Dr. Rachel Rubin

And I don't know if you find this, but their estradiol level is essentially zero. It's less than five. And I'm saying, listen, I think you're just using fancy lotion. I think you're paying a lot of money to put nice lotion on you. And I don't know that it's protecting your bones.

And I don't know if you find this, but their estradiol level is essentially zero. It's less than five. And I'm saying, listen, I think you're just using fancy lotion. I think you're paying a lot of money to put nice lotion on you. And I don't know that it's protecting your bones.

And if we're using this to protect your bones or to stop your hot flashes or to help with your sexual health, maybe we use the formulations that are a little bit better studied and that I know are absorbing in your body because I can prove it. And what's your take on that?

And if we're using this to protect your bones or to stop your hot flashes or to help with your sexual health, maybe we use the formulations that are a little bit better studied and that I know are absorbing in your body because I can prove it. And what's your take on that?

When I teach this, and I do a lot of teaching of physicians holding their hands saying, you can do this, you can write these prescriptions. And one of the things that I just keep coming back to is the sentence, what are you afraid of? And I love that because when someone says, well, can I do it in this patient? Well, what are you afraid of? Can I use this product? What are you afraid of?

When I teach this, and I do a lot of teaching of physicians holding their hands saying, you can do this, you can write these prescriptions. And one of the things that I just keep coming back to is the sentence, what are you afraid of? And I love that because when someone says, well, can I do it in this patient? Well, what are you afraid of? Can I use this product? What are you afraid of?

And it forces, I think in menopause medicine, the reason we're all struggling is is we're not yet at an algorithm or a playbook, as you say, that it's a one size fits all. What's so sexy about this field is we actually have to use our brains. We have to use our brains. We have to talk to people. We have to get to know what's bothering them.

And it forces, I think in menopause medicine, the reason we're all struggling is is we're not yet at an algorithm or a playbook, as you say, that it's a one size fits all. What's so sexy about this field is we actually have to use our brains. We have to use our brains. We have to talk to people. We have to get to know what's bothering them.

And we have to do the right tools for them, which may be different in each person. Because you have to also understand what are your patients afraid of? Because that is the only thing that matters. We take risks all the time. I took a risk taking a car to get here. We take risks. If you ever drink alcohol, you are taking a risk.

And we have to do the right tools for them, which may be different in each person. Because you have to also understand what are your patients afraid of? Because that is the only thing that matters. We take risks all the time. I took a risk taking a car to get here. We take risks. If you ever drink alcohol, you are taking a risk.

We all take these calculated risks and we all have different calculations. And so I love to push people of, well, if you were to use this, so patient comes in unbiased, is that safe? Well, what are you afraid of? Am I afraid I'm going to hurt this patient? I don't think I'm going to hurt them necessarily, but I don't know what's in that compound.

We all take these calculated risks and we all have different calculations. And so I love to push people of, well, if you were to use this, so patient comes in unbiased, is that safe? Well, what are you afraid of? Am I afraid I'm going to hurt this patient? I don't think I'm going to hurt them necessarily, but I don't know what's in that compound.

I don't know if the top of the bottle is the same as the bottom of the bottle. I don't know if it's good for her bones. I don't know if it's absorbing in the way that it should be, but I do have studies on FDA-approved estradiol. And then it becomes, what am I afraid of with the patients? Well, what are you afraid of about the estradiol? Are you afraid of cancer?

I don't know if the top of the bottle is the same as the bottom of the bottle. I don't know if it's good for her bones. I don't know if it's absorbing in the way that it should be, but I do have studies on FDA-approved estradiol. And then it becomes, what am I afraid of with the patients? Well, what are you afraid of about the estradiol? Are you afraid of cancer?

Because you know that in the Women's Health Initiative, people who used estrogen had a decreased risk of getting and dying from breast cancer. Our patients don't know this.

Because you know that in the Women's Health Initiative, people who used estrogen had a decreased risk of getting and dying from breast cancer. Our patients don't know this.

A little bit of nomenclature here. There is systemic estrogen. So when we're talking about hormone therapy, whether you call it hormone replacement therapy, the new way we talk about it is menopause hormone therapy, or if you want to just say hormone therapy is totally fine. We're talking about hormones for your whole body.

A little bit of nomenclature here. There is systemic estrogen. So when we're talking about hormone therapy, whether you call it hormone replacement therapy, the new way we talk about it is menopause hormone therapy, or if you want to just say hormone therapy is totally fine. We're talking about hormones for your whole body.

Estrogen for your hot flashes, for your bone protection, for your skin, hair, and nails, that's estrogen. That's systemic estrogen. But there's this whole other topic, which I hope we talk about later because it's my favorite one, which is local vaginal hormones, which are to treat the genital and urinary symptoms of menopause. And those are pretty much safe. No, I'm going to say it.

Estrogen for your hot flashes, for your bone protection, for your skin, hair, and nails, that's estrogen. That's systemic estrogen. But there's this whole other topic, which I hope we talk about later because it's my favorite one, which is local vaginal hormones, which are to treat the genital and urinary symptoms of menopause. And those are pretty much safe. No, I'm going to say it.