Gary Brecka

It's another thing to argue about in menopause.

That's not fair and that's also your fault.

It's not the creator's fault.

Yes, you're very right on that.

You're not only right on the bioidentical hormone part, but you're also right that we just don't take rifle shots at women's hormones anymore.

We used to try estrogen, then progesterone, then pregnenolone, then testosterone.

And hormone replacement therapy is called hormone replacement therapy for a reason.

I often ask the question, if you have two men, for example, one has a testosterone of 200, one has a testosterone of 800, now you wouldn't replace the testosterone at 800, but theoretically,

One has a testosterone of 800, one has a testosterone of 200, and you're going to replace their testosterone.

Who gets more testosterone?

The guy with 200 or the guy with 800?

And I ask that question for a reason because most people will say, well, definitely the guy with 200.

But hormone replacement therapy is exactly that.

It's hormone replacement therapy, meaning you are replacing the hormone.

So when you take it exogenously from outside of the body, you drive your endogenous production, your internal production,

down to zero or you drive it very low, which is why most male hormone therapy will include some kind of testicular signal so that the testicles don't stop producing hormone, things like human chorionic gonadotropin, cispeptin, gonadotropin, these things that actually tell the testicle not to stop producing testosterone, even though there's testosterone in the bloodstream.

So we know now with women that if you're going to replace the hormones, you replace the entire suite of hormones so that they stay in the same ratio.

But I think when women are thinking at whatever age, late 30s, early, mid, late 40s, which is usually when it starts, it used to be much later in the 50s, what signs told you, okay,

This is not right.

I know what science told me.