Estrogen – The Good, the Bad and the Ugly

Estrogen is an essential hormone that has over 400 actions on a woman’s body. It’s what defines a woman. It’s been in your body since you were born and increases greatly at the time of puberty. It’s easy to take it for granted when everything is working automatically. When a young woman’s menstrual periods become irregular, painful or accompanied by severe mood swings, anxiety, depression or acne, that’s an indication of a system that’s gone awry. Birth control periods or Depo-Provera are a bad, ugly way to treat these problems. When prescribed, they do little to correct the underlying problem. These signs and symptoms are the way the body communicates to you that it needs help. A better approach is to determine the root cause that’s driving the problem. [click to continue…]

How Long Can I Safely Stay On My Hormone Therapy?

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?” In all seriousness, there are no long-term studies that enable me to answer this question. Taking hormones less than five years seems to carry very little risk. However, the longer you take hormones the higher your risk.

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Is It Too Late For Me to Take Estrogen?

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

At the time of menopause, each woman has a window of opportunity during which she needs to make the important decision of whether to take hormones. As the estrogen levels fall, her body begins to go through degenerative changes that accelerate her risk of heart disease along with the other changes we have previously described. The sooner a woman starts HRT after menopause, the fewer degenerative changes she will experience. If a woman waits 10 years to start HRT, the heart protection from estrogen is greatly diminished. The same applies brain protection; once brain cells have been lost, it becomes difficult to retrieve normal function. However, for protecting bones, estrogen is effective even when started after age 75.

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

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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Many Factors Play a Role in Breast Cancer


There are many factors that play a role in a woman getting breast cancer. The body has an intrinsic, orderly process for dealing with early cancers. Understand that our bodies are constantly forming cancer cells that are quickly destroyed by our immune system. Cells in your body are in a constant state of flux and renewal and repair.  When a cell becomes “old” and needs to be recycled, that cell goes through a fascinating process called apoptosis or “cell death.” The cell virtually implodes and then the immune cells come in sweep up the debris and a brand-new cell is formed.

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What kind of Estrogen has the lowest incidence of Breast Cancer?

Topical Estrogen Has a Lower Risk of Breast Cancer – WHI (2002) showed that Prempro caused increased risk of breast cancer in women. At that time it was theorized that perhaps it was safe to take hormones for five years to relieve symptoms. In compelling NEW data published in 2009, WHI researchers showed in a randomized study of 17,000 women and from an ongoing observational study of 100,000 women starting Premarin/Prempro less than five years after menopause that those women had a greater risk of invasive breast cancer than women who started HT after five years. So in essence, there’s no justification for prescribing Premarin and Prempro even for short-term use when there’s a safer alternative!

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How do you want to spend the last 20 years of your life?

My mother was a simple woman who never worked outside of her home. However, she was fiercely independent and taught us important principles: honesty, integrity and always doing your best. Seeing how she died has inspired me to follow her lead.Before passing at age 84, she was living in her own home, caring for herself and her husband, taking daily walks, reading her favorite books and enjoying times with her friends. One day she suffered a massive stroke and three days later slipped away but only after each of her five children were at her bedside to see her go.If more people followed my mother’s example, the nursing homes wouldn’t be filled with people waiting to die and Medicare wouldn’t be running out of money.

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Compounded Hormones Efficacy and Safety? No Published Medical Studies have ever been done? Do you know about Pharmaceutical Bioidentical Hormones? Get the Real Story.

As a board-certified Endocrinologist and former pharmacist, Dr. Marina Johnson ONLY prescribes bioidentical “PHARMACEUTICAL” hormones, not COMPOUNDED products. Dr. Marina Johnson is a UCLA/USC trained Endocrinologist who has been in private practice since 1986 and has always utilized transdermal pharmaceutical therapy products since the original research by Dr. Howard Judd at UCLA in the late 70’s.

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What Is Bioidentical Hormone Replacement Therapy?


Bioidentical hormone replacement therapy (HRT) is an approach, which provides the same hormones found in a human female.  Bioidentical HRT can be found in pharmaceutical products ( Vivelle, Climara, Alora, Estragel, Estrasorb, Divigel, Evamist, Estrace, Prometrium ) and in custom formulas made by a compounding pharmacist.

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M.D., F.A.C.E.


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