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In essence, they were miserable and didn’t know why.In both cases, they consulted their regular physicians who diagnosed depression or early menopause and prescribed pills.You will also discuss a delivery method as BHRT is generally applied topically in a cream, in a troche that dissolves under the tongue, or a suppository.The compounding pharmacists also often plays a consulting role with patients, monitoring their symptoms and working with the physician to “tweak” the prescription to just the right levels, explained Barbara Dembsky, owner/pharmacists with Custom Care Rx in Bend.Walker left with a prescription for bioidentical hormone replacement therapy that has evolved over the last year to match every symptom with the right level of hormone.“Now I feel much better overall on every level,” said Walker.For women, important groups that influence how we feel are estrogen, progesterone and testosterone.

After suffering a variety of symptoms for years, she finally questioned the depression diagnosis and had her hormone levels checked. Walker had a similar experience, even though it has taken about a year to get her hormone levels to the point where “I feel myself again,” she said.

Finally, she has a conversation about short- and long-term risks and benefits.“I encourage women to look at life right now—what is critical to be addressed to make them feel better—but also to look at the future,” she said.

“BHRT is preventative for many diseases like heart disease and memory loss, but people have concerns about risks as well even though there have been no studies to date that show a link between BHRT and cancers or heart attacks.”Treatment Options If BHRT is right for you, you will likely be referred with a prescription to a compounding pharmacy, which specializes in combining components for individual needs versus a dispensing pharmacy which doles out medications manufactured in an industrial setting.

“Women are educating themselves more about health issues and have more awareness of their own bodies,” he said.

“They are more willing to deal proactively with things and questioning traditional approaches to hormone replacement therapy.”Rosen encourages people to do their research, talk to physicians in detail about symptoms and concerns. “Different practitioners offer different information and alternatives,” he said. “Many of us know intuitively when something is wrong, even if it can only be talked about in terms of how we feel,” she said.

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