How to Use HCG in Males with Low Testosterone #HCG #Testosterone

From DrDach.com

For many men with symptoms of low testosterone, HCG is a useful add-on for their program.  Thanks to Dr. John Crisler for sharing his HCG protocol which can be found here or here.

What is HCG ?

HCG stands for Human Chorionic Gonadotropin.  HCG is a bio-identical human hormone that is well known for decades in medical research and clinical medicine as a hormone secreted by the placenta in the pregnant female.  In fact, measuring HCG in the female is the basis for the pregnancy test.  If HCG goes up, that means a viable pregnancy.  If HCG drops, or goes down, that means miscarriage or an aborting fetus.

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Breast Cancer Survivor Chooses Hormone Replacement

One of my patients wrote the following testimonial:

“I am a 42 year old breast cancer survivor, and I have been struggling with hormonal imbalance and weight issues since completing chemotherapy and to top it all off a hysterectomy over a year ago. I have been searching for a solution other than pharmaceuticals to just feel healthy and alive again after many years of suffering. I have been seeing Dr. Bloem for about a month and I have never felt better.  I wish I had met Dr. Bloem 5 years ago.”

Women who are diagnosed with breast cancer often feel like they are stuck between a rock and hard place. Even though there is no evidence that there is any relationship between bioidentical hormone replacement therapy and the development of any kind of cancer, many doctors believe that hormones should be avoided if a patient has been diagnosed with cancer.

Although conventional cancer specialists routinely recommend surgically removing the tumor, infusing the body with toxic chemicals, and therapies that have anti-hormonal effects, increasing numbers of patients have started to question these treatment strategies. One the one hand we know that patients have survived such therapies, but we also know that many have suffered severe adverse reactions, including death. Many who undergo and survive such therapies experience a symptoms of hormone deficiency, causing a dramatically reduced quality of life.

That is why women like this patient choose bioidentical hormonal replacement therapy. This woman is on the Wiley Protocol®, a rhythmically dosed, bioidentical hormone replacement regimen. The results are often life changing, causing symptoms such as depression, dry skin, hair loss, low libido to improve significantly or to resolve completely.

BHRT Success: “My Husband Has Been Amazed and Grateful to Have His Wife Back”

This 59 year old woman presented to my office about one year ago complaining of hot flashes, night sweats, fatigue, feeling mentally dull and irritable, trouble concentrating and focusing, memory problems, cold intolerance, depression, weakness, joint stiffness, muscle aches, low libido, and weight gain.

Her success story is one of many of women and men who are able to regain their youthful vitality after restoring their hormones to youthful levels using bioidentical hormone replacement therapy.

The Wiley Protocol is a cutting-edge method that not only restores the hormone levels to optimal, but also does so rhythmically following the patterns that we normally see in healthy young women. Postmenopausal women who no longer have periods will follow the moon phase calendar as they as they apply accurately measured amounts of hormones to the skin each cycle.

Here is the patient’s testimonial:

“Next to meeting my husband and starting a family 32 years ago, Dr. Bloem is the best thing to ever happen to me!

During and after menopause 10 long years ago, I suffered terribly from night sweats and mood swings. I was a miserable and unhappy woman and I did not understand why.  I took anti-depressants and they did not do much.  I felt irritable and crabby almost every day.  I had trouble sleeping and getting along with my cherished family.

After I heard about bio-identical hormones, I found a female doctor in Frederick who wanted to surgically place hormone pellets under my skin after I signed a one year contract agreeing to pay her $300 a month for one year on an automated payment system in order to ensure that I would stick with the program.  Right away, my antenna went up to the strong possibility of future problems but I paid the money up front as required.  Then, I could not get her to return my phone calls!  I was hormonally enraged and disgusted!  Not a pretty sight.

I immediately withdrew as a patient of this doctor (minus my deposit) and then I went back online to search for Dr. Bloem, whom I had earlier dismissed as out of my price range. After the unfortunate experience with the “boutique” doctor, I realized that Dr. Bloem was actually quite reasonably priced AND he was willing to make payment plans.  No payments in advance required.

Then the best part of my story happened.  I met Dr. Bloem and after a thorough check up, arranged to try the Wiley Protocol.  I swear, the next day, I felt like a new and improved woman!  I do not know if it was a placebo effect or what- but I was positively euphoric, just ask my family!  I think that feeling almost immediately better after feeling so tired and thyroid deficient for so long, just made me feel truly on top of the world.  I had energy again and I had my sense of humor back.  My daughter even asked me, “Mom, is this what you used to be like, when you were young???”

Unfortunately, after a month or two of the Wiley Protocol, I learned that the high dosages were a bit much for my system and I was afraid to reveal my secret to the good Dr. Bloem for fear of being taken off the hormones altogether.  Finally, I did manage to suck it up and confess my concerns to the doctor and I was so relieved to find that we could adjust and fine tune all the hormones!

Now, with the personalized amounts of estrogen, progesterone and testosterone that work for my body, l am back to my old self.  I enjoy life, enjoy my family and I have energy and good health.  My thyroid problems have disappeared and my mood is consistently positive and pretty darn joyful.  My adult daughters think I am a really relaxed and humorous and my husband and I are no longer fighting.  I have remembered why I married him and our love is stronger than ever.  My husband has been amazed and grateful to have his wife back.

When I think how I suffered for 10 years with postmenopausal symptoms,  I feel bad for all of the wasted time,  but more than that,  I am so full of gratitude to Dr. Bloem for  restoring me to my former self.

This is nothing but the TRUTH in my unsolicited testimonial of Dr. Bloem’s value in reinvigorating and giving women back the quality of life that every woman deserves in order to have loving and fulfilling relationships.

Sometimes I think of my poor grandmothers.  If only they had Dr. Bloem in their lives!  We are very fortunate to have opportunities for prolonging our health and happiness in ways that they never could.

I literally give heartfelt gratitude to Dr. Bloem every day of my life, and that is the God’s honest truth.

There are no words to express the blessings of Dr. Bloem offers.  It is a priceless gift.”

Kathy H.
Mount Airy, Maryland

Do Bioidentical Hormones Have Side Effects?

Many people are afraid of the therapeutic use of hormones, even when topic is bioidentical hormones. Bioidentical hormones are plant derived (usually from soy or yam) and they are prepared in compounding pharmacies. As such, they are considered pharmaceutical preparations. Most are only available by prescription.

Bioidentical hormones are also classified as drugs in the sense that they are chemical substances that are used in the treatment, cure, prevention, or diagnosis of disease or used to otherwise enhance physical or mental well-being.

This is where it may get confusing. Almost everybody wants to avoid using drugs unless absolutely necessary. One of the reasons is that many drugs have side effects. Some will create chronic dependency, and patients may experience withdrawal symptoms when attempts are made to stop the drug. Although some drugs may effect cure of an illness, many only suppress certain symptoms or physical signs without eliminating the underlying causes or supporting the body’s innate ability to heal.

How does this apply to bioidentical hormones? I believe there is a difference between bioidentical hormones and most other drugs because the former are biochemically exactly the same as the hormones that the human body makes. For that reason the molecules cannot be patented.

Most other pharmaceutical drugs are not normally found in or produced by the human body. Their biochemical structure is unique and patentable. Because they are foreign to the human body they will almost always have side effects to some degree. A possible explanation is that the body’s metabolic and enzymatic systems are not prepared to handle  these foreign molecules.

For example, even a well known over the counter drug such as acetylsalicylic acid (Aspirin) has side effects which include the development of stomach ulcers and allergic reactions.

I believe that the various chemicals and hormones that the human body makes do not have side effects and that the same is true for bioidentical hormones. The human body contains water and sodium chloride, and synthesizes estradiol, progesterone, testosterone, prostaglandins, and many other chemicals. Does water have side effects? Of course not! However, it is possible to experience SYMPTOMS of an excess or deficiency of water or any other chemical that the human body makes. Examples are symptoms of thirst and physical symptoms of dehydration or water intoxication. These are NOT side effects of water.

Likewise, I believe that bioidentical hormones are among the safest pharmaceuticals that a physician can prescribe. Although I don’t believe that a patient may experience side effects from using bioidentical hormones such as estradiol, progesterone, and testosterone, I do believe that patients may experience symptoms of deficiency or excess of these hormones.

Although I don’t believe that bioidentical hormone therapy has side effects, I do want to emphasize that this type of treatment needs to prescribed carefully. Patients need to be monitored for symptoms of  hormone deficiency and hormone excess. Laboratory testing needs to be performed to ensure optimal results and patient safety.

The layperson may see no difference between drug side effects and the symptoms and signs of hormone deficiency or excess. However, to the experienced clinician the difference is usually quite evident and steps can be taken to optimize therapeutic balance and to protect the patient’s health and well-being.

Does Estrogen Have Side Effects?

This is a response that I posted to an online message board in response to somebody’s claim that “estrogen can have some awful side effects”.

Why would the human body make estrogens (estradiol, estriol, and estrone) if they have side effects?

The link that […] provided refers to women who participated in the Women’s Health Initiative and who received PremPro.

It is very important understand that these women did not receive bioidentical hormone replacement therapy (BHRT). Instead they were POISONED with a combination of estrogens from horses (the Premarin component of the PremPro) and medroxyprogesterone acetate (the Provera component of the PremPro). None of these non-bioidentical chemicals are naturally found in the human body.

Needless to say that it is not surprising that these women had an increase of heart disease, breast cancer, blood clots, and stroke, causing this arm of the study to be aborted in 2002.

Unfortunately, many doctors and women still don’t understand this and continue to believe that these women suffered adverse reactions because of “hormone replacement therapy” or “HRT” even though these women did not receive any human hormones.

I have not seen any such adverse reactions in all my years of using properly balanced and monitored bioidentical hormone replacement therapy.

Estradiol, progesterone, and all the other hormones play an essential role in the human body, so I am not surprised that hormone replacement therapy could be helpful for women with a diagnosis of schizophrenia.

As a matter of fact, many mood disorders in women are related to hormonal disorders and I have seen marked improvements in women using BHRT.

Fred Bloem, MD

— In …@yahoogroups.com, […]> wrote:
>
> Estrogen can have some awful side effects :-
>
> http://www.estrogen-replacement-side-effects.com/html/effects.html
>
> On Mon, Jan 25, 2010 at 1:47 PM, <…> wrote:
> >
> > Estrogen in the Fight Against Schizophrenia
> >
> > ScienceDaily (Jan. 25, 2010) — Many American women are prescribed estrogen
> > to combat the negative effects of menopause, such as bone loss and mood
> > swings. Now, new evidence from a Tel Aviv University study suggests that
> > hormone replacement therapy might also protect them — and younger women —
> > from schizophrenia as well.
> >
> > Prof. Ina Weiner of Tel Aviv University’s Department of Psychology and her
> > doctoral student Michal Arad have reported findings suggesting that
> > restoring normal levels of estrogen may work as a protective agent in
> > menopausal women vulnerable to schizophrenia. Their work, based on an animal
> > model of menopausal psychosis, was recently reported in the journal *
> > Psychopharmacology.*
> >
> > *Continued at
> > http://www.sciencedaily.com/releases/2010/01/100120112212.htm

How Safe Are Bioidentical Hormones?

Bioidentical hormones therapy is safe as long as the amounts of hormones used and the levels of hormones in the body are carefully monitored. I recommend the Wiley Protocol, which uses bioidentical estradiol and progesterone in a rhythm that mimics the cyclical fluctuation of hormone levels that we see in healthy young women.

The word bioidentical means that the hormones are exactly the same as the hormones that the human body produces. Bioidentical hormones include estradiol, progesterone, testosterone, cortisol, human growth hormone, thyroxine (T4), and triiodothyronine (T3). I don’t recommend non-bioidentical chemicals such as medroxyprogesterone and norgestimate because they are not produced by the human body and because they have known side effects such as cancer, hypertension, depression, and fluid retention. They are more appropriately referred to hormone disrupting chemicals.

Can bioidentical hormone replacement therapy be used in “asymptomatic perimenopausal or postmenopausal women”?

Yes, they can. Not all women experience hot flashes, night sweats, insomnia, or any of the other classical symptoms of perimenopause. However, sometimes there more subtle changes that occur. These may include decline in memory (“senior moments”), decreased libido or sexual satisfaction, skin changes, hair changes, vaginal dryness, and loss of sense of feminity.

There are two main reasons for recommending bioidentical hormone replacement therapy: 1) Relief of symptoms, 2) Reduction of disease risk. We know that properly dosed and monitored bioidentical hormone replacement is a safe and effective therapy for relieving symptoms of perimenopause. We also know that the risk for heart disease, cancer, osteoporosis, and Alzheimer’s disease increases as people get older and their hormones levels decline. Young people with high hormone levels tend to be at very low risk for these health conditions. There are indications that bioidentical hormone replacement may reduce the risk for developing such health problems and allow people to have a better quality of life.

For how long can bioidentical hormone replacement therapy be used?

Bioidentical hormone replacement therapy can be used for as long as a patient desires. Suzanne Somers is 63 years old and is using the bioidentical Wiley Protocol hormone replacement regimen. She takes very good care of herself in many different ways and it shows! She intends to use this therapy for as long as she lives. Bioidentical hormone replacement therapy can be stopped at any time. This will return the patient to their previous (usually) hormone deficient state.

Does bioidentical hormone replacement therapy increase the risk of cancer?

I have not seen any evidence that it does. Bioidentical hormones such as estradiol and progesterone are a normal part of the human body. Why would the human body produce messenger chemicals that are carcinogenic? I believe that bioidentical hormones are as safe as water as long as they are dosed and monitored correctly. At least 70% of our bodies consists of water. Are we demanding proof or double blind, randomized, placebo controlled studies to prove that water does not cause cancer?

On the other hand, we know that the Women’s Health Initiative Study showed that women using a combination of non-bioidentical chemicals (Premarin and Provera) had an increased risk of heart disease, blood clots, stroke, and breast cancer. These women did NOT receive hormone replacement therapy. Instead they were drugged with chemicals that are not normally found in the  human body.

The Mirena Menace: Are IUDs Intra-Uterine Disasters?

From time to time patients come into my office who are using the Mirena birth control method.

Mirena is a T-shaped, plastic IUD (intrauterine contraceptive device) that is inserted by a physician into the vagina, passed through the cervix, and implanted in the uterus. It stays in place for five years while it releases levonorgestrel.

Levonorgestrel is a chemical that is not normally found in the human body. Many health professionals refer to levonorgestrel as a “progestin” or “progestagen”. This misleading term leads many to believe that progestins are somehow related to the hormone progesterone that the human body produces. Nothing could be further from the truth. Because their biochemical structure is different, all progestins have hormone disrupting effects and their effects are opposite to the effects of progesterone. Therefore it is not surprising that many women experience adverse reactions while they are using Mirena.

Levonorgestrel is found in many oral contraceptives and it was also the active ingredient of Norplant which consisted of implants that were injected into women’s upper arms. Some Norplant users experienced significant side effects.

Some women choose Mirena because they tend forget to take oral contraceptives and because they want the security of knowing that for five years they will not have any children unless they remove it. It is believed to be 99.9% effective in preventing pregnancy.

This is how Mirena works:

  • It blocks sperm from reaching or fertilizing the egg.
  • It makes the lining of your uterus thin (this may also result in less menstrual bleeding over time).
  • It stops the release of your egg from the ovaries.

Here is a list of common side effects:

  • Prolonged menstrual bleeding
  • Prolonged uterine cramping
  • Dizziness
  • Weight gain
  • Low back pain
  • Headache
  • Stuffy nose
  • Depression
  • Abnormal Pap smears
  • Ectopic pregnancy (which can be life-threatening and result in infertility)
  • Intrauterine pregnancy (birth defects are a possibility)
  • Sepsis (an infection which can be fatal)
  • Pelvic inflammatory disease (which can result in infertility)
  • Irregular Bleeding and Amenorrhea (no periods)
  • Embedment (in the uterine wall)
  • Perforation (of the uterus or cervix)
  • Ovarian cysts (can cause severe mid-cycle pain)
  • Breast cancer
  • Risk of Mortality (risk of dying is low)
  • Lower abdominal pain
  • Upper respiratory infection
  • Leukorrhea (abnormal vaginal discharge)
  • Nausea
  • Headache
  • Nervousness
  • Vaginitis (irritation or inflammation of the vagina)
  • Dysmenorrhea (cramps or painful periods)
  • Breast pain
  • Skin disorder
  • Acne
  • Decreased libido
  • Hypertension
  • Sinusitis

Many women don’t even come back for follow up with the physician who inserted the IUD. As a result physicians often don’t make the connection between these women’s health complaints and the levonorgestrel that is being released from their Mirena IUD. Some women even forget to mention to their physicians that they are using Mirena because they don’t consider it a medication or a drug that they are using. Something else that may make it difficult to correlate certain symptoms with the Mirena IUD is that many of the side effects are nonspecific and that they may be ascribed to other factors.

Some women consider the lack of menstrual periods to be a blessing. However, having normal, regular menstrual periods is a normal and essential part of being a healthy woman.

Medications and devices that contain levonorgestrel are marketed without regard to the health of women and children. They are marketed to pregnant women for use after pregnancy. A study done in Mexico with breastfeeding Norplant users found that their infants had significantly modified thyroid stimulating hormone (TSH) levels.

According to Bayer, the manufacturer, the Mirena IUD is an effective, long-acting and reversible method of birth control that delivers 20 µg/day of levonorgestrel directly into the uterus and protects against pregnancy for up to 5 full years. Due to the local action of levonorgestrel on the endometrium, there is often frequent irregular bleeding or spotting during the first 3-6 months of use. The number of days with bleeding or spotting decreases gradually, and by the end of the first year approximately 20% of women will experience a total absence of bleeding. A decision to use Mirena® must include consideration of the risks of PID [pelvic inflammatory disease]. Candidates should have no history of ectopic pregnancy or a condition that predisposes to ectopic pregnancy.

In Norway there was a one six-year followup study that followed breastfeeding infants exposed to levonorgestrel (Norplant) and that found that they had higher incidence rates of respiratory infections, skin conditions and eye infections than the control group. They were later were found to have a higher proportion of neurological conditions.

My advice to women who are using Mirena is to have it removed as soon as possible. It’s not worth it. Please don’t gamble with your health. Stay away from any chemical contraceptive method, including oral contraceptives and contraceptive injections such as Depo Provera. I have seen many women whose health was drastically altered because of these poisonous drugs. Instead, I recommend natural family planning or barrier contraceptive methods such as condoms, cervical caps, diaphragms in combination with the use of spermicides.

Oral HCG Success: Down 70 Pounds in 5 Months!

Jennifer is a 42 year old woman who started the Dr. Simeons HCG Protocol in January 2009. She chose to use oral HCG (human chorionic gonadotrophin). During today’s follow up appointment she happily reported that as of two days ago she had lost 70 lbs. Her starting weight was 263 lbs and today she weighed 193 lbs. Her pants were a size 22. Now they are a size 14.

This has been a life changing experience for Jennifer. I also recommended that she start rhythmic estradiol replacement because the medical history suggested that there was an imbalance of estradiol and progesterone. She had a history of depression and had been prescribed Lexapro, a prescription antidepressant drug.

Since starting the HCG and hormone replacement therapy we have documented the following improvements:

  • No more fatigue.
  • Mood is great and the patient is no longer taking Lexapro.
  • No more PMS.

Jennifer has been very committed to sticking to the specific dietary protocol and she has been following up with me faithfully. 90% of the patients who are compliant with the protocol’s requirements and who let me know as soon as there is any concern experience similar results.

Hormone Replacement Success – Rhythmic Dosing versus Low-Dose Static Dosing

Lori is a 51 year old patient who first came to my office in April 2007 for bioidentical hormone replacement therapy. She was interested in traditional low-dose, static hormone replacement therapy so I started her on a combination of progesterone cream, estradiol/estriol (“Bi-est”) cream, testosterone cream, and Armour thyroid.

After starting this therapy she felt better, but still had a hot flash when going to bed and she also felt a little hot throughout the night.

Her sleep was better, but she still woke up once in the middle of the night.

Memory was not as much of a problem but she still had some problem with recall.

In December 2007, I recommended that she switch to using rhythmic bioidentical hormone replacement therapy, following the Wiley Protocol. She started using estradiol and progesterone at dosage levels that follow the pattern that we see in healthy young women.

Within several months after starting the Wiley Protocol she noticed the following improvements:

  • Improved hair
  • Improvement of vaginal dryness
  • Improved skin (less dry).
  • Complete resolution of hot flashes and night sweats
  • Improved sleep
  • Less irritability
  • Improved quality of hair (less thin)

I recommended increasing the dosage of estradiol.

When I saw her for a routine follow up today the patient reported the following improvements:

  • Good libido
  • Improved memory
  • Improved thickness of hair with a return of the natural waviness
  • Improved skin

As compared to using low-dose, static testosterone replacement, she felt that the rhythmic testosterone replacement caused her libido to be more natural. With the low-dose, static dosing regimen her libido was at times too aggressive and she also had more unwanted hair on her legs.

The patient had also been using the Wiley Protocol Face Creme which contains insulin, estradiol, and triiodothyronine (T3) and which helps rejuvenate the skin and fade fine lines and wrinkles. This worked very well for her. I have some patients who reported that this Creme works a lot better than some very expensive skin care products that they had purchased previously.

I now have about 200 patients that have started rhythmic, bioidentical hormone replacement therapy following the Wiley Protocol. It has been a very rewarding experience for me to see many regain their sense of well being and in many cases even regain their lives after restoring their hormones to optimal levels.

Hormone Therapy Success: I have gone from feeling lifeless and dying … to enthusiastic and optimistic once again

Today, on May 28, 2009, I received the following e-mail from one of my 58 year old patients who presented to me on May 19, 2009, with severe signs and symptoms of postmenopausal hormone imbalances. I started her on rhythmically dosed bioidentical estradiol, progesterone, and thyroid hormone replacement therapy. Most patients feel significantly better within four weeks after treatment, but this patient reported significant improvement within nine days!

Hi Dr. Bloem,

I wanted to check in with you.

I have read TS Wiley’s book, Sex, Lies and Menopause and I found it very helpful and fascinating. I have underlined many sections.
I still feel great.

My brain feels more alert and I have had no symptoms to speak of, except for a little cramping last night. I am delighted that I have found you and chosen this path and I will recommend you to everyone I know.

I have gone from feeling lifeless and dying in the Wiley sense of the word to enthusiastic and optimistic once again.

Thank you, Dr. Bloem!

Kathy