Women’s Hormonal Health

Hello and welcome to the Cash Practice Solution podcast. I’m your host,
Doctor J. This week we’re talking about a massive shift in women’s
health So millions of women have been told how dangerous HRT was, when
in fact all the new evidence shows it can dramatically improve your
quality of life. It can lower the risk of heart disease, fractures,
Alzheimer’s. Today we’re going to look at this news from our unique cash
practice perspective, what it means for patients, for us, and for the
future of cash based health care. Let’s do this. Here’s the big story.
Secretary of Health and Human Services Robert F Kennedy Jr just
announced the FDA. Okay, I’m just going to let you in on a little
secret. It’s not just the Food and Drug Administration. We know it as
the fickle denial agency. They just for no reason except possibly that
the drug actually works and is helpful. They’ll deny it. They’ll say you
can’t have it. Or the federal demonic agency, which is a little bit more
sinister, opportunity to consider. But anyway, we’re not crazy about the
FDA, but they did something really good. They removed the black box
warning from hormone replacement therapy. HRT. Let’s start with the big
picture. Two decades ago. Hormone replacement therapy carried one of the
FDA strictest warnings because of, the Women’s Health Initiative. Huge,
huge study, flawed as it could possibly be. Using Premarin which, is a
conjugated horse estrogen, multiple different estrogens and not so bad.
And progestin, a synthetic progesterone which, called
Medroxyprogesterone. Hardly used now. A known cancer causing agent. So
they put those two together, and they gave it to a bunch of women. And I
know this is going to come as a shock to you. It caused cancer. They use
Medroxyprogesterone which is a known cancer causing agent. So that
shouldn’t be surprising, right? But then it impeached all the hormone
therapy from then on. the other part of the problem was the women who
they used in the study weren’t like the women. I treat my practice who
like mid 40s, they start in their 50s, early 50s. That’s when we start
women generally. These women over 63 years old on average, That’s very
old to be treating menopause. Most of the symptoms have gotten much
better or they’ve gotten to the point where you’re not going to get them
a whole lot better at that point with hormone therapy. So doesn’t make
any sense. So the FDA finally has revisited the data. They found Women
who start HRT within ten years of menopause, that means like 46 years
old to 55 or 60 years old, always before age 60. That’s their rule. Have
much better long term outcomes. That shouldn’t come as a surprise when
you’re hormone deficient at 45 or 50 years old, and you don’t do
anything about it for 15 years, you’re not going to have a great
outcome. You want to start earlier, right? So what does that mean for
your cash practice? Let’s break it down. This is about not just hormone
therapy. It’s about restoring trust in medicine. Right. Because women
have been told now by their insurance doctor or their doctor, he’s just
kind of running them through the mill. You’re just going to have to live
with it. It’s only going to be six months or a year, and then you’ll be
fine, which is not true. Hormone deficiency symptoms of menopause can
last up to ten years. Sleepless nights. Mood swings. Brain fog. Bone
loss, irritability. Husband hating you. Oh, I that’s not in the medical
literature, but it’s not good. And that’s because of outdated science.
And just the incredible, horrible inertia of the federal government just
takes them forever to get anything right. So the data now tells a
completely new story. When you do HRT right, which I’m going to share a
little bit on that with you as we go. You can reduce heart attack risk
50%, cognitive decline by 64%, specifically Alzheimer’s by 35%. And for
us cash based groovy doctors and NPs, it’s a chance to educate patients.
We can offer solutions now that instead of oh my gosh, there’s this
horrible black box thing, we can show them the truth of what we’ve been
saying all along. Hormones are not only safe, but they’re effective to
make you feel much, much better. Reverse all sorts of serious problems.
that, when you’re counseling them, educating and personalizing,
monitoring, you’re giving them something you can’t get in a seven minute
quickie insurance visit. You’re giving them confidence. You’re giving
them control over their health. Hot flashing. It’s it’s not a required
event in women’s lives anymore. It doesn’t have to be that way.
Irritability. It’s just not necessary. We can now give them that. And
this is not, like, just a woo. Yay! RFK did this great thing. Let’s just
jump up and down. It’s. Now is the time, to really grow your practice.
You know, very, very intentional way. Not just. Hey, we’re with we’re
with this movement, but to actually put yourself in a position where
these tens of millions of women who are now going to be, wow, this is a
safe for me to do because they’ve been scared off. Now they’re coming
around, right? You can guide them. You can be the one to guide them
through safe, evidence based care. If you’re a cash based clinician,
you’re already built for this. You can spend the time to educate. You
can provide that comprehensive lab testing. It doesn’t matter what the
insurance company says. You can only do it once a year. Half and half of
the lab once every six months. Do it right. Testing when they come in.
Test them when they’re at peak testing twice a year. Make sure you do it
right. You can tell the plans around real outcomes and not the billing
codes or the insurance regulations. The FDA decision just validated what
all of us in functional and regenerative medicine have known for years
that hormones are probably if they’re not the key, they’re one of the
biggest keys to long term vitality.

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I think I call the hormone therapy in my practice the big switch. When when you’ve
turned the hormones back on, you’ve basically given the person back much
of their life. This is your chance to lead, not by selling service, but
becoming the trusted authority on women’s hormone health in your area.
You’ve probably already doing a lot of this, but now you have the FDA
pulling the the fear barrier off and now, as your regulatory barriers
are falling, opportunity is calling. Now you have the opportunity to do
something really great. Depends on how you do it right. You have to do
it, in a way that reflects professional professionalism, clarity,
experience. So first plan to educate whether it’s one on one with
patient or small groups, whatever it is, and then package this this
therapy the way we do in our practice. It’s real, real simple. A patient
calls and says, hey, I’ve got some issues. We have them go through our
diagnostic software. There’s free software, and we have them complete an
interview. And then we review all of their menopausal symptoms. Based on
that, we can make a quick decision on their symptoms. So we have their
symptoms clarified. Then we do monitoring lab. We do a comprehensive
initial lab. Look at all their hormones. Look at all their laboratory
findings. Then we give them their treatment. Then we check them at one
month to check for their peak levels. Then we check them at six months
and we check in that one year. It’s bundled into a package so that we
know we don’t get off track. They know that we’re professionally
following this. It’s not a Johnny come lately or fly by night kind of
thing. We’re paying close attention and we document. We track all the
outcomes energy, sleep, cognition, all of it. And all of that stuff,
too. If you’re going to move into this area, there might be a little bit
greater scrutiny on your practice. So you want to have good
documentation. So. So it’s about building a practice that’s ethical and
profitable. And as we say in the cash practice solution world that
outcome and income have to balance. If your outcomes are excellent
you’re going to make a good income. In fact, as your outcomes improve,
your income will continue to improve. And until you’re you’re not going
to worry about your income at all, and all you’re really going to need
to worry about is your outcomes. And everybody wins. Okay. It’s about
service, right? You can help women reclaim energy, confidence, peace of
mind, and you’re doing the kind of medicine that you probably dreamed
about doing when you first started If you like what you’ve heard so far,
I think I’ve got something that might be really intriguing. We’ve built
a software system to run your entire cash practice from beginning to
end. It’s called Ēspre Health. At Ēspre Health, your patient will
complete an interview online and will provide you with every bit of
information you need to know the patient’s entire story before they even
come in the door. You’ll be able to to know from the very beginning of
your interaction with them exactly what they need. Then you can get into
the details down to the nitty gritty. RFK Junior and Marty Makary They
made their bold move. They’ve removed the black box warning. They say
the era of ignoring women’s health is over. Well, you can make a bold
move. You could get Ēspre Health involved in the care of your patients
and do better care than you’ve even imagined was available. You can know
every detail of the patient’s story without ever having met them. And
then when you do meet them, you can get down into the incredibly
important details that make you the excellent clinician that you are.
You can lead with evidence, not emotion. We help practices like yours
navigate difficult situations. Our practices handle patients that are
probably a little more complicated than average, Ēspre helps medical
shifts, cultural shifts, breakthroughs like this opportunity are rare,
as free health will help you capitalize on that. So check out all our
resources at the CashPracticeSolution.com. Next week we’ll have more
exciting stuff for you. How to balance your outcomes and incomes, how to
be profitable, how you can hold on to your purpose. So until next time,
listen to your patients, learn their stories and love them with all your
heart. You will be unstoppable.

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