Summary of Hormone Replacement Therapy in the Aging Patient.

Is Bioidentical Hormone Replacement Therapy one of the biggest keys to keeping our large aging population healthy?

In a recent meta-analysis of 174 published research studies in Clinics in Geriatric Medicine, the consensus upon review of those 174 studies alone was that “replacing depleted hormone levels, that deplete naturally through the aging process, is the key to living a longer, higher quality life.”

The study endeavors to clear up some misconceptions and confusion in this area of synthetic hormones vs bioidentical hormones that is prevalent in our current standard of care. According to Schwartz and Holtorf, “By the year 2025, there will be 1.1 billion women older than the age of 50 in the world. The magnitude and significance of this number must be addressed from the perspective of the primary care practitioner who is now faced with an exploding number of aging women seeking to maintain, and even improve, their health. In these authors’ opinions, women who are menopausal and postmenopausal should no longer accept a pat on the back and an antidepressant as a best therapy for postmenopausal symptoms often caused by aging and its attendant loss of hormones. We as physicians need to expand our knowledge and expertise to be able to provide aging women with safe and effective approaches to aging-to provide then with sound information to help them make the best decisions for their individual situation.”

The study continues with the following perspective: “With the transition of the baby boomers into the geriatric population, a significant movement away from the disease-centric model and toward PREVENTION AND WELLNESS maintenance and enhancement is taking place. The scientific literature suggests that hormone supplementation with estrogen, progesterone testosterone, growth hormone, and thyroid hormone has the potential to improve the quality of life and to prevent, or reverse, the many symptoms and conditions associated with aging, including fatigue, depression, weight gain, frailty, osteoporosis, loss of libido and heart disease. When attempting to find the ideal balance for the individual patient, physicians should be concerned not only with improving their patients’ life spans, but also their HEALTH SPANS-the duration of time a person experiences a high-quality, vigorous, and enjoyable life.”

“In summary, based on the literature reviewed and the state of the evidence in our clinical experiences that span decades and includes tens of thousands of women the authors believe that aging women should not be deprived of hormone therapies. Many studies and practical clinical experience demonstrate on an ongoing basis the safety and efficacy of bioidentical hormones (the HHC believes these should be personalized and customized physiological dosing based on the individual needs of each woman) for improved well-being, elimination of symptoms of menopause and even prevention of chronic conditions such as osteoporosis, hyperlipidemia, clotting disorders and atherosclerosis. We also recommend the individual physician become well versed in the scientific literature presented in this article and work with each patient individually to provide her with the best possible care.”

Article title: Hormone Replacement Therapy in the Geriatric Patient: Current State of the Evidence and Questions for the Future. Estrogen, Progesterone, Testosterone, and Thyroid Hormone Augmentation in Geriatric Clinical Practice: Part 1

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