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CHS
FAQs |
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What does it mean to balance the body’s natural
hormones? |
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The human
body requires a harmonious
balance of different hormones that it produces
for normal growth, development and well-being. When
this balance is not achieved by normal physiological
processes supplementation is necessary and ideally with
hormones that most closely resemble those that are produced
by the body. When we use bio-identical hormones to address
the imbalance, therapy is tracked through testing and
customized based on your symptoms and desired status
of health. |
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What are bio-identical hormones? |
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Bio-identical
hormones are hormones developed with the same structure
as those produced or found naturally in the human body.
Examples of these include estrogen ( estradiol, estrone,
estriol), progesterone, testosterone. |
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What
is the difference between bio-identical and synthetic
hormones? |
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Bio-identical
hormones differ from synthetic hormones in chemical
structure, effectiveness and safety profile.
Synthetic hormones are by intention, chemically different
from hormones that are naturally made by the human
body. This allows them to be patented, examples of
which include Premarin® (horse estrogen) and Provera®.
Despite being able to bind to the same receptors in
the human body, the different chemical structures
mean that synthetic hormones may not be an ‘exact
fit’ with the intended receptors in your body
and that could then result in sub-optimal or excessive
responses. This also
translates to a possible excess of side effects
as they bind to other receptors along with the intended
ones.
Bio-identical hormones are an appealing therapeutic
option because they are natural and your body can
metabolize them as designed to, thereby minimizing
the risk of side effects. Doses
can also be individually tailored to
suit your needs, something that cannot be achieved
with mass-marketed synthetic hormones. Although not
well studied for long-term use, several European studies
already suggest that bio-identical hormones are safer
than synthetic ones. All medication, nevertheless,
needs to be prescribed and used appropriately so you
should not think of any as completely safe.
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Where
do bio-identical hormones come from? |
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Bio-identical
hormones are derived from hormonal structures found
in plants, examples of which include yam and soy. These
are then developed further in a laboratory so that they
match those produced in your body. |
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What
are the benefits of bio-identical hormone replacement
therapy? |
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Therapy
with bio-identical hormones benefits
both men and women.
Replacing estrogen and progesterone can help to relieve
menopausal symptoms, prevent osteoporosis and mental
decline as well as protect against heart disease in
menopausal women. Perimenopausal hormone imbalances
can be corrected with bio-identical hormone
therapy along with the restoration of normal menstrual
cycles in younger women.
Bio-identical hormone therapy goes beyond that of
estrogen and progesterone supplementation. Testosterone
supplementation, for instance, can also be used in
therapy for males to help restore mood, muscle mass,
energy levels and sexual function.
Despite the varied uses of bio-identical hormones
in therapy, they should only be initiated under the
supervision of a qualified
medical practitioner. Once initiated, therapy
still requires adherence and monitoring for optimal
benefit.
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Are
bio-identical hormones necessarily the best option? |
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Not necessarily,
it really depends on the nature of your situation and
related conditions.
Bio-identical hormone therapy is generally better
tolerated along with having a
minimized side effect profile because bio-identical
hormones are able to fit well with their intended
receptors in your body.
Notwithstanding the benefits, there are situations
where a more potent pharmaceutical medication may
be required for adequate control of a particular condition.
Examples include suppressing ovulation in birth control
as well as in treating painful menstrual cycles as
a result of endometriosis.
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Are
bio-identical hormones available by prescription only? |
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Yes,
they can only be obtained for therapy by prescription
from a qualified medical practitioner. A
valid prescription has to be presented before
we can compound bio-identical hormone therapy for
you.
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What
are common examples of bio-identical hormones? |
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Examples of bio-identical hormones that we can compound
for you include estradiol, estriol, estrone, progesterone
and testosterone.
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How
is the dose of bio-identical hormone replacement determined? |
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The choice and then, appropriate dose of bio-identical
hormone replacement therapy will often be determined
by your physician after you have completed certain
blood and laboratory tests.
Either a blood test or saliva test is often useful
in determining your baseline hormone levels and the
need for bio-identical hormone replacement therapy.
The initial dose is then determined taking into account
your test results, symptoms and preferences expressed
during consultation with your physician.
Once therapy has begun, appropriate monitoring is
required to ensure that the dosing of your bio-identical
hormone therapy gives you optimal results. This is
helped if you have regular
follow-up visits with your physician and the
appropriate laboratory tests are done at regular intervals,
often beginning at the 3rd month of therapy.
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How
long before results can be noticed? |
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Results will often vary depending on your individual
bio-identical hormone replacement therapy as well
as your situation, condition and lifestyle. Nevertheless,
you should be able to notice results within 3 to 6
months of starting therapy.
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How long do I have to be on bio-identical hormone therapy? |
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This largely depends on you and the outcome of consultations
with your doctor. It could be indefinitely because
evidence suggests that women generally feel better
and experience positive
health outcomes when on long-term bio-identical
hormone therapy at safe and effective doses. This
is especially so as the body hormone levels begin
a consistent decline at the onset of menopause. The
therapy nevertheless has to suit your condition and
some conditions may benefit
more from short-term therapy with bio-identical
hormones.
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What
kind of side effects should I expect? |
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Ideally minimal
side effects should be experienced when hormone
levels are restored to those of youthful levels. A
minority of women have reported breast tenderness
and swollen joints upon first starting therapy with
bio-identical hormones but these conditions can often
be alleviated by reducing the dosage. Long-term side
effects are highly unlikely with a well-tailored regime
coupled with regular monitoring of hormone levels.
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Will
the treatment affect my currently prescribed medication? |
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This is unlikely. Depending on the dosage forms of
your medication and the nature of your condition,
the effectiveness of conventional therapy may be altered.
Some medicines can
often be reduced at the discretion of your
treating physician while other may no longer be required
when you are on bio-identical hormone therapy.
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Can
all doctors prescribe compounded medication? |
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All, medically trained, appropriately licensed and
practicing physicians can prescribe compounded medication.
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What
is a compounding pharmacy? |
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Compounding
involves simply the mixing of two or more ingredients
including medication and excipients to form a final
medicinal product. A compounding pharmacy can legally
compound medication and tailor therapy to suit your
individual needs.
The compounding pharmacy is able to dispense compounded
prescriptions for you. These prescriptions
involve customized medication prepared by a
compounding pharmacist according to your doctor’s
specifications to meet your individual needs.
Such prescriptions can also be prepared
for your pets based on a compounded prescription
from the vet that you bring your pet to see.
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What
does a compounding pharmacist do? |
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A compounding pharmacist is at the heart of a compounding
pharmacy and is the facilitator of customized medication
for you as decided upon from consultation with your
doctor.
Safety is an important
concern and we work closely with your physician
to ensure that the choice of therapy is both safe
and in your best interest. Our consultation with your
physician allows the determination of a formulation’s
procedures and ingredients. In most instances, your
physician will specify the ingredients while the procedures
are determined by our expertise.
Within our compounding pharmacy, every compounded
dosage form is made under trained direct supervision.
Before you receive the final product, it is checked
carefully to ensure that it has been properly prepared
and then appropriately dispensed.
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Do
the benefits of compounded medication extend to everyone? |
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A various array of conditions will benefit directly
from therapy with compounded medication. There will
however, be individuals who have conditions that benefit
more from therapy with manufactured pharmaceutical
drugs. A consultation
with your doctor should help you to weigh the
benefits of compounded medication against that of
mass manufactured medication so that your eventual
therapy optimizes your health outcome.
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Can
my pet be given compounded medication? |
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Yes, the benefits of compounded medication
extend to pets as well and you just need to
present at a compounding pharmacy with a prescription
by the vet that you bring your pet to see.
Your pet may actually benefit more from being given
compounded medication as pets have been known to be
able to eat around medication that is hidden in their
food. A compounding pharmacist can often compound
medication for your pet so that the most appropriate
doses can be given and the dosage form can be compounded
to suitably integrate
into your pet’s food.
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Does
compounded medication cost more than other medication? |
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Not
necessarily so. Compounded medication can cost less
than conventional mass marketed medication in instances
where small doses are compounded or ingredient costs
are low. Compounded medication can cost more when
formulations are lengthy or ingredient costs are high.
The overall cost of your therapy
can be divided into three parts. The first
part involves the consultation with your physician.
The second part is for the laboratory tests that help
in diagnosing your condition, monitoring progress
and determining the appropriate medication to be compounded
along with doses to treat your condition while the
final element is the cost of your medication itself.
The overall regime of compounded medication therapy
is often comparable with that of other medication
regimes.
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