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The Rest of The Story

Follow Endocrinologist, Dr. Marina Johnson’s blog to keep up-to-date with the latest preventive medical research, experienced clinical commentary and other clarifications on today’s top male and female health issues!

How Long Can I Safely Stay On My Hormone Therapy?

Posted by: Marina Johnson, M.D. on 5/17/2012 | 0 Comments

How long can I safely stay on my hormone therapy?

I am frequently asked the question, "How long can I safely stay on my hormone therapy?" and I usually ask the woman, "How long do you want to continue to feel well?"

Tying Your Tubes: The Rest of The Story

Posted by: Marina Johnson, M.D. on 5/14/2012 | 0 Comments

The Truth About Tubal Ligation

The euphemistic term “tying your tubes,” actually means the tubes are surgically and permanently severed or scarred to prevent the passage of an egg. That is after all, the goal.

Progestins Reduce The Cardiac Benefits of Estrogen

Posted by: Marina Johnson, M.D. on 5/9/2012 | 0 Comments

Progestins Reduce The Cardiac Benefits of Estrogen

I had an acquaintance, Janet, who became newly menopausal and was exhibiting the typical symptoms. Her physician promptly started her on a daily combination pill containing synthetic estrogen and progestin. Within days of starting that therapy, she developed new onset chest pain sending her to the emergency room (ER).

Problem Periods - It’s Not Normal!

Posted by: Marina Johnson, M.D. on 5/3/2012 | 0 Comments

Problem Periods Are Not Normal

Symptoms of Menopause: Spinning Out of Control

Posted by: Marina Johnson, M.D. on 4/30/2012 | 0 Comments

Dr. Johnson describes symptoms of menopause

A very few lucky women sail through menopause with minimal symptoms. They have usually been very healthy prior to menopause. However, they are the exception. Most women will have at least some symptoms.

The Silent Connection Between Estrogen and Osteoporosis

Posted by: Marina Johnson, M.D. on 4/25/2012 | 0 Comments

Dr Marina Johnson Discusses Osteoporosis and Estrogen Deficiency

After menopause without the use of estrogen, a woman can lose up to 20% of her bone mass. This increases her risk for osteoporosis leading to loss of height, hip fractures, chronic pain, and disability. Of women who suffer hip fractures, 24 percent die of complications within a year of the injury.

Menstruation: A Story of Myth and Misinformation

Posted by: Marina Johnson, M.D. on 4/16/2012 | 0 Comments

Menstruation: A Story of Myth and Misinformation

The Endocrine Symphony

Posted by: Marina Johnson, M.D. on 4/10/2012 | 0 Comments

Dr. Johnson discusses the Endocrine Symphony

The body seeks to establish a state called homeostasis - a perfect balance. It is an elaborate bodily harmony not unlike that created by the instruments of a symphony orchestra. One player out of tune diminishes the performance of the entire orchestra. Like the symphony, the harmonic interplay of the endocrine glands and the hormones they produce creates the beauty and power of the concert.

Why Low Cholesterol is Not Always The Answer

Posted by: Marina Johnson, M.D. on 4/5/2012 | 0 Comments

Why Low Cholesterol Isn't Always the Answer

Cholesterol, which some people regard as something “bad”, is actually the basic building block for all the hormones...Care should be taken to not aggressively lower cholesterol to extremely low levels with cholesterol lowering drugs because it can cause marked disruption in production of these vital hormones.

Joan's Ordeal: What Drives a Physician?

Posted by: Marina Johnson, M.D. on 4/3/2012 | 0 Comments

Dr Marina Johnson discusses her patient Joan

There are a few patients seared into my memory bank who forever changed my attitude about menopause. I once was called to do an endocrine consultation on Joan, a patient in the psychiatric ICU.

Where Do We Stand Now?

Posted by: Marina Johnson, M.D. on 3/29/2012 | 0 Comments

Dr Marina Johnson discusses the superiority of pharmaceutical bioidentical hormones

Because the Endocrinologist is the definitive hormone specialist, it’s ideal to have bioidentical HRT prescribed and monitored by an Endocrinologist.

Is It Too Late For Me to Take Estrogen?

Posted by: Marina Johnson, M.D. on 3/27/2012 | 0 Comments

Dr. Marina Johnson answers the question: Is it too late for me to take estrogen?

I challenge my patients to become the outliers who defy the odds and do better than expected!

Why Is It Important To Measure Estrogen Blood Levels? Part 2 of 2

Posted by: Marina Johnson, M.D. on 3/22/2012 | 0 Comments

Why should your estrogen blood levels be measured?

Monitoring estradiol levels in thousands of women since 1986 has led me to develop more precise hormone regimens producing blood levels comparable to a low physiologic range. As noted earlier, monitoring blood levels is especially important with topical therapy. Most post- menopausal women who see me initially have NEVER had their estrogen level checked!

Why Is It Important To Measure Estrogen Blood Levels? Part 1 of 2

Posted by: Marina Johnson, M.D. on 3/21/2012 | 0 Comments


Many women who initially see me for menopause have never had their estradiol level checked. Their previous physician may have diagnosed menopause with an elevated FSH, but usually no further tests are done. I’d like to go through various reasons why I believe it is important to monitor estradiol levels.

Does Estrogen-Only HRT Decrease Breast Cancer Risk? Here's The Rest of The Story!

Posted by: Marina Johnson, M.D. on 3/19/2012 | 0 Comments

Estrogen-Only Hrt

A recent study in Lancet Oncology looking at data from the Women’s Health Initiative (WHI) reported that the use of estrogen (Premarin) alone was NOT associated with an increased risk of breast cancer and the use of estrogen-progestin (Prempro) increased the risk of breast cancer.
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    “Outliving Your Ovaries” is written by endocrinologist Dr. Marina Johnson, medical director of The Institute of Endocrinology and Preventive Medicine®. Dr. Johnson, a pharmacist and a physician, describes a wide body of research showing that pharmaceutical (not compounded) topical bioidentical hormones are safer than the most commonly prescribed hormones. In her book, she gives poignant, clinical stories from her 29 years of ongoing clinical experience during which she has managed over 100,000 female patient visits. These stories depict the tragic consequences of estrogen deficiency and the joy of transformation that occurs when a woman is made whole again. This Book helps a woman evaluate the risks and benefits of HRT in clear, easy-to-understand terms so she can better work with her own physician to determine what’s right for her.What is Dr. Johnson doing today? She's seeing patients!


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    The content of this website is for informational purposes only and is not intended to be a substitute for professional medical advice,diagnosis or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. This website may discuss nutritional products and protocols that have not been evaluated by the U.S. Food and Drug Administration. These products or the information contained on this website is not intended to diagnose, treat, cure or prevent any disease.