Dear Women: Menopause is natural, but it is an endocrine catastrophe--the failure of your major sex-steroid producing gland.
It is equivalent to a man losing his testes. Menopause is the result of an evolutionary compromise; to prevent more pregnancies so
that women can assure the survival of their existing children. Imagine the contrary--if women remained fertile their entire life!  Your
ovarian hormones were essential to your health and quality of life before menopause and they remain so after menopause. What
has been shown to be dangerous is the use of non-human hormone substitutes like
Premarin and Provera (PremPro). Human-
bioidentical molecules,
delivered by the correct route and in correct balance with other hormones provide all the natural
benefits without the risks seen with non-human molecules. Transdermal estradiol
does not increase the risks of blood
clots and strokes like oral estrogen tablets do.
Progesterone has a protective effect against breast and uterine cancer, whereas
and many other progesterone-substitutes (progestins) promote breast cancer. Testosterone restoration is beneficial
for your mood, libido, energy and muscle strength and causes no health problems. Testosterone antagonize
s estradiol in the
breasts, reducing proliferation and the risk of breast cancer.
You have the right to demand that your multi-hormone
deficiency be treated. Your physician is ethically obligated to provide hormone replacement if you so demand.
Estradiol and progesterone are available in FDA-approved forms, from any pharmacy, whereas transdermal testosterone must be
You can demand transdermal estradiol in either FDA-approved gels and patches from regular
pharmacies or in a cream from a compounding pharmacy. You
should also demand progesterone, whether you have a uterus or
not. Progesterone is available in FDA-approved capsules and in creams and sublingual/vaginal tablets from compounding
pharmacies. The FDA-approved capsules are most effective if inserted vaginally rather than swallowed. Your physician must get
you testosterone from a compounding pharmacy as "women's advocates" prevented the FDA from approving a testosterone patch
for women.
Your doctor can call a compounding pharmacy for the appropriate testosterone product and dose. You should read,
and refer your physician to, my powerpoint
Sex-Steroid Restoration for Women. Pages 59 to 68 contain detailed guidance
concerning both FDA-approved and compounded products and doses.

Dear Thyroid Patients: If you have thyroid gland failure--primary hypothyroidism--your doctor is giving you a dose of
levothyroxine that normalizes your thyroid stimulating hormone (TSH) level. Abundant research shows that this practice
does not
usually restore euthyroidism
--sufficient thyroid effect in all tissues of the body. It fails particularly badly in persons who have
had their thyroid gland removed.
IF you continue to suffer from the symptoms of hypothyroidism, you have the right to demand
that your physician instead give you
T4/T3 (inactive/active) thyroid replacement therapy. Your physician can either add sufficient
T3 (10 to 20mcg) to your T4 dose, or lower your T4 dose while adding the T3. The most convenient form of T4/T3 therapy, with a
4:1 ratio, is
natural desiccated thyroid (NDT-- Armour, NP Thyroid, Nature-Throid). You should demand that your physician
change you to NDT and adjust the dose to keep the TSH at the bottom of its range-- when you have the blood drawn in the
morning prior to your daily dose. This may be sufficient treatment, but
IF you continue to have hypothyroid symptoms and no
hyperthyroid symptoms, demand that your physician to increase the dose to see if your symptoms will improve, even if the TSH
becomes low or suppressed. You can prove to your physician that you're not hperthyroid by the facts that you have no symptoms
of hyperthyroidism and your free T4 and free T3 levels are normal in the morning, prior to your daily dose. They may even both be
below the middle of the range. Your free T3 will be high for several hours after your morning dose, but this is normal with this
therapy and produces no problems. You should insist that testing be
prior to your daily dose, as recommended by professional
guidelines. It's simple common sense.
TSH is not a thyroid hormone and is not an appropriate guide to thyroid
replacement therapy.
The hypothalamic-pituitary secretion of TSH did not evolve to tell physicians what dose of levothyroxine a
person should swallow every day.
A low or suppressed TSH on replacement therapy is not the same thing as a low TSH in
primary hyperthyroidism. If you have central hypothyroidism, the TSH will necessarily be low or completely
on T4/T3 therapy; your physician must treat you according to symptoms and the free T4/free T3 levels.

If you cannot obtain the sex-hormone, thyroid, or adrenal care that you require from any local physician, consider going to a
Holtorf medical group clinic (
See website). Fortunately there is a clinic in the Philadelphia area.

Hormones are the most powerful molecules in our bodies, controlling the function, growth reproduction, metabolism, and repair of
every cell.
Our bodies require optimal hormone levels, just as they require optimal levels of essential vitanutrients: vitamins,
fats, amino acids, and minerals. Insufficient hormone levels have been shown to contribute to many disorders and diseases--
diabetes, atherosclerosis, high blood pressure, fatigue, loss of muscle strength, osteoporosis, autoimmune diseases, cognitive
decline, increased cholesterol levels, blood clots, increased belly fat, loss of libido, anxiety, depression, and some cancers. In
addition to age-related losses, many persons have hormone insufficiencies or imbalances due to hypothalamic-pituitary
dysfunction, endocrine gland failure, hormone resistance and metabolic disorders.
Women are especially affected by
hormonal disorders
because their complex hormonal system is adapted to produce and feed babies; not to optimize their vitality
as in men. Women have a much
higher incidence of hypocortisolism than men (fatigue, aches, insomnia, anxiety,depression,
hypoglycemia, low blood pressure, PMDD, allergies, and autoimmune diseases). They also have
more hypothyroidism (fatigue,
aches, cold hands and feet, dry skin, weight gain, constipation). Women then suffer complete
ovarian failure at menopause.
Women are being poorly served by the
prevailing ignorance concerning hormones.  

Conventional medicine today grossly underestimates the importance of optimal hormone levels. It remains
stuck in the ideas from the early 20th century. Endocrinologists are taught only to recognize and treat
severe hormonal
deficiencies caused by identifiable
disease or damage affecting a gland, and to provide only enough hormone replacement to
"normalize" certain tests. They are actually taught to ignore the patient's signs and symptoms and all the complexities of the
endocrine system. They practice "
Reference Range Endocrinology"; accepting any hormone level anywhere within the
laboratory's reference range as "normal", meaning "no disease". They fail to understand that
population ranges do not define
what is optimal for our species, or for any individual
. The laboratory ranges include 95% of a group of "apparenty healthy"
adults who were
not screened for symptoms. They include almost everyone! Worse, physicians ignore a person's actual
thyroid hormone levels and their symptoms and rely almost entirely on the
wrong test, the TSH, to diagnose and treat
ypothyroidism. This illogical TSH-T4 thyroidology makes them incapable of diagnosing or properly treating hypothyroidism. It
has also corrupted the laboratory ranges for free T4 and free T3. Laboratories include physican-ordered tests from TSH-
normal hospital and clinic patients
in their ranges. They are actually sick patient ranges! In fact, most hormone deficiencies not
due to failure of a gland--except for menopause. Most deficiencies are
partial central hormone deficiencies--caused by
hypothalamic-pituitary dysfunction--and
partial resistance syndromes caused by genetic mutations of enzymes, receptors and
other proteins needed for hormone action in the tissues. Endocrinologists are also practically incapable of diagnosing or treating
cortisol deficiency. Physicians are actually afraid of cortisol. However, cortisol restoration at physiological doses, and
accompanied by
DHEA, does not have the long-term negative effects of "steroids" like prednisone and Medrol. Human hormones
have no "side effects" by definition! For certain, even bioidentical-human hormone replacement can cause problems when given in
wrong way, in excessive doses, or without proper balance with other hormones. Read Dr. Lindner's submission to the
Scottish Parliament for a brief summary of the failures of conventional endocrinology, their causes, and the legal reforms
necessary to assure that the population has access to effective endocrine care.

One of the causes of this
hormone ignorance is the influence of pharmaceutical corporations in medicine. Big Pharma
promotes drugs for every symptom and patented hormone-like drugs instead of hormones. Big Pharma attacks compounding
pharmacies because they are the competition and they inform women of the necessity of using the correct molecules. Big Pharma
also wants to sell bioidentical hormones at exorbitant prices.
The FDA has also corrupted endocrinology. When
pharmaceutical hormone substitutes like PremPro, birth control piils/implants, prednisone, methyltestosterone, etc
. cause serious
diseases and disorders, the FDA claims that human hormones cause the same problems.
The FDA is currently claiming that
testosterone is a dangerous "drug". It lists testosterone as a controlled substance--as if it's also an addictive drug.

Because it still clings to the
old disease-based Reference Range Endocrinology, and because of pharmaceutical
corpraton and FDA corruption
, endocrinology is an ineffective, moribund specialty, dominated by hormone myths. Indeed, all
of medical practice is now essentially a pharmaceutical disease-drug scheme. Medicine requires an entirely different conceptual
foundation: it should first and foremost try to find the biomolecular
causes of all symptoms and disorders, and should attempt to
fix the problems by addressing the causes. In many cases all that is needed is to optimize the amounts and balance of important
natural molecules--among them hormones and vitanutrients. I call this new endocrine paradigm
"Restorative Endocrinology".
See my
E-book for much more detailed information and advice.
Hormone Restoration for
Health and Quality of Life
Web Site established:
Feb 1, 2007
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Unfortunately, Dr. Lindner's practice is full. He cannot accept new patients.