t. One loses hormones through the aging process, so replacing those hormones with natural hormone therapy is the answer.
Until WE stop taking our doctors’ word as law and start thinking for ourselves, things won’t change. YOU are exactly right! YOU know how YOU feel and YOU know there are answers for YOU. YOU are in charge of YOUR journey. Congratulations to YOU for stepping up to the plate and being an advocate for YOUR body. Thank you for your trust in us at the Happy Hormone Cottage and our Piqua Medicine Shoppe. We have your back and I promise you, you WILL feel better.


I have never been one to blog unless I felt I had something significant to say. Boy, do I have something to say now! You will never believe what happened today! We had a client come through our cottage a few weeks ago for her free consultation. We listened to her and together, developed a strategy to deal with her hormone imbalance. In essence she was on board to “get tested, get treated and get better.” At least that was our game plan! Unfortunately, when we got her lab results back and sent our recommendation for her hormone balance to her practitioner to sign off on it, and fax it back so we could make her customized therapy, there was a glitch! This client went to a practitioner who we advise against because she is non-supportive of customized therapy. She would rather slap an estrogen patch on you or presribe a one-size-fits-most progesterone capsule based on your symptoms and be done with it. We strongly, passionately disagree! We feel women deserve to be respected enough to actually check their hormone levels. How is this difficult or even controversial?? Don’t doctors check every other level known to man (and woman)?? Again I beg the answer to “WHY NOT HORMONE LEVELS?”
Why NOT check hormone levels and then plan a strategy for restoring hormone balance via natural options? Why not just customize the therapy for that client?? How hard can this be really?? You guessed it! This practitioner talked our client out of customized hormone therapy that we recommended based on HER body’s levels, and instead prescribed the commercially available prometrium capsule. Although both are bioidentical progesterone, we get far greater success with our compounded progesterone cream because we can make necessary dosage adjustments during the process of balancing your hormones. From our point of view, using progesterone cream is a superior way to treat progesterone deficiency. Being able to adjust therapy is the key to success. I fully expect to hear from this client in the future when she isn’t experiencing the success she was promised. And we have no options to adjust her dosage when she is taking prometrium capsules. OUR focus is helping women get better with strategies that are customized for them.
In this case, this client loses.

Are You Serious? Really??

You know I love meeting with and talking with “my women” who come to the cottage. I really like meeting with them at the end of the process and getting them started on their customized natural hormone replacement therapy. This is after they have already met with their (or one of ours)practitioner, so s/he can sign off on our recommendation for their hormone balance. I swear my life would be SO easy if I didn’t have to keep fighting with practitioners! I am so blessed to have the ones working with me that we have. They are wonderful people who truly respect and validate women-especially in this area of hormone balance-and they believe in what we are doing. They know that we have science on our side. It’s the doctors who don’t want anything to with anything that requires them to think outside the box and maybe, just maybe, approve of something that isn’t FDA-approved that is the most frustrating. You know that the FDA approves manufactured drugs.(drugs for the one-size-fits-all mentality) By the nature of our business, which is compounding, it is a customized dosage made specifically for an individual. So the FDA can’t approve it; it is not manufactured. So when a doctor tells their patients that they don’t like compounded therapy because it is not FDA approved, that isn’t really an argument. Compounding is NOT manufacturing for the masses; it is making a specific dosage with a specific delivery system for a single individual. So that argument doesn’t have any merit. So when THAT argument becomes a moot point, my new personal favorite is what I heard from one of my clients on Friday. She said that when she went to her doctor, (female ob-gyn)and said she wanted to work with the Happy Hormone Cottage and the Piqua Medicine Shoppe and Compounding Pharmacy, the dr said, “Oh, that compounding! It really is BS, you know!!” Really? Seriously? I wonder if she would like to tell this to the Hospice patients for whom we compound transdermal therapy all the time to help ease their pain, because they can no longer swallow (or make the delivery system sublingual, etc.)or the pet owner whose beloved pet needs a customized therapy to save its life, and their only hope is a compounding pharmacy. Or the cancer patient who is so ill, s/he can’t tolerate the FDA-approved manufactured drugs that are available. I like to think that compounding pharmacies are the pharmacies for the people. After all, compounding has been around for centuries. Drug companies have only been around for a few decades. Compounding is problem-solving for the patient. Drug companies are motivated by money. Big difference. So the next time your practitioner wants to put down compounding as a bunch of BS, I would highly recommend you find another practitioner; one who will listen, respect and validate you enough to think outside the box, and work as a team with us: the happy hormone cottage and our compounding pharmacy. Because our passion and goal is to make you feel better by getting at the root cause of your issues…..NOT just drugging you to make you feel better by prescribing a one-size-fits-most FDA approved drug. We need to challenge the accepted belief among some of our practitioners today, and that challenge starts with YOU. When YOU begin to stand up for YOUR beliefs and YOU REFUSE to be emotionally bullied by a doctor who refuses to listen to YOU, then change will begin to happen. It begins with YOU.

a sense of betrayal

I had an experience today that has really left me feeling betrayed. You know we work with doctors all over the Dayton area. There are some good ones out there who really do respect and validate women, who are truly interested in their health and work with us to find the cause of their hormone imbalance issues instead of band-aiding their issues with a drug. We thought we had found a good doctor in Cincinnati to work with us. He is a D.O. and seemed very genuine. Our clients we sent to him, for the most part, liked him and he signed off on our recommendation for their natural hormone therapy. Interestingly enough, we began to notice a pattern with this doctor. We would have a client who would go to our website; order a saliva kit; and fill out the online personal symptom sheet and medical history form on our website. The saliva test results would come back to me; I would call the client to get the name of her doctor; her insurance information AND I would tell her that we would make the recommendation for her hormone balance and fax it to this doctor. After she meets with him and he faxes back the signed prescription form to our compounding pharmacy, we will make an appointment to meet at the cottage for a free consultation. At this consultation, we will hand off the therapy, show her the dosage and the best delivery system for her, tell her what she can expect, answer her questions, and most importantly, tell her our commitment to staying connected. I am available 24/7 to answer any question and concern that arises AND furthermore, I call, email and check in with them often. You see, I am ALL about building relationships. I have a passion for helping women navigate the rough waters of hormone imbalances and I feel our great customer service can make the difference between success and failure on this journey. So what happened with this particular Cincinnati doctor today? I found out that when my clients go to him, he is sending them to the compounding pharmacy ACROSS THE STREET to make their therapy!!! Why?? Why would he take a client who we have already not only established a relationship with BUT have also gotten in her test results, written the recommendation for her hormone balance FOR him AND invested a lot of time and energy into? Why?? So here is the thing. Not only does that show a deep lack of integrity on his part, and a lack of professional courtesy….what it also means for the client is that I am no longer able to help them. He has effectively stopped any future contact. Because my compounding lab does NOT make her therapy, I have NO way of knowing what ingredients they use or what the quality of their ingredients might be or even what therapy they made for her. So I am not able to stay connected, help or counsel her! Imagine Pam’s surprise when she called me tonight because she is having an issue she needs help solving with her therapy and I told her I couldn’t help her because her doctor cut me out of the loop. She was upset!! It is like having that doctor deliver a baby and do all the work and then having the mother of that baby pay an entirely different doctor who had NO part in the delivery. Does this make any sense what-so-ever? To make matters worse, I have sent this doctor supplies, teaching aids, and
information to make his job easier in this field of natural hormone balance. I am upset for my clients, myself and our compounding pharmacy. (he is now off our website’s list of practitioners we work with. We all deserve better!)