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If Not HRT, Then What?
If you're not a candidate for hormone replacement therapy, you'll be glad to know there are plenty of other things that can help relieve hot flashes that come with menopause.
The doctor said I could never use HRT. What else might I do to get relief?
Question:
Twenty-five years ago, when I was 26, I took birth control pills and they almost killed me -- really. Pulmonary emboli. The doctor said I could never use HRT. I am having hot flashes now, at 51, and just cannot ingest Revival soy daily. What else might I do to get relief? Bioidentical hormones -- or are they also risky?
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Answer:
The first thing I would try in a situation like yours is 2% progesterone skin cream, one-quarter to one-half teaspoon, on your skin every day. Studies have shown that this helps relieve hot flashes in 80% of the women who try it after a month or two. Another modality that helps some women is the herb vitex and/or black cohosh. If you log on to my web site, drnorthrup.com, you can find more in-depth information about these herbs.
But don't give up on Revival soy altogether. It's the one menopausal approach I really swear by, and I use it every day. They now have meal-replacement bars that are available in a wide variety of flavors, including the new one, apple cinnamon, and I find that people who don't like the powdered drink often do fine eating the bars. If you notice any digestive problem it's probably because your system is not used to the legume base, so just use Beano as a supplement until your body gets used to the increased bean proteins. You can log on to soy.com to learn more about Revival. It also decreases breast tenderness and PMS symptoms in many women who are not yet through menopause, or not even close.
And now for the big news about hot flashes: They really do respond beautifully to diet, but here's what you have to do. You have to eliminate all caffeine, even decaffeinated coffee. It personally took me approximately five years to come to grips with that in my own behavior, and no chocolate, no wine, and no sugar.
It's worthwhile to go on Ann Louise Gittleman's fat flush diet plan, which is spelled out in her book The Fat Flush Diet, because this diet is designed to cleanse the liver. All hormones have to be processed and metabolized by the liver. So when you support your liver through diet and the right condiments, like lemon juice, you will find that the hot flashes often decrease dramatically, or are eliminated entirely.
Once you've experienced this, then you can decide what piece of chocolate is worth the ensuing hot flashes, because they'll only be there a little while and then they'll go away when you get back on a stricter dietary plan. And after a year or two, depending on your metabolism, your hot flashes will simply go away permanently, no matter what you eat.
And just one more thing: If you have access to somebody who does acupuncture with traditional Chinese herbs, that often works wonders with all menopausal symptoms.
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