Justine Altman joins Sarah Clark as we’re digging into bioidentical hormones and when/if you need to use them during the fertility journey.
When I was diagnosed with POF/POI at 28 I was told that I needed to get on hormone replacement therapy right away to protect my bones, prevent osteoporosis, and protect my heart.
So I took their synthetic form of hormone replacement therapy for years. And then I discovered that the root cause of my infertility was a food sensitivity, gut infection, and chronic stress.
Many of my chronic health issues went away because I committed to the diet and lifestyle changes.
I stopped taking hormone replacement therapy because of the negative side effects of synthetic hormones.
Enter bio-identical hormones. They can be included in your fertility toolkit. However, lifestyle changes need to be prioritized first before we take the hormones.
Because bioidenticals alone are not the answer, but they can be part of the solution.
Today I'm welcoming Justine Altman back to the podcast.
Justine is part of my team here at Fab Fertile. She is an integral part of our Couples Coaching program - which uses functional lab testing, diet, and lifestyle changes to dramatically improve conception. If you are struggling with infertility...your body is desperately trying to tell you something...focusing on your health will either help you get pregnant naturally or if you do need to go to the fertility clinic it will improve your chances of success.
Justine is a Functional Diagnostic Nutrition Practitioner. She was diagnosed with POCS and struggled with infertility but after taking a functional approach was able to have both her children naturally.
On today's episode you'll learn:
1) The difference between bioidentical hormones and synthetic hormones. Why pharmaceutical companies wouldn't have produced bioidenticals.
2) The controversy surrounding hormone replacement therapy. We discuss the studies.
3) The top mistake we see with hormone therapy (synthetic and bioidenticals).
4) When to use bioidentical hormones and when will they be more effective.
5) Why regular testing is key. Plus diet/lifestyle factors that are essential to address when you are TTC. It's not about focusing directly on the hormones - but relieving the stress on the body (why are the hormones unbalanced, to begin with).
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TIMESTAMPS:
05:53- INTRO AND JUSTINE ALTMAN'S BIO
07:10- DISCLAIMER
07:29- THE DIFFERENCE BETWEEN SYNTHETIC AND BIOIDENTICAL HORMONES
The difference between their functions and side effects Why pharmaceutical companies would not just produce exclusively bioidentical Different ways of administrating bioidentical hormones and the benefits/cons
12:00- CONTROVERSY WITH HORMONE REPLACEMENT THERAPY AND THE RISK OF CANCER
What research has found (and not found) in regards to the effects of synthetic vs bioidentical hormones "Synthetic vs the bioidentical is really night and day."
14:10- FUNCTIONAL MEDICINE'S APPROACH TO HORMONES
Why focusing on hormones is the opposite of functional medicine's approach "If we take stress off the body the body starts to do whats it's supposed to do." The importance of testing continually
17:45- WHICH HORMONES WE ARE TESTING FOR AND THAT TEND TO BE LOW
DHEA the "master hormone" and why we don't want too much of it The balance of hormones in order for the body to function properly Testing first before supplementing
20:05- WHY TAKING ESTROGEN AND PROGESTERONE TOGETHER IS IMPORTANT
What "estrogen dominance" means and why it matters looking at the individual to restore balance
22:02- WHEN TO USE BIOIDENTICAL HORMONES
Looking at lifestyle first at how that helps bioidentical hormones be more effective "The body is meant to function optimally" How functional medicine views hormones "Hormone deficiency is not the problem, it's the symptom of the problem."
26:25- MISTAKES WE REGULARLY SEE WITH BIOIDENTICAL
Not testing properly and making it bio-individual "We don't treat the diagnosis."
27:43- HOW OFTEN SHOULD WE BE TESTING AND WHEN DO WE RETEST?
The importance of continually testing and sticking with the process Focusing not just on the individual but the individual right now
29:25- ACCESS TO DIFFERENT TESTS BASED OFF WHERE YOU ARE IN THE WORLD
United States, Canada, and Europe
31:35- DHEA CREAMS AND PRODUCTS
33:49- THOUGHTS ABOUT MACA
38:16- INFORMATION ABOUT A FREE CONSULT WITH SARAH
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Related episodes:
Functional Medicine 101: https://fabfertile.com/blog/functional-medicine-101-and-your-fertility/
What You Need To Know About A Functional OB/Gyn: https://fabfertile.com/blog/what-you-need-to-know-about-a-functional-ob-gyn/
Why You Need To Know This if You Have POF/POI and low AMH: https://fabfertile.com/blog/why-you-need-to-know-this-if-you-have-pof-poi-and-low-amh/