A 56 yo client says her friend recommended going to a hormone specialist who creates a specifically formulated and compounded hormone replacement for her based on blood tests and saliva samples. You tell her:
That compounded formulations from credentialed specialists may be a good choice because they are identical to her naturally occurring hormone levels.
That the only safe HT is estrogen only based therapy.
She should exercise caution before choosing compounded HT which is not tested for efficacy, safety, batch standardization, or purity.
She is not a good candidate for HT until 5 years after menopause.
A woman taking long-term low dose local ET for vaginal atrophy should also take a small amount of progestogen to protect against endometrial cancer.
A 53 yo woman whose mother died of endometrial cancer has come to you wondering what she can do to help with her terrible hot flashes that she is experiencing. You tell her that her options include: check all that apply
hormone replacement therapy
fluoxetine, praoxetine, or escitalopram (with the understanding that it is an off label prescription)
venlafazine and desvenlafaxine (with the understanding that it is an off label prescription)
Gabapentin (with the understanding that it is an off label prescription)
red ginseng
white ginseng
soy
black cohosh
red clover
ginkgo biloba
Your client is 115 pound caucasian woman whose mother had a hip fracture in her late 60s. She has tried bisphosphonates but really did not like them. She is wondering if there are other dietary supplements or herbs she can take to help decrease her risk for osteoporosis besides calcium and vitamin D. You tell her to try
pomegranate
flaxseed
