Nurse practitioner, clinic owner, and founder of HRT University. I teach providers the physiology behind hormone therapy, so they’re not piecing it together on their own.
Fewer than 4% of women get HRT
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I want to run some startling numbers by you this morning. Mind you, I'm no Einstein when it comes to stats etc., but these will probably take your breath away...
You may need to pick your jaw up off of the floor after reading these again. What you're seeing, in my humble opinion and estimation, is actually just the tip of the iceberg. These numbers don't even scratch the surface of "normal vs optimal". And there's no studies looking especially at women in early peri, or young men who suffer from Low T. Unfortunately, those are still marginal characters. But here's what I hope you can take away from these numbers. First and foremost, there are literally thousands of patients who need your help. In fact, even if you had the biggest and baddest clinic in all the land, there's no way you could keep up with the demand. So if you've ever heard anyone tell you "the market is saturated", please tell them to kindly do the math on 6,000 women in menopause per day. And don't get me started on how many men there are. There's plenty of patients for you to see. But here's the crazier part... If there's <7% of OB-GYNs who feel confident enough to treat these women, then that means there's probably half as much in PCP world. And again, it's costing us billions of dollars per year in lost work time. These women are suffering from hot-flashes, night sweats, UTIs, osteoporosis, depression, anxiety, insomnia, vaginal dryness, decreased libido, weight gain, metabolic dysfunction - you get the picture. So let me just state the obvious. If you're not treating them, then who will? See, the world needs you more than you could possibly imagine. A provider like you who loves to learn and who loves to serve. A provider like you who wants to unleash their fullest potential of healing and creativity for those in need. To save marriages, bring back health and energy, restore faith in medicine, and allow patients the dignity to age gracefully. And if that resonates with you, take it from one of my most favorite students and colleagues who jumped into HRT and never looked back: How beautiful is that? I'm so proud of her, and so thankful for all the lives she's impacting. She's just one of the hundreds of us HRTU peeps in this movement to co-create better medicine and better care for our patients. And I would love to have you join us. -Nico PS If you're ready to jump into HRT, then check out the HRTU Master Course today. References: Faubion, S. S., Enders, F., Hedges, M. S., Chaudhry, R., Kling, J. M., Shufelt, C. L., Saadedine, M., Mara, K., Griffin, J. M., & Kapoor, E. (2023). Impact of menopause symptoms on women in the workplace. Mayo Clinic Proceedings, 98(6), 833–845. https://doi.org/10.1016/j.mayocp.2023.02.025 Haelle, T. (2024, September 23). Hormone therapy for menopause remains at historic lows despite effectiveness and safety profile. MDedge ObGyn. https://mdedge.com/obgynnews/article/270899/menopause/hormone-therapy-menopause-remains-historic-lows-despite Kling, J. M., MacLaughlin, K. L., Schnatz, P. F., Crandall, C. J., Skinner, L. J., Stuenkel, C. A., Kaunitz, A. M., Bitner, D. L., Mara, K., Fohmader Hilsaca, K. S., & Faubion, S. S. (2019). Menopause management knowledge in postgraduate family medicine, internal medicine, and obstetrics and gynecology residents: A cross-sectional survey. Mayo Clinic Proceedings, 94(2), 242–253. https://doi.org/10.1016/j.mayocp.2018.08.033 Mulligan, T., Frick, M. F., Zuraw, Q. C., Stemhagen, A., & McWhirter, C. (2006). Prevalence of hypogonadism in males aged at least 45 years: The HIM study. International Journal of Clinical Practice, 60(7), 762–769. https://doi.org/10.1111/j.1742-1241.2006.00992.x Society for Women’s Health Research. (n.d.). Menopause. https://swhr.org/health_focus_area/menopause/ |
HRT University
Nurse practitioner, clinic owner, and founder of HRT University. I teach providers the physiology behind hormone therapy, so they’re not piecing it together on their own.
Well, I guess we ought to stop prescribing TRT to women. Didn't you hear the news? According to a recent study that will be presented sometime this week via The Menopause Society, testosterone therapy has been linked to postmenopausal women with a higher risk of incident cardiovascular disease. Hmmm... I don't yet have the full study, but I'll be waiting with baited breath that's for sure. However, anytime I see headlines like these floating around, almost always when you dig into it, it's...
Have you heard some version of this in your office? “I’d like to feel better, but I’m scared of progesterone. Doesn’t it cause breast cancer?” It’s a fair question, and it's one that used to make me stumble early on. A lot of women were taught to fear it for many MANY years. But a 2017 paper by Zhou and colleagues found something many providers like you haven’t seen. When progesterone met one of the most aggressive breast cancers we know of, it slowed it down... See, triple-negative breast...
Your wish is my command. Many of you have asked, so this morning, I bring to you the case for checking ferritin levels. And yes, I believe based on the literature, that it's on of the most underrated and helpful markers when it comes to discovering iron deficiency. Let me make the case here. First of all, most iron-deficient young women aren’t anemic. In US females aged 12 to 21, 38.6% were iron deficient at ferritin <25. So only 6.3% had iron deficiency anemia. Put another way, just 16.4% of...