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Part Two
What is Hormone Replacement Therapy? 
Hormone replacement therapy refers bioidentical or synthetic 
hormones at a low dose, static dose, wherein the patient 
receives hormones at the lowest possible doses to treat the 
maximum amount of symptoms.
What is Hormone Restoration Therapy? 
Hormone restoration therapy refers to bioidentical, cyclic dosed 
wherein the patient receives hormones dosed in a rhythmic 
fashion to mimic a woman’s body, at optimal healthy levels, 
eliminate symptoms.
Two forms of HRT 
1. Synthetic: manufactured with chemicals in a 
pharmaceutical plant. 
1. Bioidentical hormones: plant base, similar 
molecular structure as our own body.
Types of HRT
Three types of HRT 
1. Synthetic, low dose, static dose 
2. Bioidentical, low dose, static dose 
3. Bioidentical, optimal dose, cyclic dose
3 Dosing Methods of HRT 
1. Static: same dose every day 
2. Semi-static: on one week, off the next concept 
3. Cyclic or Rhythmic: dosed to mimic the natural cycle of the 
human body
HRT vs HRT (Part Two)
HRT vs HRT (Part Two)
HRT vs HRT (Part Two)
10 Misperceptions of HRT 
#1 Hormones Cause Cancer 
If this were true, we’d all be dead. Synthetic hormones cause cancer, 
bioidentical hormones do not. You are at greater risk for cancer if 
your estrogen is in the tank. Estrogen is especially designed to protect 
a woman’s body from the degenerative diseases of aging, including 
cancer.
10 Misperceptions of HRT 
#2 There’s only one kind of HRT 
There a couple ways to treat hormone deficiencies; treat the 
symptoms with a synthetic or natural low, static dose, or restore 
natural hormones to optimal levels, dosed in a cyclical manner that 
mimics a woman’s natural cycle.
10 Misperceptions of HRT 
#3 Hormones are for old women 
There is a huge misconception that we get our hormones at puberty, 
and we all produce enough hormones. PMS, perimenopause, and 
menopause are a direct result of estrogen deficiency, and can happen 
at any age.
10 Misperceptions of HRT 
#4 Too old for hormones 
Many women think once they’ve “passed” the “change”, they don’t 
need hormones. When women say this, it tells me how much they 
don’t know about HRT and the benefits of replacing the hormones 
that give life. Women feel much better on the right kind of HRT. 
With the right amount of estrogen, a woman can rebuild her bones, 
decreasing her risk, or reversing osteoporosis.
10 Misperceptions of HRT 
#5 Doctors know how to prescribe HRT 
Make sure before taking hormones to ask your provider where they 
received their hormone training. Your doctor may have a strong opinion 
about hormones but are not forthcoming with their lack of knowledge in 
this area, and can make a mess of the patient. It’s okay to ask your doctor 
about their training and the focus of their practice. It’s your body and 
your life. Hormones regulate everything in the human body, and you 
have a right to proper HRT.
10 Misperceptions of HRT 
#6 Lowest dose is 
best With the lack of knowledge and training in HRT, doctors are telling their 
patients ‘the lowest dose for the shortest amount of time’ is best. This 
method is taught at the A4M and other HRT educators with the mindset 
that estrogen causes. Hormones need to be restored to levels that mimic a 
healthy woman, not an unhealthy woman. The goal is to fix the cause of 
hormone deficiency by naturally restoring hormones instead of treating the 
symptoms of hormone deficiency with a low, static dose.
HRT vs HRT (Part Two)
10 Misperceptions of HRT 
#7 Use only for the shortest amount of time 
Uneducated doctors suggest this because they’ve been lied to that 
hormones cause cancer. If a woman’s hormones are balanced correctly, 
she will want to be on them as long as she can. Staying on them as long 
as she can will help her fight and reverse the degenerative diseases of 
aging, and make her feel better than she can remember.
10 Misperceptions of HRT 
#8 Use the same dose every day 
This is a one-size-fits all mentality. Every woman’s body works a little differently 
and her hormones should be dosed as such. Proper HRT is like a recipe. We may 
have the same ingredients to the recipe, but the measurements and dosing will be 
different for everyone. Why give the same dose everyday if our bodies don’t 
function that way?
10 Misperceptions of HRT 
#9 One size fits 
all 
No two women are the same. Uneducated doctors read the hormone 
sample insert in the box on how to dose the hormone, slap a patch on 
the patient, give her a years prescription, and call it HRT. Proper 
hormone restoration involves dosing the patient based on her body 
size, body type, her symptoms, level of deficiency, and how long she’s 
been deficient. These are very critical elements in dosing.
10 Misperceptions of HRT 
#10 It’s quick and simple 
The last thing proper HRT is: quick and simple. Patients who are looking 
for a quick fix get terribly disappointed. Proper HRT is not conventional 
medicine. Every patient is different and needs to be dosed and treated as 
such. Proper HRT is a process over a period of time. Women feel better and 
better, month after month, for some up to a year until they reach their 
“sweet spot”.
5 Flaws of the Women’s Health Initiative 
1. Hormones used in the study were Premarin and Prempro
5 Flaws of the Women’s Health Initiative 
2. Static, low dose, continuous therapy
5 Flaws of the Women’s Health Initiative 
3. Oral route of estrogen administration
5 Flaws of the Women’s Health Initiative 
4. Physiologic consequences to taking estrogen orally
5 Flaws of the Women’s Health Initiative 
5. Many statistical flaws: http://goo.gl/q6qik
Estrogen does NOT cause cancer
HRT vs HRT (Part Two)
No HRT Education 
• “My doctor says estrogen causes cancer” 
• “My OB-Gyn said I should take the lowest dose possible to treat the 
symptoms” 
• “My doctor said I should get a hysterectomy if I don’t like my 
horrible periods” 
• “My doctor said low dose HRT is better” 
• “My doctor said take the lowest possible dose for the shortest 
possible time” 
Don’t be afraid to ask your doctor where they received their HRT fellowship
Functional Menopause Medicine 
• What are the hormone levels? 
• How long has she been deficient? 
• What are the symptoms? 
• What does the blood work indicate? 
• What is the patient eating? 
• How is the patient sleeping? 
• What activities does the patient have? 
• What stress is the patient under?
The Panacea Protocol: 
Bioidentical Cyclic Dosed Hormone Restoration
If you are interested in learning more, or if 
your doctor is interested in being trained in 
The Panacea Protocol: Bioidentical Cyclic 
Dosed Hormone Restoration Systems™, 
please email info@PanaceaSciences.com
Upcoming Shows 
2/13/2014 Banana Boobs 
2/14/2014 Sex, Lies, & Libido (Guest: James Nagel, MD) 
2/17/2014 Blood, Saliva, & Urine 
2/18/2014 Meno-Pube 
2/19/2014 You Old Bag 
2/20/2014 Don't Touch Me
• FaceBook facebook.com/MenopauseTalkRadio 
FaceBook facebook.com/menopause.moxie 
• GoodReads goodreads.com/menopausemoxie 
• Google+ plus.google.com/+Menopausemoxie/ 
• InstaGram instagram.com/menopausemoxie/ 
• LinkedIn linkedin.com/in/mariehoag/ 
• Meetup meetup.com/Estrogen-Girls-Club/ 
• Pinterest pinterest.com/menopausemoxie/ 
• Tumblr menopausemoxie.tumblr.com/ 
• Twitter twitter.com/MenopauseRadio
Thank you for listening to the show. We’d love to 
hear from you. Please email the show at 
info@menopausetalkradio.com. 
If you enjoyed the show, please forward it to a friend 
you think may enjoy it as well.
The following slides are recommended 
pharmaceutical grade supplements and 
access codes.
Xymogen eStore 
Access Code: Moxie 
Practitioner Code: Hoag
Estro Harmony™ is for women who want relief from menopausal hot 
flashes and support for breast health. Research suggests the ingredients in 
this formula can also benefit cardiovascular status and bone remodeling. 
This all-natural formula delivers a proprietary blend of plant lignan extract 
and 8-prenylnaringenin (8-PN) from hops, at clinically relevant levels, to 
support the body’s natural process of healthy aromatase activity and exert 
phytoestrogen (e.g., enterolactone) and antioxidant activity.
MedCaps Menopause™ is a unique combination blend that is 
formulated to provide nutritional targeted nourishment for women 
during menopause. It features specially selected herbs and 
nutrients that support the adrenal glands’ adaptive response as well 
as support circulation, relaxation and overall well-being. Featuring a 
non soy derived source of isoflavones, MedCaps Menopause may 
also beneficially influence estrogen receptor function.
PMS Soothe™ is a comprehensive blend of Native 
American and Chinese herbs traditionally used to provide 
balance and support for a healthy menstrual cycle.
Hormone Protect™ is an ideal combination of DIM 
(diindolylmethane) and SGS™ (glucoraphanin) that helps protect 
estrogen-sensitive tissues by promoting healthy estrogen 
metabolism and supporting detoxification and neutralization of 
harmful estrogen metabolites and xenoestrogens.
ProbioMax DDS™ is a chewable probiotic designed to activate in the 
oral cavity for support of healthy teeth and gums. 
As you chew it releases the safe and powerful DDS-18™ strain of 
Streptococcus salivarius—a beneficial bacterium that normally occurs 
in a healthy oral cavity. S salivarius DDS-18 then attaches to cells in 
the oral cavity and colonizes, positively affecting the bacterial 
population therein and naturally defending the teeth and gums.
All the information in this podcast is intended for educational 
purposes only, and should not be construed as personal medical 
advice. Marie Hoag, MBA is not a physician, and does not give 
medical advice. She encourages you to do your own research and to 
make your own health care decisions with the guidance of a qualified 
physician.

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HRT vs HRT (Part Two)

  • 2. What is Hormone Replacement Therapy? Hormone replacement therapy refers bioidentical or synthetic hormones at a low dose, static dose, wherein the patient receives hormones at the lowest possible doses to treat the maximum amount of symptoms.
  • 3. What is Hormone Restoration Therapy? Hormone restoration therapy refers to bioidentical, cyclic dosed wherein the patient receives hormones dosed in a rhythmic fashion to mimic a woman’s body, at optimal healthy levels, eliminate symptoms.
  • 4. Two forms of HRT 1. Synthetic: manufactured with chemicals in a pharmaceutical plant. 1. Bioidentical hormones: plant base, similar molecular structure as our own body.
  • 6. Three types of HRT 1. Synthetic, low dose, static dose 2. Bioidentical, low dose, static dose 3. Bioidentical, optimal dose, cyclic dose
  • 7. 3 Dosing Methods of HRT 1. Static: same dose every day 2. Semi-static: on one week, off the next concept 3. Cyclic or Rhythmic: dosed to mimic the natural cycle of the human body
  • 11. 10 Misperceptions of HRT #1 Hormones Cause Cancer If this were true, we’d all be dead. Synthetic hormones cause cancer, bioidentical hormones do not. You are at greater risk for cancer if your estrogen is in the tank. Estrogen is especially designed to protect a woman’s body from the degenerative diseases of aging, including cancer.
  • 12. 10 Misperceptions of HRT #2 There’s only one kind of HRT There a couple ways to treat hormone deficiencies; treat the symptoms with a synthetic or natural low, static dose, or restore natural hormones to optimal levels, dosed in a cyclical manner that mimics a woman’s natural cycle.
  • 13. 10 Misperceptions of HRT #3 Hormones are for old women There is a huge misconception that we get our hormones at puberty, and we all produce enough hormones. PMS, perimenopause, and menopause are a direct result of estrogen deficiency, and can happen at any age.
  • 14. 10 Misperceptions of HRT #4 Too old for hormones Many women think once they’ve “passed” the “change”, they don’t need hormones. When women say this, it tells me how much they don’t know about HRT and the benefits of replacing the hormones that give life. Women feel much better on the right kind of HRT. With the right amount of estrogen, a woman can rebuild her bones, decreasing her risk, or reversing osteoporosis.
  • 15. 10 Misperceptions of HRT #5 Doctors know how to prescribe HRT Make sure before taking hormones to ask your provider where they received their hormone training. Your doctor may have a strong opinion about hormones but are not forthcoming with their lack of knowledge in this area, and can make a mess of the patient. It’s okay to ask your doctor about their training and the focus of their practice. It’s your body and your life. Hormones regulate everything in the human body, and you have a right to proper HRT.
  • 16. 10 Misperceptions of HRT #6 Lowest dose is best With the lack of knowledge and training in HRT, doctors are telling their patients ‘the lowest dose for the shortest amount of time’ is best. This method is taught at the A4M and other HRT educators with the mindset that estrogen causes. Hormones need to be restored to levels that mimic a healthy woman, not an unhealthy woman. The goal is to fix the cause of hormone deficiency by naturally restoring hormones instead of treating the symptoms of hormone deficiency with a low, static dose.
  • 18. 10 Misperceptions of HRT #7 Use only for the shortest amount of time Uneducated doctors suggest this because they’ve been lied to that hormones cause cancer. If a woman’s hormones are balanced correctly, she will want to be on them as long as she can. Staying on them as long as she can will help her fight and reverse the degenerative diseases of aging, and make her feel better than she can remember.
  • 19. 10 Misperceptions of HRT #8 Use the same dose every day This is a one-size-fits all mentality. Every woman’s body works a little differently and her hormones should be dosed as such. Proper HRT is like a recipe. We may have the same ingredients to the recipe, but the measurements and dosing will be different for everyone. Why give the same dose everyday if our bodies don’t function that way?
  • 20. 10 Misperceptions of HRT #9 One size fits all No two women are the same. Uneducated doctors read the hormone sample insert in the box on how to dose the hormone, slap a patch on the patient, give her a years prescription, and call it HRT. Proper hormone restoration involves dosing the patient based on her body size, body type, her symptoms, level of deficiency, and how long she’s been deficient. These are very critical elements in dosing.
  • 21. 10 Misperceptions of HRT #10 It’s quick and simple The last thing proper HRT is: quick and simple. Patients who are looking for a quick fix get terribly disappointed. Proper HRT is not conventional medicine. Every patient is different and needs to be dosed and treated as such. Proper HRT is a process over a period of time. Women feel better and better, month after month, for some up to a year until they reach their “sweet spot”.
  • 22. 5 Flaws of the Women’s Health Initiative 1. Hormones used in the study were Premarin and Prempro
  • 23. 5 Flaws of the Women’s Health Initiative 2. Static, low dose, continuous therapy
  • 24. 5 Flaws of the Women’s Health Initiative 3. Oral route of estrogen administration
  • 25. 5 Flaws of the Women’s Health Initiative 4. Physiologic consequences to taking estrogen orally
  • 26. 5 Flaws of the Women’s Health Initiative 5. Many statistical flaws: http://goo.gl/q6qik
  • 27. Estrogen does NOT cause cancer
  • 29. No HRT Education • “My doctor says estrogen causes cancer” • “My OB-Gyn said I should take the lowest dose possible to treat the symptoms” • “My doctor said I should get a hysterectomy if I don’t like my horrible periods” • “My doctor said low dose HRT is better” • “My doctor said take the lowest possible dose for the shortest possible time” Don’t be afraid to ask your doctor where they received their HRT fellowship
  • 30. Functional Menopause Medicine • What are the hormone levels? • How long has she been deficient? • What are the symptoms? • What does the blood work indicate? • What is the patient eating? • How is the patient sleeping? • What activities does the patient have? • What stress is the patient under?
  • 31. The Panacea Protocol: Bioidentical Cyclic Dosed Hormone Restoration
  • 32. If you are interested in learning more, or if your doctor is interested in being trained in The Panacea Protocol: Bioidentical Cyclic Dosed Hormone Restoration Systems™, please email info@PanaceaSciences.com
  • 33. Upcoming Shows 2/13/2014 Banana Boobs 2/14/2014 Sex, Lies, & Libido (Guest: James Nagel, MD) 2/17/2014 Blood, Saliva, & Urine 2/18/2014 Meno-Pube 2/19/2014 You Old Bag 2/20/2014 Don't Touch Me
  • 34. • FaceBook facebook.com/MenopauseTalkRadio FaceBook facebook.com/menopause.moxie • GoodReads goodreads.com/menopausemoxie • Google+ plus.google.com/+Menopausemoxie/ • InstaGram instagram.com/menopausemoxie/ • LinkedIn linkedin.com/in/mariehoag/ • Meetup meetup.com/Estrogen-Girls-Club/ • Pinterest pinterest.com/menopausemoxie/ • Tumblr menopausemoxie.tumblr.com/ • Twitter twitter.com/MenopauseRadio
  • 35. Thank you for listening to the show. We’d love to hear from you. Please email the show at info@menopausetalkradio.com. If you enjoyed the show, please forward it to a friend you think may enjoy it as well.
  • 36. The following slides are recommended pharmaceutical grade supplements and access codes.
  • 37. Xymogen eStore Access Code: Moxie Practitioner Code: Hoag
  • 38. Estro Harmony™ is for women who want relief from menopausal hot flashes and support for breast health. Research suggests the ingredients in this formula can also benefit cardiovascular status and bone remodeling. This all-natural formula delivers a proprietary blend of plant lignan extract and 8-prenylnaringenin (8-PN) from hops, at clinically relevant levels, to support the body’s natural process of healthy aromatase activity and exert phytoestrogen (e.g., enterolactone) and antioxidant activity.
  • 39. MedCaps Menopause™ is a unique combination blend that is formulated to provide nutritional targeted nourishment for women during menopause. It features specially selected herbs and nutrients that support the adrenal glands’ adaptive response as well as support circulation, relaxation and overall well-being. Featuring a non soy derived source of isoflavones, MedCaps Menopause may also beneficially influence estrogen receptor function.
  • 40. PMS Soothe™ is a comprehensive blend of Native American and Chinese herbs traditionally used to provide balance and support for a healthy menstrual cycle.
  • 41. Hormone Protect™ is an ideal combination of DIM (diindolylmethane) and SGS™ (glucoraphanin) that helps protect estrogen-sensitive tissues by promoting healthy estrogen metabolism and supporting detoxification and neutralization of harmful estrogen metabolites and xenoestrogens.
  • 42. ProbioMax DDS™ is a chewable probiotic designed to activate in the oral cavity for support of healthy teeth and gums. As you chew it releases the safe and powerful DDS-18™ strain of Streptococcus salivarius—a beneficial bacterium that normally occurs in a healthy oral cavity. S salivarius DDS-18 then attaches to cells in the oral cavity and colonizes, positively affecting the bacterial population therein and naturally defending the teeth and gums.
  • 43. All the information in this podcast is intended for educational purposes only, and should not be construed as personal medical advice. Marie Hoag, MBA is not a physician, and does not give medical advice. She encourages you to do your own research and to make your own health care decisions with the guidance of a qualified physician.