You can probably decrease the estrogen and add micronized testosterone and reduce your hot flashes. If those levels are very low, you can get more relief and less risk for breast cancer with the testosterone and estrogen. I have patients who come all over the world and the country. They fly in because they know I treat menopause. They thank me because they know that there is a way to feel better, whether it's through alternatives such as vitamins, herbs, phytoestrogens, minerals or low dose natural hormones or standard hormones.
Women can feel perfect.
Ute, go ahead. Hi Dr. Corio. The first thing that I always try is alternative approach meaning vitamins, minerals, herbs, phytoestrogens. I go by symptoms not blood tests. If a patient does not feel better on alternatives, I start with low dose bio identical hormones.