Menopause :: Hormone Therapy Weight Gain Temporary? Bioidentical Estrogen (estriol)


Dec 13, 2014

My ND recently put me on bio-identical estrogen (estriol) cream and progesterone capsules because I have severe chronic insomnia.

My sleeping has improved a bit, but I immediately gained about 15 pounds (I mean, within a couple of weeks) and I can't get it to budge. Most of it is on my chest and back, which is truly awful, since I have a tiny frame and was busty to begin with.

I keep reading about how the weight gain is temporary, but it's been three months now, and nothing has changed. I eat a low carb diet anyway, and I've always been on the slender side. As I just retired, I'm not in a position to just accept it and buy a whole new wardrobe.

Is this really temporary?

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I honestly did not realize for many years how helpful it was with these symptoms. Of course, for me, these symptoms didn’t really manifest themselves to any significant degree until I reached actual menopause. Once we reach menopause (12 consecutive months without a menstrual cycle), our estrogen production in our body has decreased significantly. Hence, vaginal dryness, brain fog, short-term memory issues, and oh, the insomnia!

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I have read that bio-identical hormone replacement therapy is safer than the standard DRT which is derived from the urine of pregnant horses.

However people interested in this therapy need to be aware that they must still take a version manufactured by a trusted pharmaceutical firm. Apparently there is something going the rounds now where the so-called bio-identical hormones are compounded in a pharmacy.  This could be extremely risky, worse than standard HRT.  I don't know what countries might be affected, the warning I read was in newsletter originating in the US, so hopefully it isn't even something most of us need to worry about, but thought I should bring up the topic as it has been mentioned a few times lately by those of us interested in finding safe ways to improve our bone density.

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Prostate Cancer :: Unexpected Weight Loss During Hormone Therapy

My 65 yr old brother was diagnosed with PC last December and has been receiving hormone therapy injections since then.

He recently commented that he’d lost about a stone in weight since January and I started worrying.  Since doing some research on the net, I’m still worried as I can only find weight gain mentioned  as a common side effect of this therapy. 

The only mention of weight loss is in connection with other symptoms such as loss of appetite due to sickness, bone pain etc in more advanced cancer.  So far he hasn’t had any of those and his only symptoms, apart from a few hot flushes, are an increased need to pee and taking longer to do so.  He hasn’t been on a strict diet and, although he’s been more careful in what he eats for several years, he hasn’t been able to shift much weight until now.  He still has a healthy appetite.

I don’t know whether we’re worrying unnecessarily or whether he should have a word with the doctor.    

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I have had PMR since last March, I have been on Bio-identical Hormones

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Surgical Menopause After Hysterectomy :: Bioidentical HRT?

I am three weeks post op from a subtotal hysterectomy, removal of both ovaries and removal of a giant ovarian cyst. The cyst was enormous , over 30 cms/11pints, and I was told before my op I would need HRT, but couldn't start until the histology results were back for the cyst. I have now had confirmation that all was benign so need to make some decisions about managing this surgical menopause. I am aware that being thrown into menopause due to ovary removal means I can expect severe symptoms, but so far I have only experienced night sweats. That said early days.

I would like some advice on HRT. I have read about bioidentucal HRT, but don't know if it is just hype. There are also gels, creams, implants, tablets, oestrogen only or combined HRT. I just need to hear what has worked for others. I have no family history of cancer, but I do of heart disease. I myself am healthy but I am about five stone overweight. I would like to protect myself against osteoporosis, that is my main priority I think. I am 47 and had not started the menopause before my op. Any anecdotal advice much appreciated.

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 Here are my own observations at week five into LH hormone therapy.

> After a faltering start I settled into three or so mild hot flushes a day with some at night.

> The worst part for me is that shortly after the onset of a flush my memory is impaired and logical thought becomes confused. I could live with the fuzzy feeling in my head if that was all. This impairment lasts about one hour after the flush subsides. So I cannot do much sensible work or play the piano without making a hash of it and frequently forgetting how to continue the piece I am playing.

> I have found the advice to keep cool helpful. So I wear lighter clothes than formerly and try to keep a feeling of being slightly cold. I don't like that but it is better than a flush.

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> I found that stress, warming exercise excluded, frequently brings on a flush. 

DISCOVERY or just something I had missed.

> I have found that if during a flush if I do some exercise that I know from experience will be enough to warm me, when I stop I cool down normally and so cut short the flush. (I must cool down. If I stay warm the flush takes off again within a few minutes.) My flushes normally last about 90 minutes. For me the effective exercising is

>> six  times rapidly up and down stairs.

>> five minutes brisk walking

> If I do this exercising within about 60 seconds of the start of the flush I avoid the memory and logic problems. (Any delay and the problems last the usual hour after the end of the exercising / flush. )

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Are hormone replacement therapy doctors are doing the job of an endocrinologist, or is it the same, or is there an advantage of one or the other?

Since year 2000, at the age of 50, doctors and blood tests I have told me I have low testosterone?

(at the time I went to an Internal Medicine doctor for low energy and exhaustion and he said testosterone was below 200)
I am looking into finding a doctor that will prescribe something more effective than a 150 mg testosterone cypionate injection 1 x each 2 weeks, that I get from a conservative family MD.

I recently looked into getting help through the Internet for hormone replacement therapy.

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Does anyone have good solid advise, not strongly influenced by money profit?

I have read some about the side effects, however, can anyone advise me or comment on any of the following medicines recommended for me by the online HRT clinic doctor?

Here is the list:

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I have not found any negative feedback on this Clinic, as I have with some others.

At this time, unless something else comes up, I am going to get an appointment with an Endocrinologist.

However, my concern is that doctors will not prescribe medicines and doses of medicines, (medicines that will work for me) that are not approved by the FDA and that are not covered by insurance companies.

Now, I feel exploited by the online HRT MD's, because of the costs, and cut short by regular MD's, because of the FDA laws and the insurance companies.

My other position is (the position some are counting on) to pay whatever it takes to feel better, and I will if I cannot find another solution. I want to increase the quality of life for myself and others, without anymore physical suffering/mistakes, and without anymore financial suffering/mistakes.

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