Amber was fifty-two years old when she was told she had elevated cholesterol levels. Her family doctor immediately placed her on Lescol 40 mg one each evening.
Amber came for bio-identical hormone treatment complaining of hot flashes, night sweats, anxiety, depression, weight gain, tiredness and poor sleep. She said, ” I had a total hysterectomy when I was 43 for endometriosis. I took Prempro for nine years until I heard about the dangers of Premarin from a news story in a women’s magazine.”
Her physical exam was unremarkable except for weighing 146 pounds. Amber was only 5’1″. She was pleasant and did not appear depressed. Amber said,
” I try to cover the stress I feel. I try to smile put on a good front but I am miserable. I’ve gained 28 pounds in the last ten years. I used to be 118 and now I weight 146. My husband and I don’t have sex anymore. I just don’t feel like it. And I don’t think he does either. I’m so tired I don’t feel like exercising. Inside I know something is missing. A friend of mine told me it might be my hormones.”
Her estradiol, progesterone, and testosterone were almost non-existent. Interestingly, her cholesterol was still elevated even though she was taking Lexocl. Her sex hormones were replaced at this office visit. We discussed her need to follow up with her family doctor, suggesting that she might need to make an adjustment in her treatment plan for cholesterol.
Amber returned in four weeks. She was excited about how much better she felt. She explained that replacing her lost hormones had changed her life. This is a very typical story heard many times a day by a doctor practicing bio-identical hormone replacement therapy. It is always exciting to hear the stories over and over through the day.
But Amber also reported about the visit to her family doctor,
“She checked my cholesterol and to my surprise and hers as well, my cholesterol was 184. She said that must be exercising a lot and eating much better to get it to drop that much. I told her no, I started doing BHRT. She didn’t know much about it but didn’t seem to believe hormones could have caused such a change.”
Amber’s story is so typical. Many have been able to decrease their cholesterol medication and some have been able to stop it all together.