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Audrey’s Story

Audrey was forty-seven years old and depressed. She had minor episodes of anxiety but never had significant depression. Audrey explains,

I was married for nineteen years. When I went through “the change,” I almost lost my mind. My husband left me, and I don’t blame him. I felt so depressed I even thought about taking an overdose of Xanax.

You are my last hope. I’ve seen so many psychiatrists and counselors, even my pastor. No one can help. There are days it’s hard to get out of bed. Some days I just stay in bed all day. I go for two or three days and don’t eat hardly anything. I’ve lost a lot of weight, I don’t know how much. I lost my job as a teacher over this and had to move in with my dad. My mother committed suicide when I was eighteen.

My sister comes to this clinic. She told me it may be my hormones. Please help me.

Audrey clearly was depressed. She was more depressed than most patients we see. Doctors who treat patients with bio-identical hormones know that it is not uncommon for patients with low hormone levels to experience bouts of depression.

Along with moderate depression, Audrey had multiple symptoms of menopause: hot flashes, poor sleep, headaches, vaginal dryness, tired, sagging of the breast, no libido.

She had twelve different prescription medications in her purse from 7 different doctors including Percodan, Dilaudid, Xanax, Ambien, four different SSRIs (antidepressants), Lithium, Risperdal, Zyprexa, and Wellburtin to help her stop smoking. (She had never smoked until she was 42.)

Audrey was 5’3 and weighed 104 pounds. She was lucid and pleasant. She was not psychotic. She knew that things were not right. “Life was good before menopause – but not now.”

Audrey had also experienced a mild episode of postpartum depression at age twenty-five after her second child was born. That episode lasted about three months.

Vital signs were normal for the patient. She was clearly underweight. Her sex hormones testosterone, progesterone, and estradiol showed obvious signs of menopause. This was to be expected – her symptoms were telling that same story.

Audrey was treated with bio-identical hormone pellets of estradiol 6 mg, the lowest dose, and testosterone 70 mg because she weighed only 104 pounds. She was given progesterone 100 mg sublingual rapid dissolve tablet to be taken twenty-five days per month at bedtime. For sleep medication. Audrey was asked to gradually stop Ambien and being using melatonin 20 mg at bedtime. She was anxious to stop her Xanax, Ambien, and Zoloft, but she was told to decrease these medications very slowly.

One month later Audrey was a new women.

She actually was completely free from depression for the first time in seven years.

I use melatonin to help me sleep. I use it instead of Ambien and it works fine. I have to take it earlier in the evening than Ambien, which worked in ten minutes. I hardly ever need my Xanax, but I still carry it with me in my purse. I just feel more comfortable having it nearby. I have cut back on Zoloft to 50 mg a day and I only smoke a half pack a day instead of one pack a day.

Her lab studies showed improvement in every area. Audrey even said she was thinking of trying to back with her husband.

The Life-Saving TRUTH about Bio-Identical Hormones

Dr. Dane Hale

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