Menopause Mastery (The Institute of Bioidentical Medicine) Copy

The literature on high estrogen dosages Copy

1 Quiz

Quiz Q40: High Estrogen Dosages Copy

Never say “Never” Copy

1 Quiz

Quiz Q41: Never Say “Never” Copy

Treating of Vaginal Atrophy… Oh the good you’ll do. Copy

1 Quiz

Quiz Q42: Vaginal Atrophy Copy

Blood testing and the NAMS Position Copy

1 Quiz

Quiz Q43: Blood testing & The NAMS Copy

24-hour urine hormone and salivary testing Copy

1 Quiz

Quiz Q44: 24 Hour Test Copy

Steroid Hormone Biochemistry. Roadmaps galore Copy

1 Quiz

Quiz Q45: Steroid Hormone Copy

Risk and Estrogen Metabolites Copy

1 Quiz

Quiz Q46: Risks Copy

Does estrogen promote cancer growth? A Gray area re estrogen positive receptor sites and breast cancer. Copy

1 Quiz

Quiz Q47: Estrogen & Cancer Copy

The analytes important to hormone testing Copy

1 Quiz

Quiz Q48: Hormone Testing Copy

Understanding test results Copy

1 Quiz

Quiz Q49: Test Results Copy

Crucial reasons for F/U. Questionnaires Copy

1 Quiz

Quiz Q50: Follow-up Reasons Copy

Dialing in dosages Copy

1 Quiz

Quiz Q51: Dialing in Dosages Copy

An androgen overview. Let’s all squeeze our anus Copy

1 Quiz

Quiz Q52: Androgen Overview Copy

Androgen decline, Absorption, and Topical Testosterone Copy

1 Quiz

Quiz Q53: More on Androgen Copy

Androgen Poignancies and more on Topical Testosterone Copy

1 Quiz

Quiz Q54: Androgen Poignancies & Topical T. Copy

Risks with Androgens? Androgens Summary Copy

1 Quiz

Quiz Q55: Risks With Androgens Copy

The importance of SHBG Copy

1 Quiz

Quiz Q56: SHBG Copy

Yep, there are challenging cases: Here’s a Method to address them Copy

1 Quiz

Quiz Q57: Challenging Cases Copy

How much tenderness is acceptable? Copy

1 Quiz

Quiz Q58: Breast Tenderness Copy

How much good can we do later in life? Copy

1 Quiz

Quiz Q59: Elderly Hormonal Issues Copy

3 of 5

Quiz Q58: Breast Tenderness Copy

Menopause Mastery (The Institute of Bioidentical Medicine) Copy How much tenderness is acceptable? Copy Quiz Q58: Breast Tenderness Copy

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Question 1 of 11

1. Question
Increased breast density:
- 1) Can lead to diminished blood circulation to breast glandular tissue
- 2) Can lead to diminished lymphatic drainage of the breast
- 3) Can be unnoticable and is not of any clinical significance
- 4) Can appear in the course of treatment for women in menopause with hormones
- 5) Is a known risk factor for breast cancer
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Question 2 of 11

2. Question
Mammography:
- 1) The risks of this test outweigh the benefits
- 2) Is the most effective entry imaging technique to detect breast cancer
- 3) Should be considered optional for any Menopause Method health provider to order
- 4) Has such a significant false negative rate that it should be considered an optional test
Correct

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Question 3 of 11

3. Question
Thermography:
- 1) Can detect increased heat, a probable sign of inflammation
- 2) Is an effective entry imaging technique for detecting breast cancer
- 3) Should be considered optional for any Menopause Method health provider to order
- 4) Should not be considered as a valid screening test for breast cancer
Correct

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Question 4 of 11

4. Question
Increased breast density can be caused by:
- 1) Prolonged insufficient progesterone to balance estrogens
- 2) Underwire and compression bras
- 3) Oral contraceptives
- 4) Liver detoxification issues
- 5) Excessive alcohol intake
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Question 5 of 11

5. Question
Increased breast density can benefit from
- 1) Proper dosages of oral iodine preparations
- 2) Adequate E3 (Estriol) in estrogen formulation
- 3) Adequate progesterone
- 4) 24 hour urine hormone testing to confirm that all hormones are within optimal ranges
- 5) 2OH/16aOH ratio optimization through brassica or supplemental DIM or I3C
Correct

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Question 6 of 11

6. Question
Increased breast density can benefit from
- 1) Eliminating underwire and compression bras
- 2) Reducing bra wearing time
- 3) Improving compromised liver function
- 4) Assisting lymphatic drainage through nipple-to-periphery self-massage in all breast quadrants
- 5) Sweating detox techniques of possible fat stored (thus breast) environmental toxins
Correct

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Question 7 of 11

7. Question
Oral iodine preparations:
- 1) Adequate and supraphysiologic dosages are often required to effectively reduce breast density issues
- 2) Can be harmful
- 3) Are used in dosages that ultimately could be toxic
- 4) Can suppress thyroid hormone production
- 5) Should be accompanied by periodic thyroid evaluation through symptom survey and testing
Correct

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Question 8 of 11

8. Question
Adequate dosages of Iodide/Iodine preparations should be
- 1) 150 mcg/day
- 2) 300 – 600 mcg/day
- 3) 1 – 5 mg /day
- 4) 6 – 50 mg /day
- 5) Always be accompanied by careful thyroid monitoring
Correct

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Question 9 of 11

9. Question
The most common Iodide/Iodine dosage range after completion of initial treatment regimen:
- 1) 150 – 300 mcg/day
- 2) 300 – 600 mcg/day
- 3) 1 – 5 mg /day
- 4) 6.25 – 12.5 mg /day
- 5) 15 – 50 mg /day
Correct

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Question 10 of 11

10. Question
When treating with any form of Iodide/Iodine, periodic thyroid blood testing should include:
- 1) TSH
- 2) Free T3
- 3) Free T4
- 4) Reverse T3
- 5) Thyroid antibody panel
Correct

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Question 11 of 11

11. Question
During initial phase of treatment with bio-identical hormones:
- 1) Initial breast tenderness can be tolerated if mild
- 2) Initial breast tenderness can disappear over time as estrogen receptor sites "re-awaken"
- 3) Ultimately, any breast tenderness is unacceptable (including that noticed only on palpation):
- 4) Breast tenderness that appears during treatment is unlikely to dissapear, even with proper treatment adjustments
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