Many patients, me included, get at least some of their bioidentical hormones from compounding pharmacies. I get my progesterone cream, my estriol cream (for vaginal atrophy) and my T3 capsules compounded. My estradiol and testosterone are purchased at my local big box store pharmacy. I inject both of those medications once weekly (for me, Sundays), and I have found that it is easier to keep my hormone levels optimal with the protocol I am on.
I know most of you are aware of the fiasco and many deaths from tainted injections made by the New England Compounding Center last fall. Clearly the ball was dropped in regard to oversight over this pharmacy, which was not acting as a compounding pharmacy, but as a manufacturer, thus stepping way over the lines of what they were supposed to be doing. It frightened (justifiably) many people, and I spent a couple months reassuring patients from a patient's point of view that this was an aberration, that this is NOT the way most compounding pharmacies do business. I have NEVER had a problem with any of the hormone creams I have taken, and I have used at least five different pharmacies over the course of the last 6 1/2 years.
There is much discussion in Congress right now about whether or not the FDA (Food and Drug Administration) should be given broader access to regulate compounding pharmacies, which now are under the control of state pharmaceutical boards. I will be the first to tell you I am not a fan of the FDA, I think they are in bed with Big Pharma and have done a great deal to harm our health care system. A couple of years ago, I read something in an article that really struck home "Remember that every drug recalled by the FDA has first been declared safe and effective by the FDA". That's important.
Do we need to make sure that another rogue "compounding pharmacy" doesn't get greedy and decide to make oodles of money by stepping over the line to become a drug manufacturer instead of a compounding pharmacy? Sure do. Does giving the FDA broad but ill defined power the answer? Read this article and an opposing opinion from USA Today to help you decide.
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Please note: this blog is for informational purposes only, it is not a substitute for professional medical advice. Please consult your doctor for any medical advice.
"Treat the disease, you win some, you lose some. Treat the patient, you always win."
~Patch Adams~
~Patch Adams~
Dr. John D. Carr
My Hormone Physician!
My personal hormone physician is Dr. John D. Carr, and he practices at Hormone Health and Aging, 35400 Bob Hope Drive Suite 108, Rancho Mirage, CA 92270. His office phone number is 760-548-0413. For more information, see his web site by clicking here. Be sure to check out his Facebook Page, and he has a series of short, informative video lectures on bioidentical hormones and related topics on You Tube. Dr. Carr is a member of the the American Academy of Anti-Aging Medicine and The Endocrine Society. Please note, that effective August 1, 2014, new patients will be placed on a waiting list and will be offered a spot in the practice on a first come, first served basis as slots in the practice become available.
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Check out the credentials of your hormone physician!
When you are doing research for a new doctor, here are two very important websites to check out:
The Federation of State Medical Boards
The link will take you to a listing each state's medical disciplinary board. It is important to make sure that the doctor you are considering has not had his/her license suspended or has otherwise been disciplined by the medical board in the state he/she practices.
American Board of Medical Specialties
This site has a page when you can plug in a doctor's name, state of residence and other information and you can find out if the doctor you are considering is board certified and in what medical specialty(ies).
The Federation of State Medical Boards
The link will take you to a listing each state's medical disciplinary board. It is important to make sure that the doctor you are considering has not had his/her license suspended or has otherwise been disciplined by the medical board in the state he/she practices.
American Board of Medical Specialties
This site has a page when you can plug in a doctor's name, state of residence and other information and you can find out if the doctor you are considering is board certified and in what medical specialty(ies).
Andrea's Bioidentical Hormone Replacement Therapy Journey
I began taking bioidentical hormone therapy in September 2006. I started with progesterone cream 3 times a day, and a small amount of testosterone cream every other day. The results were nothing short of astonishing! Within three days, my restless leg syndrome disappeared. Within two weeks, I was off five medications: antihistamine (cured severe seasonal allergies), acid reflux medication, sleeping medication (now I use Melatonin), blood pressure medication, and most importantly, the Ritalin/Concerta I took for Attention Deficit Disorder. I took longer to wean off the antidepressant I was taking as those meds must be gradually tapered off to minimize side effects. Besides the obvious health benefits of not poisoning my body with all the medications listed above, I honestly have more energy now than I did when I was 30, and I turned 52 in June 2010. My mind is much clearer, my focus much sharper, and my anxiety level has decreased dramatically. I now work out at our local YMCA 5-6 days per week, which has tremendously benefited the back, hip and pelvis problems I have from a car crash in 1992. Oh, yeah, did I mention I am down over 120 pounds from my high weight (and still working on it)! I began taking Bi/Est cream in April 2011. Until October 2010, my FSH (follicle stimulating hormone) and estradiol levels indicated that I did not need supplemental estrogen. Although I was not having any hot flashes, I began to notice over the winter of 2010-11 that I felt a little cognitively "off"---grasping for words occasionally, and not quite feeling on top of my game. The Bi/Est cream, like my other hormones, is compounded at the pharmacy and I take it transdermally, twice a day. July 2009 update: Three years ago when I had a DEXA (bone denisty test) the results showed that I had a mild case of osteopenia, which is the precursor to osteoporosis. I had a repeat scan done in June 2009---not only do I no longer have osteopenia, the bone density measurements in my hip, femur and spine show that I am COMFORTABLY in the normal range. I am very excited about that---and I attribute it to the bioidentical hormones, exercise, and supplements (including Vitamin D). I am also often asked why I take my hormones transdermally (using creams on my skin) rather than just pop a pill. By using creams, I am able to bypass the liver and the absorption rate for my hormones is faster. The creams are in no way an inconvenience, They come in a little dispenser jar and it took me less than a week to remember my three daily doses.
As a society, we overuse the phrase that something has "changed my life". In this case, it's not hype---I absolutely know that bioidentical hormone therapy has not only improved the quality of my life, but has literally saved my life. I am looking forward to living the second half of my life as a healthy, productive, hormonally balanced woman!
As a society, we overuse the phrase that something has "changed my life". In this case, it's not hype---I absolutely know that bioidentical hormone therapy has not only improved the quality of my life, but has literally saved my life. I am looking forward to living the second half of my life as a healthy, productive, hormonally balanced woman!
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